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Methodological quality summary: review authors' judgements about each methodological quality item for each included study.
Figuras y tablas -
Figure 1

Methodological quality summary: review authors' judgements about each methodological quality item for each included study.

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Methodological quality graph: review authors' judgements about each methodological quality item presented as percentages across all included studies.
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Figure 2

Methodological quality graph: review authors' judgements about each methodological quality item presented as percentages across all included studies.

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Comparison 1 Formal BF education verus routine care, Outcome 1 Initiation rate of breastfeeding.
Figuras y tablas -
Analysis 1.1

Comparison 1 Formal BF education verus routine care, Outcome 1 Initiation rate of breastfeeding.

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Comparison 1 Formal BF education verus routine care, Outcome 2 Breastfeeding at three months.
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Analysis 1.2

Comparison 1 Formal BF education verus routine care, Outcome 2 Breastfeeding at three months.

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Comparison 1 Formal BF education verus routine care, Outcome 3 Breastfeeding at six months.
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Analysis 1.3

Comparison 1 Formal BF education verus routine care, Outcome 3 Breastfeeding at six months.

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Comparison 1 Formal BF education verus routine care, Outcome 4 Exclusive breastfeeding at three months.
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Analysis 1.4

Comparison 1 Formal BF education verus routine care, Outcome 4 Exclusive breastfeeding at three months.

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Comparison 1 Formal BF education verus routine care, Outcome 5 Exclusive breastfeeding at six months.
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Analysis 1.5

Comparison 1 Formal BF education verus routine care, Outcome 5 Exclusive breastfeeding at six months.

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Comparison 1 Formal BF education verus routine care, Outcome 6 Duration of any breastfeeding (weeks).
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Analysis 1.6

Comparison 1 Formal BF education verus routine care, Outcome 6 Duration of any breastfeeding (weeks).

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Comparison 2 One BF education versus another BF education, Outcome 1 Initiation of BF.
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Analysis 2.1

Comparison 2 One BF education versus another BF education, Outcome 1 Initiation of BF.

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Comparison 2 One BF education versus another BF education, Outcome 2 Breastfeeding at three months.
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Analysis 2.2

Comparison 2 One BF education versus another BF education, Outcome 2 Breastfeeding at three months.

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Comparison 2 One BF education versus another BF education, Outcome 3 Breastfeeding at six months.
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Analysis 2.3

Comparison 2 One BF education versus another BF education, Outcome 3 Breastfeeding at six months.

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Comparison 2 One BF education versus another BF education, Outcome 4 Exclusive breastfeeding at six months.
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Analysis 2.4

Comparison 2 One BF education versus another BF education, Outcome 4 Exclusive breastfeeding at six months.

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Comparison 2 One BF education versus another BF education, Outcome 5 Duration of any breastfeeding.
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Analysis 2.5

Comparison 2 One BF education versus another BF education, Outcome 5 Duration of any breastfeeding.

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Comparison 3 Multiple BF educational interventions versus a single BF educational interventions, Outcome 1 Initiation rate of breastfeeding.
Figuras y tablas -
Analysis 3.1

Comparison 3 Multiple BF educational interventions versus a single BF educational interventions, Outcome 1 Initiation rate of breastfeeding.

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Comparison 3 Multiple BF educational interventions versus a single BF educational interventions, Outcome 2 Breastfeeding at three months.
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Analysis 3.2

Comparison 3 Multiple BF educational interventions versus a single BF educational interventions, Outcome 2 Breastfeeding at three months.

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Comparison 3 Multiple BF educational interventions versus a single BF educational interventions, Outcome 3 Breastfeeding at six months.
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Analysis 3.3

Comparison 3 Multiple BF educational interventions versus a single BF educational interventions, Outcome 3 Breastfeeding at six months.

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Comparison 3 Multiple BF educational interventions versus a single BF educational interventions, Outcome 4 Exclusive breastfeeding at three months.
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Analysis 3.4

Comparison 3 Multiple BF educational interventions versus a single BF educational interventions, Outcome 4 Exclusive breastfeeding at three months.

