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A
review of current randomized controlled trials suggest that the benefits of holding
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exclusive breastfeeding rates / longer breastfeeding duration, increased weight gain, improved temperature regulation, and improved maternal sense of competence.
This systematic
review and meta - analysis found evidence that breastfeeding protects against acute otitis media (AOM) until 2 years of age, with protection greater
for exclusive breastfeeding and breastfeeding of longer duration.
Integrated Management of Childhood Illness (IMCI)- Part III - Chapter 11 - Breastfeeding Nutrient adequacy of
exclusive breastfeeding
for the term infant during the first six months of life (2002) Geneva, World Health Organization Full text [pdf 278kb] The optimal duration of
exclusive breastfeeding: a systematic
review Geneva, World Health Organization, 2001 Full text [pdf 1.06 Mb] Report of the expert consultation of the optimal duration of
exclusive breastfeeding Report of an expert consultation Geneva, World Health Organization, 28 - 30 March 2001 Full text [pdf 122kb] The WHO Global Data Bank on Infant and Young Child Feeding Breastfeeding and Complementary Feeding Feeding Your Baby From Six Months To One Year Your guide to help you introduce food to your baby Adapted and reproduced with permission of Peel Public Health, Region of Peel A Practical Workbook to Protect, Promote and Support Breastfeeding in Community Based Projects Health Canada, Ottawa, 2002 This workbook is intended to assist the Canada Prenatal Nutrition Program (CPNP) or similar community based prenatal projects to identify strategies and specific actions to protect, promote and support breastfeeding in a population health context.
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for Health Workers IYCN Project, The roles of grandmothers and men: evidence supporting a familyfocused approach to optimal infant and young child nutrition IYCN Project Mother - to - Mother Support Groups Trainer's Manual - Facilitator's Manual with Discussion Guide IYCN Project, 2010, Infant Feeding and HIV: Trainer's guide and participant's manual
for training community - based workers and volunteers IYCN Project 2010, Infant Feeding and HIV: Participant's manual
for community - based workers and volunteers IYCN Project, Infant and Young Child Feeding and Gender: A Training Manual
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for Male Group Leaders IYCN Project 2012, Helping an HIV - positive breastfeeding mother decide how to feed her child at 12 months: A checklist
for health care providers IYCN Project 2012, Community interventions to promote optimal breastfeeding; evidence on early initiation, any breastfeeding,
exclusive breastfeeding and continued breastfeeding; literature
review, January 2012 UNICEF 2011, Community IYCF Counselling Package - The technical content of this package reflects the Guidelines on HIV and Infant Feeding 2010: Principles and Recommendations
for Infant Feeding in the Context of HIV and a Summary of Evidence related to IYCF in the context of HIV.
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An expert consultation was convened to
review the scientific evidence on the optimal duration of
exclusive breastfeeding, formulate recommendation
for practice on the optimal duration of
exclusive breastfeeding and develop recommendation
for research need in this area.
A systematic
review of current scientific evidence on the optimal duration of
exclusive breastfeeding identified and summarized studies comparing
exclusive breastfeeding
for 4 to 6 months, versus 6 months.
40 % reduction in the number of children under - 5 who are stunted Direct evidence
for a link between
exclusive breastfeeding and stunting is not currently available at the systematic
review level, though a 2015 systematic
review and meta - analysis of intervention studies assessing the effect of breastfeeding promotion interventions on child growth found no significant effect on length or height z scores.
No increase in childhood overweight Direct evidence
for the effect of
exclusive breastfeeding on childhood overweight comes from a 2015 systematic
review and meta - analysis in which individuals with any breastfeeding were shown to be less likely to be overweight or obese later in life compared to non-breastfed individuals.
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One research summary found that after
reviewing all available studies regarding the outcomes of using IBCLCs, mothers who had higher breastfeeding initiation rates, a longer duration of
exclusive breastfeeding, a longer duration of any breastfeeding, higher breastfeeding rates
for all infant age groups, AND better maternal and infant health outcomes as compared to those who didn't seek out IBCLC support (5).
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Indeed, in the most recent systematic
review of the literature to date,
exclusive breastfeeding is now recommended
for ∼ 6 months (WHO, 2001).
The primary objective of this
review was to assess the effect on child health, growth and development, and on maternal health of
exclusive breastfeeding
for 6 months vs
exclusive breastfeeding
for 3 - 4 months with mixed breastfeeding thereafter through 6 months.
Learning from large - scale community - based programmes to improve breastfeeding practices (2008) Nutrient adequacy of
exclusive breastfeeding
for the term infant during the first six months of life (2002) Report of the expert consultation of the optimal duration of
exclusive breastfeeding (2001) Geneva, Switzerland, 28 - 30 March 2001 The optimal duration of
exclusive breastfeeding: a systematic
review (2001) Complementary feeding
Nutrient adequacy of
exclusive breastfeeding
for the term infant during the first six months of life (2002) WHO This document
reviews the impact of
exclusive breastfeeding in terms of infant growth, immune response, and neurodevelopment.
One of the major strengths of the present
review is that data were obtained from all relevant studies identified; 13 studies (76 %) provided additional analyses with systematic adjustment
for potential confounders (including the 7 studies that reported
exclusive feeding).
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