Please use this identifier to cite or link to this item: https://scholarbank.nus.edu.sg/handle/10635/153772
Title: EFFECT OF MUSIC-BASED INTERVENTIONS ON BREASTFEEDING OUTCOMES: A SYSTEMATIC REVIEW AND META-ANALYSIS
Authors: LEE CHING YEE, HANNAH
Keywords: postpartum women
infants
music-based intervention
breastfeeding
breastmilkvolume
sucking success
LATCH score
length of gavage feeding
Issue Date: 25-May-2019
Citation: LEE CHING YEE, HANNAH (2019-05-25). EFFECT OF MUSIC-BASED INTERVENTIONS ON BREASTFEEDING OUTCOMES: A SYSTEMATIC REVIEW AND META-ANALYSIS. ScholarBank@NUS Repository.
Abstract: Background Many mothers cease breastfeeding early for reasons like insufficient breastmilk. Music-based interventions can potentially address breastfeeding issues to promote long-term, exclusive breastfeeding. Objectives This review aimed to synthesise existing evidence and evaluate the effectiveness of music-based interventions in improving breastfeeding outcomes for postpartum women and infants. Methods PubMed, CINAHL, Scopus, Embase, PsycINFO, ProQuest, Cochrane Library and Web of Science were systematically searched for randomised controlled trials and clinical controlled trials from inception till 18 September 2018. The quality of evidence across studies was evaluated using the Cochrane Collaboration Risk of Bias Tool and Grading of Recommendations, Assessment, Development and Evaluations approach. Meta-analysis was conducted on Review Manager 5.3 with a random effects model. Intervention effectiveness was determined by effect size and heterogeneity was assessed using Cochran’s Q and I2 values. Results A total of 2313 records were identified. Four randomised controlled trials and four clinical controlled trials (in nine articles) were included, with a total of 854 participants. Music-based interventions had a large effect in increasing LATCH score. However, they were ineffective in increasing total and Day 1 breastmilk volumes, as well as reducing length of gavage feeding. The overall quality of evidence ranged from low to very low for risk of bias, small sample size and wide confidence interval, as well as unexplained heterogeneity. Conclusion Music-based interventions are a possible way to promote sucking success in infants. Implications Music-based interventions can be introduced to postpartum women as a breastfeeding promotion intervention to target latching and sucking problems in their infants. However, more high quality longitudinal randomised controlled trials with large sample sizes are needed to strengthen the evidence.
URI: https://scholarbank.nus.edu.sg/handle/10635/153772
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