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Literature review for - Flourish Paediatrics

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0.94 (95% CI 0.87 -1.01). Professional<br />

support showed to be beneficial on<br />

exclusive breastfeeding rates RR 0.91<br />

(95% CI 0.84-0.98). Trials using lay<br />

people to conduct breastfeeding<br />

interventions demonstrated a significant<br />

decrease in breastfeeding cessation RR<br />

0.86 (95% CI 0.76- 0.98). Combined lay<br />

and professional support vs usual care<br />

showed a significant reduction in<br />

cessation of any breastfeeding RR 0.84<br />

(95% CI 0.77- 0.92) especially in the<br />

first 2 mo RR be<strong>for</strong>e 4 to 6 wks 0.65<br />

f(95% CI 0.51- 0.82); RR be<strong>for</strong>e 2 mo<br />

0.74 (95% CI 0.66-0.83). 2 studies<br />

showed a significant reduction in<br />

cessation of exclusive breastfeeding RR<br />

0.62 (95% CI 0.50- 0.77). Studies using<br />

face to face support showed a<br />

statistically significant benefit RR <strong>for</strong><br />

giving up any breastfeeding 0.85 (95%<br />

CI 0.79 to 0.92). No significant effect<br />

was demonstrated when phone and face<br />

to face support were provided on<br />

breastfeeding continuation RR 1.00<br />

(95% CI 0.91 -1.09). One study<br />

demonstrated a significant reduction in<br />

risk of 1 or more GI infections and<br />

atopic eczema in those receiving<br />

support from health professional trained<br />

in WHO/UNICEF Baby Friendly<br />

Initiative. A further study found no<br />

516

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