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Literature review for - Flourish Paediatrics

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month) (outcome five). For the 8-12<br />

month period, the results show a<br />

slightly but significantly higher<br />

length gain in the EBF group (WMD<br />

0.9 (95% CI 0.3-1.4)) mm per month<br />

(outcome six). Observational<br />

analyses from the Belarussian study<br />

(Kramer 2000a) also include data on<br />

weight-<strong>for</strong>-age, length-<strong>for</strong>-age, and<br />

weight <strong>for</strong>-length z-scores at 6, 9,<br />

and 12 months. Means in both the<br />

EBF and MBF groups were well<br />

above (+0.5 to +0.6) the reference<br />

values at all three ages. Nonetheless,<br />

the weight-<strong>for</strong>-age z-score was<br />

slightly but significantly lower in the<br />

EBF group at all three ages: WMD -<br />

0.09 (95% CI -0.16 - -0.02) at six<br />

months, -0.10 (95% CI -0.18 - -0.02)<br />

at 9 months, and -0.09 (95% CI -0.17<br />

to-0.01) at 12 months (outcomes<br />

seven to nine). Length-<strong>for</strong>-age z<br />

scores were very close to the<br />

reference (0) at 6 and 9 months and<br />

slightly above the reference (0.15) at<br />

12 months. Again, the EBF group<br />

had slightly but significantly (except<br />

at 12 months) lower values: WMD -<br />

0.12 (95% CI -0.20 - -0.04) at 6<br />

months,-0.14 (95% CI -0.22 to -0.06)<br />

at 9 months, and -0.02 (95% CI-0.10<br />

- 0.06) at 12 months (outcomes 10 to<br />

proportional reduction in deaths be<strong>for</strong>e<br />

12, 24 and 36 months respectively. The<br />

% of DALYs averted at 36 months was<br />

21.9 million <strong>for</strong> 99% coverage with<br />

breastfeeding promotion and support.<br />

544

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