OBJECTIVE: To determine whether the use of sidecar cribs on the postnatal ward affects breastfeeding duration. DESIGN: A randomised non-blinded parallel trial comparing sidecar cribs with standalone cots. SETTING:Postnatal wards of the Royal Victoria Infirmary, Newcastle upon Tyne. PARTICIPANTS: 1204 pregnant women intending to breastfeed were recruited at 20 weeks' gestation and randomised at 34 weeks to use either a sidecar crib attached to their bed (n=601) or a standalone cot adjacent to their bed (n=603). MAIN OUTCOME MEASURES: Duration of any, and exclusive, breastfeeding up to 26 weeks obtained by telephone follow-up. RESULTS:334 mothers were withdrawn or lost to follow-up from the trial; infant feeding data were therefore obtained for 870 mothers (433 intervention; 437 controls). Using an intention-to-treat Cox regression analysis, no significant difference was found between the two groups for duration of any breastfeeding (sidecar crib vs cot, hazard ratio (HR) 0.96, 95% CI 0.79 to 1.18), or exclusive breastfeeding (HR 0.99, 95% CI 0.85 to 1.16) adjusting for maternal age, education, previous breastfeeding and delivery type. Bed sharing was not significantly more common in mothers randomised to sidecar cribs (67% vs 64%, adjusted difference 2.8%, 95% CI -3.5% to 9.0%). There were no adverse events. CONCLUSION: The use of sidecar cribs for mothers and infants did not improve the duration of any or exclusive breastfeeding, or frequency of bed sharing at home.
RCT Entities:
OBJECTIVE: To determine whether the use of sidecar cribs on the postnatal ward affects breastfeeding duration. DESIGN: A randomised non-blinded parallel trial comparing sidecar cribs with standalone cots. SETTING: Postnatal wards of the Royal Victoria Infirmary, Newcastle upon Tyne. PARTICIPANTS: 1204 pregnant women intending to breastfeed were recruited at 20 weeks' gestation and randomised at 34 weeks to use either a sidecar crib attached to their bed (n=601) or a standalone cot adjacent to their bed (n=603). MAIN OUTCOME MEASURES: Duration of any, and exclusive, breastfeeding up to 26 weeks obtained by telephone follow-up. RESULTS: 334 mothers were withdrawn or lost to follow-up from the trial; infant feeding data were therefore obtained for 870 mothers (433 intervention; 437 controls). Using an intention-to-treat Cox regression analysis, no significant difference was found between the two groups for duration of any breastfeeding (sidecar crib vs cot, hazard ratio (HR) 0.96, 95% CI 0.79 to 1.18), or exclusive breastfeeding (HR 0.99, 95% CI 0.85 to 1.16) adjusting for maternal age, education, previous breastfeeding and delivery type. Bed sharing was not significantly more common in mothers randomised to sidecar cribs (67% vs 64%, adjusted difference 2.8%, 95% CI -3.5% to 9.0%). There were no adverse events. CONCLUSION: The use of sidecar cribs for mothers and infants did not improve the duration of any or exclusive breastfeeding, or frequency of bed sharing at home.
Authors: Olukunmi O Balogun; Elizabeth J O'Sullivan; Alison McFadden; Erika Ota; Anna Gavine; Christine D Garner; Mary J Renfrew; Stephen MacGillivray Journal: Cochrane Database Syst Rev Date: 2016-11-09
Authors: Alison McFadden; Anna Gavine; Mary J Renfrew; Angela Wade; Phyll Buchanan; Jane L Taylor; Emma Veitch; Anne Marie Rennie; Susan A Crowther; Sara Neiman; Stephen MacGillivray Journal: Cochrane Database Syst Rev Date: 2017-02-28