@misc{10481/66685,
year = {2020},
month = {9},
url = {http://hdl.handle.net/10481/66685},
abstract = {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},
organization = {Department of Clinical Research, University of Southern Denmark (SDU)},
organization = {Odense University Hospital (OUH)},
organization = {Spanish Ministry of Science, Innovation and Universities},
publisher = {Bmj Publishing Group},
title = {Intimate partner violence and breastfeeding: a systematic review},
doi = {10.1136/bmjopen-2019-034153},
author = {Katrine Normann, Anne and Saeed Khan, Khalid},
}