Critique of Systematic Review

1359 words 6 pages
Critique of Systematic Review
Mary Odenwalder
Nur 518
April 7, 2014
Jane Cash

Critique of Systematic Review The World Health Organization (WHO) recommends that all infants breastfeed exclusively until six months old to achieve optimum growth. Despite this recommendation, only one out of every three children are exclusively breastfed for the first six months. This includes countries that have a high rate of breastfeeding initiation. Recent data has shown that the exclusive breastfeeding rates over the last 15 years have only risen about six per cent, from 33% to 39%. Breask milk protects children against childhood illnesses such as gastroenteritis, respiratory tract infections, otitis media, atopic dermatitis, asthma, and SIDS.
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Also, studies specially with interventions involving preterm infants, low-birth weight infants, babies in with prenatal disease, infants born to drug using mothers, or in the Neonatal Intensive Care Unit were excluded. This systematic review was concerned with the impact of education and mother support on breastfeeding so articles including other interventions such as skin-to-skin contact, or pacifier use were also excluded. For all the articles that were included a double data abstraction was done describing study identifiers and context, study design and limitations, intervention specifics and outcome effects into a standardized abstractions form as detailed in the CHERG systematic Review Guidelines. Each study was then assessed and graded. For quantitative studies, a meta-analysis was performed using Revman 5.2. The meta-analysis evaluated the results of different studies against each other establishing their relevance to the overall research questions. It allows the researchers to compare multiple studies and evaluate their results compared with other studies. When multiple studies with similar methods and results are combined they give power to the results. The breastfeeding outcome used was those defined by the World Health Organization. The outcomes included exclusive breastfeeding, predominant breastfeeding, partial breastfeeding and no breastfeeding rates at day 1, less than a month, and


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