Intimate partner violence and breastfeeding: a systematic review
Objective The association between intimate partner violence (IPV) and breastfeeding is unclear. We conducted a systematic review to summarise the evidence of breastfeeding outcomes following exposure to IPV.Design Systematic review.Methods We searched for published studies without study design or la...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2020-10-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/10/10/e034153.full |
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| author | Ditte Søndergaard Linde Vibeke Rasch Khalid Saeed Khan Anne Katrine Normann Aleksandra Bakiewicz Frederikke Kjerulff Madsen |
| author_facet | Ditte Søndergaard Linde Vibeke Rasch Khalid Saeed Khan Anne Katrine Normann Aleksandra Bakiewicz Frederikke Kjerulff Madsen |
| author_sort | Ditte Søndergaard Linde |
| collection | DOAJ |
| description | Objective The association between intimate partner violence (IPV) and breastfeeding is unclear. We conducted a systematic review to summarise the evidence of breastfeeding outcomes following exposure to IPV.Design Systematic review.Methods We searched for published studies without study design or language restrictions (up to July 2019) in the following databases: PubMed, Embase, SCOPUS and The Global Health Library. Studies assessing various breastfeeding outcomes (initiation, duration and exclusive breastfeeding) in women exposed to IPV in any form (physical, psychological or sexual) and at any stage (1 year pre-pregnancy, during or post-pregnancy) were included. Two authors independently selected the studies and conducted the quality appraisal by use of the Newcastle–Ottawa Scale. Results were summarised taking precision and quality into account.Results A total of 16 studies (participants n=414 393) were included and they adjusted for a total of 48 different confounders. The majority of studies were cross-sectional (n=11) and most studies were judged to be fair/low quality. Four out of seven studies found that IPV exposure shortened breastfeeding duration (adjusted ORs/aORs=0.22 (95% CI: 0.05–0.85), 1.18 (95% CI: 1.01–1.37), 5.92 (95% CI: 1.72–27.98), 1.28 (95% CI: 1.18–1.39)). Further, 5/10 studies found that IPV led to early termination of exclusive breastfeeding (aORs=1.53 (95% CI: 1.01–23.1), 0.83 (95% CI: 0.71–0.96), 1.35 (95% CI: 1.07–1.71), 0.17 (95% CI: 0.07–0.4), 1839 (95% CI: 1.61–2911)) and 2/6 studies found that IPV significantly reduced breastfeeding initiation (aORs=2.00 (95% CI: 1.2–3.3), 0.81 (95% CI: 0.7–0.93)).Conclusion IPV exposure appears to associate negatively with some breastfeeding outcomes. Individual patient data meta-analysis is required to quantify the magnitude of the association for specific IPV-outcome combinations. More high-quality studies and definition of core confounders are warranted.PROSPERO registration number CRD42019129353. |
| format | Article |
| id | doaj-art-290ecdc1c13d4a30b67a2ea4f1776f74 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2020-10-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-290ecdc1c13d4a30b67a2ea4f1776f742024-11-17T02:35:07ZengBMJ Publishing GroupBMJ Open2044-60552020-10-01101010.1136/bmjopen-2019-034153Intimate partner violence and breastfeeding: a systematic reviewDitte Søndergaard Linde0Vibeke Rasch1Khalid Saeed Khan2Anne Katrine Normann3Aleksandra Bakiewicz4Frederikke Kjerulff Madsen5Department of Gynecology and Obstetrics, Odense University Hospital, Odense, Syddanmark, DenmarkDepartment of Gynaecology and Obstetrics, Odense Universitets hospital, Odense, DenmarkPreventive Medicine and Public Health, University of Granada Faculty of Medicine, Granada, Andalucía, SpainDeparment of Obstetrics and Gynecology, Odense University Hospital, Odense, DenmarkDepartment of Clinical Research, University of Southern Denmark, Odense, DenmarkDepartment of Clinical Research, University of Southern Denmark, Odense, DenmarkObjective The association between intimate partner violence (IPV) and breastfeeding is unclear. We conducted a systematic review to summarise the evidence of breastfeeding outcomes following exposure to IPV.Design Systematic review.Methods We searched for published studies without study design or language restrictions (up to July 2019) in the following databases: PubMed, Embase, SCOPUS and The Global Health Library. Studies assessing various breastfeeding outcomes (initiation, duration and exclusive breastfeeding) in women exposed to IPV in any form (physical, psychological or sexual) and at any stage (1 year pre-pregnancy, during or post-pregnancy) were included. Two authors independently selected the studies and conducted the quality appraisal by use of the Newcastle–Ottawa Scale. Results were summarised taking precision and quality into account.Results A total of 16 studies (participants n=414 393) were included and they adjusted for a total of 48 different confounders. The majority of studies were cross-sectional (n=11) and most studies were judged to be fair/low quality. Four out of seven studies found that IPV exposure shortened breastfeeding duration (adjusted ORs/aORs=0.22 (95% CI: 0.05–0.85), 1.18 (95% CI: 1.01–1.37), 5.92 (95% CI: 1.72–27.98), 1.28 (95% CI: 1.18–1.39)). Further, 5/10 studies found that IPV led to early termination of exclusive breastfeeding (aORs=1.53 (95% CI: 1.01–23.1), 0.83 (95% CI: 0.71–0.96), 1.35 (95% CI: 1.07–1.71), 0.17 (95% CI: 0.07–0.4), 1839 (95% CI: 1.61–2911)) and 2/6 studies found that IPV significantly reduced breastfeeding initiation (aORs=2.00 (95% CI: 1.2–3.3), 0.81 (95% CI: 0.7–0.93)).Conclusion IPV exposure appears to associate negatively with some breastfeeding outcomes. Individual patient data meta-analysis is required to quantify the magnitude of the association for specific IPV-outcome combinations. More high-quality studies and definition of core confounders are warranted.PROSPERO registration number CRD42019129353.https://bmjopen.bmj.com/content/10/10/e034153.full |
| spellingShingle | Ditte Søndergaard Linde Vibeke Rasch Khalid Saeed Khan Anne Katrine Normann Aleksandra Bakiewicz Frederikke Kjerulff Madsen Intimate partner violence and breastfeeding: a systematic review BMJ Open |
| title | Intimate partner violence and breastfeeding: a systematic review |
| title_full | Intimate partner violence and breastfeeding: a systematic review |
| title_fullStr | Intimate partner violence and breastfeeding: a systematic review |
| title_full_unstemmed | Intimate partner violence and breastfeeding: a systematic review |
| title_short | Intimate partner violence and breastfeeding: a systematic review |
| title_sort | intimate partner violence and breastfeeding a systematic review |
| url | https://bmjopen.bmj.com/content/10/10/e034153.full |
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