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Literature review for - Flourish Paediatrics

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Effect on risk<br />

New Territories not sig: 1.14 (95%CI<br />

0.91-1.43)<br />

Adj HR duration<br />

Kowloon not sig: (95%CI 0.96-1.23)<br />

New Territories not sig: 1.04 (95%CI<br />

0.93-1.17)<br />

Women living in Kowloon and the<br />

New Territories more likely to have<br />

never breastfedthan those living in<br />

Hong Kong<br />

Women living in the city less likely to<br />

initiate exclusive breastfeeding than<br />

those living in the suburbs<br />

Clinical 1 1 1<br />

importance<br />

Clinical 1 1 1<br />

relevance<br />

Generalisability Y (Chinese) Y (Chinese) Y<br />

Applicability Y (Chinese) Y (Chinese) Y<br />

There was no difference between rural<br />

and urban Australian women with regard<br />

to breastfeeding at discharge or overall<br />

duration.<br />

Reference Qiu L, Binns CW, Zhao Y,<br />

Lee AH, Xie X. J Health Popul<br />

Nutr (2010) 28(2):189-198<br />

Xu F, Binns C, Zhang H, Yang G &<br />

Zhao Y Journal of Human<br />

Lactation 2010.<br />

Binns CW, Gilchrist D, Gracey M et al<br />

Public Health Nutr 2004; 7: 857-861<br />

Type of study Prospective cohort study Prospective cohort Prospective cohort study<br />

Level of evidence II (aetiology) II (aetiology) II (aetiology)<br />

Definition of<br />

breastfeeding<br />

Any breastfeeding at discharge Any breastfeeding<br />

Exclusive breastfeeding (WHO)<br />

Intervention/<br />

comparator<br />

Father prefers breastfeeding vs father<br />

prefers bottle or ambivalent (ref)<br />

Father suggested breastfeeding<br />

(further details not provided)<br />

Any breastfeeding at discharge from<br />

hospital<br />

Rural vs urban (ref)<br />

N 1520 1256 mothers invited, 1219 agreed<br />

(97%)<br />

425<br />

74

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