Exclusive Breastfeeding
Ali & Lowry,1981
Amer Acad Ped 2012
Anderson et al., 2003
AWHONN 2013
5/8/2014
FT RCT of 45 min of birth kc and more kc moms were BF exclusively
BF
FT Phs of age and that KC begin immediately after delivery and continued until
first feeding is accomplished, recommendation is now that exclusive BF be
given until 6 months of age, not just 3 montmplished and encouraged
throughout postpartum. Also addresses EXCLUSIVITY
FT, Abstract of KCBF during postpartum day 2 and 3. 78% Bf at discharge
(75% exclusive), 73% exclusive at 1 week, 52% exclusive at one month.
FT, pg. 41 citation
Bramson et al., 2010
FT, population study of 21,842 moms of singleton birth. The more KC in the
first three hours postbirth, the greater the likelihood of exclusive breastfeeding
during maternity hospitalization.EXCLUSIVE Duration of KC effect
Brodribb et al., 2013
FT, comparison of INITIATION, EXCLUSIVITY and Duration of BF in
women delivered in BFHospitals vs non-BFHI accredited hospitals. women who
birthed in BFHI-accredited hospitals had significantly lower odds of
breastfeeding at 1 month than in non-accredited hospital. BFHI accreditation
did not affect the odds of breastfeeding at 4 months or EXCLUSIVE
breastfeeding at 1 or 4 months. Women who experienced all 4 hospital
practices (early skin-to-skin contact, attempted breastfeeding within the first
hour, rooming-in, and no in-hospital supplementation), had higher odds of
breastfeeding at 1 month (adjusted odds ratio 2.20, 95% confidence interval
1.78-2.71) and 4 months (adjusted odds ratio 2.93, 95% confidence interval
2.40-3.60) than women who experienced fewer than 4 practices. BFHI
accreditation per se has little effect on both exclusive or any breastfeeding
rates.
Byaruhanga et al. 2008
FT, qualitative, moms reported birth KC helped initiate breastfeeding.
Latched automatically. Exclusive BF at 1 week postdischarge.
Canadian Ped Soc.2012 PT, position statement reflecting on longer duration, more breast milk volume,
more exclusivity, and more BF at discharge with KC. See also Jefferies 2013
Carfoot et al., 2005
FT. RCT, KC moms were more satisfied with BF, had better success at first
feeding, more were exclusively BF @ 4 months, were satisfied with KC, and
wanted same care for next birth than controls. DURATION 4 MONTHS
Cerezo & DeLeon, 1992 PT RCT Exclusive BF at 3 months was 78% KC vs. 34% controls. PT
Charpak &Figueroa 2006 PT, Descriptive of 2773 preterms. 61% were exclusive BF at term age, 25% still
BF at one year.
Charpak & R-P, 2006
PT, Descriptive qualitative study to determine if exclusive BF in KMC was able
to be implemented. Yes, it was.
Charpak, R-P, Motta 2006 PT, Descriptive, 26.2% of 206 newborns were exclusive BF at term age.
Conde-Agudelo 2000b
PT, KMC (24/7 KC 7 days per week) increases BF exclusivity.
Conde-Agudelo 2003
PT, KMC (24/7 KC 7 days per week) increases BF exclusivity.
Conde-Agudelo 2007
PT, KMC (24/7 KC 7 days per week) associate with less risk for not BF
exclusively at Discharge
Conde-Agudelo 2011
PT. Cochrane Meta-Analysis and KMC increases likelihood of BF &
Exclusivity of BF from 1-3 months age. KMC increases breast milk production
and longer duration and successful transition to breastfeeding.
Dabrowski,2007
Ft, Case study of one mother who wanted Birth KC and review of
literature says that KC improves likelihood of Exclusivity of
breastfeeding.
