Literature review for - Flourish Paediatrics

e or Neutral)
plus descriptive)
RESULTS
Outcome
Many women were found to discontinue breastfeeding
during the 1st few weeks post partum as a result of
Perceived Insufficient Milk (PIM) supply. Many women
used infant satisfaction cues (e.g. crying, unsettled) as their
primary indicators of milk supply. The H & H Lactation
Scale and the Perceived Insufficient Milk Tool have been
found useful to identify women at risk during early postpartum.
Furthermore, PIM was associated with early
weaning and / or decreased exclusivity in 10 studies. PIM
was also associated with lower self efficacy or maternal
confidence scores. Use of formula in hospital was
associated with PIM in 3 studies and ceasing breastfeeding
before leaving the hospital was related to PIM in 1 study.
EXTERNAL
VALIDITY
Generalisability y 1
Applicability y 1
Comments
The majority of the studies reviewed identified IM as PIM.
Both of the terms have different definitions.
Effect on duration with Prenatal Interventions: 6 of 8 studies
effective (4 of 6 RCTs) with AF ranging from 19-78% for full
BF at 6 mo to any BF at 4 wk.Effect on duration with Postnatal
Interventions:3 of 9 studies effective (2 of 8 RCTs) with AF
ranging from 15-53% for any BF at 2 mo to full BF at 6 mo.
Effect on duration with BOTH Pre- and Postnatal Interventions:
7 of 9 studies effective (3 of 4RCTs) with AF ranging from 20-
92% for full BF at 4 mo in 2 studies; One study had an AF of
91% for full BF at 5 mo. Effect on duration with both Hospital
and Postnatal Interventions: 4of 7 studies effective (3 of
6RCTs) with AF ranging from 24-88% for any BF at 4 mo to
exclusive BF at 4 mo. Effect on duration with both Hospital and
Pre- and Postnatal Interventions: All 4 studies effective (3
RCTs) with AF ranging from 20- 100% for any BF at 1month
to full BF at 6 mo.
521