Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

364 questions · 389 findings · 54 reviews

No studies found 95 · 24.4%GRADE not reported 40 · 10.3%Very low 45 · 11.6%Low 126 · 32.4%Moderate 76 · 19.5%High 7 · 1.8%

Non‐healthcare professional‐led breastfeeding education and support vs usual care

Early initiation of breastfeeding · women exposed to interventions intended to promote breastfeeding

It is very uncertain whether non‐healthcare professional‐led breastfeeding education and support changes early initiation of breastfeeding compared with standard care (very low certainty).

1 finding from 1 review

Breast feeding with supplemental feeds by other than bottle vs breast feeding with supplemental feeds by bottle (all trials)

Full breastfeeding compared with not breastfeeding or partial breastfeeding · preterm infants

Breastfeeding with supplemental feeds by other than bottle may leads to higher full breastfeeding compared with not breastfeeding or partial… compared with breastfeeding with supplemental feeds by bottle (all trials) (low certainty).

1 finding from 1 review

Breast feeding with supplemental feeds by other than bottle vs breast feeding with supplemental feeds by bottle (all trials)

Any breastfeeding (full and partial combined) compared with not breastfeeding · preterm infants

Breastfeeding with supplemental feeds by other than bottle probably leads to higher any breastfeeding (full and partial combined) compared with not… compared with breastfeeding with supplemental feeds by bottle (all trials) (moderate certainty).

1 finding from 1 review

Breastfeeding vs other interventions, oral water, or no treatment

All pain scores during injection Due to range of pain scores used, data analysed using SMDs. Pain scores were measured during and up to 3 minutes following completion of vaccination. · Infants 1 to 12 months during vaccination
2 findings from 1 review

Nocturnal breastfeeding vs No nocturnal breastfeeding

Early childhood caries (ECC) · Preschool children (<6 years)

After excluding one study, nocturnal breastfeeding was associated with higher ECC risk (RR 3.05, 95% CI 2.40 to 3.87; I²=33%).

2 findings from 1 review

Physical breastfeeding support interventions (electric or manual breast pump) vs usual care (no pump)

Non‐initiation of breastfeeding · women with a pre‐pregnancy BMI > 29 kg/m², who were intending to breastfeed, had no history of breast surgery, who were at least 19 years…

The review found no eligible studies for this question.

1 finding from 1 review

Physical breastfeeding support interventions (electric or manual breast pump) vs usual care (no pump)

Exclusive breastfeeding at 4‐6 weeks · women with a pre‐pregnancy BMI > 29 kg/m², who were intending to breastfeed, had no history of breast surgery, who were at least 19 years…

It is very uncertain whether physical breastfeeding support interventions (electric or manual… changes exclusive breastfeeding at 4‐6 weeks compared with usual care (no pump) (very low certainty).

1 finding from 1 review

Physical breastfeeding support interventions (electric or manual breast pump) vs usual care (no pump)

Breastfeeding · women with a pre‐pregnancy BMI > 29 kg/m², who were intending to breastfeed, had no history of breast surgery, who were at least 19 years…

It is very uncertain whether physical breastfeeding support interventions (electric or manual… changes any breastfeeding at 4‐6 weeks compared with usual care (no pump) (very low certainty).

2 findings from 1 review

Physical breastfeeding support interventions (electric or manual breast pump) vs usual care (no pump)

Exclusive breastfeeding at 6 months · women with a pre‐pregnancy BMI > 29 kg/m², who were intending to breastfeed, had no history of breast surgery, who were at least 19 years…

The review found no eligible studies for this question.

1 finding from 1 review

Breastfeeding <24 months vs Breastfeeding for ≥24 months

Early childhood caries (ECC) · Preschool children (<6 years)

After excluding Peres et al. (2017), breastfeeding for less than 24 months was associated with fewer caries (RR 0.49, 95% CI 0.39 to 0.62; I²=6%).

2 findings from 1 review

Breastfeeding <12 months vs Breastfeeding for ≥12 months

Early childhood caries (ECC) · Preschool children (<6 years)

Breastfeeding for <12 vs ≥12 months was associated with significantly fewer caries (RR 0.65, 95% CI 0.50-0.86), indicating breastfeeding beyond 12 months increases ECC risk (substantial heterogeneity; ungraded).

2 findings from 1 review

Breastfeeding <18 months vs Breastfeeding for ≥18 months

Early childhood caries (ECC) · Preschool children (<6 years)

Breastfeeding for <18 vs ≥18 months was associated with significantly fewer caries (RR 0.41, 95% CI 0.18-0.92; substantial heterogeneity; ungraded).

2 findings from 1 review

Multiple methods of breastfeeding support (including social, educational and/or physical support) vs usual care

Breastfeeding · pregnant or lactating women who were overweight or obese

It is very uncertain whether multiple methods of breastfeeding support (including social,… changes any breastfeeding at 6 months compared with usual care (very low certainty).

2 findings from 1 review

Multiple methods of breastfeeding support (including social, educational and/or physical support) vs usual care

Non‐initiation of breastfeeding · pregnant or lactating women who were overweight or obese

It is very uncertain whether multiple methods of breastfeeding support (including social,… changes non‐initiation of breastfeeding compared with usual care (very low certainty).

1 finding from 1 review

Multiple methods of breastfeeding support (including social, educational and/or physical support) vs usual care

Exclusive breastfeeding at 4‐6 weeks · pregnant or lactating women who were overweight or obese

It is very uncertain whether multiple methods of breastfeeding support (including social,… changes exclusive breastfeeding at 4‐6 weeks compared with usual care (very low certainty).

1 finding from 1 review