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Specialty: General Medicine
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Total 177133 results found since Jan 2013.
Rooming-in for new mother and infant versus separate care for increasing the duration of breastfeeding.
CONCLUSIONS: We found little evidence to support or refute the practice of rooming-in versus mother-infant separation. Further well-designed RCTs to investigate full mother-infant rooming-in versus partial rooming-in or separate care including all important outcomes are needed.
PMID: 27562563 [PubMed - as supplied by publisher]
Source: Cochrane Database of Systematic Reviews - August 25, 2016 Category: Journals (General) Authors: Jaafar SH, Ho JJ, Lee KS Tags: Cochrane Database Syst Rev Source Type: research
Support for healthy breastfeeding mothers with healthy term babies
CONCLUSIONS: When 'breastfeeding only' support is offered to women, the duration and in particular, the exclusivity of breastfeeding is likely to be increased. Support may also be more effective in reducing the number of women stopping breastfeeding at three to four months compared to later time points. For 'breastfeeding plus' interventions the evidence is less certain. Support may be offered either by professional or lay/peer supporters, or a combination of both. Support can also be offered face-to-face, via telephone or digital technologies, or a combination and may be more effective when delivered on a schedule of four...
Source: Cochrane Database of Systematic Reviews - October 25, 2022 Category: General Medicine Authors: Anna Gavine Shona C Shinwell Phyll Buchanan Albert Farre Angela Wade Fiona Lynn Joyce Marshall Sara E Cumming Shadrach Dare Alison McFadden Source Type: research
Interventions for supporting the initiation and continuation of breastfeeding among women who are overweight or obese.
CONCLUSIONS: There is insufficient evidence to assess the effectiveness of physical interventions, or multiple methods of support (social, educational or physical) for supporting the initiation or continuation of breastfeeding in women who are overweight or obese. We found no RCTs comparing one type of support to another type of support. All of our GRADE assessments resulted in very low-certainty evidence, with downgrading decisions based on limitations in trial design (e.g. risk of attrition bias), imprecision, inconsistency. The available trials were mostly of variable quality with small numbers of participants, confound...
Source: Cochrane Database of Systematic Reviews - September 16, 2019 Category: General Medicine Authors: Fair FJ, Ford GL, Soltani H Tags: Cochrane Database Syst Rev Source Type: research
Support for healthy breastfeeding mothers with healthy term babies
CONCLUSIONS: When 'breastfeeding only' support is offered to women, the duration and in particular, the exclusivity of breastfeeding is likely to be increased. Support may also be more effective in reducing the number of women stopping breastfeeding at three to four months compared to later time points. For 'breastfeeding plus' interventions the evidence is less certain. Support may be offered either by professional or lay/peer supporters, or a combination of both. Support can also be offered face-to-face, via telephone or digital technologies, or a combination and may be more effective when delivered on a schedule of four...
Source: Cochrane Database of Systematic Reviews - October 25, 2022 Category: General Medicine Authors: Anna Gavine Shona C Shinwell Phyll Buchanan Albert Farre Angela Wade Fiona Lynn Joyce Marshall Sara E Cumming Shadrach Dare Alison McFadden Source Type: research
Breastfeeding or breast milk for procedural pain in neonates
CONCLUSIONS: Moderate-/low-certainty evidence suggests that breastfeeding or supplemental breast milk may reduce pain in neonates undergoing painful procedures compared to no intervention/positioning/holding or placebo or non-pharmacological interventions. Low-certainty evidence suggests that moderate concentration (20% to 33%) glucose/sucrose may lead to little or no difference in reducing pain compared to breastfeeding. The effectiveness of breast milk for painful procedures should be studied in the preterm population, as there are currently a limited number of studies that have assessed its effectiveness in this populat...
Source: Cochrane Database of Systematic Reviews - August 29, 2023 Category: General Medicine Authors: Prakeshkumar S Shah Ranjit Torgalkar Vibhuti S Shah Source Type: research
Baby-led compared with scheduled (or mixed) breastfeeding for successful breastfeeding.
CONCLUSIONS: This review demonstrates that there is no evidence from randomised controlled trials evaluating the effect of baby-led compared with scheduled (or mixed) breastfeeding for successful breastfeeding, for healthy newborns, therefore no conclusions could be taken at this point. It is recommended that no changes are made to current practice guidelines without undertaking further robust research, to include many patterns of breastfeeding and not limited to baby-led and scheduled breastfeeding. Further research is needed to also evaluate the effects of baby-led compared with scheduled (or mixed) breastfeeding on succ...
Source: Cochrane Database of Systematic Reviews - August 3, 2014 Category: Journals (General) Authors: Fallon A, Van der Putten D, Dring C, Moylett EH, Fealy G, Devane D Tags: Cochrane Database Syst Rev Source Type: research
Breastfeeding or breast milk for procedural pain in neonates
CONCLUSIONS: Moderate-/low-certainty evidence suggests that breastfeeding or supplemental breast milk may reduce pain in neonates undergoing painful procedures compared to no intervention/positioning/holding or placebo or non-pharmacological interventions. Low-certainty evidence suggests that moderate concentration (20% to 33%) glucose/sucrose may lead to little or no difference in reducing pain compared to breastfeeding. The effectiveness of breast milk for painful procedures should be studied in the preterm population, as there are currently a limited number of studies that have assessed its effectiveness in this populat...
Source: Cochrane Database of Systematic Reviews - August 29, 2023 Category: General Medicine Authors: Prakeshkumar S Shah Ranjit Torgalkar Vibhuti S Shah Source Type: research
Extra fluids for breastfeeding mothers for increasing milk production.
