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Cochrane Database of Systematic Reviews

Avoidance of bottles during the establishment of breast feeds in preterm infants

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Información

DOI:
https://doi.org/10.1002/14651858.CD005252.pub4Copiar DOI
Base de datos:
  1. Cochrane Database of Systematic Reviews
Versión publicada:
  1. 18 octubre 2016see what's new
Tipo:
  1. Intervention
Etapa:
  1. Review
Grupo Editorial Cochrane:
  1. Grupo Cochrane de Neonatología

Copyright:
  1. Copyright © 2017 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.

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Autores

  • Carmel T Collins

    Correspondencia a: Healthy Mothers, Babies and Children, South Australian Health and Medical Research Institute, North Adelaide, Australia

    [email protected]

  • Jennifer Gillis

    Special Care Baby Unit, Women's and Children's Hospital, North Adelaide, Australia

  • Andrew J McPhee

    Neonatal Medicine, Women's and Children's Hospital, North Adelaide, Australia

  • Hiroki Suganuma

    Department of Pediatrics, Juntendo University School of Medicine, Tokyo, Japan

  • Maria Makrides

    Healthy Mothers, Babies and Children, South Australian Health and Medical Research Institute, Adelaide, Australia

Contributions of authors

CT Collins wrote the protocol, searched for studies, extracted data, analysed data and wrote the review.
J Gillis contributed to the protocol, extracted data and commented on drafts of the review.
AJ McPhee contributed to the protocol and commented on drafts of the review.
H Suganuma extracted data and commented on drafts of the review.
M Makrides contributed to the protocol and commented on drafts of the review.

Sources of support

Internal sources

  • South Australian Health and Medical Research Institute, Adelaide, South Australia, Australia.

  • Neonatal Medicine and Special Care Baby Unit, Women's and Children's Hospital, North Adelaide, South Australia, Australia.

  • Salary for Carmel Collins was drawn from an MS McLeod Postdoctoral Research Fellowship (MS McLeod Research Fund, Women’s and Children’s Hospital Research Foundation), Australia.

  • Salary for Maria Makrides was drawn from a National Health and Medical Research Council Principal Research Fellowship (APP1061704), Australia.

External sources

  • Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Department of Health and Human Services, USA.

    Editorial support of the Cochrane Neonatal Review Group has been funded with Federal funds from the Eunice Kennedy Shriver National Institute of Child Health and Human Development National Institutes of Health, Department of Health and Human Services, USA, under Contract No. HHSN275201600005C

  • National Institute for Health Research, UK.

    Editorial support for Cochrane Neonatal has been funded with funds from a UK National Institute of Health Research Grant (NIHR) Cochrane Programme Grant (13/89/12). The views expressed in this publication are those of the authors and not necessarily those of the NHS, the NIHR, or the UK Department of Health.

Declarations of interest

CT Collins and AJ McPhee were investigators responsible for one of the studies included in this review (Collins 2004). J Gillis is a clinical nurse in the Special Care Baby Unit, where one of the included studies was undertaken (Collins 2004).

Acknowledgements

We gratefully thank the authors of Kliethermes 1999 and Gilks 2004 for providing additional information about their studies.

Version history

Published

Title

Stage

Authors

Version

2021 Oct 21

Avoidance of bottles during the establishment of breastfeeds in preterm infants

Review

Elizabeth Allen, Alice R Rumbold, Amy Keir, Carmel T Collins, Jennifer Gillis, Hiroki Suganuma

https://doi.org/10.1002/14651858.CD005252.pub5

2016 Oct 18

Avoidance of bottles during the establishment of breast feeds in preterm infants

Review

Carmel T Collins, Jennifer Gillis, Andrew J McPhee, Hiroki Suganuma, Maria Makrides

https://doi.org/10.1002/14651858.CD005252.pub4

2016 Sep 30

Avoidance of bottles during the establishment of breast feeds in preterm infants

Review

Carmel T Collins, Jennifer Gillis, Andrew J McPhee, Hiroki Suganuma, Maria Makrides

