ReviewMaternal & child nutrition2022
What works to protect, promote and support breastfeeding on a large scale: A review of reviews.
Review in Maternal & child nutrition, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 4 of them syntheses that pooled it.
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
49 citing papers in PubMed, 4 syntheses or guidelines pooled it.
- The Effectiveness of Parent-Targeted Digital Health Interventions on Breastfeeding Practices: Systematic Review and Meta-Analysis of Randomized Controlled Trials.Journal of medical Internet research · 2026Pooled it
- Determinants of early interruption of exclusive breastfeeding: a qualitative meta-synthesis.BMC public health · 2026Pooled it
- Mobile applications for promoting and supporting breastfeeding: Systematic review and meta-analysis.Maternal & child nutrition · 2025Pooled it
- Impact of prelacteal feeds and neonatal introduction of breast milk substitutes on breastfeeding outcomes: A systematic review and meta-analysis.Maternal & child nutrition · 2022Pooled it
- Mothers' experiences of unwanted early cessation of breastfeeding: a scoping review.International breastfeeding journal · 2026Article
- Facilitators and barriers to implementing a breastfeeding protocol for premature newborns.Revista brasileira de enfermagem · 2026Article
- Breastfeeding Education Across the Perinatal Period: A Descriptive Exploratory Pre-Implementation Study.Journal of mother and child · 2026Article
- Building breastfeeding knowledgeable health systems: Focus groups with physician leaders.PloS one · 2026Article
- Do ESG Frameworks Capture Corporate Health Impacts? An Analysis of the Food and Beverage Industry.International journal of environmental research and public health · 2025Article
- Global, regional, and national progress towards the 2030 global nutrition targets and forecasts to 2050: a systematic analysis for the Global Burden of Disease Study 2021.Lancet (London, England) · 2025Article
- Observational
- Analysis of breastfeeding status and influencing factors among healthcare workers in Southwestern China.International breastfeeding journal · 2025Article
- Effectiveness of workplace interventions for health promotion.The Lancet. Public health · 2025Review
- Association Between Family Support and Breastfeeding Self-Efficacy in a Cross-Sectional Study.Nursing open · 2025Article
- Black Fathers' Views on Breastfeeding Facilitators, Barriers, and Support Services: Insights From a Qualitative Community-Based Participatory Research Study.Maternal & child nutrition · 2025Article
- Implementation of a Language-Concordant, Culturally Tailored Inpatient Lactation Program.JAMA network open · 2025Article
- Breastfeeding with primary low milk supply: a phenomenological exploration of mothers' lived experiences of postnatal breastfeeding support.International breastfeeding journal · 2025Article
- Investigating the role of family members in postnatal care: Evidence from mother-caregiver dyads in India.PloS one · 2025Article
- Hospital practices and breastfeeding in Rio de Janeiro: data from the Nascer no Brasil II Survey.Revista de saude publica · 2025Article
- Can behavioral science advance breastfeeding-friendly primary care? Key findings from an evaluation in Kosovo.PLOS global public health · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Globally women continue to face substantial barriers to breastfeeding. The 2016 Lancet Breastfeeding Series identified key barriers and reviewed effective interventions that address them. The present study updates the evidence base since 2016 using a review of reviews approach. Searches were implemented using the Epistomenikos database. One hundred and fifteen reviews of interventions were identified and assessed for quality and risk of bias. Over half of reviews (53%) were high- or moderate quality, with the remaining low or critically low quality due to weaknesses in assessment of bias. A large portion of studies addressed high-income and upper-middle income settings, (41%), and a majority (63%) addressed health systems, followed by community and family settings (39%). Findings from reviews continue to strengthen the evidence base for effective interventions that improve breastfeeding outcomes across all levels of the social-ecological model, including supportive workplace policies; implementation of the Baby-Friendly Hospital Initiative, skin to skin care, kangaroo mother care, and cup feeding in health settings; and the importance of continuity of care and support in community and family settings, via home visits delivered by CHWs, supported by fathers', grandmothers' and community involvement. Studies disproportionately focus on health systems in high income and upper-middle income settings. There is insufficient attention to policy and structural interventions, the workplace and there is a need for rigorous assessment of multilevel interventions. Evidence from the past 5 years demonstrates the need to build on well-established knowledge to scale up breastfeeding protection, promotion and support programmes.
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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.