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Comparison 3 Multiple BF educational interventions versus a single BF educational interventions, Outcome 5 Duration of any breastfeeding.
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Analysis 3.5

Comparison 3 Multiple BF educational interventions versus a single BF educational interventions, Outcome 5 Duration of any breastfeeding.

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Comparison 3 Multiple BF educational interventions versus a single BF educational interventions, Outcome 6 Mastitis.
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Analysis 3.6

Comparison 3 Multiple BF educational interventions versus a single BF educational interventions, Outcome 6 Mastitis.

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Comparison 3 Multiple BF educational interventions versus a single BF educational interventions, Outcome 7 Breastfeeding complication (nipple pain).
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Analysis 3.7

Comparison 3 Multiple BF educational interventions versus a single BF educational interventions, Outcome 7 Breastfeeding complication (nipple pain).

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Comparison 3 Multiple BF educational interventions versus a single BF educational interventions, Outcome 8 Breastfeeding complication (nipple trauma).
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Analysis 3.8

Comparison 3 Multiple BF educational interventions versus a single BF educational interventions, Outcome 8 Breastfeeding complication (nipple trauma).

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Comparison 4 Different combinations of multiple methods of providing education, Outcome 1 Exclusive breastfeeding at three months.
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Analysis 4.1

Comparison 4 Different combinations of multiple methods of providing education, Outcome 1 Exclusive breastfeeding at three months.

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Comparison 4 Different combinations of multiple methods of providing education, Outcome 2 Exclusive breastfeeding at six months.
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Analysis 4.2

Comparison 4 Different combinations of multiple methods of providing education, Outcome 2 Exclusive breastfeeding at six months.

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Comparison 5 Multiple interventions versus no formal BF education, Outcome 1 Exclusive breastfeeding at three months.
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Analysis 5.1

Comparison 5 Multiple interventions versus no formal BF education, Outcome 1 Exclusive breastfeeding at three months.

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Comparison 5 Multiple interventions versus no formal BF education, Outcome 2 Exclusive breastfeeding at six months.
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Analysis 5.2

Comparison 5 Multiple interventions versus no formal BF education, Outcome 2 Exclusive breastfeeding at six months.

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Comparison 1. Formal BF education verus routine care

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Initiation rate of breastfeeding Show forest plot

5

Risk Ratio (M‐H, Fixed, 95% CI)

Subtotals only

1.1 BF education workshop versus routine care

1

80

Risk Ratio (M‐H, Fixed, 95% CI)

1.19 [0.97, 1.45]

1.2 Peer counselling versus routine care

1

59

Risk Ratio (M‐H, Fixed, 95% CI)

1.82 [1.13, 2.93]

1.3 BF practical skills versus routine care

1

616

Risk Ratio (M‐H, Fixed, 95% CI)

1.01 [0.98, 1.04]

1.4 BF attitude education versus routine care

1

618

Risk Ratio (M‐H, Fixed, 95% CI)

0.99 [0.95, 1.02]

1.5 Training programme versus routine care

1

1162

Risk Ratio (M‐H, Fixed, 95% CI)

1.04 [0.98, 1.11]

1.6 Structured group prenatal education versus routine care

1

165

Risk Ratio (M‐H, Fixed, 95% CI)

0.98 [0.87, 1.11]

2 Breastfeeding at three months Show forest plot

1

Risk Ratio (M‐H, Fixed, 95% CI)

Subtotals only

2.1 BF education workshop versus routine care

1

185

Risk Ratio (M‐H, Fixed, 95% CI)

1.07 [0.92, 1.24]

3 Breastfeeding at six months Show forest plot

2

Risk Ratio (M‐H, Fixed, 95% CI)

Subtotals only

3.1 BF education workshop versus routine care

1

178

Risk Ratio (M‐H, Fixed, 95% CI)

1.15 [0.87, 1.51]

