Interventions Designed to Promote Exclusive Breastfeeding in High-Income Countries: A Systematic Review Update

Background: Worldwide, women seldom reach the recommended target of exclusive breastfeeding up to 6 months postpartum. The aim of the current study was to update a previously published review that presented a conceptual and methodological synthesis of interventions designed to promote exclusive brea...

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Main Authors: Skouteris, H., Bailey, C., Nagle, C., Hauck, Yvonne, Bruce, L., Morris, H.
Format: Journal Article
Published: Mary Ann Liebert, Inc. Publishers 2017
Online Access:http://hdl.handle.net/20.500.11937/59540
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author Skouteris, H.
Bailey, C.
Nagle, C.
Hauck, Yvonne
Bruce, L.
Morris, H.
author_facet Skouteris, H.
Bailey, C.
Nagle, C.
Hauck, Yvonne
Bruce, L.
Morris, H.
author_sort Skouteris, H.
building Curtin Institutional Repository
collection Online Access
description Background: Worldwide, women seldom reach the recommended target of exclusive breastfeeding up to 6 months postpartum. The aim of the current study was to update a previously published review that presented a conceptual and methodological synthesis of interventions designed to promote exclusive breastfeeding up to 6 months in high-income countries. Materials and Methods: A systematic search of leading databases was conducted for scholarly, peer-reviewed, randomized controlled trials published from June 2013 to December 2016. Twelve new articles were identified as relevant; all were published in English and assessed exclusive breastfeeding with a follow-up period extending beyond 4 months postpartum. Articles were analyzed for overall quality of evidence in regard to duration of exclusive breastfeeding, using the Grading and Recommendations Assessment, Development, and Evaluation approach. Results: A significant increase in the duration of exclusive breastfeeding was found in 4 of the 12 studies. All four successful interventions had long-duration postpartum programs, implemented by telephone, text message, or through a website. Some of the successful interventions also included prenatal education or in-hospital breastfeeding support. Conclusions: Results from this review update correspond closely with previous findings, in that all of the successful interventions had lengthy postnatal support or an education component. More studies assessed intervention fidelity than in the previous review; however, there was little discussion of maternal body–mass index. While a pattern of successful interventions is beginning to emerge, further research is needed to provide a robust evidence base to inform future interventions, particularly with overweight and obese women.
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spelling curtin-20.500.11937-595402018-04-19T06:08:38Z Interventions Designed to Promote Exclusive Breastfeeding in High-Income Countries: A Systematic Review Update Skouteris, H. Bailey, C. Nagle, C. Hauck, Yvonne Bruce, L. Morris, H. Background: Worldwide, women seldom reach the recommended target of exclusive breastfeeding up to 6 months postpartum. The aim of the current study was to update a previously published review that presented a conceptual and methodological synthesis of interventions designed to promote exclusive breastfeeding up to 6 months in high-income countries. Materials and Methods: A systematic search of leading databases was conducted for scholarly, peer-reviewed, randomized controlled trials published from June 2013 to December 2016. Twelve new articles were identified as relevant; all were published in English and assessed exclusive breastfeeding with a follow-up period extending beyond 4 months postpartum. Articles were analyzed for overall quality of evidence in regard to duration of exclusive breastfeeding, using the Grading and Recommendations Assessment, Development, and Evaluation approach. Results: A significant increase in the duration of exclusive breastfeeding was found in 4 of the 12 studies. All four successful interventions had long-duration postpartum programs, implemented by telephone, text message, or through a website. Some of the successful interventions also included prenatal education or in-hospital breastfeeding support. Conclusions: Results from this review update correspond closely with previous findings, in that all of the successful interventions had lengthy postnatal support or an education component. More studies assessed intervention fidelity than in the previous review; however, there was little discussion of maternal body–mass index. While a pattern of successful interventions is beginning to emerge, further research is needed to provide a robust evidence base to inform future interventions, particularly with overweight and obese women. 2017 Journal Article http://hdl.handle.net/20.500.11937/59540 10.1089/bfm.2017.0065 Mary Ann Liebert, Inc. Publishers restricted
spellingShingle Skouteris, H.
Bailey, C.
Nagle, C.
Hauck, Yvonne
Bruce, L.
Morris, H.
Interventions Designed to Promote Exclusive Breastfeeding in High-Income Countries: A Systematic Review Update
title Interventions Designed to Promote Exclusive Breastfeeding in High-Income Countries: A Systematic Review Update
title_full Interventions Designed to Promote Exclusive Breastfeeding in High-Income Countries: A Systematic Review Update
title_fullStr Interventions Designed to Promote Exclusive Breastfeeding in High-Income Countries: A Systematic Review Update
title_full_unstemmed Interventions Designed to Promote Exclusive Breastfeeding in High-Income Countries: A Systematic Review Update
title_short Interventions Designed to Promote Exclusive Breastfeeding in High-Income Countries: A Systematic Review Update
title_sort interventions designed to promote exclusive breastfeeding in high-income countries: a systematic review update
url http://hdl.handle.net/20.500.11937/59540