Cochrane · systematic review · CD012099
Interventions for supporting the initiation and continuation of breastfeeding among women who are overweight or obese
Fair, FJ, Ford, GL, Soltani, H · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library
Pregnancy and ChildbirthAMSTAR 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
10
current version
GRADE rated
7
No studies
3
Included studies
NR
No studies 3 · 30%Ungraded 0 · 0%Very low 7 · 70%Low 0 · 0%Moderate 0 · 0%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
Physical breastfeeding support interventions (electric or manual breast pump) compared to usual care (no pump) for supporting the initiation and continuation of breastfeeding among women who are overweight or obese (comparison 1)
Population: 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 old and had a singleton fetus and were ≤ 35 weeks' gestation at enrolment to the study
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Non‐initiation of breastfeeding Physical breastfeeding support interventions (electric or manual breast pump) vs usual care (no pump) | no estimate extracted | NR | No studies |
Exclusive breastfeeding at 4‐6 weeks Physical breastfeeding support interventions (electric or manual breast pump) vs usual care (no pump) | RR 0.55 [0.2, 1.51] | 1 study · 34 participants | Very low Downgraded: risk of bias, imprecision |
Any breastfeeding at 4‐6 weeks Physical breastfeeding support interventions (electric or manual breast pump) vs usual care (no pump) | RR 0.65 [0.41, 1.03] | 1 study · 34 participants | Very low Downgraded: risk of bias, imprecision |
Exclusive breastfeeding at 6 months Physical breastfeeding support interventions (electric or manual breast pump) vs usual care (no pump) | no estimate extracted | NR | No studies |
Any breastfeeding at 6 months Physical breastfeeding support interventions (electric or manual breast pump) vs usual care (no pump) | no estimate extracted | NR | No studies |
Multiple methods of breastfeeding support (including social, educational and/or physical support) compared to usual care for supporting the initiation and continuation of breastfeeding among women who are overweight or obese (comparison 2)
Population: pregnant or lactating women who were overweight or obese
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Non‐initiation of breastfeeding Multiple methods of breastfeeding support (including social, educational and/or physical support) vs usual care | RR 1.03 [0.07, 16.11] | 3 studies · 380 participants | Very low Downgraded: risk of bias, imprecision |
Exclusive breastfeeding at 4‐6 weeks Multiple methods of breastfeeding support (including social, educational and/or physical support) vs usual care | RR 1.21 [0.83, 1.77] | 4 studies · 445 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Any breastfeeding at 4‐6 weeks Multiple methods of breastfeeding support (including social, educational and/or physical support) vs usual care | RR 1.04 [0.57, 1.89] | 2 studies · 103 participants | Very low Downgraded: risk of bias, imprecision, inconsistency |
Exclusive breastfeeding at 6 months Multiple methods of breastfeeding support (including social, educational and/or physical support) vs usual care | RR 7.23 [0.38, 137.08] | 1 study · 120 participants | Very low Downgraded: risk of bias, imprecision |
Any breastfeeding at 6 months Multiple methods of breastfeeding support (including social, educational and/or physical support) vs usual care | RR 1.42 [1.08, 1.87] | 2 studies · 223 participants | Very low Downgraded: risk of bias |