期刊
ACTA PAEDIATRICA
卷 104, 期 -, 页码 114-135出版社
WILEY
DOI: 10.1111/apa.13127
关键词
Breastfeeding; Interventions; Meta Analysis
类别
资金
- Department of Child and Adolescent Health and Development, World Health Organization (Geneva)
- Centre for Intervention Science in Maternal and Child Health (RCN), Centre for International Health, University of Bergen (Norway) [223269]
AimTo provide comprehensive evidence of the effect of interventions on early initiation, exclusive, continued and any breastfeeding rates when delivered in five settings: (i) Health systems and services (ii) Home and family environment (iii) Community environment (iv) Work environment (v) Policy environment or a combination of any of above. MethodsOf 23977 titles identified through a systematic literature search in PUBMED, Cochrane and CABI, 195 articles relevant to our objective, were included. We reported the pooled relative risk and corresponding 95% confidence intervals as our outcome estimate. In cases of high heterogeneity, we explored its causes by subgroup analysis and meta-regression and applied random effects model. ResultsIntervention delivery in combination of settings seemed to have higher improvements in breastfeeding rates. Greatest improvements in early initiation of breastfeeding, exclusive breastfeeding and continued breastfeeding rates, were seen when counselling or education were provided concurrently in home and community, health systems and community, health systems and home settings, respectively. Baby friendly hospital support at health system was the most effective intervention to improve rates of any breastfeeding. ConclusionTo promote breastfeeding, interventions should be delivered in a combination of settings by involving health systems, home and family and the community environment concurrently.
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