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Literature review for - Flourish Paediatrics

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Reference<br />

Binns CW, Gilchrist D, Gracey M<br />

et al Public Health Nutr 2004; 7:<br />

857-861<br />

Scott JA, Shaker, I & Reid M. Birth<br />

2004;31:125-131<br />

Scott JA, Binns CW, Graham KI,<br />

Oddy WH Birth 2006; 33:37-45<br />

Type of study Prospective cohort study Cross-sectional Prospective cohort study<br />

Level of evidence II(aetiology) IV(aetiology) II (aetiology)<br />

Definition of Any breastfeeding at discharge from Any breastfeeding at discharge Any breastfeeding at discharge,<br />

breastfeeding hospital<br />

Exclusive breastfeeding since birth at<br />

Intervention/<br />

comparator<br />

Maternal age in years (continuous<br />

variable0<br />

discharge (WHO)<br />

30 vs < 25 (ref) < 25 yrs, 25-29, 30-34,<br />

≥35 (ref)<br />

N 425 108 587 (68% of 870 women contacted and<br />

55% of 1068 eligible women)<br />

Population/study<br />

in<strong>for</strong>mation<br />

Self-identified Aboriginal women<br />

delivering in the major Perth<br />

maternity hospital (n=310) and 5<br />

suburban hospitals (n=115). baseline<br />

interviews conducted in prior to<br />

discharge.<br />

Convenience sample of Scottish<br />

women recruited from maternity clinic<br />

in Glasgow. Breastfeeding at<br />

discharge determined from birthing<br />

records<br />

Quality P O P<br />

Results<br />

Breastfeeding at discharge<br />

Adj OR 1.12% (95%CI 1.03-1.22)<br />

Crude OR 3.14 (95%CI 1.02-9.65)<br />

Not independently significant after<br />

adjustment <strong>for</strong> maternal infant feeding<br />

attitudes<br />

Mothers were recruited from maternity<br />

wards of two Perth metropolitan hospitals<br />

within 72 hrs of birth.<br />

Any breastfeeding at discharge<br />

Crude OR (95% CI)<br />

< 25 yrs 1.11 (0.39-3.16)<br />

25-29 0.86 (0.32-2.31)<br />

30-34 2.66 (0.79-8.98)<br />

Adj OR Not specified but controlled <strong>for</strong><br />

in multivariate logistic regression and<br />

non-significant<br />

Exclusive breastfeeding at discharge<br />

102

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