Literature review for - Flourish Paediatrics

Reference Win 2006 Int Breastfeeding Hornbeak 2010 Annals Academy of Fein 2008 Pediatrics
Journal
Medicine
Type of study Cohort prospective Descriptive population study over Cohort study
different time periods
Level of evidence II (aetiology) II (aetiology) II (aetiology)
Definition of
breastfeeding
breastfeeding is defined as "any
breastfeeding" and included
infants who were being
exclusively, fully or partially
breastfed
Expressed Breastfeeding(breastmilk
only fed via bottle, with no additional
food or non-human liquid),
Combination (breastmilk and non-breast
milk, fed via bottle and breast), and
Direct (breastmilk only fed via breast).
Expression of breastmilk
Intervention Expression of breastmilk in first
Comparator month
N 587 3009 810
Population/study
information
Perth Infant Feeding Study II
Prospective cohort study of
mothers delivering in two
suburban Perth Hospitals.
Singapore Children STARS Study
2000-2008
Quality P P P
Results
Association of expression of
breast-milk with the risk of
discontinuing any breastfeeding
before 6 months after adjustment
for potential confounders
RR = 0.71 (0.52, 0.98) *
In a population-based sample of
Singaporean Chinese mothers giving
birth from 2000 to 2008, breastfeeding
initiation and duration increased over
time and were independently associated
with higher maternal education. This
increase was associated with increased
milk expression
and complementary feeding.
Effect on risk Positive (expression increases positive Positive
Any breastfeeding
Expressed breastmilk
Not expressed milk
Cohort of mothers who returned to work in
USA.
810 mothers in Infant Feeding Practices
Study II
Feeding the infant from the breast during
the work day is the most effective strategy
for combining
breastfeeding and work.
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