Literature review for - Flourish Paediatrics

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Figure 2 Prevalence of type 2 diabetes, by ponderal index at birth 14 12 Prevalence 10 Percentage 8 6 4 2 0
These adaptations permanently ‘re-program’ the physiology of the body. Influences on foetal programming include the mother’s body composition before, during and after pregnancy; diet during pregnancy; and postnatal nutrition and growth. The documentation of epigenetic mechanisms and their testing on animal models has increased understanding of these aetiological factors (Weaver, 2009)(Bruce and Hanson 2010; Groom, Elliott et al. 2010). These studies demonstrate that an epigenetic state of a gene can be established through early in life experience, and is potentially reversible in adult life. The epigenetic modifications in response to environmental influences may ensure stable yet dynamic regulation that mediates persistent changes in phenotype over the lifespan. (Weaver 2009) The gradual understanding of epigenetic, biochemical and endocrine mechanisms has added to the body of evidence. The challenge is to discover more about the cellular and molecular mechanisms giving rise to these associations. But, while the mechanisms are not yet fully understood, it is not too early to begin to apply the findings to public health interventions. Evaluation of appropriate interventions could expand our knowledge of the mechanisms involved. One interesting aspect of the foetal origins hypothesis is its ability to explain differences in the prevalence and timing of chronic disease epidemics in different countries. For some time epidemiologists have been puzzled by the ‘French paradox’, whereby mortality from ischaemic heart disease in France is about a quarter of that in Britain but the major risk factors are similar. It is thought that under-certification of ischaemic heart disease in France could account for about 20 per cent of the difference and that the high consumption of alcohol in France—and of red wine in particular—could explain a small amount of the difference. However, Barker has reviewed the development of maternal nutrition programs in the two countries and suggests that the earlier concern of the French with improving nutrition has protected them from this chronic disease epidemic. 1 Optimising the trajectory of growth for long term outcomes There have now been a number of direct studies of breastfeeding and health outcomes and long term health (Horta, Bahl et al. 2007; Ip, Chung et al. 2007). On this basis it appears that breastfeeding 452
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Infant Feeding Guidelines for Healt
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One of the responses of the Austral
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Table of Contents Introduction ....
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Goat’s milk .....................
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period of this review will generall
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Infant formula - Preparation, use a
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Protein levels of infant formula. F
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a. Will the use of a heavier refere
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Time to first feed and breastfeedin
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controlled for in multivariate logi
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the baby, or for suturing the mothe
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Impact of delivery method on breast
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Studies used to make evidence state
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For those who were fully breastfeed
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Effect on risk 0.56-0.88) Assisted
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significant Breastfeeding initiatio
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Results Adj OR never breastfed Assi
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Birth weight and breastfeeding If t
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3500-3999 vs 3000-3499 1.00 (95% CI
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Population/study information Perth,
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Any breastfeeding duration No adjOR
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cohort study reported no associatio
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Results [8] Intro of formula at 4 w
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Clinical 1 1 1 importance Clinical
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6. If mother-baby separation is una
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Studies reviewed to make evidence s
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Reference Scott JA, Binns CW, Oddy
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Effect on risk There was no associa
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infant Clinical 1 1 1 4 importance
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Reference Qiu et al Asia Pac J Clin
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Social support (other than fathers)
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pregnancy interventions on breastfe
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Reference Scott JA, Landers MCG, Hu
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weeks, 3 months & 6 months postpart
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Quality P O P Results Breastfeeding
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analysis analysis Effect on risk No
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Location (rural vs urban) and breas
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Effect on risk New Territories not
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Socioeconomic status Sufficient evi
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Quality P P O P Results Adj OR any
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Whether the mechanism for this asso
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obesity and infant feeding intentio
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Parity and Breastfeeding Parity has
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Quality P P P P Results No signific
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discharge. Quality P P P P Results
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Effect on risk There was not associ
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Effect on risk No effect of parity
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For Australian mothers 5 studies fo
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25-29 1.710 (1.085, 2.698) ≤24 1.
