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Nursing Implementation01:15

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Breakfast Habits among Schoolchildren in the City of Uruguaiana, Brazil
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Primary Care Interventions to Support Breastfeeding: US Preventive Services Task Force Recommendation Statement.

, Kirsten Bibbins-Domingo1, David C Grossman2

  • 1University of California, San Francisco.

JAMA
|October 27, 2016
PubMed
Summary

Breastfeeding offers significant health benefits, but many mothers stop by 6 months. Interventions during pregnancy and after birth are recommended to support breastfeeding duration and improve maternal and child health outcomes.

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Area of Science:

  • Public Health
  • Preventive Medicine
  • Maternal and Child Health

Background:

  • Breastfeeding provides substantial health benefits for children.
  • Nearly half of US mothers discontinue breastfeeding by 6 months postpartum.
  • Disparities in breastfeeding rates exist among younger and socioeconomically disadvantaged mothers.

Purpose of the Study:

  • To update the 2008 US Preventive Services Task Force (USPSTF) recommendation on primary care interventions for breastfeeding promotion.
  • Evaluate the effectiveness of interventions on breastfeeding initiation, duration, and exclusivity.
  • Review the impact of breastfeeding interventions on child and maternal health outcomes.

Main Methods:

  • Systematic review of evidence on breastfeeding support interventions.
  • Included studies on professional support, peer support, and formal education.
  • Assessed intervention effectiveness and potential harms.

Main Results:

  • Interventions including professional support, peer support, and education effectively modify breastfeeding behavior.
  • The harms associated with these interventions are minimal.
  • There is moderate certainty that breastfeeding support interventions yield a moderate net benefit.

Conclusions:

  • The USPSTF recommends implementing interventions during pregnancy and postpartum to support breastfeeding.
  • These interventions are recommended for all mothers to improve breastfeeding duration and health outcomes.
  • A "B" recommendation signifies a high degree of certainty that the net benefit is moderate to substantial.