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Literature review for - Flourish Paediatrics

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duration<br />

Interview in hospital at<br />

birth & at 6 months over<br />

phone<br />

(PABS)<br />

Quality P P P P<br />

Results<br />

Adj OR any breastfeeding<br />

at 6 months<br />

1-19 cigarettes/ day vs no<br />

1.04 (95%CI 0.70-1.52)<br />

Adj OR breastfeeding <strong>for</strong><br />

longer than 6 months<br />

3.7 (95%CI 1.6-8.8)<br />

20 or more cigarettes/ day<br />

vs no<br />

0.47 (95%CI 0.26-0.86)<br />

At discharge:<br />

No significant association<br />

between feeding method and<br />

smoking. Mothers who<br />

smoked (89.6%) just as likely<br />

to be breastfeeding as those<br />

who did not smoke (89.7%)<br />

At 24 weeks postpartum<br />

Fewer women who smoked<br />

were still breastfeeding (58%<br />

compared with 64% of nonsmokers)<br />

however the<br />

association was not<br />

significant.<br />

SIDS cases. The median age<br />

was 90 days (range 30-302<br />

days). The study ran from<br />

14 October 1990 to 13<br />

October 1991.<br />

Exclusive BF at discharge<br />

No adjOR reported but nonsignificant<br />

when controlled<br />

<strong>for</strong> in multivariate analysis<br />

Any breastfeeding duration<br />

Adj HR (95% CI)<br />

1-9 1.29 (0.71-2.30)<br />

10-19 1.56 (0.81-2.97)<br />

20+ 2.30 (1.16-4.59)<br />

Effect on risk<br />

Women who smoked 20 or<br />

more cigarettes a day were<br />

less likely to be feeding<br />

with any breastmilk at 6<br />

months<br />

No significant association<br />

between breastfeeding<br />

duration & number of<br />

cigarettes smoked/ day<br />

(X 2 =1.15, p=0.283)<br />

Smoking not associated with<br />

initiation or duration of<br />

breastfeeding in Aboriginal<br />

mothers<br />

Women who stopped<br />

smoking during pregnancy<br />

were more likely to<br />

breastfeed <strong>for</strong> longer than 6<br />

months than those women<br />

No association with<br />

exclusive BF at discharge<br />

but smoking 20 or more<br />

cigarettes/day was<br />

negatively associated with<br />

309

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