Cochrane · systematic review · CD001141

Support for healthy breastfeeding mothers with healthy term babies

Gavine, A, Shinwell, SC, Buchanan, P, et al. · Cochrane Database of Systematic Reviews · 2022 · Cochrane Library

Pregnancy and Childbirth2 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
20
current version
GRADE rated
19
No studies
1
Included studies
NR
No studies 1 · 5%Ungraded 0 · 0%Very low 2 · 10%Low 6 · 30%Moderate 11 · 55%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Show all 2 versions

Summary of findings table ‐ Breastfeeding support only compared to usual care

Population: healthy breastfeeding women with healthy term babies
10 questions
OutcomeEffectEvidenceStatus / GRADE
Stopping breastfeeding (any) at 6 months
Summary of findings table ‐ Breastfeeding support only vs usual care
RR 0.93 [0.89, 0.97]30 studies · 14610 participantsModerate
Downgraded: inconsistency
Stopping exclusive breastfeeding at 6 months
Summary of findings table ‐ Breastfeeding support only vs usual care
RR 0.9 [0.88, 0.93]40 studies · 16332 participantsModerate
Downgraded: inconsistency
Stopping breastfeeding (any) at 4‐6 weeks
Summary of findings table ‐ Breastfeeding support only vs usual care
RR 0.88 [0.79, 0.97]36 studies · 11413 participantsModerate
Downgraded: inconsistency
Stopping exclusive breastfeeding at 4‐6 weeks
Summary of findings table ‐ Breastfeeding support only vs usual care
RR 0.83 [0.76, 0.9]42 studies · 14544 participantsModerate
Downgraded: inconsistency
Stopping breastfeeding (any) at 2 months
Summary of findings table ‐ Breastfeeding support only vs usual care
RR 0.93 [0.77, 1.11]13 studies · 3169 participantsLow
Downgraded: imprecision, inconsistency
Stopping exclusive breastfeeding at 2 months
Summary of findings table ‐ Breastfeeding support only vs usual care
RR 0.81 [0.74, 0.89]17 studies · 4317 participantsModerate
Downgraded: inconsistency
Stopping breastfeeding (any) at 3‐4 months
Summary of findings table ‐ Breastfeeding support only vs usual care
RR 0.87 [0.81, 0.93]32 studies · 12054 participantsModerate
Downgraded: inconsistency
Stopping exclusive breastfeeding at 3‐4 months
Summary of findings table ‐ Breastfeeding support only vs usual care
RR 0.81 [0.77, 0.85]43 studies · 11575 participantsModerate
Downgraded: inconsistency
Stopping breastfeeding at 9 months
Summary of findings table ‐ Breastfeeding support only vs usual care
RR 0.87 [0.78, 0.97]1 study · 552 participantsLow
Downgraded: risk of bias, imprecision
Stopping breastfeeding at 12 months
Summary of findings table ‐ Breastfeeding support only vs usual care
RR 0.95 [0.9, 1]2 studies · 1311 participantsLow
Downgraded: risk of bias, imprecision

Summary of findings table ‐ Support plus compared to usual care for healthy breastfeeding women with healthy term babies

Population: healthy breastfeeding women with healthy term babies
10 questions
OutcomeEffectEvidenceStatus / GRADE
Stopping breastfeeding (any) at 6 months
Summary of findings table ‐ Support plus vs usual care
RR 0.94 [0.91, 0.97]11 studies · 4879 participantsModerate
Downgraded: risk of bias
Stopping exclusive breastfeeding at 6 months
Summary of findings table ‐ Support plus vs usual care
RR 0.79 [0.7, 0.9]13 studies · 7650 participantsLow
Downgraded: risk of bias, inconsistency
Stopping breastfeeding (any) at 4‐6 weeks
Summary of findings table ‐ Support plus vs usual care
RR 0.94 [0.82, 1.08]6 studies · 2325 participantsModerate
Downgraded: imprecision
Stopping exclusive breastfeeding at 4‐6 weeks
Summary of findings table ‐ Support plus vs usual care
RR 0.73 [0.57, 0.95]6 studies · 2402 participantsVery low
Downgraded: risk of bias, inconsistency
Stopping breastfeeding (any) at 2 months
Summary of findings table ‐ Support plus vs usual care
RR 0.92 [0.79, 1.07]4 studies · 2089 participantsModerate
Downgraded: imprecision
Stopping exclusive breastfeeding at 2 months
Summary of findings table ‐ Support plus vs usual care
RR 0.9 [0.78, 1.03]9 studies · 4537 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Stopping breastfeeding (any) at 3‐4 months
Summary of findings table ‐ Support plus vs usual care
RR 0.97 [0.81, 1.15]5 studies · 2064 participantsLow
Downgraded: imprecision, inconsistency
Stopping exclusive breastfeeding at 3‐4 months
Summary of findings table ‐ Support plus vs usual care
RR 0.86 [0.75, 1]10 studies · 4766 participantsLow
Downgraded: imprecision, inconsistency
Stopping breastfeeding (any) at 12 months
Summary of findings table ‐ Support plus vs usual care
RR 0.96 [0.91, 1]2 studies · 1431 participantsModerate
Downgraded: imprecision
Stopping breastfeeding (any) at 9 months ‐ not reported
Summary of findings table ‐ Support plus vs usual care
no estimate extractedNRNo studies