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            "title": "Contradictions and conflict: a meta-ethnographic study of migrant women's experiences of breastfeeding in a new country",
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                    "lastName": "Schmied"
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            "abstractNote": "BACKGROUND: Studies report mixed findings about rates of both exclusive and partial breastfeeding amongst women who are migrants or refugees in high income countries. It is important to understand the beliefs and experiences that impact on migrant and refugee women's infant feeding decisions in order to appropriately support women to breastfeed in a new country. The aim of this paper is to report the findings of a meta-ethnographic study that explored migrant and refugee women's experiences and practices related to breastfeeding in a new country.\nMETHODS: CINAHL, MEDLINE, PubMed, SCOPUS and the Cochrane Library with Full Text databases were searched for the period January 2000 to May 2012. Out of 2355 papers retrieved 11 met the inclusion criteria. A meta-ethnographic synthesis was undertaken using the analytic strategies and theme synthesis techniques of reciprocal translation and refutational investigation. Quality appraisal was undertaken using the Critical Appraisal Skills Programme (CASP) tool.\nRESULTS: Eight qualitative studies and three studies reporting both qualitative and quantitative data were included and one overarching theme emerged: 'Breastfeeding in a new country: facing contradictions and conflict'. This theme comprised four sub-themes 'Mother's milk is best'; 'Contradictions and conflict in breastfeeding practices'; 'Producing breast milk requires energy and good health'; and 'The dominant role of female relatives'. Migrant women who valued, but did not have access to, traditional postpartum practices, were more likely to cease breastfeeding. Women reported a clash between their individual beliefs and practices and the dominant practices in the new country, and also a tension with family members either in the country of origin or in the new country.\nCONCLUSION: Migrant women experience tensions in their breastfeeding experience and require support from professionals who can sensitively address their individual needs. Strategies to engage grandmothers in educational opportunities may offer a novel approach to breastfeeding support.",
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                    "lastName": "Dyson"
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            "abstractNote": "BACKGROUND: Despite the widely documented health benefits of breastfeeding, initiation rates remain relatively low in many high-income countries, particularly among women in lower income groups.\nOBJECTIVES: To evaluate the effectiveness of interventions which aim to encourage women to breastfeed in terms of changes in the number of women who start to breastfeed.\nSEARCH STRATEGY: We searched the Cochrane Pregnancy and Childbirth Group trials register (30 May 2004), the Cochrane Central Register of Controlled Trials (The Cochrane Library, Issue 1, 2003) and the following databases from inception to October 2002: MEDLINE, CINAHL, ERIC, Applied Social Sciences, PsychLIT, EMBASE, British Nursing Index, BIDS, EPI-centre. We also searched the following in October 2002 for 'grey literature: 'SIGLE, DHSS Data, and Dissertation Abstracts. We handsearched the Journal of Human Lactation, Health Promotion International and Health Education Quarterly from inception to October 1998. We scanned reference lists of all articles obtained.\nSELECTION CRITERIA: Randomised controlled trials, with or without blinding, of any breastfeeding promotion intervention in any population group except women and infants with a specific health problem.\nDATA COLLECTION AND ANALYSIS: One review author independently extracted data and assessed trial quality for checking by a second author. We contacted investigators to obtain missing information.\nMAIN RESULTS: Seven trials involving 1388 women were included. Five trials involving 582 women on low incomes in the USA showed breastfeeding education had a significant effect on increasing initiation rates compared to routine care (relative risk (RR) 1.53, 95% confidence interval (CI) 1.25 to 1.88).\nAUTHORS' CONCLUSIONS: Evidence from this review shows that the forms of breastfeeding education evaluated were effective at increasing breastfeeding initiation rates among women on low incomes in the USA.",
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            "creatorSummary": "Schmied et al.",
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            "version": 2,
            "itemType": "journalArticle",
            "title": "Women's perceptions and experiences of breastfeeding support: a metasynthesis",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "Virginia",
                    "lastName": "Schmied"
                },
                {
                    "creatorType": "author",
                    "firstName": "Sarah",
                    "lastName": "Beake"
                },
                {
                    "creatorType": "author",
                    "firstName": "Athena",
