Interventions in exclusive breastfeeding: a systematic review

Bevan, Gillian; Brown, Michelle

doi:10.12968/bjon.2014.23.2.86

Cited by 23 publications

(16 citation statements)

References 7 publications

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“…43 In this study, there was no significant relationship between family members and the practice of exclusive and non-exclusive breastfeeding (P = 0.770). These findings were not in line with studies conducted by Brand et al, 46 Bevan and Brown, 47 and Demirtas, 48 as they reported that the presence of partners and families play a significant role in helping and supporting mothers to continue exclusive breastfeeding for six months, thereby significantly decreasing the risk of early discontinuation of exclusive breastfeeding.…”

Section: Competing Interestscontrasting

confidence: 56%

Determinants of exclusive breastfeeding practice for the first six months in mothers with infants between 6 and 15 months of age in Erbil city, Iraq: A cross-sectional study

Sdeeq

Saleh

2021

Zanco J. Med. Sci.

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Background and objective: Breastfeeding is a useful and natural source of nutrition that provides the healthiest start for an infant. Despite its nutritional benefits, breastfeeding promotes a unique and emotional connection between mother and baby. This study aimed to assess the determinants of exclusive breastfeeding within the first six months of age in Erbil City, Iraq. Methods: A cross-sectional study was conducted in Erbil city, Iraq, from December 2017 to December 2018. A convenience sampling method was used for selecting mothers of infants aged 6-15 months. A structured interviewer administered questionnaire was used for data collection. The statistical package for the social sciences was used for data analysis and a P value of ≤0.05 was regarded as statistically significant. Results: A total of 306 mothers with children aged between 6 and 15 months were included. The prevalence of exclusive breastfeeding was 26.5%. Around 36% of mothers had a primary school qualification, of whom 28.2% gave exclusive breastfeeding. Around 84%of the mother were housewives, of whom 28.3% had exclusive breastfeeding. Around 92% of the mothers had a birth at health facilities, of whom 26.2% gave exclusive breastfeeding. Around 50% of mothers had cesarean section deliveries, of whom 23.4% gave exclusive breastfeeding. Around 44% of the mothers mentioned that insufficient milk is the barrier to exclusive breastfeeding. Conclusion: Exclusive breastfeeding still remains low compared to the current WHO recommendations. The most common barrier to continuing exclusive breastfeeding was the perception of insufficient milk production. Housewife mothers are more likely to breastfeed their infants exclusively, and least when the mother is a non-house wife. Keywords: Exclusive breastfeeding; Mothers; Infants; Erbil.

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Section: Competing Interestscontrasting

confidence: 56%

Determinants of exclusive breastfeeding practice for the first six months in mothers with infants between 6 and 15 months of age in Erbil city, Iraq: A cross-sectional study

Sdeeq

Saleh

2021

Zanco J. Med. Sci.

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“…It seems that a multi-pronged approach may be most appropriate with some interventions being focused on specific groups such as in urban areas or at private hospitals. This phenomenon has been explored and may explain why some interventions are less effective in different settings [ 19 – 21 ]. Related to the findings about mother’s BF knowledge, mothers who lived in urban areas and were further educated, also uniquely reported using social media to access breastfeeding knowledge, and provide or receive group or peer support to encourage continuation of EBF.…”

Section: Discussionmentioning

confidence: 99%

Perceptions of northeast Thai breastfeeding mothers regarding facilitators and barriers to six-month exclusive breastfeeding: focus group discussions

