At 4 wk PP, the intervention group had a significantly
higher rate of exclusive breastfeeding than controls (based on 24 - h recall).
Not exact matches
A review
of current randomized controlled trials suggest that the benefits
of holding for preterm babies include shortened hospital stay, decreased illness,
higher exclusive breastfeeding rates / longer
breastfeeding duration, increased weight gain, improved temperature regulation, and improved maternal sense
of competence.
Several factors may have also improved results for women practising
exclusive breastfeeding, such as interventions delivered with a face - to - face component,
high background initiation
rates of breastfeeding, lay support, and a specific schedule
of four to eight contacts.
Despite the widened socioeconomic inequalities by the intervention in
rates of prolonged
exclusive and any
breastfeeding,
breastfeeding rates were even
higher among mothers with the lowest education (secondary school or less) in the intervention group than they were among mothers who completed university in the control group.
Although not directly comparable, our findings are in broad agreement with those from routine data in Scotland that have indicated a positive association between Baby Friendly accreditation, but not certification, and
breastfeeding at 1 week
of age.17 Our findings reinforce those
of Coutinho and colleagues who reported that
high exclusive breastfeeding rates achieved in Brazilian hospitals implementing staff training with the course content
of the Baby Friendly Hospital Initiative were short - lived and not sustained at home unless implemented in combination with post-natal home visits.35 Similarly in Italy, training
of staff with an adapted version
of the Baby Friendly course content resulted in
high breastfeeding rates at discharge, with a rapid decrease in the days after leaving hospital.36 In contrast, a cluster randomized trial in Belarus (PROBIT) found an association between an intervention modelled on the Baby Friendly Initiative with an increased duration
of breastfeeding37 an association also reported from an observational study in Germany.38 Mothers in Belarus stay in hospital post-partum for 6 — 7 days, and in Germany for 5 days, with post-natal support likely to be particularly important in countries where mothers stay in the hospital for a shorter time, with early discharge likely to limit the influence
of a hospital - based intervention.
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).
The reported
exclusive breastfeeding rate may be
higher than the national average as the sample consisted
of women with established intension to
breastfeed exclusively.
At all ages, control infants were
breastfed at
higher rates than SIDS victims, and the protective effect
of partial or
exclusive breastfeeding remained statistically significant after adjustment for confounders.244 A recent meta - analysis that included 18 case - control studies revealed an unadjusted summary OR for any
breastfeeding of 0.40 (95 % CI: 0.35 — 0.44).