                    "lastName": "Sheehan"
                },
                {
                    "creatorType": "author",
                    "firstName": "Christine",
                    "lastName": "McCourt"
                },
                {
                    "creatorType": "author",
                    "firstName": "Fiona",
                    "lastName": "Dykes"
                }
            ],
            "abstractNote": "BACKGROUND: Both peer and professional support have been identified as important to the success of breastfeeding. The aim of this metasynthesis was to examine women's perceptions and experiences of breastfeeding support, either professional or peer, to illuminate the components of support that they deemed \"supportive.\"\nMETHODS: The metasynthesis included studies of both formal or \"created\" peer and professional support for breastfeeding women but excluded studies of family or informal support. Qualitative studies were included as well as large-scale surveys if they reported the analysis of qualitative data gathered through open-ended responses. Primiparas and multiparas who initiated breastfeeding were included. Studies published in English, in peer-reviewed journals, and undertaken between January 1990 and December 2007 were included. After assessment for relevance and quality, 31 studies were included. Meta-ethnographic methods were used to identify categories and themes.\nRESULTS: The metasynthesis resulted in four categories comprising 20 themes. The synthesis indicated that support for breastfeeding occurred along a continuum from authentic presence at one end, perceived as effective support, to disconnected encounters at the other, perceived as ineffective or even discouraging and counterproductive. A facilitative approach versus a reductionist approach was identified as contrasting styles of support that women experienced as helpful or unhelpful.\nCONCLUSIONS: The findings emphasize the importance of person-centered communication skills and of relationships in supporting a woman to breastfeed. Organizational systems and services that facilitate continuity of caregiver, for example continuity of midwifery care or peer support models, are more likely to facilitate an authentic presence, involving supportive care and a trusting relationship with professionals.",
            "publicationTitle": "Birth (Berkeley, Calif.)",
            "publisher": "",
            "place": "",
            "date": "Mar 2011",
            "volume": "38",
            "issue": "1",
            "section": "",
            "partNumber": "",
            "partTitle": "",
            "pages": "49-60",
            "series": "",
            "seriesTitle": "",
            "seriesText": "",
            "journalAbbreviation": "Birth",
            "DOI": "10.1111/j.1523-536X.2010.00446.x",
            "citationKey": "",
            "url": "",
            "accessDate": "",
            "PMID": "",
            "PMCID": "",
            "ISSN": "1523-536X",
            "archive": "",
            "archiveLocation": "",
            "shortTitle": "Women's perceptions and experiences of breastfeeding support",
            "language": "eng",
            "libraryCatalog": "PubMed",
            "callNumber": "",
            "rights": "",
            "extra": "PMID: 21332775",
            "tags": [
                {
                    "tag": "Adult",
                    "type": 1
                },
                {
                    "tag": "Breast Feeding",
                    "type": 1
                },
                {
                    "tag": "Communication",
                    "type": 1
                },
                {
                    "tag": "Female",
                    "type": 1
                },
                {
                    "tag": "Health Education",
                    "type": 1
                },
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                    "tag": "Health Personnel",
                    "type": 1
                },
                {
                    "tag": "Humans",
                    "type": 1
                },
                {
                    "tag": "Infant, Newborn",
                    "type": 1
                },
                {
                    "tag": "Mothers",
                    "type": 1
                },
                {
                    "tag": "Patient Satisfaction",
                    "type": 1
                },
                {
                    "tag": "Peer Group",
                    "type": 1
                },
                {
                    "tag": "Postnatal Care",
                    "type": 1
                },
                {
                    "tag": "Professional-Patient Relations",
                    "type": 1
                },
                {
                    "tag": "Self-Help Groups",
                    "type": 1
                },
                {
                    "tag": "Social Support",
                    "type": 1
                },
                {
                    "tag": "Young Adult",
                    "type": 1
                }
            ],
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            "dateAdded": "2015-04-12T18:36:02Z",
