RNSystematic ReviewMCN. The American journal of maternal child nursing2018

Outcome Measures in Interventions That Enhance Breastfeeding Initiation, Duration, and Exclusivity: A Systematic Review.

Natsuko K Wood, Nancy F Woods

PMID 30339580

WHAT IT FOUND

Breastfeeding outcome measures varied across trials.

Rates of initiation, duration, and exclusivity were hard to compare. Feeding logs, observation, and interviews may improve assessment accuracy.

Key findings

01Breastfeeding definitions varied across included studies, so rates of initiation, duration, and exclusivity may not be directly comparable.

02Questionnaires rarely reported why mothers stopped breastfeeding.

03Feeding logs, direct observation, and interviews may make breastfeeding outcome records more accurate and consistent.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The search was limited to English-language studies from January 2006 to March 2017. Relevant studies in other languages or outside that period may have been missed. Only nine studies met the criteria. Their methods varied, so the review could not compare them directly. This review analyzed outcome measures. It did not test whether breastfeeding interventions improved initiation, duration, or exclusivity. Included studies focused on healthy term singleton infants and healthy mothers. They excluded adolescents, mothers with HIV-positive status, and breastfeeding-friendly hospital practices, so findings may not apply to those groups.

Declared interests

The authors reported no conflicts of interest. No funding source is stated in the supplied text.

The easy way to misread this

Do not read this as evidence that any breastfeeding intervention increased initiation, duration, or exclusivity. The review examined how outcomes were measured, not whether interventions worked.

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