Literature review for - Flourish Paediatrics

Reference Carfoot et al. Midwifery (2005) 21,
71–79
Chye et al. Journal of Tropical
Pediatrics Vol. 43 October 1997
James Breastfeeding Review, 2004,
12: 19-27
Type of study RCT Cross-sectional Prospective cohort (12 mo)
Level of evidence II (intervention) IV (aetiology) II (aetiology)
Definition of
breastfeeding
Any (Partial or exclusive)
breastfeeding at 4 months
Exclusive BF at 6 weeks
(Defined as breastfeeding without any
Cessation of breastfeeding by 13
weeks
Intervention/
comparator
Skin to Skin contact vs routine
delivery care
N 204 mother and baby pairs; 102
randomised to each group.
Population/study Women delivering in Warrington
information Hospital in the north
of England in 2002. A healthy,
pregnant woman was eligible
for the trial if she intended to
breastfeed, had ‘booked’ at
Warrington Hospital, her healthy
fetus was greater than 36 weeks’
gestation and she had given informed
consent. A woman was ineligible if
she requested either skin-to-skin or no
skin-to-skin contact after delivery, or
had a multiple pregnancy.
In the group receiving routine care,
babies were quickly dried and
wrapped in a towel before being
handed to their mother or father.
Mother–baby contact was interrupted
for weighing, dressing and measuring
non-human milk supplementation)
Delayed first feed (i.e. outside of labour
room) vs (early first feed (while in
labour ward)
Mothers who had returned to the
Hospital with their infants for the 6-
week post-natal follow-up clinics,
from-September to November of 1D95
and dad agreed to
the study were interviewed. Mother and
infant pairs were randomly selected.
Selection criteria were recruited into the
study: (a) Malay, Indian and Chinese
mothers (the three major ethnic groups)
with singleton pregnancies, and (b)
normal healthy infants at birth (no
major congenital malformations), with
gestational ages >35 weeks and birth
weights >2kg, and were not admitted
into the Neonatal Intensive Care Unit.
1 st feed 1 hr of birth vs < 1 hr birth
(ref)
298
Convenience sample of mothers from
a range of maternity service across
Victoria. Recruited late in pregnancy
or in the early postpartum period.
Follow-up questions at 3 monthly
intervals until 12 mo of age
13