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Literature review for - Flourish Paediatrics

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Type of study [2] Prospective cohort<br />

Cross-sectional<br />

(retrospective recall)<br />

Prospective cohort study<br />

Prospective cohort<br />

Follow-up at 6 weeks & 1<br />

year after delivery<br />

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

Breastfeeding<br />

Breastfeeding initiation Any breastfeeding at<br />

definition<br />

Any breastfeeding duration discharge from hospital<br />

Intervention/<br />

comparator [4]<br />

Exclusive breastfeeding –<br />

other (includes water)<br />

Not breastfeeding<br />

exclusively<br />

Caesarean vs vaginal<br />

delivery (reference)<br />

C-section vs other (ref)<br />

N [5] 1247 506. 95% of 532 women<br />

contacted and 17% of 2925<br />

eligible women aged 23-59<br />

estimated from 2001<br />

Census.<br />

Population/study<br />

in<strong>for</strong>mation [6]<br />

Auckland, New Zealand<br />

1 or more parent Pacific<br />

ethnicity<br />

Data part of Pacific<br />

Islands Families (PIF)<br />

Study through interviews<br />

with mothers & hospital<br />

records<br />

Mandarin speaking Chinese<br />

Australia mothers living in<br />

Perth<br />

193 gave birth only in home<br />

country, 214 only in<br />

Australia and 99 gave birth<br />

in both countries.<br />

Vaginal delivery<br />

Yes vs No (Ref)<br />

Exclusive breastfeeding (not<br />

defined further)<br />

Breastfeeding at one year (not<br />

defined further)<br />

Caesarean section vs<br />

instrumental vaginal delivery<br />

(reference)<br />

425 393 (100% response rate)<br />

Self-identified Aboriginal<br />

women delivering in the<br />

major Perth maternity<br />

hospital (n=310) and 5<br />

suburban hospitals (n=115).<br />

baseline interviews conducted<br />

in prior to discharge.<br />

Quality [7] P N P P<br />

Results [8] Adj OR not breastfeeding<br />

exclusively at hospital<br />

discharge<br />

1.75 (95%CI 1.18-2.60)<br />

Breastfeeding at discharge<br />

Adj OR 0.30 (95%CI 0.14-<br />

0.64)<br />

Breastfeeding initiation in<br />

home country<br />

Adj OR Not specified but<br />

controlled <strong>for</strong> in<br />

multivariate logistic<br />

regression and non-<br />

Bristol, UK<br />

Women recruited from 2<br />

hospitals, approached after<br />

delivery<br />

Questionnaires<br />

Adj OR intended<br />

breastfeeding predelivery<br />

0.64 (95%CI 0.39-1.07)<br />

Adj OR exclusive<br />

breastfeeding at discharge<br />

23

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