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Literature review for - Flourish Paediatrics

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Comments The lack of evidence<br />

resulting from this<br />

<strong>review</strong> emphasises the<br />

need <strong>for</strong> further<br />

research into<br />

breastfeeding<br />

education and support<br />

in the workplace post<br />

delivery<br />

Conclusion<br />

Additional professional<br />

support was effective<br />

in prolonging any<br />

breastfeeding, but its<br />

effects on exclusive<br />

breastfeeding were less<br />

clear. WHO/UNICEF<br />

training courses<br />

appeared to be<br />

effective <strong>for</strong><br />

professional training.<br />

Additional lay support<br />

was effective in<br />

prolonging exclusive<br />

breastfeeding, while its<br />

effects on duration of<br />

any breastfeeding were<br />

uncertain. Effective<br />

support offered by<br />

professionals and lay<br />

No trials have<br />

evaluated the<br />

effectiveness of<br />

workplace<br />

interventions in<br />

promoting<br />

breastfeeding among<br />

women returning to<br />

paid work after the<br />

birth of their child.<br />

The impact of such<br />

intervention on<br />

process outcomes is<br />

also unknown.<br />

Randomised<br />

controlled trials are<br />

required to establish<br />

the benefits of various<br />

types of workplace<br />

interventions to<br />

The objective's of<br />

this <strong>review</strong> were<br />

focused on all<br />

interventions<br />

directed at changing<br />

health behaviours of<br />

young women from<br />

disadvantaged<br />

backgrounds and<br />

included smoking,<br />

physical activity and<br />

diet.<br />

Consistent evidence<br />

was found of<br />

intervention features<br />

associated with<br />

effective changes in<br />

a number of health<br />

behaviours.<br />

Interventions to<br />

change health<br />

behaviours of<br />

women of childbearing<br />

age from<br />

disadvantaged<br />

backgrounds require:<br />

an educational<br />

approach delivered<br />

in person by<br />

professionals or<br />

peers; provide<br />

continued support<br />

The majority of the<br />

studies <strong>review</strong>ed<br />

identified IM as PIM.<br />

Both of the terms have<br />

different definitions.<br />

PIM is one of the most<br />

common and influential<br />

reasons <strong>for</strong> low rates of<br />

breastfeeding duration<br />

and exclusivity. Future<br />

research should be<br />

conducted to determine<br />

who is at high risk and<br />

to further validate<br />

screening tools; and<br />

whether PIM is a<br />

physiological or<br />

psychological issue.<br />

Perceived milk supply<br />

is considered<br />

modifiable and wellin<strong>for</strong>med<br />

interventions<br />

to reduce the incidence<br />

of PIM might be a key<br />

element <strong>for</strong> improving<br />

The primary health care<br />

units should in<strong>for</strong>m,<br />

encourage, and support<br />

pregnant women in<br />

breastfeeding; the<br />

maternity hospitals<br />

should allow women to<br />

bond with their babies<br />

and help them to<br />

establish breastfeeding;<br />

and the primary health<br />

care units should be able<br />

to guide, rein<strong>for</strong>ce, and<br />

support this practice<br />

continuously, completing<br />

the cycle. Although<br />

there is evidence<br />

supporting the<br />

effectiveness of primary<br />

care strategies in<br />

561

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