http://hdl.handle.net/10147/141041 Sat, 18 May 2013 19:03:27 GMT 2013-05-18T19:03:27Z http://www.lenus.ie:80/hse/retrieve/309000/indi_logo.gif http://hdl.handle.net/10147/141041 http://hdl.handle.net/10147/141108 Title: Methods of milk expression for lactating women, a Cochrane systematic review Authors: Becker, Genevieve E; McCormick, Felicia; Renfrew, Mary J Description: Aim: To assess acceptability, effectiveness, safety, milk composition, contamination and costs of methods. Search and review methodology: Trials were sought via databases, publications, personal communication with researchers and with equipment manufacturers. Data extraction, quality assessment and analysis were done by at least two members of the team. Findings: Twelve studies, between 1985 and 2007, met the inclusion criteria of which six (397 mothers) provided data for analyses. These related to infants in neonatal units in the USA, UK, Malaysia, Kenya and Nigeria. A greater total volume of milk in six days after birth was obtained using the electric or foot powered pump tested compared to hand expression, though differences may not be clinically significant. Simultaneous pumping took less time than sequential pumping, though the volume obtained was similar. A relaxation tape appeared to result in a greater volume at one expression. No evidence of difference was found for milk contamination, fat content, breastfeeding at discharge, or prolactin by method. Maternal satisfaction, adverse effects on mothers and economic effects were poorly reported. Conclusions and Implications: The available evidence does not address most questions that mothers who are expressing milk would ask. The studies were few, with small samples sizes and with large standard deviations. The results may not apply to pumps other than the brand tested and in the specific setting. Independently funded research is needed, particularly to include methods that do not have a commercial potential. This review may help to inform practice and thus assist mothers to choose a method of milk expression, if one is needed. Tue, 01 Jan 2008 00:00:00 GMT http://hdl.handle.net/10147/141108 2008-01-01T00:00:00Z