Literature review for - Flourish Paediatrics

Studies used to make evidence statement for infant health status
Reference Rajan L Midwifery 1994; 10: 87-
103.
Qiu et al Asia Pac J Clin Nutr
2007;16 (Suppl 1):458-461
Clements et al Acta Paediatr, 1997;
86:51-56
Type of study Cross-sectional (6 weeks post Prospective cohort study
Prospective cohort study
delivery)
Level of evidence IV (aetiology) II (aetioloigy) II (aetiology)
Definition of
breastfeeding
Not provided Any breastfeeding at discharge Exclusive BF at discharge
Any breastfeeding duration
Intervention/
comparator
N
Population/study
information
Cross-tabulation of problems noted:
no problems, one problem, two or
more problems
1149 (10% of initial survey) via
follow-up postal questionnaire
UK women completing National
Birthday Trust Fund Pain Relief in
Labour survey
Admitted to NICU vs no admitted to
NICUE (ref)
638 700
Mothers in Hangzhou, China
were recruited and interviewed while
in hospital.
Quality 0 P P
Results
Univariate analysis:
Breastfed compared with bottlefed
compared with breast and bottle/
other:
X 2 =9.41, df=4, p=0.05
Any breastfeeding at discharge
Adj Or 0.39 (95% CI0.16-0.92)
Admitted to neonatal unit yes vs no (ref)
Infants from South West Thames (UK)
region were randomly selected from all
births, except home births.
The subjects were randomly allocated an
age at which to be interviewed, in such a
way as to ensure that they had a similar
age distribution to that previously
described for SIDS cases. The median
age was 90 days (range 30-302 days).
The study ran from 14 October 1990 to
13 October 1991.
Exclusive BF at discharge
No adjOR reported but non-significant
when controlled for in multivariate
analysis
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