Editor’s note: This post has been left available to view, as an example of our experiments with sharing evidence in creative ways, but please note that, unlike our normal blogs, it has not been updated and so may not represent the latest Cochrane evidence.
It’s quite hard to look away from this exquisite paper cut, made for us by Freya Millward, but it makes a wonderful introduction to some Cochrane evidence on
- A review, newly updated, did not find any evidence for disagreement with the recommendation of the World Health Organization and other international health associations that, as a general policy, exclusive breastfeeding, without additional foods or fluids, should be recommended for the first six months after birth
- A review found no evidence from randomised controlled trials evaluating the effect of baby-led compared with scheduled (or mixed) breastfeeding for successful breastfeeding, for healthy newborns
- In many cases where mothers are concerned about their milk production they are encouraged to increase their fluid intake but a review has shown that the effect of extra fluids for breastfeeding mothers is unknown
skin-to-skin (kangaroo care)
- a review showed that skin-to-skin contact between a mother and her baby at birth reduces crying, and helps the mother to breastfeed successfully
- skin-to-skin also seems to reduce newborn babies’ pain when they are having procedures like a heel prick or injection
A new NICE guideline on intrapartum care has just been issued and draws on almost 40 Cochrane reviews. You can find it here.
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Becker GE, Remmington T. Early additional food and fluids for healthy breastfed full-term infants. Cochrane Database of Systematic Reviews 2014, Issue 11. Art. No.: CD006462. DOI: 10.1002/14651858.CD006462.pub3 – See more at: http://summaries.cochrane.org/CD006462/PREG_early-additional-food-and-fluids-for-healthy-breastfed-full-term-infants#sthash.sI4F8y4I.dpuf
Fallon A, Van der Putten D, Dring C, Moylett EH, Fealy G, Devane D. Baby-led compared with scheduled (or mixed) breastfeeding for successful breastfeeding. Cochrane Database of Systematic Reviews 2014, Issue 7. Art. No.: CD009067. DOI: 10.1002/14651858.CD009067.pub2 – See more at: http://summaries.cochrane.org/CD009067/PREG_patterns-of-breastfeeding-according-to-the-baby-or-according-to-the-clock#sthash.MLxK9wdp.dpuf
Ndikom CM, Fawole B, Ilesanmi RE. Extra fluids for breastfeeding mothers for increasing milk production. Cochrane Database of Systematic Reviews 2014, Issue 6. Art. No.: CD008758. DOI: 10.1002/14651858.CD008758.pub2 – See more at: http://summaries.cochrane.org/CD008758/PREG_extra-fluids-for-breastfeeding-mothers-for-increasing-milk-production#sthash.KVTVwliB.dpuf
Moore ER, Anderson GC, Bergman N, Dowswell T. Early skin-to-skin contact for mothers and their healthy newborn infants. Cochrane Database of Systematic Reviews 2012, Issue 5. Art. No.: CD003519. DOI: 10.1002/14651858.CD003519.pub3 – See more at: http://summaries.cochrane.org/CD003519/PREG_early-skin-to-skin-contact-for-mothers-and-their-healthy-newborn-infants#sthash.qn7xnrFm.dpuf
Johnston C, Campbell-Yeo M, Fernandes A, Inglis D, Streiner D, Zee R. Skin-to-skin care for procedural pain in neonates. Cochrane Database of Systematic Reviews 2014, Issue 1. Art. No.: CD008435. DOI: 10.1002/14651858.CD008435.pub2 – See more at: http://summaries.cochrane.org/CD008435/NEONATAL_skin-to-skin-kangaroo-care-with-newborns-cuts-down-procedural-pain#sthash.po3z52uQ.dpuf
National Collaborating Centre for Women’s and Children’s Health. National Institute for Health and Care Excellence (commissioner). Intrapartum care: care of healthy women and their babies during childbirth. London: National Institute for Health and Care Excellence; 2014 (NICE CG190) [Issued December 2014]. Available from: https://www.nice.org.uk/guidance/cg190/evidence/cg190-intrapartum-care-full-guideline3