CONCLUSIONS: This review only identified one small quasi-randomised controlled trial of low quality and high risk of bias. The study provided limited data on only one of this review's primary outcomes, breast milk production, but the data were not reported in a format that permitted further analysis. The trialist reported that extra fluids did not improve breast milk production. However, this outcome was measured by using test feeds (also known as test weighing). In the 1950s, when the study was conducted, it was common for babies in developed countries to be weighed before and after a feed, known as test weighing or test ...
Source: Cochrane Database of Systematic Reviews - June 11, 2014 Category: Journals (General) Authors: Ndikom CM, Fawole B, Ilesanmi RE Tags: Cochrane Database Syst Rev Source Type: research
Baby-led compared with scheduled (or mixed) breastfeeding for successful breastfeeding.
CONCLUSIONS: This review demonstrates that there is no evidence from randomised controlled trials evaluating the effect of baby-led compared with scheduled (or mixed) breastfeeding for successful breastfeeding, for healthy newborns. It is recommended that no changes are made to current practice guidelines without undertaking robust research, to include many patterns of breastfeeding and not limited to baby-led and scheduled breastfeeding. Future exploratory research is needed on baby-led breastfeeding that takes the mother's perspective into consideration.
PMID: 27673478 [PubMed - as supplied by publisher]
Source: Cochrane Database of Systematic Reviews - September 27, 2016 Category: Journals (General) Authors: Fallon A, Van der Putten D, Dring C, Moylett EH, Fealy G, Devane D Tags: Cochrane Database Syst Rev Source Type: research
Treatments for breast abscesses in breastfeeding women.
CONCLUSIONS: There is insufficient evidence to determine whether needle aspiration is a more effective option to I&D for lactational breast abscesses, or whether an antibiotic should be routinely added to women undergoing I&D for lactational breast abscesses. We graded the evidence for the primary outcome of treatment failure as low quality, with downgrading based on including small studies with few events and unclear risk of bias.
PMID: 26279276 [PubMed - as supplied by publisher]
Source: Cochrane Database of Systematic Reviews - August 17, 2015 Category: Journals (General) Authors: Irusen H, Rohwer AC, Steyn DW, Young T Tags: Cochrane Database Syst Rev Source Type: research
Effect of restricted pacifier use in breastfeeding term infants for increasing duration of breastfeeding.
CONCLUSIONS: Pacifier use in healthy term breastfeeding infants, started from birth or after lactation is established, did not significantly affect the prevalence or duration of exclusive and partial breastfeeding up to four months of age. Evidence to assess the short-term breastfeeding difficulties faced by mothers and long-term effect of pacifiers on infants' health is lacking.
PMID: 27572944 [PubMed - as supplied by publisher]
Source: Cochrane Database of Systematic Reviews - August 29, 2016 Category: Journals (General) Authors: Jaafar SH, Ho JJ, Jahanfar S, Angolkar M Tags: Cochrane Database Syst Rev Source Type: research
Interventions for promoting the initiation of breastfeeding.
CONCLUSIONS: This review found low-quality evidence that healthcare professional-led breastfeeding education and non-healthcare professional-led counselling and peer support interventions can result in some improvements in the number of women beginning to breastfeed. The majority of the trials were conducted in the USA, among women on low incomes and who varied in ethnicity and feeding intention, thus limiting the generalisability of these results to other settings.Future studies would ideally be conducted in a range of low- and high-income settings, with data on breastfeeding rates over various timeframes, and explore the...
Source: Cochrane Database of Systematic Reviews - November 8, 2016 Category: Journals (General) Authors: Balogun OO, O'Sullivan EJ, McFadden A, Ota E, Gavine A, Garner CD, Renfrew MJ, MacGillivray S Tags: Cochrane Database Syst Rev Source Type: research
Antenatal breastfeeding education for increasing breastfeeding duration.
CONCLUSIONS: There was no conclusive evidence supporting any antenatal BF education for improving initiation of BF, proportion of women giving any BF or exclusively BF at three or six months or the duration of BF. There is an urgent need to conduct a high-quality, randomised controlled study to evaluate the effectiveness and adverse effects of antenatal BF education, especially in low- and middle-income countries. Evidence in this review is primarily relevant to high-income settings.
PMID: 27922724 [PubMed - as supplied by publisher]
Source: Cochrane Database of Systematic Reviews - December 5, 2016 Category: Journals (General) Authors: Lumbiganon P, Martis R, Laopaiboon M, Festin MR, Ho JJ, Hakimi M Tags: Cochrane Database Syst Rev Source Type: research
Support for healthy breastfeeding mothers with healthy term babies.
CONCLUSIONS: When breastfeeding support is offered to women, the duration and exclusivity of breastfeeding is increased. Characteristics of effective support include: that it is offered as standard by trained personnel during antenatal or postnatal care, that it includes ongoing scheduled visits so that women can predict when support will be available, and that it is tailored to the setting and the needs of the population group. Support is likely to be more effective in settings with high initiation rates. Support may be offered either by professional or lay/peer supporters, or a combination of both. Strategies that rely m...
Source: Cochrane Database of Systematic Reviews - February 27, 2017 Category: Journals (General) Authors: McFadden A, Gavine A, Renfrew MJ, Wade A, Buchanan P, Taylor JL, Veitch E, Rennie AM, Crowther SA, Neiman S, MacGillivray S Tags: Cochrane Database Syst Rev Source Type: research
