Literature review for - Flourish Paediatrics

Quality P P O P
Results
Adj OR any breastfeeding at
6 months
1.03 (95%CI 1.01-1.06)
Effect on risk
Mothers from a higher
SIEFA category (more socioeconomically
advantaged)
more likely to still be
breastfeeding at 6 months
Adj OR intention to
breastfeed at maternity
booking:
3 vs 1+2 (reference)
0.35 (95%CI 0.20-0.64)
4 vs 1+2 (reference)
0.59 (95%CI 0.35-0.99)
5 vs 1+2 (reference)
0.39 (95%CI 0.21-0.70)
6 vs 1+2 (reference)
0.46 (95%CI 0.29-0.75)
7 vs 1+2 (reference)
0.30 (95%CI 0.18-0.49)
Mothers from deprivation
categories 3-7 less likely to
intend to breastfeed at
maternity booking.
Crude OR 0.97 (95%CI
0.30-3.23)
Not independently
significant after
adjustment for maternal
infant feeding attitudes
Breastfeeding at discharge
was not associated with
level of social deprivation
postal survey.
Clinical 1 1 1 1
importance
Clinical 1 2 1 1
relevance
Generalisability Y Y (UK) Y Y (UK)
Applicability Y Y (UK) Y Y (UK)
Adjusted OR (95% CI) for
initiation of BF
2.78 (1.6-4.9)
Adjusted OR for ceased BF
by 6 weeks
0.30 (0.13-0.69)
Adjusted OR for still
breastfeeding at 4 months
3.11 (1.3-7.3)
Women in the least deprived
quintile were significantly
more likely to have initiated
breastfeeding and to still be
breastfeeding at 4 months,
and were less likely to have
ceased BF by 6 weeks than
women in the most deprived
quintile after controlling for
other measures of deprivation
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