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Review
. 2016 Jul;12(3):381-401.
doi: 10.1111/mcn.12202. Epub 2015 Jul 21.

Efficacy of e-technologies in improving breastfeeding outcomes among perinatal women: a meta-analysis

Ying Lau  1 , Tha P Htun  1 , Wai S W Tam  1 , Piyanee Klainin-Yobas  1
Affiliations
Review

Efficacy of e-technologies in improving breastfeeding outcomes among perinatal women: a meta-analysis

Ying Lau et al. Matern Child Nutr. 2016 Jul.

Abstract

A growing line of research has highlighted that e-technologies may play a promising role in improving breastfeeding outcomes. The objective of this review was to synthesise the best of available evidence by conducting a meta-analysis to evaluate whether e-technologies have had any effect in improving breastfeeding outcomes among perinatal women. The review was conducted using nine electronic databases to search for English-language research studies from 2007 to 2014. A 'risk of bias' table was used to assess methodological quality. Meta-analysis was performed with the RevMan software. The Q test and I(2) test was used to assess the heterogeneity. The test of overall effect was assessed using z-statistics at P < 0.05. Of 1842 studies identified through electronic searches and reference lists, 16 experimental studies were selected after applying the inclusion and exclusion criteria. Half of the selected studies had a low risk of bias, from which a total of 5505 women in six countries in these studies were included. Meta-analyses revealed that e-technologies significantly improved exclusive breastfeeding initiation (z = 6.90, P < 0.00001), exclusive breastfeeding at 4 weeks (z = 2.12, P = 0.03) and 6 months (z = 3.2, P = 0.001), breastfeeding attitude (z = 3.01, P = 0.003) and breastfeeding knowledge (z = 4.54, P = < 0.00001) in subgroup analyses. This review provides support for the development of web-based, texting messaging, compact disc read-only memory, electronic prompts and interactive computer agent interventions for promoting and supporting breastfeeding.

Keywords: breastfeeding; e-technology; meta-analysis; perinatal women.

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Conflict of interest statement

The authors declare that they have no conflicts of interest.

Figures

Figure 1
Figure 1
PRISMA flow chart of selection procedure.
Figure 2
Figure 2
Risk of bias summary.
Figure 3
Figure 3
Risk of bias graph.
Figure 4
Figure 4
Efficacy of e‐technologies on exclusive BF initiation.
Figure 5
Figure 5
Efficacy of e‐technologies on exclusive BF duration.
Figure 6
Figure 6
Efficacy of e‐technologies on BF attitude, BF awareness, BF knowledge and BF confidence scores.
See this image and copyright information in PMC

References

    1. Adolfsson A. & Jansson M. (2012) Prototype for Internet support of pregnant women and mothers with type 1 diabetes: focus group testing. Psychology Research and Behavior Management 5, 97–103. - PMC - PubMed
    1. Bensley R.J., Hovis A., Horton K.D., Loyo J.J., Bensley K.M., Phillips D. et al (2014) Accessibility and preferred use of online Web applications among WIC participants with Internet access. Journal of Nutrition Education and Behavior 46, S87–S92. - PubMed
    1. Bert F., Gualano M.R., Brusaferro S., De Vito E., De Waure C., La Torre G. et al (2013) Pregnancy e‐health: a multicenter Italian cross‐sectional study on Internet use and decision‐making among pregnant women. Journal of Epidemiology and Community Health 67, 1013–1018. - PubMed
    1. Bonuck K., Stuebe A., Barnett J., Labbok M.H., Fletcher J. & Bernstein P.S. (2014) Effect of primary care intervention on breastfeeding duration and intensity. American Journal of Public Health 104 (Suppl. 1), S119–S127. - PMC - PubMed
    1. Bonuck K.A., Lischewski J. & Brittner M. (2009) Clinical translational research hits the road: RCT of breastfeeding promotion interventions in routine prenatal care. Contemporary Clinical Trials 30, 419–426. - PMC - PubMed