Davanzo et al.. 2004
Davanzo 2009
Davis, et al., 2012-2013
PT, Review, exclusive BF and KMC save lives in developing countries
PT, MoreKC infants were exclusively BF than controls
FT, Quality improvement project telling how they taught everyone in 2 hours to
De Almeida et al., 2010
De Aranjo et al. 2010
Declercq et al.,2008
DiFrisco et al., 2011
Filho et al., 2008
Gathwala et al., 2010
Gupta et al., 2007
Hake-Brooks et al. 2008
Heidarzadeh et al, 2013
improve their exclusive BF rate. Has test questions and benefits of exclusive BF
in article and process followed.
PT, RCT, 23 in each group, More moms exclusively bf at discharge, term age,
&3 months (but not at 6 months) in KC group.
PT, descriptive of KMC at home and 86.7 % of infants were exclusively
breastfed when getting 5-6 hours of KC/day
FT, survey of mothers, KC was significantly associated with
success in exclusively BF, as were no supplementation, no pacifiers, and good
nursing support for BF.
FT, descriptive study of 113 women, 87.5 were BF, 59/2% exclusively BF at 24 wks post discharge and moms who BF in first hour were more likely to be
exclusively BF than moms who did not BF in first Hour (see Bramson too)
PT, Clin eval of 8 units with KC in step down and 8 units without KC. Higher %
of infants exclusively BF at 36 weeks corrected age in KC unit.
PT,Late Preterm RCT. at 3 months 88% of KC were EXCLUSIVELY
breastfeeding and 72% of controls were (p<.05).
PT, got 4-6 hrs KC per day in hospital from when stable til discharged; all were
BF in hospital and 8 weeks later 20/50 moms were still doing KC and 16/50
infants were EXCLUSIVELY Breastfed and KC helped milk production.
SUPPLY
PT, RCT KC got Mean 4.47 hrs KC/day, controls held swaddled. RMANOVA
Showed longer duration of BF in KCers and more exclusive BF at 6 months (stat
Significance) and more exclusive BF at each time in KCers (clinical
Significance only). EXCLUSIVITY
PT, 157(62.5%) KMC moms versus 94 (37.5%) in conventional care. KMC
group exclusive breast feeding was 98 (62.5%) vs. 34 (37.5%) P =.00 in CMC
group, at discharge. Doing KC & gestational age were the only factors
predicting exclusive breastfeeding. A 4.1 time increase in exclusive
Hung & Berg, 2011
Magri et al., 2013
Maia et al., 2011
Preer et al., 2013
FT, Quality improvement project using PDSA model to increase
breastfeeding among 12 NY hospitals that joined together to call
themselves the NY State Breastfeeding Quality Improvement in Hospitals
Learning Collaborative. Doing the project increased EXCLUSIVE
breastfeeding from 6% to 44%.. “Skin-to-skin contact and successful
latch to the breast by the newborn during the first hours after birth
influence a mother’s ability to breastfeed successfully First thing they had
to do was start birth KC.
FT. 702 infant records from 6 months before and 6 months after delayed bathing
followed by immediate KC from 2.4 hours of age to 13.0 hours of aged
increased likelihood of BF initiation by 166% and EXCLUSIVE BF increased
from 32.7-40.2%. KC was done after the bath.
US Breastfeeding Comm2013
Exclusivity of Breastfeeding
Ali & Lowry, 1981
FT RCT of 45 min of birth kc and more kc moms were BF exclusively
Amer Acad Ped 2012
FT PT, recommendation is now that exclusive BF be given until 6 months of
age, not just 3 months of age and that KC begin immediately after delivery and
continued until first feeding is accomplished and encouraged throughout
postpartum. Also addresses EXCLUSIVITY
Anderson et al., 2003
FT, Abstract of KCBF during postpartum day 2 and 3. 78% Bf at discharge
(75% exclusive), 73% exclusive at 1 week, 52% exclusive at one month
Rao et al., 2008
PT (FT with SGA), RCT. More 13.4 hjours/day of KC babies were
EXCLUSIVELY Breastfed than controls.
Suman et al., 2008
Srivastata eta l. 2014
PT, FT (SGA) RCT. more 24/7 KMCers were exclusively BF than controls
FT, RCT of Birth KC that showed more infants BF and EXCLUSIVELY BF at
discharge and 6 weeks post birth and better sucking competence.