Literature review for - Flourish Paediatrics

Table 24.2 Summary used to make evidence statement for breastfeeding and maternal and infant outcome (cont.)
STUDY
DETAILS
(Review)
Affiliation/source
of funds
Study design
Level of evidence
Gatti. 2008 [491] Ines Couto de Oliveira et al. 2001 [483]
Centre for Health Disparities Research, University of
Pennsylvania, National Institute of Health Institutional
Training Grant
Systematic review (15 prospective, longitudinal; 3 cross
sectional, 3 secondary analysis of datasets)
III-2 Evidence obtained from comparative studies
(including systematic reviews of such studies) with
concurrent controls and allocation not randomised, cohort
studies, case-control studies, or interrupted time series with
a control group.
Brazilian Government Agency CAPES.
Systematic review (33 experimental & 31 quasi-experimental
studies)
I
Date of search 1996-2007 1980-1999
Number of 20 64
studies
Total number of 36 700 >3700
participants
Population Healthy, full term breastfeeding dyads during the first 6 Pre-natal, and post-natal women
characteristics mo of life
Range of
exposure
Length of followup
Examine reasons why women had low rates of duration
and exclusivity of breastfeeding &/or associations between
perceived milk supply and other maternal perceptions. 4 of
the studies examined tools to predict insufficient milk
supply. This was done through validated questionnaires,
tools, Theory of planned behaviour, standard definitions,
non validated tools, open ended questions, H & H
Lactation Scale, The Perceived Insufficient Milk Tool
Primary care interventions designed to extend breastfeeding
duration (exclusive, full, or any kind of breastfeeding) during
the prenatal and/or postnatal period. Interventions that took
place during the delivery period only were excluded.
1 month to 24 months Range from 2 to 12 mobut most to 6 mo
519