Critique of Systematic Review

1360 Words Jul 29th, 2014 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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This previous review only discussed exclusive breastfeeding. In this review the authors also included the results of the interventions resulting in predominant, partial, and no breastfeeding. The included studies were evaluated for quality according to the Child Health Epidemiology Reference Group (CHERG) adaptation of Grading of Recommendation, Assessments, Development and Education (GRADE) criteria. The following databases were searched for published literature, PubMed, Medline, Cochrane Library, EMBASE and WHO. These databases were searched for files that discuss the effects of interventions to promote breastfeeding rates: exclusive, predominant, partial, or no breastfeeding. No language or date restrictions were imposed. These search criteria and database searches gave a variety of article while concentrating on the research question.
Two authors independently evaluated each article for relevant using a predefined set of criteria. Inclusion and exclusion criteria were specified and were appropriate for the review. The researchers were concerned with the effect education and support for the mothers had on the exclusive breastfeeding rates of healthy newborns. Inclusion criteria included randomized controlled trials (RCT) or quasi-experimental trails. The types of articles included are those that discussed interventions through education or support given to the mother prenatal/postnatal, or a combination. All delivery types were included. For
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