School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China.
The Chinese University of Hong Kong Shenzhen Research Institute, Shenzhen, China.
Int J Public Health. 2019 Sep;64(7):999-1014. doi: 10.1007/s00038-019-01266-5. Epub 2019 Jun 14.
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.
全世界母乳喂养率低，母乳喂养早期中断率高。因此需要对专业支持的家访对促进母乳喂养的效果进行评估。本研究采用系统评价方法，评估了家访对促进母乳喂养结局（即母乳喂养开始率、纯母乳喂养率/时间和母乳喂养率/时间）的效果。
检索了 EMBASE、MEDLINE、CENTRAL-Cochrane 对照试验中心注册库、PsycInfo 和 ClinicalTrials.gov，检索时间截至 2019 年 2 月 28 日，以确定相关研究。
共纳入 26 项研究。其中 14 项研究调查了纯母乳喂养率/时间；其中 10 项研究表明纯母乳喂养率/时间显著增加。16 项研究调查了母乳喂养率/时间；其中 4 项研究表明母乳喂养率/时间显著增加。4 项研究评估了母乳喂养的开始率，其中 3 项研究未显示出显著效果。
研究结果表明，通过提供专业支持的家访，可以提高母乳喂养率。基于支持的干预措施可能是促进母乳喂养的有效方法。