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30-34: 0.87 (95%CI 0.64-1.18) Adjus
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Clinical 1 2 1 relevance Generalisa
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Reference Binns CW, Gilchrist D, Gr
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Population/study information Infant
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Intervention/ comparator 40 years v
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Maternal education and breastfeedin
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Effect on risk Mothers who complete
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significant independent association
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Demand feeding, Rooming in and brea
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Effect on risk There was no signifi
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1991. Quality P P P P Results No sp
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Cultural differences on Exercise an
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During pregnancy, women should avoi
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findings of this study support the
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N 14 countries 3032 17 359 singleto
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8. Encourage breastfeeding on deman
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Breastfeeding and SIDS BREASTFEEDIN
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descriptive) RESULTS Outcome EXTERN
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Additional Notes 1. Clinical Eviden
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Use of Pacifiers for the Prevention
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American Academy of Pediatrics Poli
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Parslow et al. 2004). In addition,
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N Population/study information 570
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Both the Baby Friendly Hospital Ini
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lanolin, aerosol spray, ointment, f
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Incidence of nipple pain/trauma No
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Effect on risk Sore nipples, althou
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Systemic antibiotics are recommende
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Results Routine Care Versus Heat Ve
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anticipatory guidance with regard t
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In a cohort of 280 mother-infant pa
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months in 1987-9. Completed two wri
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Population/study information Sample
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Nipple Shield Use Search results Th
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Other Nipple Problems Eczema and De
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Raynaud’s Phenomenon of the Nippl
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Table. Management of breastmilk ins
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Effect on risk Factor analysis sugg
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Definition of breastfeeding Interve
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Reference Hurley et al. 2008 Gatti
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y test-weighing) Clinical 1 1 1 imp
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Engorgement of the Breast Search re
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more frequently prior to the recurr
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Reference Mangesi & Dowswell 2010 C
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Inflammatory conditions of the brea
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Three studies reported on the occur
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In the management of mastitis, the
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Quality 0 0 P Results The cumulativ
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was an intention to breastfeed. Par
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Level of evidence I (a) I (aetiolog
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Further adequately powered research
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Applicability Satisfactory Results
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Reference Kvist et al. 2007 Kvist e
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egarding aspiration technique Effec
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Many epidemiological studies have d
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normal functioning (Horowitz and Go
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• Ask mothers if they are losing
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the first 3 months postpartum, with
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Effect on risk This variability is
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In a US study of 802 women they fou
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Studies used to determine the risk
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A predictive relationship was consi
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The effect size of social support i
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weeks of delivery Four validated se
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growth faltering N > 22,000 929 chi
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Breast Refusal Search results The i
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Prevalence Rates of Excessive Cryin
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Regurgitation, gastroesophageal ref
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(Dwyer and Ponsonby 2009). Medicati
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ultrasonically. Real time ultrasoni
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Reference Heine et al. (2006) Cheri
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There was no significant associatio
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positioning strategies. The treatme
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Reference van Wijk et al. (2007) Co
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Generalisability Y Y- Italy Y Appli
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myenteric plexus Quality P P N Resu
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comparator N Population/study infor
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Effect on risk There were fewer adv
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Component Rating Notes Evidence Bas
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and/or difficulty of the baby latch
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Reference Dollberg et al. 2006 Srin
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Effect on risk Frenotomy alleviates
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Studies used to make the statement
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Notes on postpartum weight loss Ip
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Main results: Twelve studies met th
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Storage of Expressed Breastmilk Wha
