Literature review for - Flourish Paediatrics

Larger hospitals – mothers
recruited every 2 nd or 3 rd day
Quality P P P P
Results
Adj HR cessation of
breastfeeding
2.48 (95%CI 1.92-3.13)
Risk of discontinuing any
BF to 12 months
1.35 (1.05-1.73)
Risk of discontinuing full
BF to 6 months
Adj HR (95%CI)
1.32 (1.02-1.71)
Paternal smoking
Adj HR (95%CI) any
breastfeeding
1.84 (1.11-3.04)
Adj HR (95%CI) exclusive
breastfeeding
1.33 (1.09-1.64)
hospital discharge
OBSTET-data from hospital
birthing units
Adj OR (95%CI) risk for
not breastfeeding
1.72 (1.51-1.96)
Effect on risk
Mothers who smoke after the
birth of their baby more likely
to cease breastfeeding
Mothers who smoked
during pregnancy more
likely to discontinue full
BF to 6 months & any BF
to 12 months
Maternal smoking
Not significant (results not
provided)
When the father smoked,
mothers more likely to
discontinue any breastfeeding
and exclusive breastfeeding
before 6 months.
Mothers who smoke are at a
higher risk of not
breastfeeding.
No effect of maternal
smoking on breastfeeding.
Clinical 1 1 1 1
importance
Clinical 1 1 1 1
relevance
Generalisability Y Y Y (Chinese) Y
Applicability Y Y Y (Chinese) Y
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