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Literature review for - Flourish Paediatrics

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Clinical 4 1 1<br />

importance<br />

Clinical 1 1 1<br />

relevance<br />

Generalisability N sample size small, study groups Y<br />

Y<br />

not comparable<br />

Applicability Y Y Y<br />

Reference Dewey et al. 2003 Chiummariello et al. 2008 Vazirinejad et al. 2009<br />

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

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

Definition of<br />

breastfeeding<br />

Not stated Not stated Not stated<br />

Intervention/<br />

comparator<br />

Presence of flat or inverted nipples<br />

Reduction mammoplasty.<br />

(superior vs. inferior vs. medial vs.<br />

lateral pedicle breast reduction)<br />

Presence of maternal breast variation<br />

(such as flat<br />

nipple, inverted nipple, large breast<br />

or/and large nipple)<br />

N<br />

280 mother-infant pairs. Follow up at<br />

day 3 was 96%<br />

105 mothers<br />

Group A (superior pedicle breast<br />

reduction) = 28<br />

Group B (inferior pedicle breast<br />

reduction) = 23<br />

Group C (medial pedicle breast<br />

reduction) = 25<br />

Group D (lateral pedicle breast<br />

reduction) = 29<br />

100 mother-neonate dyads. Follow up at<br />

day 7 was 100%<br />

171

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