3.2 BF practical skills versus routine care

1

596

Risk Ratio (M‐H, Fixed, 95% CI)

1.01 [0.87, 1.17]

3.3 BF attitude education versus routine care

1

592

Risk Ratio (M‐H, Fixed, 95% CI)

0.92 [0.79, 1.07]

4 Exclusive breastfeeding at three months Show forest plot

2

Risk Ratio (M‐H, Fixed, 95% CI)

Subtotals only

4.1 BF education workshop versus routine care

1

185

Risk Ratio (M‐H, Fixed, 95% CI)

1.08 [0.84, 1.38]

4.2 Structured group prenatal education versus routine care

1

168

Risk Ratio (M‐H, Fixed, 95% CI)

1.08 [0.81, 1.43]

5 Exclusive breastfeeding at six months Show forest plot

2

Risk Ratio (M‐H, Fixed, 95% CI)

Subtotals only

5.1 BF education workshop versus routine care

1

178

Risk Ratio (M‐H, Fixed, 95% CI)

1.13 [0.70, 1.80]

5.2 BF practical skills versus routine care

1

596

Risk Ratio (M‐H, Fixed, 95% CI)

1.19 [0.69, 2.05]

5.3 Formal BF attitude versus routine care

1

592

Risk Ratio (M‐H, Fixed, 95% CI)

1.16 [0.67, 2.01]

6 Duration of any breastfeeding (weeks) Show forest plot

1

Mean Difference (IV, Fixed, 95% CI)

Subtotals only

6.1 Structured group prenatal education versus routine care

1

165

Mean Difference (IV, Fixed, 95% CI)

0.0 [‐2.78, 2.78]
Figuras y tablas -
Comparison 1. Formal BF education verus routine care
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Comparison 2. One BF education versus another BF education

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Initiation of BF Show forest plot

2

Odds Ratio (Fixed, 95% CI)

Subtotals only

1.1 Peer counselling versus BF information and advice

1

2398

Odds Ratio (Fixed, 95% CI)

1.11 [0.86, 1.43]

1.2 BF practical skills versus BF attitude education

1

614

Odds Ratio (Fixed, 95% CI)

1.03 [0.99, 1.07]

2 Breastfeeding at three months Show forest plot

1

Risk Ratio (M‐H, Fixed, 95% CI)

Subtotals only

2.1 Group education versus individual education

1

74

Risk Ratio (M‐H, Fixed, 95% CI)

2.84 [0.61, 13.18]

3 Breastfeeding at six months Show forest plot

1

Odds Ratio (M‐H, Fixed, 95% CI)

Subtotals only

3.1 BF practical skills versus BF attitude education

1

590

Odds Ratio (M‐H, Fixed, 95% CI)

1.21 [0.87, 1.67]

4 Exclusive breastfeeding at six months Show forest plot

1

Risk Ratio (M‐H, Fixed, 95% CI)

Subtotals only

4.1 BF practical skills versus BF attitude education

1

590

Risk Ratio (M‐H, Fixed, 95% CI)

1.03 [0.61, 1.73]

5 Duration of any breastfeeding Show forest plot

1

Mean Difference (IV, Fixed, 95% CI)

Subtotals only

5.1 BF education discussion versus handouts

1

16

Mean Difference (IV, Fixed, 95% CI)

6.20 [‐10.84, 23.24]
Figuras y tablas -
Comparison 2. One BF education versus another BF education
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Comparison 3. Multiple BF educational interventions versus a single BF educational interventions

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Initiation rate of breastfeeding Show forest plot

1

Risk Ratio (M‐H, Random, 95% CI)

Subtotals only

1.1 LC + routine BF education versus routine BF education

1

144

Risk Ratio (M‐H, Random, 95% CI)

1.33 [0.86, 2.07]

2 Breastfeeding at three months Show forest plot

1

Odds Ratio (Fixed, 95% CI)