https://doi.org/10.1002/14651858.CD005252.pub3

2008 Oct 08

Avoidance of bottles during the establishment of breast feeds in preterm infants

Review

Carmel T Collins, Maria Makrides, Jennifer Gillis, Andrew J McPhee

https://doi.org/10.1002/14651858.CD005252.pub2

2005 Apr 20

Avoidance of bottles during the establishment of breast feeds in preterm infants

Protocol

Carmel T Collins, Maria Makrides, Jennifer Gillis, Andrew J McPhee

https://doi.org/10.1002/14651858.CD005252

Differences between protocol and review

We added the methods and plan for Summary of findings tables and GRADE recommendations, which were not included in the original protocol.

For the 2016 review, we added infection events as an outcome.

Keywords

MeSH

PICO

Population
Intervention
Comparison
Outcome

El uso y la enseñanza del modelo PICO están muy extendidos en el ámbito de la atención sanitaria basada en la evidencia para formular preguntas y estrategias de búsqueda y para caracterizar estudios o metanálisis clínicos. PICO son las siglas en inglés de cuatro posibles componentes de una pregunta de investigación: paciente, población o problema; intervención; comparación; desenlace (outcome).

Para saber más sobre el uso del modelo PICO, puede consultar el Manual Cochrane.

Study flow diagram: review update.
Figuras y tablas -
Figure 1

Study flow diagram: review update.

Risk of bias summary: review authors' judgements about each risk of bias item for each included study.
Figuras y tablas -
Figure 2

Risk of bias summary: review authors' judgements about each risk of bias item for each included study.

Comparison 1 Breast feeding with supplemental feeds by other than bottle versus breast feeding with supplemental feeds by bottle (all trials), Outcome 1 Full breast feeding at discharge.
Figuras y tablas -
Analysis 1.1

Comparison 1 Breast feeding with supplemental feeds by other than bottle versus breast feeding with supplemental feeds by bottle (all trials), Outcome 1 Full breast feeding at discharge.

Comparison 1 Breast feeding with supplemental feeds by other than bottle versus breast feeding with supplemental feeds by bottle (all trials), Outcome 2 Fully breast feeding at 3 months post discharge.
Figuras y tablas -
Analysis 1.2

Comparison 1 Breast feeding with supplemental feeds by other than bottle versus breast feeding with supplemental feeds by bottle (all trials), Outcome 2 Fully breast feeding at 3 months post discharge.

Comparison 1 Breast feeding with supplemental feeds by other than bottle versus breast feeding with supplemental feeds by bottle (all trials), Outcome 3 Fully breast feeding at 6 months post discharge.
Figuras y tablas -
Analysis 1.3

Comparison 1 Breast feeding with supplemental feeds by other than bottle versus breast feeding with supplemental feeds by bottle (all trials), Outcome 3 Fully breast feeding at 6 months post discharge.

Comparison 1 Breast feeding with supplemental feeds by other than bottle versus breast feeding with supplemental feeds by bottle (all trials), Outcome 4 Any breast feeding at discharge.
Figuras y tablas -
Analysis 1.4

Comparison 1 Breast feeding with supplemental feeds by other than bottle versus breast feeding with supplemental feeds by bottle (all trials), Outcome 4 Any breast feeding at discharge.

Comparison 1 Breast feeding with supplemental feeds by other than bottle versus breast feeding with supplemental feeds by bottle (all trials), Outcome 5 Any breast feeding at 3 months post discharge.
Figuras y tablas -
Analysis 1.5

Comparison 1 Breast feeding with supplemental feeds by other than bottle versus breast feeding with supplemental feeds by bottle (all trials), Outcome 5 Any breast feeding at 3 months post discharge.

Comparison 1 Breast feeding with supplemental feeds by other than bottle versus breast feeding with supplemental feeds by bottle (all trials), Outcome 6 Any breast feeding at 6 months post discharge.
Figuras y tablas -
Analysis 1.6

Comparison 1 Breast feeding with supplemental feeds by other than bottle versus breast feeding with supplemental feeds by bottle (all trials), Outcome 6 Any breast feeding at 6 months post discharge.