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4. Storage of Expressed Breastmilk
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Expression and Breastfeeding durati
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duration) Clinical 1 1 1 importance
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VI Breastfeeding in specific situat
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Mothers currently using illicit dru
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Summary of the evidence The effect
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showing a negative association with
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Population/study information breast
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Effect on risk response relationshi
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pregnancy Quality P P P P Results A
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Reference Forster DA, McLachlan HL
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who did not stop smoking. duration
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-1, 5) Not breastfeeding: 1% (95% C
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≥6 vs non-smoker Adj OR (95%CI) n
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Larger hospitals - mothers recruite
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The Merck Manual online version als
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Sufficient evidence was found to ma
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Does return to work negatively affe
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Returned to work (
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N [5] 2079 of 3670 questionnaires r
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Reference [1] Forster DA, McLachlan
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technical 0.32 (95%CI 0.25-0.42) Se
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Reference Scott JA, Aitkin I, Binns
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Contraception and Breastfeeding The
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Authors’ conclusions: Postpartum
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ich countries where there it is aff
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eview by (Bulteel and Henderson 200
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Galactosaemia in Infants Search res
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of birth. Every effort should be ma
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Hepatitis C and HIV co-infected mot
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significantly affect HCV transmissi
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The PKU handbook includes the follo
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Tuberculosis and Breastfeeding Sear
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Syphillis in Breastfeeding Mothers
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paediatricians (Australian College
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the Cochrane Central Register of Co
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Objectives: To determine the effect
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Objectives: In newborn infants with
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information on bottle-feeding and d
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Cow’s Milk Search results The ini
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The SLR by Wijndaele and colleagues
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infants were fed formula for 1 mont
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Quality 0 (No to 6.2 and 7.4 P P 0
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Reference Conn et al. 2009 Couper e
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eastfed Fe intake was inadequate fo
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England. After the birth, a short q
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food weighing (BM: n =21; BCM: n =
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Population/study information Sample
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positive stools upon cow milk feedi
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data were collected from the parent
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Applicability Y- Denmark Y - Vietna
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milk during infancy can result in s
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X Infant feeding and later Outcomes
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Overall quality assessment (Positiv
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Page 409 and 410: Intervention Comparator N Populatio
Page 411 and 412: elevance Generalisability Y N Y App
Page 413 and 414: Current advice from the Australasia
Page 415 and 416: elevant food allergens altogether.
Page 417 and 418: 71. However, it should be recognise
Page 419 and 420: Obesity and infant feeding The dura
Page 421 and 422: ) Around six months c) Around six m
Page 423 and 424: The Paediatrics & Child Health Divi
Page 425 and 426: Belarus found that during the perio
Page 427 and 428: The American Academy of Pediatrics
Page 429 and 430: efore age 4 months was associated w
Page 431 and 432: isk of obesity at age 7 yrs. while
Page 433 and 434: Effect on risk Positive Positive Ne
Page 435 and 436: Results Any breastfeeding reduced t
Page 437 and 438: eastfeeding promotion intervention
Page 439 and 440: Effect on risk Negative Negative Ne
Page 441 and 442: Studies used to make evidence state
Page 443 and 444: Additional Notes Horta: Meta-analys
Page 445 and 446: socioeconomic status strongly influ
Page 447 and 448: Breastfeeding and Obesity Notes Whi
Page 449 and 450: Breastfeeding and Bowel Disease: Co
Page 451 and 452: Notes on Coeliac Disease and IBD -
Page 453 and 454: This paper is not directly related
Page 455 and 456: Table 1 Death rates from coronary a
Page 457: Figure 1 Hazard ratios for coronary
Page 461 and 462: postnatal growth—programs to avoi
Page 463 and 464: “Health care professional’ - a
Page 465 and 466: 7.3. No financial or material induc
Page 467 and 468: Appendix 460
Page 469 and 470: 9 FISH (S1.1) Data was extracted fr
Page 471 and 472: allergies. Assigned to n-3 egg, no
Page 473 and 474: Table 13.1 Studies used to make evi
Page 475 and 476: 14 SUGARS (S1.1) SUGARS and DENTAL
Page 477 and 478: Effect on risk (Increase/None /Prot
Page 481 and 482: Clinical importance Clinical releva
Page 483 and 484: Population/study information [6] Ch
Page 489 and 490: obesity (P=0.008) and 6.2-fold risk
Page 491 and 492: quality and were both conducted in
Page 493 and 494: associated with a decreased risk of
Page 495 and 496: The systematic review was of very p
Page 497 and 498: Effect on risk (0.45-76.85). (OR ra
Page 499 and 500: excluded. from the Denver metropoli
Page 501 and 502: 21 DIETARY PATTERNS (U1.1) What die
Page 503 and 504: Applicability Excellent Studies con
Page 505 and 506: or Neutral) plus descriptive) RESUL
Page 507 and 508: Table 24.2 Summary used to make evi
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Statistical analysis methods Overal
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from 8 - 12 months (outcome three);
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infants with low z-scores provided
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Kajosaari 1983 and Oddy 1999 report
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of upper respiratory infectionRR 0.
