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The effect of rooming-in on duration of breastfeeding: A systematic review of randomised and non-randomised prospective controlled studies

BACKGROUND: The benefits of six months exclusive breastfeeding are well established for both mother and infant. One of the 10 steps of the Baby Friendly Hospital Initiative is rooming-in (mother and baby together in the same room throughout hospitalisation). A Cochrane review found only one randomis...

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Autores principales: Ng, Chin Ang, Ho, Jacqueline J., Lee, Zcho Huey
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6483355/
https://www.ncbi.nlm.nih.gov/pubmed/31022227
http://dx.doi.org/10.1371/journal.pone.0215869
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author Ng, Chin Ang
Ho, Jacqueline J.
Lee, Zcho Huey
author_facet Ng, Chin Ang
Ho, Jacqueline J.
Lee, Zcho Huey
author_sort Ng, Chin Ang
collection PubMed
description BACKGROUND: The benefits of six months exclusive breastfeeding are well established for both mother and infant. One of the 10 steps of the Baby Friendly Hospital Initiative is rooming-in (mother and baby together in the same room throughout hospitalisation). A Cochrane review found only one randomised controlled trial (RCT) examining the effects of continuous rooming-in versus nursery care on breastfeeding duration, and concluded there was insufficient evidence to support or refute either practice. We aimed to examine the effect of continuous or intermittent rooming-in on breastfeeding duration. METHODS AND FINDINGS: We included all prospective controlled studies (randomised and non-randomised) comparing rooming-in to nursery care that reported full or partial breastfeeding up to six months. We used the 2016 search results of the Cochrane review and updated the search to August 2018 using OVID MEDLINE. Duplicate data extraction and assessment of risk of bias were performed. Meta-analyses were performed using REVMAN 5. The GRADE approach was used to assess quality of evidence. Seven studies were included, five had 24-hour-per-day, one daytime only and one 8-hours-per-day rooming-in. Four studies had at least one additional co-intervention: Differences in delivery room management, and educational packages. All studies contributing to meta-analyses had 24-hour rooming-in. There was no difference in the proportion of infants on full breastfeeding at 3 months (RR 1.14; 95% CI 0.84 to 1.54; very-low-quality evidence), 4 months (RR 0.99; 95% CI 0.73 to 1.33; very-low-quality evidence) and 6 months (RR 0.95; 95% CI 0.57 to 1.58; low-quality evidence). The proportion of infants on partial breastfeeding at 3–4 months was higher with rooming-in (RR 1.31; 95% CI 1.06 to 1.61; very-low-quality evidence). CONCLUSION: The addition of non-randomised prospective controlled studies to existing evidence did not add further information on the effects of rooming-in on breastfeeding duration but resulted in lower quality of evidence. Uncertainty about the effects of rooming-in on breastfeeding duration remains.
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spelling pubmed-64833552019-05-09 The effect of rooming-in on duration of breastfeeding: A systematic review of randomised and non-randomised prospective controlled studies Ng, Chin Ang Ho, Jacqueline J. Lee, Zcho Huey PLoS One Research Article BACKGROUND: The benefits of six months exclusive breastfeeding are well established for both mother and infant. One of the 10 steps of the Baby Friendly Hospital Initiative is rooming-in (mother and baby together in the same room throughout hospitalisation). A Cochrane review found only one randomised controlled trial (RCT) examining the effects of continuous rooming-in versus nursery care on breastfeeding duration, and concluded there was insufficient evidence to support or refute either practice. We aimed to examine the effect of continuous or intermittent rooming-in on breastfeeding duration. METHODS AND FINDINGS: We included all prospective controlled studies (randomised and non-randomised) comparing rooming-in to nursery care that reported full or partial breastfeeding up to six months. We used the 2016 search results of the Cochrane review and updated the search to August 2018 using OVID MEDLINE. Duplicate data extraction and assessment of risk of bias were performed. Meta-analyses were performed using REVMAN 5. The GRADE approach was used to assess quality of evidence. Seven studies were included, five had 24-hour-per-day, one daytime only and one 8-hours-per-day rooming-in. Four studies had at least one additional co-intervention: Differences in delivery room management, and educational packages. All studies contributing to meta-analyses had 24-hour rooming-in. There was no difference in the proportion of infants on full breastfeeding at 3 months (RR 1.14; 95% CI 0.84 to 1.54; very-low-quality evidence), 4 months (RR 0.99; 95% CI 0.73 to 1.33; very-low-quality evidence) and 6 months (RR 0.95; 95% CI 0.57 to 1.58; low-quality evidence). The proportion of infants on partial breastfeeding at 3–4 months was higher with rooming-in (RR 1.31; 95% CI 1.06 to 1.61; very-low-quality evidence). CONCLUSION: The addition of non-randomised prospective controlled studies to existing evidence did not add further information on the effects of rooming-in on breastfeeding duration but resulted in lower quality of evidence. Uncertainty about the effects of rooming-in on breastfeeding duration remains. Public Library of Science 2019-04-25 /pmc/articles/PMC6483355/ /pubmed/31022227 http://dx.doi.org/10.1371/journal.pone.0215869 Text en © 2019 Ng et al http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Ng, Chin Ang
Ho, Jacqueline J.
Lee, Zcho Huey
The effect of rooming-in on duration of breastfeeding: A systematic review of randomised and non-randomised prospective controlled studies
title The effect of rooming-in on duration of breastfeeding: A systematic review of randomised and non-randomised prospective controlled studies
title_full The effect of rooming-in on duration of breastfeeding: A systematic review of randomised and non-randomised prospective controlled studies
title_fullStr The effect of rooming-in on duration of breastfeeding: A systematic review of randomised and non-randomised prospective controlled studies
title_full_unstemmed The effect of rooming-in on duration of breastfeeding: A systematic review of randomised and non-randomised prospective controlled studies
title_short The effect of rooming-in on duration of breastfeeding: A systematic review of randomised and non-randomised prospective controlled studies
title_sort effect of rooming-in on duration of breastfeeding: a systematic review of randomised and non-randomised prospective controlled studies
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6483355/
https://www.ncbi.nlm.nih.gov/pubmed/31022227
http://dx.doi.org/10.1371/journal.pone.0215869
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