Literature review for - Flourish Paediatrics

weight loss).Comparison one:
controlled trials of exclusive vs.
mixed breastfeeding for 4-6 months,
developing countries and
Comparison two: observational
studies of exclusive versus mixed
breastfeeding for 3-7 months,
developing countries and
Comparison three: observational
studies of prolonged (more than 6
months) exclusive versus mixed
breastfeeding, developing countries
are not relevant to Australia.
Comparison 4 is relevant to the
Australian population: Observational
studies of exclusive versus mixed
breastfeeding for 3-7 months in
developed countries. Studies were
heterogeneous with a WMD of -
12.45 (95% CI -23.46 - -1.44) g per
month & should be interpreted with
caution, although even the lower
95% confidence limit is compatible
with a lower weight gain in the EBF
group. Given the large weight gains
in both groups in the Belarussian
study, the higher gain in the MBF
group is not necessarily a beneficial
outcome. Heinig 1993 and Kramer
2000a also reported on weight gain
between six and nine months
(outcome two) (significant
breastfeeding' with the RR for stopping
any breastfeeding before 6 months being
0.91 (95% CI 0.86-0.96). All forms of
support affected the duration of exclusive
breastfeeding more strongly than the
likelihood of any breastfeeding RR 0.81
(CI 0.74-0.89). Lay and professional
support extended breastfeeding duration
RR before 4-6 weeks 0.65 (CI 0.51-0.82);
RR before 2 months 0.74 (CI 0.66-0.83).
Further reviews reported that with
individual counselling the OR of
exclusive breastfeeding were increased in
the neonatal period (15 studies; OR 3.45
(95% CI 2.2-5.42) p