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Systematic Review of Evidence for Baby-Friendly Hospital Initiative Step 3.

Kathryn Wouk1, Kristin P Tully1,2, Miriam H Labbok1

  • 11 Carolina Global Breastfeeding Institute, Department of Maternal and Child Health, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA.

Journal of Human Lactation : Official Journal of International Lactation Consultant Association
|January 31, 2017
PubMed
Summary
This summary is machine-generated.

Prenatal breastfeeding education, especially when combined with interpersonal support and family involvement, effectively improves breastfeeding initiation, duration, and exclusivity. Further research is needed to identify the most effective interventions for supporting mothers.

Keywords:
Baby-Friendly Hospital InitiativeTen Steps to Successful Breastfeedingbreastfeedingbreastfeeding supporteducationexclusive breastfeedinginterventionlactation educationprenatal interventions

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Area of Science:

  • Maternal and Child Health
  • Public Health Interventions
  • Lactation Science

Background:

  • The Ten Steps to Successful Breastfeeding guide maternity practices supporting breastfeeding.
  • Step 3 focuses on educating pregnant women about breastfeeding benefits and management.
  • This aligns with the Baby-Friendly Hospital Initiative's goals.

Purpose of the Study:

  • To systematically review interventions for Step 3 of the Ten Steps.
  • To determine if prenatal breastfeeding education impacts breastfeeding initiation, duration, or exclusivity.

Main Methods:

  • Searched MEDLINE and CINAHL databases for studies published between 2000 and 2016.
  • Included randomized controlled trials and quasi-experimental studies.
  • Screened bibliographies of relevant systematic reviews.

Main Results:

  • Thirty-eight studies were included in the review.
  • Prenatal interventions combining education and interpersonal support, with family involvement, increased breastfeeding rates.
  • Study quality varied, and standardized assessment of intentions was lacking, limiting definitive recommendations.

Conclusions:

  • Future research should examine maternal breastfeeding intentions and family influence.
  • Comparing healthcare providers' effectiveness and detailing intervention costs are recommended.
  • Further studies are needed to identify the most effective breastfeeding support strategies.