Effectiveness of targeting fathers for breastfeeding promotion: systematic review and meta-analysis

Mahesh, Pasyodun Koralage Buddhika; Gunathunga, M. W.; Arnold, Mahendra; Jayasinghe, C; Pathirana, Sisira; Makarim, Mohamed Fahmy; Manawadu, Pradeep Malaka; Senanayake, Sameera

doi:10.1186/s12889-018-6037-x

Cited by 84 publications

(83 citation statements)

References 82 publications

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“…The mothers' and partners' total parental leave during the first 2 years was associated with both exclusive and partial breastfeeding during the first year, also after adjusting for background factors, suggesting that the longer the total parental leave, the longer the duration of breastfeeding. Support from the partner is an important factor for successful breastfeeding [28]; moreover, the partners' use of parental leave can be seen as an expression of support in caring for the child. Previous research has, for instance, shown that the longer the father was present at the ward after delivery, the longer the firsttime mother breastfed [29].…”

Section: Discussionmentioning

confidence: 99%

Longer shared parental leave is associated with longer duration of breastfeeding: a cross-sectional study among Swedish mothers and their partners

2020

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Background: Breastfeeding is associated with health benefits for both the mother and infant and is therefore important to support; moreover, parental leave is a beneficial factor for breastfeeding. The Swedish parental leave is generous, allowing each parent to take 90 days; additionally, a further 300 days can be taken by either parent. Generally, mothers take 70% of the parental leave days, mainly during the first year. However, breastfeeding duration has declined in the last decade, and it is not known how shared parental leave is associated with the duration of breastfeeding. Aim: To investigate how parental leave is associated with the duration of exclusive and partial breastfeeding of the infant during the first 12 months after birth. An additional aim was to describe infants' and parents' characteristics and mode of birth in association with the duration of exclusive and partial breastfeeding. Methods: This cross-sectional study was part of the Swedish Pregnancy Planning Study, conducted in Sweden in 2012-2015. The parents were recruited at 153 antenatal clinics in nine counties. In total, 813 couples completed a follow-up questionnaire 1 year after birth. Linear regression models were used to analyse the association between parental leave and the duration of breastfeeding. Results: Infants were exclusively breastfed for, on average, 2.5 months (range 0-12 months) and partially breastfed, on average, 7 months (range 0-12 months). Most of the parental leave was taken by the mother (mean = 10.9 months) during the infant's first 12 months, while the partner took 3 months, on average. The parental leave (used and planned) during the infant's first 24 months were, on average, 21 months. In the multivariate linear regression analysis, mothers' and partners' high level of education (p < 0.001, p = 0.044, respectively), mothers' higher age (p = 0.049), non-instrumental vaginal birth (p = 0.004) and longer parental leave for the first 24 months (p < 0.001) were associated with longer duration of partial breastfeeding. Conclusion: The duration of partial breastfeeding was associated with higher parental educational level, higher age, non-instrumental vaginal birth and longer parental leave.

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Section: Discussionmentioning

confidence: 99%

Longer shared parental leave is associated with longer duration of breastfeeding: a cross-sectional study among Swedish mothers and their partners

2020

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“…A novel finding in our study was the impact of AME on women's partners. Recent research, including a meta‐analysis addressing the efficacy of targeting fathers in breastfeeding interventions, supports an independent, positive association between partners' involvement in breastfeeding and higher rates of breastfeeding initiation, continuation, and exclusivity (Hunter & Cattelona, ; Mahesh et al, ). Feedback from women in our study suggest that AME could be a promising intervention to pre‐emptively leverage partners' investment in and support of early breastfeeding efforts.…”

Section: Discussionmentioning

confidence: 99%

“It gave me so much confidence”: First‐time U.S. mothers' experiences with antenatal milk expression