et al. 2018

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BackgroundThe 6-month exclusive breastfeeding rate in the Northeast region of Thailand has recently significantly decreased in contrast to all other regions in Thailand. The factors that have influenced this decrease remain unknown. Hence, it is suggested that an investigation into factors that could improve or hinder EBF for 6 months in Northeast Thailand may be required to inform the development of relevant interventions to improve this situation. This study aimed to identify perceived facilitators and barriers to providing exclusive breastfeeding for 6 months in Northeast Thailand among breastfeeding mothers.MethodsSix focus group discussions were conducted with a total of 30 mothers aged 20 to 40 years who had children aged between 4 and 6 months and were currently breastfeeding or had breastfeeding experience. Participants were recruited through self-selection sampling from Khonkaen hospital (urban), Numphong hospital (peri-urban) and private hospitals (urban) in Khonkaen, Thailand. Thematic analysis was employed to analyse the data.ResultsFive main themes, with 10 sub-themes, were identified as either facilitators (+) or barriers (−), or in some cases, as both (+/−). Breastfeeding knowledge, perceptions, maternal circumstances, support, and traditional food were the main identified themes. Mother’s breastfeeding knowledge, intention to breastfeed, and social media were perceived as facilitators. Perceptions, employment, and formula milk promotion were perceived as barriers. Family, healthcare, and traditional food were perceived as both facilitators and barriers. The perception that social media was a way to access breastfeeding knowledge and support mothers in Northeast Thailand emerged as a new facilitating factor that had not previously been identified in Thai literature relating to facilitators and barriers to exclusive breastfeeding. Intention to breastfeed, family support, healthcare support and traditional food were mentioned by all groups, whereas mothers from urban areas specifically mentioned mother’s breastfeeding knowledge, social media and employment sub-themes. Only mothers from the peri-urban area mentioned formula milk promotion and only mothers who had delivered in public hospitals mentioned the perceptions sub-theme.ConclusionsKnowledge about these facilitators and barriers may inform the design and development of specific and relevant interventions to improve the 6-month exclusive breastfeeding rate in the Northeast region of Thailand and be useful in other contexts. Social media emerged as a newly perceived facilitator in the Thai context and may be a useful inclusion in a 6-month exclusive breastfeeding intervention model.Electronic supplementary materialThe online version of this article (10.1186/s13006-018-0148-y) contains supplementary material, which is available to authorized users.

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“…A broad range of interventions and programs has been implemented in various contexts to promote breastfeeding initiation, duration, and exclusivity, with varying degrees of success. Interventions have included strategies such as peer counselling, professional counselling, online support, phone support, antenatal breastfeeding education, multimedia approaches, motivational interviewing, breastfeeding-friendly hospital practices, breastfeeding-friendly workplaces, and parental leave policies [21][22][23][24][25][26][27][28]. Despite this extant research, young mothers do not appear to be well represented in these intervention studies.…”

Section: Introductionmentioning

confidence: 99%

Interventions to promote exclusive breastfeeding among young mothers: a systematic review and meta-analysis

et al. 2020

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Background Exclusive breastfeeding rates in many high-income countries are considerably lower than the World Health Organization recommendations. Younger mothers are less likely than older mothers to exclusively breastfeed or to exclusively breastfeed for a long duration. This systematic review explores interventions to increase the rate of exclusive breastfeeding among young mothers in high-income countries. Methods A systematic search of the following databases was completed in August 2020: CINAHL, PubMed, MEDLINE, ProQuest, PsychInfo, Web of Science, Cochrane, Scopus and Embase. A manual search of the reference lists of all the included studies and published systematic reviews was also performed. The Cochrane Collaboration Risk of Bias Tool was used to assess the quality of the included studies. A random effects model meta-analyses was applied. Heterogeneity of outcomes between the studies was assessed using both the χ2 test and the I2 statistic. Results Of 955 records identified in the search, 392 duplicates were removed, and nine studies met the inclusion criteria. Seven studies were randomised controlled trial (RCTs) and two were quasi-experimental in design. Eight were conducted in the United States. The interventions included peer counselling, telephone support, massage, gift packs, financial incentive and antenatal education. Most studies included a combination of strategies, peer counselling being the most common. A meta-analysis of four of nine included studies did not detect a difference in rate of exclusive breastfeeding to 3 months postpartum (RR 1.44; 95% CI 0.82, 2.55; p = 0.204). This review is limited by the relatively few studies which met the inclusion criteria and the small sample sizes of most included studies. High rates of attrition and formula supplementation among the participants made it difficult to detect a statistically significant effect. Consistency in follow up times would enable more studies to be included in a meta-analysis. Conclusions Peer counselling was the most promising strategy associated with higher rates of exclusive breastfeeding. However, further studies are needed to understand the breastfeeding experiences of young mothers. Young mothers should be targeted specifically in intervention studies.

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Interventions in exclusive breastfeeding: a systematic review

Abstract: Aim of the paper:To examine current literature surrounding variables which may affect the initiation and maintenance of breastfeeding.Abstract:

Cited by 23 publications

References 7 publications

Determinants of exclusive breastfeeding practice for the first six months in mothers with infants between 6 and 15 months of age in Erbil city, Iraq: A cross-sectional study

Determinants of exclusive breastfeeding practice for the first six months in mothers with infants between 6 and 15 months of age in Erbil city, Iraq: A cross-sectional study

Perceptions of northeast Thai breastfeeding mothers regarding facilitators and barriers to six-month exclusive breastfeeding: focus group discussions

Interventions to promote exclusive breastfeeding among young mothers: a systematic review and meta-analysis

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