Subtotals only

2.1 LC + BF booklet versus BF booklet

1

698

Odds Ratio (Fixed, 95% CI)

0.82 [0.59, 1.14]

3 Breastfeeding at six months Show forest plot

2

Risk Ratio (M‐H, Fixed, 95% CI)

Subtotals only

3.1 Video + education session versus pamphlets

1

175

Risk Ratio (M‐H, Fixed, 95% CI)

1.59 [0.86, 2.94]

3.2 Routine BF education + formal BF education versus routine BF education

1

1249

Risk Ratio (M‐H, Fixed, 95% CI)

0.97 [0.79, 1.19]

4 Exclusive breastfeeding at three months Show forest plot

1

Risk Ratio (M‐H, Fixed, 95% CI)

Subtotals only

4.1 LC + BF booklet versus BF booklet

1

698

Risk Ratio (M‐H, Fixed, 95% CI)

0.85 [0.68, 1.08]

5 Duration of any breastfeeding Show forest plot

1

Mean Difference (IV, Fixed, 95% CI)

Subtotals only

5.1 BF education discussion + baby quarantine versus BF handout

1

16

Mean Difference (IV, Fixed, 95% CI)

14.20 [‐2.97, 31.37]

5.2 BF education discussion+ baby quarantine versus BF education discussion

1

18

Mean Difference (IV, Fixed, 95% CI)

8.0 [‐6.84, 22.84]

6 Mastitis Show forest plot

1

Risk Ratio (M‐H, Fixed, 95% CI)

Subtotals only

6.1 Formal BF education + LC versus routine BF education

1

70

Risk Ratio (M‐H, Fixed, 95% CI)

0.2 [0.01, 4.02]

7 Breastfeeding complication (nipple pain) Show forest plot

1

Mean Difference (IV, Fixed, 95% CI)

Subtotals only

7.1 Formal BF education + LC versus routine BF education

1

70

Mean Difference (IV, Fixed, 95% CI)

‐19.8 [‐23.23, ‐16.37]

8 Breastfeeding complication (nipple trauma) Show forest plot

1

70

Mean Difference (IV, Fixed, 95% CI)

38.65 [32.95, 44.35]

8.1 Formal BF education + LC versus routine BF education

1

70

Mean Difference (IV, Fixed, 95% CI)

38.65 [32.95, 44.35]
Figuras y tablas -
Comparison 3. Multiple BF educational interventions versus a single BF educational interventions
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Comparison 4. Different combinations of multiple methods of providing education

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Exclusive breastfeeding at three months Show forest plot

1

Risk Ratio (M‐H, Fixed, 95% CI)

Subtotals only

1.1 BF booklet + video + LC versus BF booklet + video

1

150

Risk Ratio (M‐H, Fixed, 95% CI)

1.29 [0.80, 2.06]

2 Exclusive breastfeeding at six months Show forest plot

1

Risk Ratio (M‐H, Fixed, 95% CI)

Subtotals only

2.1 BF booklet + video + LC versus BF booklet + video

1

169

Risk Ratio (M‐H, Fixed, 95% CI)

2.23 [1.01, 4.92]
Figuras y tablas -
Comparison 4. Different combinations of multiple methods of providing education
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Comparison 5. Multiple interventions versus no formal BF education

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Exclusive breastfeeding at three months Show forest plot

1

Risk Ratio (M‐H, Fixed, 95% CI)

Subtotals only

1.1 BF booklet + video + LC versus no formal BF education

1

159

Risk Ratio (M‐H, Fixed, 95% CI)

2.02 [1.16, 3.49]

2 Exclusive breastfeeding at six months Show forest plot

1

Risk Ratio (M‐H, Fixed, 95% CI)

Subtotals only

2.1 BF booklet + video + LC versus no formal BF education

1

175

Risk Ratio (M‐H, Fixed, 95% CI)

2.11 [0.99, 4.52]
Figuras y tablas -
Comparison 5. Multiple interventions versus no formal BF education
Ir a la tabla de la revisión