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JAMA. 2016 Oct 25;316(16):1688-1693. doi: 10.1001/jama.2016.14697.

Primary Care Interventions to Support Breastfeeding: US Preventive Services Task Force Recommendation Statement.

Author information

1
University of California, San Francisco.
2
Group Health Research Institute, Seattle, Washington.
3
University of Iowa, Iowa City.
4
Columbia University, New York, New York.
5
State University of New York Upstate Medical University, Syracuse.
6
Pima County Department of Health, Tucson, Arizona.
7
Duke University, Durham, North Carolina.
8
Fairfax Family Practice Residency, Fairfax, Virginia9Virginia Commonwealth University, Richmond.
9
Yale University, New Haven, Connecticut.
10
University of Alabama at Birmingham.
11
University of California, Los Angeles.
12
University of Washington, Seattle.
13
Brown University, Providence, Rhode Island.
14
University of Texas at Austin.

Abstract

Importance:

There is convincing evidence that breastfeeding provides substantial health benefits for children. However, nearly half of all US mothers who initially breastfeed stop doing so by 6 months, and there are significant disparities in breastfeeding rates among younger mothers and in disadvantaged communities.

Objective:

To update the 2008 US Preventive Services Task Force (USPSTF) recommendation on primary care interventions to promote breastfeeding.

Evidence Review:

The USPSTF reviewed the evidence on the effectiveness of interventions to support breastfeeding on breastfeeding initiation, duration, and exclusivity. The USPSTF also briefly reviewed the literature on the effects of these interventions on child and maternal health outcomes.

Findings:

The USPSTF found adequate evidence that interventions to support breastfeeding, including professional support, peer support, and formal education, change behavior and that the harms of these interventions are no greater than small. The USPSTF concludes with moderate certainty that interventions to support breastfeeding have a moderate net benefit.

Conclusions and Recommendation:

The USPSTF recommends providing interventions during pregnancy and after birth to support breastfeeding. (B recommendation).

Summary for patients in

PMID:
27784102
DOI:
10.1001/jama.2016.14697
[Indexed for MEDLINE]

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