Impact of the baby friendly community initiative on breastfeeding outcomes: A systematic review and meta-analysis

IF 2.6 3区医学 Q1 NURSING

Midwifery Pub Date : 2025-03-30 DOI:10.1016/j.midw.2025.104395

Yuen Fan Chan , Hoi Lam Ip , Ka Hing Yip , Martha Sin Lam Choi , Ying Wei Fan , Patrick Ip , Karen Kar Loen Chan , Kris Yuet Wan Lok

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引用次数: 0

Abstract

Objective

To examine the impact of the Baby Friendly Community Initiative (BFCI) on breastfeeding outcomes worldwide, specifically the duration of any and exclusive breastfeeding, compared to standard maternal care.

Methods

A systematic review and meta-analysis were conducted. Seven electronic databases were searched from November 1998 to July 2024. Quantitative studies examining the effects of BFCI on breastfeeding outcomes were included. The quality of included studies was assessed using the Cochrane risk of bias tools and NHLBI study quality assessment tools. Narrative synthesis was performed for studies not suitable for meta-analysis.

Results

Out of 14,495 identified records, 13 were included after the removal of duplicates and ineligible articles. The majority of included studies found that BFCI, whether implemented partially, fully or in combination with other initiatives, is an effective intervention for improving breastfeeding outcomes. The meta-analysis showed an increase prevalence of exclusive breastfeeding at 6 months postpartum in BFCI group (OR=4.00; 95 % CI 1.29–12.38, P = 0.02). Further studies are needed to investigate the statistical significance of BFCI on any breastfeeding from 6 months to 2 years postpartum.

Discussion

BFCI has the potential to significantly enhance long-term exclusive breastfeeding rates and may also improve any breastfeeding rates from 6 months onward. However, the nature of BFCI implementation posed limitations to study design, which reduced the overall methodological quality of the included studies.

Registration

The protocol for this review was registered on PROSPERO (registration number CRD42023460801) on 17th September 2023.

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爱婴社区倡议对母乳喂养结果的影响：系统回顾和荟萃分析

目的研究与标准产妇护理相比，爱婴社区倡议（BFCI）对全球母乳喂养结果的影响，特别是任何和纯母乳喂养的持续时间。方法进行系统评价和荟萃分析。从1998年11月到2024年7月检索了7个电子数据库。包括了检验BFCI对母乳喂养结果影响的定量研究。采用Cochrane偏倚风险工具和NHLBI研究质量评估工具对纳入研究的质量进行评估。对不适合进行meta分析的研究进行叙事综合。结果在14495份检索记录中，剔除重复和不合格文献后纳入13份。大多数纳入的研究发现，无论是部分实施、完全实施还是与其他举措相结合，BFCI都是改善母乳喂养结果的有效干预措施。荟萃分析显示BFCI组产后6个月纯母乳喂养的发生率增加(OR=4.00；95% ci 1.29-12.38, p = 0.02)。产后6个月至2年母乳喂养时BFCI的统计学意义有待进一步研究。bfci具有显著提高长期纯母乳喂养率的潜力，也可能提高6个月后的任何母乳喂养率。然而，实施BFCI的性质限制了研究设计，从而降低了纳入研究的整体方法学质量。本综述的方案于2023年9月17日在PROSPERO注册（注册号CRD42023460801）。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Midwifery 医学-护理

CiteScore

4.50

自引率

7.40%

发文量

221

审稿时长

13.4 weeks

期刊介绍： Midwifery publishes the latest peer reviewed international research to inform the safety, quality, outcomes and experiences of pregnancy, birth and maternity care for childbearing women, their babies and families. The journal’s publications support midwives and maternity care providers to explore and develop their knowledge, skills and attitudes informed by best available evidence. Midwifery provides an international, interdisciplinary forum for the publication, dissemination and discussion of advances in evidence, controversies and current research, and promotes continuing education through publication of systematic and other scholarly reviews and updates. Midwifery articles cover the cultural, clinical, psycho-social, sociological, epidemiological, education, managerial, workforce, organizational and technological areas of practice in preconception, maternal and infant care. The journal welcomes the highest quality scholarly research that employs rigorous methodology. Midwifery is a leading international journal in midwifery and maternal health with a current impact factor of 1.861 (© Thomson Reuters Journal Citation Reports 2016) and employs a double-blind peer review process.