Comparison 1 Breast feeding with supplemental feeds by other than bottle versus breast feeding with supplemental feeds by bottle (all trials), Outcome 7 Days to reach full sucking feeds.
Figuras y tablas -
Analysis 1.7

Comparison 1 Breast feeding with supplemental feeds by other than bottle versus breast feeding with supplemental feeds by bottle (all trials), Outcome 7 Days to reach full sucking feeds.

Comparison 1 Breast feeding with supplemental feeds by other than bottle versus breast feeding with supplemental feeds by bottle (all trials), Outcome 8 Weight gain.
Figuras y tablas -
Analysis 1.8

Comparison 1 Breast feeding with supplemental feeds by other than bottle versus breast feeding with supplemental feeds by bottle (all trials), Outcome 8 Weight gain.

Comparison 1 Breast feeding with supplemental feeds by other than bottle versus breast feeding with supplemental feeds by bottle (all trials), Outcome 9 Length of hospital stay.
Figuras y tablas -
Analysis 1.9

Comparison 1 Breast feeding with supplemental feeds by other than bottle versus breast feeding with supplemental feeds by bottle (all trials), Outcome 9 Length of hospital stay.

Comparison 1 Breast feeding with supplemental feeds by other than bottle versus breast feeding with supplemental feeds by bottle (all trials), Outcome 10 Duration of supplementary feed.
Figuras y tablas -
Analysis 1.10

Comparison 1 Breast feeding with supplemental feeds by other than bottle versus breast feeding with supplemental feeds by bottle (all trials), Outcome 10 Duration of supplementary feed.

Comparison 1 Breast feeding with supplemental feeds by other than bottle versus breast feeding with supplemental feeds by bottle (all trials), Outcome 11 Episodes of infection.
Figuras y tablas -
Analysis 1.11

Comparison 1 Breast feeding with supplemental feeds by other than bottle versus breast feeding with supplemental feeds by bottle (all trials), Outcome 11 Episodes of infection.

Summary of findings for the main comparison. Breast feeding with supplemental feeds by other than bottle compared with breast feeding with supplemental feeds by bottle (all trials) in preterm infants

Breast feeding with supplemental feeds by other than bottle compared with breast feeding with supplemental feeds by bottle (all trials) in preterm infants

Patient or population: preterm infants
Setting:
Intervention: breast feeding with supplemental feeds by other than bottle
Comparison: breast feeding with supplemental feeds by bottle (all trials)

Outcomes

Anticipated absolute effects* (95% CI)

Relative effect
(95% CI)

No. of participants
(studies)

Quality of the evidence
(GRADE)

Comments

Risk with breast feeding with supplemental feeds by bottle (all trials)

Risk with breast feeding with supplemental feeds by other than bottle

Full breast feeding at discharge

Study population

RR 1.47
(1.19 to 1.80)

1074
(6 RCTs)

⊕⊕⊝⊝
LOWa,b

44 per 100

64 per 100
(52 to 79)

Full breast feeding at 3 months post discharge

Study population

RR 1.56
(1.37 to 1.78)

986
(4 RCTs)

⊕⊕⊕⊝
MODERATEa

36 per 100

57 per 100
(50 to 65)

Full breast feeding at 6 months post discharge

Study population

RR 1.64
(1.14 to 2.36)

887
(3 RCTs)

⊕⊕⊝⊝
LOWa,b

31 per 100

51 per 100
(35 to 73)

Any breast feeding at discharge

Study population

RR 1.11
(1.06 to 1.16)

1138
(6 RCTs)

⊕⊕⊕⊝
MODERATEa

79 per 100

88 per 100
(84 to 92)

Any breast feeding at 3 months post discharge

Study population

RR 1.31
(1.01 to 1.71)

1063
(5 RCTs)

⊕⊝⊝⊝
VERY LOWa,c

60 per 100

78 per 100
(60 to 100)

