ReviewMaternal & child nutrition2021
The impact of Baby Friendly Initiative accreditation: An overview of systematic reviews.
Review in Maternal & child nutrition, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
12 citing papers in PubMed, 34 citations in OpenAlex.
- Intentions, practices, and social representations regarding breastfeeding among women experiencing social disadvantage: findings from the qualitative component of the ECAIL trial.International breastfeeding journal · 2026Trial
- Breastfeeding Education Across the Perinatal Period: A Descriptive Exploratory Pre-Implementation Study.Journal of mother and child · 2026Article
- Making the "Birthing-Friendly" hospital designation better.Health affairs scholar · 2025Article
- Cultural Interpretations of Patients and Employees in an Organization Certified Through the Baby-Friendly Hospital Initiative: A Focused Ethnographic Study.Journal of human lactation : official journal of International Lactation Consultant Association · 2025Article
- A Mobile App for Promoting Breastfeeding-Friendly Communities in Hong Kong: Design and Development Study.JMIR formative research · 2025Article
- Stakeholders' views of the Baby Friendly Initiative implementation and impact: a mixed methods study.International breastfeeding journal · 2024Article
- Improving breastfeeding support through the implementation of the Baby-Friendly Hospital and Community Initiatives: a scoping review.International breastfeeding journal · 2023Article
- Rates of breastfeeding initiation and duration in the United States: data insights from the 2016-2019 Pregnancy Risk Assessment Monitoring System.Frontiers in public health · 2023Article
- The multiple factors of suboptimal early feeding practices among infants aged 0-5 months in Indonesia.Frontiers in nutrition · 2023Article
- What works to protect, promote and support breastfeeding on a large scale: A review of reviews.Maternal & child nutrition · 2022Review
- Factors Associated with (Exclusive) Breastfeeding Duration-Results of the SUKIE-Study.Nutrients · 2022Article
- The impact of Baby Friendly Initiative accreditation: An overview of systematic reviews.Maternal & child nutrition · 2021Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Despite its reported benefits, breastfeeding rates are low globally, and support systems such as the Baby Friendly Initiative (BFI) have been established to support healthy infant feeding practices and infant bonding. Increasingly reviews are being undertaken to assess the overall impact of BFI accreditation. A systematic synthesis of current reviews has therefore been carried out to examine the state of literature on the effects of BFI accreditation. A systematic search of CINAHL, MEDLINE, Maternal and Infant Health, Scopus, the Cochrane Library and PROSPERO was undertaken. Study selection, data extraction and critical appraisal of included reviews using the AMSTAR-2 tool were undertaken by two authors, with disagreements resolved through discussion with the third author. Due to heterogeneity, a narrative synthesis of findings was applied. Fourteen reviews met the inclusion criteria. Overall confidence in the results of the review was rated as high for three reviews, low for two reviews and critically low for nine reviews. Most evidence suggests some increase in breastfeeding initiation, exclusivity and duration of breastfeeding, and one main trial suggests decreased gastrointestinal infection and allergic dermatitis in infants. However, overall certainty in the evidence was rated as very low across all outcomes due to concerns over risk of bias within and heterogeneity between the original studies. More contemporary, good-quality randomised controlled trials or well-controlled prospective comparative cohorts are required to better evaluate the impact of full BFI accreditation, with particular attention paid to the context of the research and to long-term maternal and infant health outcomes.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.