25.06.2015 Views

Literature review for - Flourish Paediatrics

Literature review for - Flourish Paediatrics

Literature review for - Flourish Paediatrics

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

confidence.<br />

Insufficient milk supply syndrome<br />

may be<br />

characterized by a group of symptoms:<br />

decreased<br />

infant weight gain, decreased infant<br />

satisfaction,<br />

and complementation rather than<br />

supplementation with <strong>for</strong>mula.<br />

feeding management and behaviour,<br />

lactation<br />

physiology and the woman's<br />

psychological state,<br />

in relation to perceptions of milk<br />

adequacy.<br />

Difficult to determine whether<br />

insufficient breastmilk is the result of a<br />

mother’s lack of confidence to nourish<br />

her baby or a physiological milk<br />

inadequacy created by incorrect feeding<br />

practice<br />

supply. Evidence <strong>for</strong> a physiological<br />

mechanism is not strong.<br />

Women need to be in<strong>for</strong>med about the<br />

supply and demand nature of milk<br />

production and how to carry out, with<br />

confidence, physiologicallysound<br />

feeding practices.<br />

Clinical 1 4 1<br />

importance<br />

Clinical 1 1 1<br />

relevance<br />

Generalisability Y- US Y – UK Y<br />

Applicability Y- US Y – UK Y<br />

Reference Blyth et al. 2002<br />

Kirkland & Fein 2003<br />

Lee et al 2006<br />

(included in Gatti’s SLR)<br />

(included in Gatti’s SLR)<br />

Type of study cross-sectional Cohort cross-sectional<br />

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

183

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!