2020
DOI: 10.21203/rs.3.rs-40847/v1
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The Effectiveness of Laid-back Position on Lactation Related Nipple problems and comfort: A meta-analysis

Abstract: Abstract Background The importance of breastfeeding for maternal and child health has become an international consensus. However, it has been found that lactation-related nipple problems are common and there are some important factors affecting the effectiveness of breastfeeding. Multiple studies recommended the laid-back breastfeeding, but the researches are on various levels of quality and the results are controversial.Methods We systematically searched the following … Show more

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Cited by 3 publications
(5 citation statements)
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“… 12 In an RCT of 103 of mothers with babies up to 16 weeks of age with severe latch-on difficulties, a ‘baby-led’ or skin-to-skin intervention did not make it more likely that the infant would latch-on, 16 despite evidence that the ‘baby-led’ approach when applied from birth modestly decreases the risk of developing nipple pain. 13 – 15…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“… 12 In an RCT of 103 of mothers with babies up to 16 weeks of age with severe latch-on difficulties, a ‘baby-led’ or skin-to-skin intervention did not make it more likely that the infant would latch-on, 16 despite evidence that the ‘baby-led’ approach when applied from birth modestly decreases the risk of developing nipple pain. 13 – 15…”
Section: Discussionmentioning
confidence: 99%
“… 12 When women are taught baby-led or laid-back breastfeeding in hospital immediately after the birth (also known as skin-to-skin or the physiologic initiation of breastfeeding), the incidence of nipple pain and damage decreases. 13 , 14 A 2021 Chinese randomized controlled trial (RCT) of 504 pairs demonstrated that implementing baby-led self-attachment from birth results in a 12% increase in exclusive breastfeeding at day 3, and an 8% and 5% decrease in the number who reported nipple pain at 3 days and 3 months postpartum, respectively. 15 However, baby-led approaches have not been demonstrated effective as therapeutic interventions for breastfeeding problems.…”
Section: Introductionmentioning
confidence: 99%
“…Artificial feeding meant no breastmilk was fed; only formula or a breastmilk substitute was provided. The “24 h retrospective method” was used to investigate the feeding situation of the infants from the time point of investigation to the past 24 h ( 17 ). Since feeding practices were more likely to change within 7 days after delivery ( 18 ), as 42 days after delivery is considered as puerperal, and as maternity leave is usually for 5 months, follow-up of the feeding practices were followed-up at 24 h, 48 h, 72 h, 7 days, 42 days, and 5 months postpartum.…”
Section: Methodsmentioning
confidence: 99%
“…Therefore, a gestalt clinical intervention aims to stabilise the fit between the infant and his or her mother's body and breast, which eliminates breast tissue drag. It builds on the foundations of 'laid-back breastfeeding' positioning, 24 but integrates a range of other novel strategies to optimise suckling biomechanics (see Box 1). This approach has implications for multiple aspects of usual lactation support, including for minimising unnecessary pharmaceutical and surgical interventions.…”
Section: Gestalt Methods Is a Novel Clinical Interpretation Of The Findings Of Two-dimensional Ultrasound Studies And Vacuum Studies Corrmentioning
confidence: 99%
“…23 A Chinese meta-analysis of studies investigating the benefits of 'laid-back breastfeeding' in breastfeeding initiation, currently in pre-print only, shows a reduction of nipple pain. 24 However, in a randomised controlled trial of 103 of mothers with babies up to 16 weeks of age with severe latch-on difficulties, a 'baby-led' or skin-to-skin intervention did not make it more likely that the infant would latch-on. 25 Infants who show signs of inability to latch, back-arching, fussing, and pulling off the breast are at risk of pharmaceutical interventions for inappropriate diagnoses of gastrooesophageal reflux or maternal elimination diets for inappropriate diagnoses of allergy.…”
Section: Introductionmentioning
confidence: 99%