            "dateModified": "2015-04-12T18:36:02Z"
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            "creatorSummary": "Sudfeld et al.",
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            "version": 2,
            "itemType": "journalArticle",
            "title": "Peer support and exclusive breastfeeding duration in low and middle-income countries: a systematic review and meta-analysis",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "Christopher R.",
                    "lastName": "Sudfeld"
                },
                {
                    "creatorType": "author",
                    "firstName": "Wafaie W.",
                    "lastName": "Fawzi"
                },
                {
                    "creatorType": "author",
                    "firstName": "Chandrakant",
                    "lastName": "Lahariya"
                }
            ],
            "abstractNote": "OBJECTIVE: To examine the effect of peer support on duration of exclusive breastfeeding (EBF) in low and middle-income countries (LMICs).\nDATA SOURCES: Medline, EMBASE, and Cochrane Central Register for Controlled Trials were searched from inception to April 2012.\nMETHODS: Two authors independently searched, reviewed, and assessed the quality of randomized controlled trials utilizing peer support in LMICs. Meta-analysis and metaregression techniques were used to produce pooled relative risks and investigate sources of heterogeneity in the estimates.\nRESULTS: Eleven randomized controlled trials conducted at 13 study sites met the inclusion criteria for systematic review. We noted significant differences in study populations, peer counselor training methods, peer visit schedule, and outcome ascertainment methods. Peer support significantly decreased the risk of discontinuing EBF as compared to control (RR: 0.71; 95% CI: 0.61-0.82; I(2) =92%). The effect of peer support was significantly reduced in settings with >10% community prevalence of formula feeding as compared to settings with <10% prevalence (p=0.048). There was no evidence of effect modification by inclusion of low birth weight infants (p=0.367) and no difference in the effect of peer support on EBF at 4 versus 6 months postpartum (p=0.398).\nCONCLUSIONS: Peer support increases the duration of EBF in LMICs; however, the effect appears to be reduced in formula feeding cultures. Future studies are needed to determine the optimal timing of peer visits, how to best integrate peer support into packaged intervention strategies, and the effectiveness of supplemental interventions to peer support in formula feeding cultures.",
            "publicationTitle": "PloS One",
            "publisher": "",
            "place": "",
            "date": "2012",
            "volume": "7",
            "issue": "9",
            "section": "",
            "partNumber": "",
            "partTitle": "",
            "pages": "e45143",
            "series": "",
            "seriesTitle": "",
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            "DOI": "10.1371/journal.pone.0045143",
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            "PMCID": "",
            "ISSN": "1932-6203",
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            "shortTitle": "Peer support and exclusive breastfeeding duration in low and middle-income countries",
            "language": "eng",
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            "callNumber": "",
            "rights": "",
            "extra": "PMID: 23028810\nPMCID: PMC3445598",
            "tags": [
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                    "tag": "Breast Feeding",
                    "type": 1
                },
                {
                    "tag": "Confidence Intervals",
                    "type": 1
                },
                {
                    "tag": "Developing Countries",
                    "type": 1
                },
                {
                    "tag": "Female",
                    "type": 1
                },
                {
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                    "type": 1
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                {
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                    "type": 1
                },
                {
                    "tag": "Multivariate Analysis",
                    "type": 1
                },
                {
                    "tag": "Peer Group",
                    "type": 1
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                {
                    "tag": "Randomized Controlled Trials as Topic",
                    "type": 1
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                {
                    "tag": "Regression Analysis",
                    "type": 1
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                    "tag": "Time Factors",
                    "type": 1
                }
            ],
            "collections": [],
            "relations": {},
            "dateAdded": "2015-04-12T18:36:02Z",
            "dateModified": "2015-04-12T18:36:02Z"
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            },
            "creatorSummary": "de Sousa et al.",
