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Summary of Systematic Review

Avoidance of Bottles During the Establishment of Breast Feeds in Preterm Infants
Collins, C. T., Makrides, M., et al. (2008).
Cochrane Database of Systematic Reviews (4).

This review meets the criteria for a high-quality evidence-based systematic review.

Indicators of Review Quality:

The review states a clearly focused question or aim Yes*
Criteria for inclusion of studies are provided Yes
Search strategy is described in sufficient detail for replication Yes
Included studies are assessed for study quality Yes
Quality assessments are reproducible Yes
Characteristics of the included studies are provided Yes

*Question not specifically stated, but population, intervention, comparison, and outcome are specified.

This is a systematic review of randomized or quasi-randomized controlled trials evaluating the impact of avoiding bottles during the establishment of breastfeeding in preterm infants.

Question(s)/Aim(s) Addressed:
Question not specifically stated.

Preterm infants born less than 37 weeks gestation.

Breastfeeding with avoidance of bottles.

Number of Studies Included:

Years Included:
Through July 2008


  • Treatment

    • Equipment/Utensils

      • “There is evidence of benefit of supplementing breast feeds with cup feeding on breastfeeding rates at discharge; however, this is not sustained beyond discharge and increases length of hospital stay considerably. There is insufficient evidence on which to base recommendations for supplementing breast feeds with a tube alone strategy” (p. 10).

Sponsoring Body:
Women's and Children's Health Research Institute, Adelaide; Children Youth and Women's Health Service, North Adelaide; University of Adelaide; National Health and Medical Research Council (Australia)

Swallowing Disorders

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