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The effect of rooming-in on duration of breastfeeding: A systematic review of randomised and non-randomised prospective controlled studies

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  • Chin Ang Ng
  • Jacqueline J Ho
  • Zcho Huey Lee

Abstract

Background: The benefits of six months exclusive breastfeeding are well established for both mother and infant. One of the 10 steps of the Baby Friendly Hospital Initiative is rooming-in (mother and baby together in the same room throughout hospitalisation). A Cochrane review found only one randomised controlled trial (RCT) examining the effects of continuous rooming-in versus nursery care on breastfeeding duration, and concluded there was insufficient evidence to support or refute either practice. We aimed to examine the effect of continuous or intermittent rooming-in on breastfeeding duration. Methods and findings: We included all prospective controlled studies (randomised and non-randomised) comparing rooming-in to nursery care that reported full or partial breastfeeding up to six months. We used the 2016 search results of the Cochrane review and updated the search to August 2018 using OVID MEDLINE. Duplicate data extraction and assessment of risk of bias were performed. Meta-analyses were performed using REVMAN 5. The GRADE approach was used to assess quality of evidence. Conclusion: The addition of non-randomised prospective controlled studies to existing evidence did not add further information on the effects of rooming-in on breastfeeding duration but resulted in lower quality of evidence. Uncertainty about the effects of rooming-in on breastfeeding duration remains.

Suggested Citation

  • Chin Ang Ng & Jacqueline J Ho & Zcho Huey Lee, 2019. "The effect of rooming-in on duration of breastfeeding: A systematic review of randomised and non-randomised prospective controlled studies," PLOS ONE, Public Library of Science, vol. 14(4), pages 1-16, April.
    • Handle: RePEc:plo:pone00:0215869
    DOI: 10.1371/journal.pone.0215869
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    Cited by:

    1. Rosalia Ragusa & Marina Marranzano & Valentina Lucia La Rosa & Gabriele Giorgianni & Elena Commodari & Rosalba Quattrocchi & Salvatore Cacciola & Vincenzo Guardabasso, 2021. "Factors Influencing Uptake of Breastfeeding: The Role of Early Promotion in the Maternity Hospital," IJERPH, MDPI, vol. 18(9), pages 1-13, April.
    2. Hsiao-Ling Wu & Der-Fa Lu & Pei-Kwei Tsay, 2022. "Rooming-In and Breastfeeding Duration in First-Time Mothers in a Modern Postpartum Care Center," IJERPH, MDPI, vol. 19(18), pages 1-9, September.
    3. Rosalia Ragusa & Gabriele Giorgianni & Marina Marranzano & Salvatore Cacciola & Valentina Lucia La Rosa & Alessandra Giarratana & Valentina Altadonna & Vincenzo Guardabasso, 2020. "Breastfeeding in Hospitals: Factors Influencing Maternal Choice in Italy," IJERPH, MDPI, vol. 17(10), pages 1-14, May.

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