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still be managed individually so th
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Length of follow-up Outcome(s) meas
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0.94 (95% CI 0.87 -1.01). Professio
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Conclusion Additional professional
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Outcome(s) measured INTERNAL VALIDI
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Conclusion PIM is one of the most c
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Table 24.3 Summary used to make evi
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BREASTFEEDING AND SUDDEN INFANT DEA
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RESULTS Outcome EXTERNAL VALIDITY G
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ALCOHOL, CAFFEINE AND BREASTFEEDING
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Table 26.1 Summary of studies to ma
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SELENIUM AND BREASTFEEDING OUTCOMES
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Table 26.2 Summary of studies used
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FACTORS ASSOCIATED WITH ENHANCED BR
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Total number of participants Popula
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weight loss).Comparison one: contro
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month) (outcome five). For the 8-12
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study also provided data on head ci
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found no reduction in risk of a pos
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espiratory tract infection RR 1.07
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Affiliation/so urce of funds Univer
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Perceived Insufficient Milk (PIM) T
Page 563 and 564:
Overall quality assessment (Positiv
Page 565 and 566:
professional support to be effectiv
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EXTERNAL VALIDITY Generalisabil ity
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people together was specific to bre
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References Abdulwadud Omar, A., & S
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Gatti, L. 2008, "Maternal perceptio
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Poole, J. A., Barriga, K., Leung, D
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Monitoring Breastfeeding in Austral
Page 579 and 580:
Labiner-Wolfe, Judith, Sara B. Fein
Page 581 and 582:
Issues in selecting a growth refere
Page 583 and 584:
that breastfeeding, with exclusive
Page 585 and 586:
they noted that “during the first
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lower percentiles (0.4 and 2 percen
Page 589 and 590:
Breastfeeding is an integral part o
Page 591 and 592:
Royal Australian College of General
Page 593 and 594:
feeding, the AAP firmly adheres to
Page 595 and 596:
If an infant is not breastfed, or i
Page 597 and 598:
Interventions to Promote Breastfeed
Page 599 and 600:
ethnicity or maternal age cannot be
Page 601 and 602:
three months, interventions involvi
Page 603 and 604:
Data Collection and Analysis: We us
Page 605 and 606:
Major Reviews of Infant Feeding 200
Page 607 and 608:
Proportion of adult smokers who hav
Page 609 and 610:
figures indicate that we have littl
Page 611 and 612:
Funding has also been allocated to
Page 613 and 614:
National Longitudinal Survey of Chi
Page 615 and 616:
608
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infectious diseases. There is a lar
Page 619 and 620:
In Queensland, according to the 200
Page 621 and 622:
eastfeeding at 6 months were among
Page 623 and 624:
gestational age or who have experie
Page 625 and 626:
Ten Steps to Successful Breastfeedi
Page 627 and 628:
620
Page 629 and 630:
622
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deficiency has also been associated
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PAHO Guiding Principles for Complem
Page 635 and 636:
Breastfeeding Rates in Australia A
Page 637 and 638:
Population/ study information A tot
Page 639 and 640:
Population/ study information The s
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Type of study Breastfee ding defini
Page 643 and 644:
References Abou-Dakn, M., A. Richar
Page 645 and 646:
Barclay, A. R., R. K. Russell, et a
Page 647 and 648:
Clark, P. M. (1998). "Programming o
Page 649 and 650:
Eglash, A. (2005). "ABM Protocol #8
Page 651 and 652:
Griffiths, D. M. (2004). "Do tongue
Page 653 and 654:
Howard, C. R., N. Lanphear, et al.
Page 655 and 656:
Labiner-Wolfe, J., S. B. Fein, et a
Page 657 and 658:
National Institute of Clinical Stud
Page 659 and 660:
Rasmussen, K. and C. Kjolhede (2004
Page 661 and 662:
Stettler, N. (2007). "Nature and st
Page 663 and 664:
Whitaker-Worth, D. L., V. Carlone,
Page 665 and 666:
INDEX A Abscess ...................
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Literature review for - Flourish Paediatrics

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