Counselling sessions
increased duration of exclusive breastfeeding: a randomized clinical trial with adolescent mothers and grandmothers
Does
increased duration of exclusive breastfeeding protect against helicobacter pylori infection?
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.
However, the organization also called for more research regarding the benefits
of 6 vs 4 months
of exclusive breastfeeding.25 Thus far, several studies in industrialized countries revealed that a shorter
duration of breastfeeding increases the risk
of common infectious diseases, such as respiratory and gastrointestinal tract infections.8, 19,24,26, — , 32 However, in these studies, various definitions
of the exclusiveness
of breastfeeding were used24, 27,28,30 or the combination
of duration and exclusiveness
of breastfeeding was not taken into account.8, 31
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.
BFHI has been shown to be very effective in
increasing breastfeeding initiation,
exclusive breastfeeding and
breastfeeding duration in many countries, as well as improving mother's health care experiences and reducing rates
of infant abandonment.12 Given the short and long - term benefits
of breastfeeding to the infant, mother and society, implementing BFHI — alongside with the other objectives stated in the Global Strategy for Infant and Young Child Feeding - continues to have an important role to play in health services worldwide.
There is some evidence that
breastfeeding education and peer and professional support can
increase the initiation
of breastfeeding (Balogun 2016), and there is good evidence that support interventions by professionals or peers are effective in
increasing the
duration of any and
exclusive breastfeeding for mothers
of healthy term singletons (McFadden 2017).
This review is one in a series
of Cochrane reviews examining education and support interventions to promote the initiation
of breastfeeding and to
increase the
duration of breastfeeding and
exclusive breastfeeding (Balogun 2016; Lumbiganon 2016; McFadden 2017).
In 2012, the Cochrane study (52 studies, 56,451 mother - infant pairs, 21 countries) found that postnatal support
increases both the
duration of breastfeeding and
exclusive breastfeeding [17].
While there is evidence for the effectiveness
of professional support in prolonging
duration of breast feeding and
increasing rates
of initiation
of breast feeding, the strength
of its effect on the rate
of exclusive breastfeeding is unclear.11 12
Seven
of these studies provided adjusted ORs, and on the basis
of these studies, the pooled adjusted OR remained statistically significant at 0.55 (95 % CI: 0.44 — 0.69)(Fig 9).245 The protective effect
of breastfeeding increased with exclusivity, with a univariable summary OR
of 0.27 (95 % CI: 0.24 — 0.31) for
exclusive breastfeeding of any
duration.245