Any breast feeding at 6 months post discharge

Study population

RR 1.25
(1.10 to 1.41)

886
(3 RCTs)

⊕⊝⊝⊝
VERY LOWa,d

45 per 100

56 per 100
(49 to 63)

Length of hospital stay

MD 2.25 higher
(3.36 lower to 7.86 higher)

1004
(4 RCTs)

⊕⊝⊝⊝
VERY LOWa,c

Episodes of infection

Study population

RR 0.70
(0.35 to 1.42)

500
(3 RCTs)

⊕⊕⊕⊝
MODERATEa

7 per 100

5 per 100
(2 to 10)

*The risk in the intervention group (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI).

CI: confidence interval; OR: odds ratio; RR: risk ratio.

GRADE Working Group grades of evidence
High quality: We are very confident that the true effect lies close to that of the estimate of effect.
Moderate quality: We are moderately confident in the effect estimate: The true effect is likely to be close to the estimate of effect but may be substantially different.
Low quality: Our confidence in the effect estimate is limited: The true effect may be substantially different from the estimate of effect.
Very low quality: We have very little confidence in the effect estimate: The true effect is likely to be substantially different from the estimate of effect.

aAttrition bias (14% and 15% attrition in two included studies).

bModerate heterogeneity (I2 = 52%).

cModerate heterogeneity (I2 = 73%).

dModerate heterogeneity (I2 = 71%).

Figuras y tablas -
Summary of findings for the main comparison. Breast feeding with supplemental feeds by other than bottle compared with breast feeding with supplemental feeds by bottle (all trials) in preterm infants
Comparison 1. Breast feeding with supplemental feeds by other than bottle versus breast feeding with supplemental feeds by bottle (all trials)

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Full breast feeding at discharge Show forest plot

6

1074

Risk Ratio (M‐H, Random, 95% CI)

1.47 [1.19, 1.80]

1.1 Breast feeding + Cup vs Breast feeding + Bottle

4

893

Risk Ratio (M‐H, Random, 95% CI)

1.41 [1.14, 1.75]

1.2 Breast feeding + Tube vs Breast feeding + Bottle

1

84

Risk Ratio (M‐H, Random, 95% CI)

2.10 [1.46, 3.03]

1.3 Breast feeding + novel teat and bottle vs Breast feeding + conventional teat and bottle

1

97

Risk Ratio (M‐H, Random, 95% CI)

1.07 [0.63, 1.82]

2 Fully breast feeding at 3 months post discharge Show forest plot

4

986

Risk Ratio (M‐H, Fixed, 95% CI)

1.56 [1.37, 1.78]

2.1 Breast feeding + Cup vs Breast feeding + Bottle

2

805

Risk Ratio (M‐H, Fixed, 95% CI)

1.54 [1.34, 1.77]

2.2 Breast feeding + Tube vs Breast feeding + Bottle

1

84

Risk Ratio (M‐H, Fixed, 95% CI)

2.31 [1.28, 4.17]

2.3 Breast feeding + novel teat and bottle vs Breast feeding + conventional teat and bottle

1

97

Risk Ratio (M‐H, Fixed, 95% CI)

1.17 [0.57, 2.41]

3 Fully breast feeding at 6 months post discharge Show forest plot

3

887

Risk Ratio (M‐H, Random, 95% CI)

1.64 [1.14, 2.36]

3.1 Breast feeding + Cup vs Breast feeding + Bottle

2

803

Risk Ratio (M‐H, Random, 95% CI)

1.40 [1.18, 1.65]

3.2 Breast feeding + Tube vs Breast feeding + Bottle

1

84

Risk Ratio (M‐H, Random, 95% CI)

2.94 [1.36, 6.34]

4 Any breast feeding at discharge Show forest plot

6

1138

Risk Ratio (M‐H, Fixed, 95% CI)

1.11 [1.06, 1.16]

4.1 Breast feeding + Cup vs Breast feeding + Bottle

4

957

Risk Ratio (M‐H, Fixed, 95% CI)

1.09 [1.03, 1.15]

