Summary of findings for the main comparison. Comparison between rooming‐in versus separate care for new mother and infant for increasing the duration of breastfeeding.
| Comparison between rooming‐in versus separate care for new mother and infant for increasing the duration of breastfeeding | ||||||
|
Patient or population: 176 healthy mother‐infant dyads after normal spontaneous vaginal delivery (rooming‐in: 132, separate care: 44) Settings: 1 maternity home in St Petersburg, Russia Intervention: rooming‐in Comparison: separate care | ||||||
| Outcomes | Illustrative comparative risks* (95% CI) | Relative effect (95% CI) | No of Participants (studies) | Quality of the evidence (GRADE) | Comments | |
| Assumed risk | Corresponding risk | |||||
| Control | Comparison between rooming‐in versus separate care | |||||
| Duration of any breastfeeding | This outcome was reported as a median and could not be included in any analysis. | |||||
| Proportion of women exclusive breastfeeding at 6 months | The trial included in the review did not report this outcome. | |||||
| Proportion of women with any breastfeeding at 6 months (nearly exclusive breastfeeding) | Study population | RR 0.84 (0.51 to 1.39) | 137 (1 study) | ⊕⊕⊝⊝ low1,2 | Althought there was no blinding of the intervention and blinding of the outcome assessor is unclear, we did not downgrade for lack of blinding because we judged this to be an objective outcome not affected by blinding | |
| 406 per 1000 | 341 per 1000 (207 to 565) | |||||
| Frequency of breastfeeding per day | The mean frequency of breastfeeds per day on day 4 postpartum for the rooming‐in group was 8.3 (standard deviation (SD) 2.2), slightly higher than the separate care group, i.e. 7 times per day. However, analysis of this outcome was not possible since every infant in the separate care group was breastfed at a fixed schedule of 7 times per day (SD = 0) resulting in no estimable comparison. | |||||
| Exclusive breastfeeding at day 4 postpartum | Study population | RR 1.92 (1.34 to 2.76) | 153 (1 study) | ⊕⊕⊝⊝ low1,2 | Although there was no blinding of the intervention and blinding of the outcome assessor is unclear, we did not downgrade for lack of blinding because we judged this to be an objective outcome not affected by blinding | |
| 447 per 1000 | 859 per 1000 (599 to 1000) | |||||
| Maternal level of confidence in breastfeeding | The trial included in the review did not report this outcome. | |||||
| Neonatal infection | The trial included in the review did not report this outcome. | |||||
| *The basis for the assumed risk (e.g. the median control group risk across studies) is provided in footnotes. The corresponding risk (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; RR: Risk ratio. | ||||||
| GRADE Working Group grades of evidence High quality: Further research is very unlikely to change our confidence in the estimate of effect. Moderate quality: Further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate. Low quality: Further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate. Very low quality: We are very uncertain about the estimate. | ||||||
1 Downgraded one level for risk of bias concerns due to differences in care between the groups other than the intervention and differences in the reason for attrition 2 Downgraded one level because estimate based on one small trial