SYSTEMATIC REVIEW

Systematic Review

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Abstract

This paper provides a systematic review from a nursing journal of peer titled “A systematic review of peer support interventions for breastfeeding” by Marja Kaunonen, Leena Hannula, Marja-Terttu Tarkka. The purpose of this systematic review was to explain peer support interventions underneath breastfeeding during period of the postnatal and pregnancy.

Systematic Review

Introduction

The article argue that breastfeeding decrease the possibilities of many diseases in infants and mothers. Roughly 70% of children in US are not breastfed. Hence, it is significant to assess interventions which support and promote breastfeeding in order to increase rates of breastfeeding, which has an effect on public health. The Baby Friendly Hospital Initiative is successful in endorsing certain outcomes in health among babies from Belarus. Whether those results are valid to primary care in US is not clear. Indirect evidence proposes that interventions with a lay support component (for example, peer counseling or peer support) are more helpful than interventions with professional support or structured education in escalating both long and short term rate of breastfeeding, in comparison to standard care. Prenatal in combination with postnatal interventions are more successful than primary care in extending the breastfeeding duration.

Discussion

This article has a clear stated research problem along with five relevant and precise research questions. The contextual questions in the peer paper are to examine effects of the health care system has an impact on interventions to support and promote breastfeeding, and other possible harms and benefits associated to interventions to support and promote breastfeeding. It is one of the prevailing issues in the health care, particularly in child care. The research problem and questions are free from jargon, short and straightforward. The concept, variables and terms are well defined in the peer paper; for instance, peer includes types of breastfeeding intervention and broadly classified it into three major categories namely, breastfeeding support (lay support and/or professional), breastfeeding education, and other interventions (motivational interview, pacifier use, and skin-to-skin care) for better understanding.

This paper revises the prior systematic review carried out for USPSTF and emphasized on primary studies published since 2000. The approach is relevant and appropriate because other than one current Cochrane review of 2002, no later study support for breastfeeding mothers. In discussion with USPSTF and AHRQ on Cochrane systematic review the study includes 8 RCTs in developed nations (Kaunonen, Hannula & Tarkka, 2012).

Peer searched four databases that are Cochrane Database, CINAHL, the Cochrane Controlled Trials Registry, and Medline of Systematic Reviews to search articles from 2000 to 2008 by using key terms like “health education,” “counseling,” “lactation,” “nursing,” “human milk,” “breast milk,” “breast milk feeding,” and “breastfeeding.” They also used bibliographic databases.

This paper include clear criteria of inclusion and exclusion, and includes controlled and RCTs other than randomized trials. For BFHI, include prior and subsequent experimental studies and studies of prospective cohort together with historical and concurrent controls. Any behavioral and counseling intervention started from a practice of clinician either hospital or office in order to improve ...