4.2 Breast feeding + Tube vs Breast feeding + Bottle

1

84

Risk Ratio (M‐H, Fixed, 95% CI)

1.37 [1.08, 1.74]

4.3 Breast feeding + novel teat and bottle vs Breast feeding + conventional teat and bottle

1

97

Risk Ratio (M‐H, Fixed, 95% CI)

1.12 [0.95, 1.33]

5 Any breast feeding at 3 months post discharge Show forest plot

5

1063

Risk Ratio (M‐H, Random, 95% CI)

1.31 [1.01, 1.71]

5.1 Breast feeding + Cup vs Breast feeding + Bottle

3

883

Risk Ratio (M‐H, Random, 95% CI)

1.24 [0.89, 1.71]

5.2 Breast feeding + Tube vs Breast feeding + Bottle

1

83

Risk Ratio (M‐H, Random, 95% CI)

1.69 [1.19, 2.41]

5.3 Breast feeding + novel teat and bottle vs Breast feeding + conventional teat and bottle

1

97

Risk Ratio (M‐H, Random, 95% CI)

1.20 [0.80, 1.80]

6 Any breast feeding at 6 months post discharge Show forest plot

3

886

Risk Ratio (M‐H, Fixed, 95% CI)

1.25 [1.10, 1.41]

6.1 Breast feeding + Cup vs Breast feeding + Bottle

2

803

Risk Ratio (M‐H, Fixed, 95% CI)

1.20 [1.06, 1.36]

6.2 Breast feeding + Tube vs Breast feeding + Bottle

1

83

Risk Ratio (M‐H, Fixed, 95% CI)

2.07 [1.18, 3.64]

7 Days to reach full sucking feeds Show forest plot

3

429

Mean Difference (IV, Random, 95% CI)

2.56 [‐7.17, 12.28]

7.1 Breast feeding + Cup vs Breast feeding + Bottle

2

332

Mean Difference (IV, Random, 95% CI)

5.08 [‐6.43, 16.59]

7.2 Breast feeding + novel teat and bottle vs Breast feeding + conventional teat and bottle

1

97

Mean Difference (IV, Random, 95% CI)

‐4.0 [‐15.63, 7.63]

8 Weight gain Show forest plot

3

Mean Difference (IV, Fixed, 95% CI)

Subtotals only

8.1 Measured from birth to discharge home (g/kg/day)

1

293

Mean Difference (IV, Fixed, 95% CI)

‐0.09 [‐0.77, 0.59]

8.2 Measured for one week after commencing oral feeds (g/kg/day)

1

78

Mean Difference (IV, Fixed, 95% CI)

‐0.60 [‐3.21, 2.01]

8.3 Measured for one week after commencing oral feeds (g/day)

1

522

Mean Difference (IV, Fixed, 95% CI)

‐0.10 [‐0.36, 0.16]

9 Length of hospital stay Show forest plot

4

1004

Mean Difference (IV, Random, 95% CI)

2.25 [‐3.36, 7.86]

9.1 Breast feeding + Cup vs Breast feeding + Bottle

2

823

Mean Difference (IV, Random, 95% CI)

4.45 [‐5.57, 14.48]

9.2 Breast feeding + Tube vs Breast feeding + Bottle

1

84

Mean Difference (IV, Random, 95% CI)

1.60 [‐5.89, 9.09]

9.3 Breast feeding + novel teat and bottle vs Breast feeding + conventional teat and bottle

1

97

Mean Difference (IV, Random, 95% CI)

‐4.90 [‐17.25, 7.45]

10 Duration of supplementary feed Show forest plot

2

600

Mean Difference (IV, Random, 95% CI)

‐0.42 [‐1.96, 1.12]

11 Episodes of infection Show forest plot

3

500

Risk Ratio (M‐H, Fixed, 95% CI)

0.70 [0.35, 1.42]

Figuras y tablas -
Comparison 1. Breast feeding with supplemental feeds by other than bottle versus breast feeding with supplemental feeds by bottle (all trials)