            "parsedDate": "2013-08",
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            "itemType": "journalArticle",
            "title": "[Family practices related to breast-feeding maintenance: literature review and meta-synthesis]",
            "creators": [
                {
                    "creatorType": "author",
                    "firstName": "Alder Mourão",
                    "lastName": "de Sousa"
                },
                {
                    "creatorType": "author",
                    "firstName": "Lislaine Aparecida",
                    "lastName": "Fracolli"
                },
                {
                    "creatorType": "author",
                    "firstName": "Elma Lourdes Campos Pavone",
                    "lastName": "Zoboli"
                }
            ],
            "abstractNote": "OBJECTIVE: To identify and summarize family practices related to the maintenance of breast-feeding.\nMETHODS: We conducted a literature review and meta-synthesis of the findings of selected articles. Fourteen articles published in English, Portuguese, and Spanish between 1989 and 2009 were selected.\nRESULTS: The synthesis revealed five categories concerning family practices related to the maintenance of breast-feeding: 1) emotional support, which involves welcoming the mother and the baby, valuing and encouraging breast-feeding, and emphasizing the value of breast-feeding; 2) instrumental support, which covers attending prenatal consultations and home visits, participating in baby care, and providing help in everyday tasks beyond the first few weeks postpartum; 3) informational support, which involves stating the wish to be involved in breast-feeding and encouraging the mother, but not forcing her to share experiences; 4) presence support, which involves being close to the mother and taking the time to listen to her; and 5) self-support, which involves maintaining positive expectations about breast-feeding.\nCONCLUSIONS: The results show that practices defined as support contribute to the maintenance of breast-feeding for longer periods. These findings underscore the need for expansion of the care provided to women, children, and families to include issues related to interpersonal interactions.",
            "publicationTitle": "Revista Panamericana De Salud Pública = Pan American Journal of Public Health",
            "publisher": "",
            "place": "",
            "date": "Aug 2013",
            "volume": "34",
            "issue": "2",
            "section": "",
            "partNumber": "",
            "partTitle": "",
            "pages": "127-134",
            "series": "",
            "seriesTitle": "",
            "seriesText": "",
            "journalAbbreviation": "Rev. Panam. Salud Publica",
            "DOI": "",
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            "url": "",
            "accessDate": "",
            "PMID": "",
            "PMCID": "",
            "ISSN": "1680-5348",
            "archive": "",
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            "shortTitle": "[Family practices related to breast-feeding maintenance",
            "language": "por",
            "libraryCatalog": "PubMed",
            "callNumber": "",
            "rights": "",
            "extra": "PMID: 24096978",
            "tags": [
                {
                    "tag": "Attitude to Health",
                    "type": 1
                },
                {
                    "tag": "Breast Feeding",
                    "type": 1
                },
                {
                    "tag": "Family",
                    "type": 1
                },
                {
                    "tag": "Family Relations",
                    "type": 1
                },
                {
                    "tag": "Female",
                    "type": 1
                },
                {
                    "tag": "Health Promotion",
                    "type": 1
                },
                {
                    "tag": "Humans",
                    "type": 1
                },
                {
                    "tag": "Infant Care",
                    "type": 1
                },
                {
                    "tag": "Infant, Newborn",
                    "type": 1
                },
                {
                    "tag": "Mother-Child Relations",
                    "type": 1
                },
                {
                    "tag": "Mothers",
                    "type": 1
                },
                {
                    "tag": "Pregnancy",
                    "type": 1
                },
                {
                    "tag": "Prenatal Care",
                    "type": 1
                },
                {
                    "tag": "Social Support",
                    "type": 1
                },
                {
                    "tag": "Social Values",
                    "type": 1
                }
            ],
            "collections": [],
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            "dateAdded": "2015-04-12T18:36:02Z",
            "dateModified": "2015-04-12T18:36:02Z"
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