1. Systematic Review Proposal
Increasing Breastfeeding Duration with
Nursing Interventions
in the
Early Postpartum Period
Andrea Eden Shingleton, RN, BSN

2. Statement of the Problem
Nationally
Association of Women’s Health, Obstetrics and Neonatal Nurses
American Academy of Pediatrics
Center for Disease Control and Prevention
U.S Department of Health and Human Services
Healthy People 2020 goals
Globally
World Health Organization and UNICEF
Baby-Friendly Hospital Initiative
Ten Steps to Successful Breastfeeding

3. Public Health and Breastfeeding
Reference: Bartlick, M.(2015).Is Breastfeeding already saving lives?

4. Purpose Based on research Evaluate all potential interventions
Find the most effective interventions
Assist in the development of standards of practice

5. Significance Existing research Positive social change
Hospital practices and polices
Nursing practice
Build ownership
Positive social change
Empower Nurses
Endorse a healthy behavior

6. Research Questions and/or Hypothesis
What nursing interventions
in the early postpartum period
are associated with
increased duration of breastfeeding
for healthy full-term infants?
Null hypothesis:
Nursing interventions have no association
with breastfeeding duration.

7. Research Methodology Systematic Review
Inclusion and Exclusion criteria
Quantitative studies
Odds Ratios for each intervention
Inclusion Criteria
Exclusion Criteria
Breastfeeding
Peer-reviewed
Breastfeeding promotion
Published articles
Breastfeeding duration
Developing countries
Infant feeding
Healthy full-term newborns
Hospital practices
Early postpartum period
Baby Friendly Hospital Initiative
Nursing practices
Ten Steps of Breastfeeding Success
English
Prior to 1998

8. References
American Academy of Pediatrics. (2012). Executive summary: Breastfeeding and the use of human milk. Retrieved on May 26, 2016, from Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN). (2014). Breastfeeding position statement. JOGNN, 44, doi: / Baby Friendly USA. (2016). Find facilities. Retrieved on May 26, 2016, from Bartlick,M., Stuebe, A., Shealy, K., Walker, M. & Grummer-Strawn, L. (2009).Closing the quality gap: Promoting evidence-based breastfeeding care in the hospital. Pediatrics, 124 (4), e793-e802. Boland, A., Cherry, G., & Dickson, R. (2014). Doing a systematic review: A student's guide. SAGE Publications. Kindle Edition. Centers for Disease Control and Prevention. (2008). Breastfeeding-related maternity practices at hospitals and birth centers: United States, MMWR Morb Mortal Wkly Rep, 57(23), 621– 625. Centers for Disease Control and Prevention. (2011). Vital signs: Breastfeeding. Retrieved on June 3, 2016, from Centers for Disease Control and Prevention. (2013). Strategies to Prevent Obesity and Other Chronic Diseases: The CDC Guide to Strategies to Support Breastfeeding Mothers and Babies. Atlanta: U.S. Department of Health and Human Services. Center for Disease Control and Prevention. (2014).Birth data. Retrieved on June 5, 2016, from Declerq, E., Labbok,M., Sakala, C., & O’Hara, M. (2009). Hospital practices and women's likelihood of fulfilling their intention to exclusively breastfeed. Amer J of Pub Health, 99(5), Dulon, M., Kersting, M., & Bender, R. (2003). Breastfeeding promotion in non-UNICEF-certified hospitals and long-term breastfeeding success in Germany. Acta Pædiatrica, 92, doi / Eidelman, A. & Schanler, R. (2012). Breastfeeding and the use of human milk. Pediatrics, 129 (3), doi: /peds Ip, S., Chung, M. R., Chew, P., Magula, N., DeVine, D., & Trikalinos, T. (2007). Breastfeeding and maternal and infant health outcomes in developing counties. Agency for Healthcare Research and Quality. Rockville, MD: U.S. Dept of Health and Human Services. United Nations International Children’s Emergency Fund (2015). Breastfeeding. Retrieved on May 26, 2016, from U.S. Dept of Health and Human Services. (2010). Healthy People Washington, D.C.: Office of Disease Pevention and Health Promotion. World Health Organization. (2016). Baby-Friendly Hospital Initiative. Retrieved May 26, 2016, from