The effect of home-based intervention with professional support on promoting breastfeeding: a systematic review
Low breastfeeding rate and high early cessation of breastfeeding are observed worldwide. There is a need to review the effects of home visits with professional support on promoting breastfeeding. The present study evaluated the efficacy of home visits on promoting breastfeeding outcomes (i.e., breastfeeding initiation rate, exclusive breastfeeding rate/duration, and breastfeeding rate/duration) using a systematic review.
Search of EMBASE, MEDLINE, CENTRAL—Cochrane central register of controlled trials, PsycInfo, and ClinicalTrials.gov was conducted by February 28, 2019, to identify relevant studies.
A total of 26 studies were included. Fourteen of the included studies investigated rate/duration of exclusive breastfeeding; ten of them demonstrated a significant increase on the rate/duration of exclusive breastfeeding. Sixteen of the included studies investigated rate/duration of breastfeeding; four of them demonstrated a significant increase on the rate/duration of breastfeeding. Four studies evaluated initiation of breastfeeding and three of them did not show a significant effect.
Findings suggest that breastfeeding can be increased by home-based interventions with professional support. Support-based intervention is likely an effective way to promote breastfeeding.
KeywordsBreastfeeding Home visits Professional support Systematic review
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
This article does not contain any studies with human participants or animals performed by any of the authors.
- Braveman P, Egerter S, Pearl M et al (1995) Problems associated with early discharge of newborn infants. Early discharge of newborns and mothers: a critical review of the literature. Pediatrics 96:716–726Google Scholar
- Buie VC, Owings MF, DeFrances CJ et al (2010) National Hospital Discharge Survey: 2006 summary. Centers for Disease Control and Prevention, WashingtonGoogle Scholar
- Centers for Disease Control and Prevention (2016) Breastfeeding among U.S. children born 2002–2013. CDC National Immunization Survey. Centers for Disease Control and Prevention. https://www.cdc.gov/breastfeeding/data/NIS_data/index.htm
- Higgins JPT, Green S (2009) Cochrane handbook for systematic reviews of interventions. Version 5.1.0. Cochrane CollaborationGoogle Scholar
- Higgins JP, Altman DG, Gøtzsche PC et al (2011) The Cochrane Collaboration’s tool for assessing risk of bias in randomised trials. BMJ 343:d5928. https://doi.org/10.1136/bmj.d5928
- Ip S, Chung M, Raman G et al (2007) Breastfeeding and maternal and infant health outcomes in developed countries. Evidence Report/Technology Assessment (Full Report), pp 1–186Google Scholar
- Kimani-Murage EW, Griffiths PL, Wekesah FM et al (2017) Effectiveness of home-based nutritional counselling and support on exclusive breastfeeding in urban poor settings in Nairobi: a cluster randomized controlled trial. Glob Health 13:90. https://doi.org/10.1186/s12992-017-0314-9 CrossRefGoogle Scholar
- Lynch SA, Koch AM, Hislop TG et al (1986) Evaluating the effect of a breastfeeding consultant on the duration of breastfeeding. Can J Public Health 77:190–195Google Scholar
- Marandi A, Afzali HM, Hossaini AF (1993) The reasons for early weaning among mothers in Teheran. Bull World Health Organ 71:561–569Google Scholar
- Organization for Economic Co-operation and Development (2009) OECD family database: breastfeeding rates. Organisation for Economic Co-operation and Development, ParisGoogle Scholar
- Paul IM, Beiler JS, Schaefer EW et al (2012) A randomized trial of single home nursing visits vs office-based care after nursery/maternity discharge: the Nurses for Infants Through Teaching and Assessment After the Nursery (NITTANY) Study. Arch Pediatr Adolesc Med 166:263–270. https://doi.org/10.1001/archpediatrics.2011.198 CrossRefGoogle Scholar
- United Nations Children’s Fund (2012) The state of the world’s children 2012: children in the urban world. www.unicef.org/sowc2012/. Accessed Oct 2 2016
- World Health Organization (1991) WHO: indicators for assessing breastfeeding practices, vol 91. World Health Organization, GenevaGoogle Scholar
- World Health Organization (2003) Global strategy for infant and young child feeding. http://apps.who.int/iris/bitstream/10665/42590/1/9241562218.pdf