Literature review for - Flourish Paediatrics

Duncan 1993 and Kramer2000a both
found a slightly elevated risk for one
or more episodes of otitis media
pooled RR 1.28 (95% CI 1.04 -1.57)
(outcome56), but Duncan 1993
found a nonsignificant reduction in
risk for frequent titis media RR 0.81
( 95% CI 0.43-1.52) (outcome57).
EXTERNAL
VALIDITY
Generalisability Y Y - for the results of the studies
conducted in developed countries
N
Applicability Y Y Y
Comments
The unclear randomization and
allocation concealment processes in
the study suggest selection bias was
possible. Furthermore the use of a
telephone interview further suggests
recall/reporting bias
Definitions of exclusive
breastfeeding varied across studies
In the cohort model of child mortality and
stunting, the protective effect of
breastfeeding is assumed to cease when
the child reaches 2. Although authors
have considered a number of
breastfeeding interventions and reviews,
details of these interventions and reviews
are not provided.
Table 26.3 Summary used to make evidence statement for breastfeeding and maternal and infant outcome (cont.)
STUDY
DETAILS
(Review)
Britton et al. 2007
Abdulwadud et al.
2007
Baird et al. 2009 Gatti. 2008 Ines Couto de Oliveira
et al. 2001
551