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July 20, 2026Journal of Human Lactation

The Effectiveness of Midwife-Led and Nurse-Led Interventions on Breastfeeding Self-Efficacy and Exclusive Breastfeeding Rates: A Systematic Review and Meta-Analysis

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Authors

GAGloria AndersonJPJessica PreziosiGGGiorgia Gabrielli

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Overview

Systematic review evaluates nurse- and midwife-led interventions on breastfeeding outcomes, suggesting tailored support enhances success.

Key Points

  • Evaluate the efficacy of nurse- and midwife-led interventions on breastfeeding self-efficacy and exclusive breastfeeding rates.
  • Conducted a systematic review and meta-analysis per PRISMA guidelines.
  • Included randomized controlled trials of healthy pregnant or postpartum women comparing interventions with usual care.
  • Primary outcome was breastfeeding self-efficacy; secondary outcomes included exclusive breastfeeding rates.
  • Interventions significantly increased breastfeeding self-efficacy (SMD = 1.75; 95% CI [0.94; 2.56], p < 0.01), especially in the Middle East.
  • Improved exclusive breastfeeding rates at 4 weeks (RR = 1.22; 95% CI [1.04; 1.41], p = 0.48) and 12 weeks (RR = 1.61; 95% CI [1.25; 2.08], p = 0.05).
  • High heterogeneity observed across studies, affecting the certainty of pooled estimates.

Cite This Study

Anderson et al. (2026) studied this question.

synapsesocial.com/papers/6a5dbb058bd453d3397ac092https://doi.org/10.1177/08903344261451214
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