Literature review for - Flourish Paediatrics

≥6 vs non-smoker
Adj OR (95%CI) never BF
1.27 (0.95-1.70)
Adj OR (95%CI) BF ≤4 mo
0.59 (0.33-1.05)
Effect on risk
Women who smoked during
pregnancy less likely to still be
breastfeeding and more likely to not
be breastfeeding at one month.
At 2 months, less likely to still be
giving complementary feeds.
A greater percentage of mothers who
were non-smokers initiated
breastfeeding and were exclusively
breastfeeding at 1, 4 and 6 months. In
women who smoked, a greater percent
of those who smoked less cigarettes per
day initiated breastfeeding and were
exclusively breastfeeding at 1, 4 and 6
months.
Maternal smoking
--Mothers who smoked more likely to
have never BF than those who don’t
smoke.
--Mothers who smoked only post partum
or since pregnancy more likely to have
never BF and mothers smoking only
during pregnancy more likely to BF ≤4
months compared to non-smokers.
--Mothers who smoked 1-5 cigarettes/
day more likely to have never BF than
non-smokers.
--Mothers who are smokers and do or do
not smoke within 3 metres of the infant at
home more likely to have never breastfed
compared to non-smokers.
Paternal smoking
--Mothers more likely to have never BF if
fathers smoke.
Clinical 1 4 1
importance
Clinical 1 1 1
relevance
Generalisability Yes Y (UK) Y (Chinese)
Applicability Yes Y (UK) Y (Chinese)
314