Literature review for - Flourish Paediatrics

Studies used to make evidence statement for engorgement (prevalence and treatment)
Reference Hill et al. 1994 de Oliveira et al. 2006 Lee et al 2006
Type of study Cohort RCT cross-sectional
Level of evidence II (aetiology) II (intervention) IV (aetiology)
Definition of
breastfeeding
Poorly defined Poorly Defined Partial breastfeeding defined as less
than 70% of nourishment was provided
Intervention/
comparator
Prevalence of breast engorgement
30-minute counselling
session on breastfeeding technique vs.
no 30-minute counselling session on
breastfeeding technique
N 114 women 211 mother-infant pairs. (233 were
eligible, 22 refused or were lost to
follow up)
Population/study
information
Breastfeeding women who delivered
in two hospitals in Iowa were the
sample population.
Mothers were recruited from the
Hospital de Clínicas de Porto
Alegre, Brazil in 2003.
by breast milk.
Engorgement prevalence
7,289 healthy infants. 14,366
approached, 50% response rate.
Subjects were recruited from 46
Maternal and Child Health Clinics in
Hong Kong in a 2 week period in 1993.
Authors developed a six point
engorgement scale to determine level
of engorgement, mothers were asked
to report their breast changes twice
daily during the first 1-14 days
postpartum.
A researcher visited the mothers in
hospital and in the first and second
weeks postpartum to ensure that the
mother was completing the forms
correctly.
Intervention group= 74
Control group= 137
Face-to-face interviews and
breastfeeding assessments occurred in
the maternity ward and at day 7 and 30.
3161 of sample were < 6 months.
194