Breastfeeding support provided by lactation consultants in high-income countries for improved breastfeeding rates, self-efficacy, and infant growth: a systematic review and meta-analysis protocol

Systematic Reviews

Protocol

Charles D. G. Keown-Stoneman¹  Curtis J. D’Hollander²  Deborah L. O’Connor³  Jonathon L. Maguire⁴  Elizabeth M. Uleryk⁵  Catherine S. Birken⁶  Victoria A. McCredie⁷ 

[1] Applied Health Research Centre, Unity Health Toronto, Toronto, ON, Canada;Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada;Li Ka Shing Knowledge Institute, St. Michael’s Hospital, Toronto, ON, Canada;Department of Nutritional Sciences, University of Toronto, Toronto, ON, Canada;Department of Paediatrics, St. Michael’s Hospital, Toronto, ON, Canada;Department of Nutritional Sciences, University of Toronto, Toronto, ON, Canada;Translational Medicine Program, Hospital for Sick Children, Toronto, ON, Canada;Department of Paediatrics, St. Michael’s Hospital, Toronto, ON, Canada;Institute of Health Policy Management and Evaluation, University of Toronto, Toronto, ON, Canada;Li Ka Shing Knowledge Institute, St. Michael’s Hospital, Toronto, ON, Canada;Department of Pediatrics, Faculty of Medicine, University of Toronto, Toronto, ON, Canada;Joannah & Brian Lawson Centre for Child Nutrition, Department of Nutritional Sciences, University of Toronto, Toronto, ON, Canada;EM Uleryk Consulting, Mississauga, ON, Canada;Institute of Health Policy Management and Evaluation, University of Toronto, Toronto, ON, Canada;Division of Pediatric Medicine, Hospital for Sick Children, Toronto, ON, Canada;Child Health Evaluative Sciences, SickKids Research Institute, Toronto, ON, Canada;Department of Pediatrics, Faculty of Medicine, University of Toronto, Toronto, ON, Canada;Joannah & Brian Lawson Centre for Child Nutrition, Department of Nutritional Sciences, University of Toronto, Toronto, ON, Canada;Interdepartmental Division of Critical Care Medicine, University of Toronto, Toronto, ON, Canada;Department of Medicine (Respirology), Toronto Western Hospital, University Health Network, Toronto, ON, Canada;Institute of Health Policy Management and Evaluation, University of Toronto, Toronto, ON, Canada;

关键词: Lactation consultant;    Lactation counselor;    Breastfeeding;    Self-efficacy;    Infant growth;    Overweight;    Obesity;   

DOI  :  10.1186/s13643-023-02239-9

 received in 2022-04-19, accepted in 2023-04-19,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundIt is well established that breast milk offers numerous health benefits for mother and child. Mothers are recommended to exclusively breastfeed their child until 6 months of age, with continued breastfeeding up to 1–2 years of age or beyond. Yet, these recommendations are met less than half of the time in high-income countries. Lactation consultants specialize in supporting mothers with breastfeeding and are a promising approach to improving breastfeeding rates. For lactation consultant interventions to be implemented widely as part of public health policy, a better understanding of their effect on breastfeeding rates and important health outcomes is needed.MethodsThe overall aim of this systematic review is to evaluate the effect of lactation consultant interventions provided to women, compared to usual care, on breastfeeding rates (primary outcome), maternal breastfeeding self-efficacy, and infant growth. A search strategy has been developed to identify randomized controlled trials published in any language between 1985 and April 2023 in CENTRAL, MEDLINE, EMBASE, CINAHL, Scopus, and Web of Science. We will also perform a search of the grey literature and reference lists of relevant studies and reviews. Two reviewers will independently extract data on study design, baseline characteristics, details of the interventions employed, and primary and secondary outcomes using a pre-piloted standardized data extraction form. Risk of bias and quality of evidence assessment will be done independently and in duplicate using the Cochrane Risk of Bias tool and GRADE approach, respectively. Where possible, meta-analysis using random-effects models will be performed, otherwise a qualitative summary will be provided. We will adhere to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.DiscussionThis review will fill an important gap in the lactation support literature. The findings will be of importance to policymakers who seek to implement interventions to improve breastfeeding rates.Trial registrationThis review has been registered in the PROSPERO database (ID: CRD42022326597).

【 授权许可】

CC BY   
© The Author(s) 2023

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