Demirci

Glasser

Fichner

et al. 2019

Maternal & Child Nutrition

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Antenatal milk expression (AME) involves maternal hand‐expression, collection, and storage of breast milk during pregnancy for the purposes of reducing the early formula use in breastfed infants. AME is not widely practiced in the United States, despite its growing popularity elsewhere. In this study, we examined the experiences of first‐time mothers recruited from a U.S. midwife practice who engaged in AME within the context of a pilot randomized controlled trial. The AME intervention involved demonstration and practice of AME with a lactation consultant beginning at 37 weeks of gestation, reinforcement at weekly study visits until delivery, and daily home practice. Nineteen women participated in a semistructured interview at 1–2 weeks postpartum regarding their study experiences. Major themes included (1) perceived benefits and impact of AME, (b) AME implementation, and (c) use of AME milk. Women perceived multiple benefits of AME, most notably that it increased their confidence that they would be able to make milk and breastfeed successfully postpartum. Women expressed some concern that no/little milk expressed could be indicative of postpartum milk production problems. Regarding implementation, women found that the AME protocol fit well into their daily routine. There was mixed feedback regarding comfort with practicing AME in the presence of partners. Reasons for postpartum use of AME milk varied; barriers to provision included inadequate milk storage options at the birth hospital and unsupportive hospital providers/staff. With few caveats, AME appears to be an acceptable breastfeeding support intervention among a sociodemographically homogeneous group of first‐time mothers in the United States.

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“…Firstly all selected studies had used validated instruments in assessing the exposures and the outcomes. Secondly, in selection of the studies, clinical, methodological as well as statistical heterogeneity were taken into account (71,72). Thirdly the similar significant associations were observed when the meta-analysis was re-done getting SMD as the effect measure for numerical outcomes.…”

Section: Most Of the Studies Retained After The Selection Process Havmentioning

confidence: 89%

Effects of paternal alcoholism on the psycho-behavioral outcomes of children: systematic review and meta-analysis

Mahesh¹,

Leung²,

Senanayake³

et al. 2019

Preprint

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Introduction: Documented literature includes mixed interpretations of the impact of paternal alcoholism on psycho-behavioral well-being in children. A systematic review and a meta-analysis would facilitate the accurate establishment of this association. Aim: To evaluate the effects of paternal alcoholism on the psycho-behavioral well-being of children by a systematic review with a meta-analysis and a narrative review component Methods: This PROPERO registered review (CRD42018114754) was conducted by reviewing searching literature in MEDLINE, EMBASE and PsycINFO databases. Twenty nine articles out of 16398 were selected for data extraction after three selection rounds. Thirteen were included in the meta-analyses for four numerical outcomes and two categorical outcomes. Meta-analysis outcomes included; internalizing behavior, externalizing behavior, depression and anxiety. Heterogeneity, risk of biases and the quality of evidence were assessed. Sensitivity analysis was done by re-analyzing with random-model assumption following the fixed model assumption. Furthermore re-analysis with standardized mean difference was done following the analysis with mean difference. Rev Man (version 5.3) software and “GRADEproGDT” online applications were used. Summary of Findings Tables were prepared. A narrative review was done with studies and sub-groups not included in the meta-analysis, under five identified themes: depression and mood disorders; self-perceived mental health problems and personality; aggression; ADHD and other problems. Results: With meta-analysis, all four numerical outcomes for demonstrated significant mean differences (MD) with higher values in the group with paternal alcoholism. “Low” level was assigned as the GRADE certainty. For the anxiety when it is regarded as a categorical outcome, the resulting relative effect was significant (OR=2.18, 95% CI= 2.03 to 2.33) with “Moderate” certainty. In sensitivity analysis, associations of similar directions were observed. Narrative review reflected other negative psycho-behavioral consequences of children associated with paternal alcoholism, falling under the five identified themes. Conclusions: Robust findings were observed for the positive associations of paternal alcoholism with the selected psycho-behavioral pathologies of children in the meta-analysis. The narrative review further demonstrated negative implications of paternal alcoholism on five identified thematic areas.

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Effectiveness of targeting fathers for breastfeeding promotion: systematic review and meta-analysis

Cited by 84 publications

References 82 publications

Longer shared parental leave is associated with longer duration of breastfeeding: a cross-sectional study among Swedish mothers and their partners

Longer shared parental leave is associated with longer duration of breastfeeding: a cross-sectional study among Swedish mothers and their partners

“It gave me so much confidence”: First‐time U.S. mothers' experiences with antenatal milk expression

Effects of paternal alcoholism on the psycho-behavioral outcomes of children: systematic review and meta-analysis

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