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Am J Public Health. 1994 Jan;84(1):89-97.

Infant feeding policies in maternity wards and their effect on breast-feeding success: an analytical overview.

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  • 1Department of Nutrition, University of California at Davis 95616-8669.

Abstract

OBJECTIVES:

The purpose of this review is to examine the plausibility of a causal relationship between maternity ward practices and lactation success.

METHODS:

Studies were located with MEDLINE, from our personal files, and by contacting researchers working in this field. Of the 65 studies originally reviewed, 18 met our inclusion criteria (i.e., hospital-based intervention, experimental design with randomization procedures, or quasi-experimental design with adequate documentation).

RESULTS:

Meta-analysis indicated that commercial discharge packs had an adverse effect on lactation performance. The impact of early mother-infant contact on lactation success was unclear. Rooming-in and breast-feeding guidance in a rooming-in context had a beneficial impact on breast-feeding among primiparae. Breast-feeding on demand was positively associated with lactation success. In-hospital formula supplementation of 48 mL per day was not associated with poor breast-feeding performance.

CONCLUSIONS:

Hospital-based breast-feeding interventions can have a beneficial effect on lactation success, particularly among primiparous women.

PMID:
8279619
PMCID:
PMC1614910
[PubMed - indexed for MEDLINE]
Free PMC Article
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