Literature review for - Flourish Paediatrics

Outcome(s)
measured
INTERNAL
VALIDITY
Databases
included in
search
Statistical
analysis methods
Overall quality
assessment
(Positive/Negativ
Breastfeeding levels, reasons for ceasing breastfeeding,
supplementation and breastfeeding level, breastfeeding
difficulties, breastfeeding self efficacy, breastfeeding
satisfaction, prediction of breastfeeding at 12 wks,
breastfeeding support, perceptions of milk supply, coping
strategies of PIM, risk factors for early cessation.
Cinahl, Medline, Pubmed
Factor analysis, regression, survival analysis
Extension of breastfeeding (Full, partial or any kind of
breastfeeding) at points in time varying from 4 wks to 6 mo.
Main outcome measure was the proportion of mothers
breastfeeding at or until a specified time point. Some studies
reported median or mean breastfeeding duration.
Literature search used an earlier systematic infant-feeding
review that focused on the developed world as the starting
point. Additional databases searched (Medline, Popline, Health-
Star, CAB-Health, Cochrane Library, CINAHL, and Lilacs)
using the key words promotion, intervention, assessment,
programme, community, education, effect, impact, and
evaluation (linked to breastfeeding).
Present the interventions’ maximum duration of effect that
proved was statistically significant at a 90% level. The effects
presented are the percentage of exclusive breast-feeding among
intervention and control groups, and corresponding P value.
The attributable fraction and 95% confidence intervals were
constructed when data presented by the authors were conclusive
or suggestive of effect. The attributable fraction (AF) was
defined as the proportion of the outcome rate achieved in the
intervention group that is due to the intervention, and is a
measure of effectiveness. It is the difference between
breastfeeding rates in the intervention (I) and control groups,
expressed as a proportion of the rate in the intervention group:
AF=(I - C)/I. or from the relative risk (RR). ; AF = (RR – 1
)/RR.
P
520