However, no significant difference in position comfort was found between the two groups based on the current evidence, and further studies are still needed to validate these results due to the limitations of the included studies.īreastmilk provides all the energy and nutrients that the infant needs for the first months of life, and it continues to provide up to half or more of a child’s nutritional needs during the second half of the first year and up to one third during the second year of life. It is suggested that the laid-back position is helpful in solving lactation-related nipple problems and can be recommended as a position for breastfeeding. ConclusionĬompared with traditional breastfeeding positions, the laid-back position has been proven to be related to a decreased incidence of nipple pain and nipple trauma and is seemingly conducive to the use of the correct latching position. However, the results of position comfort showed that there was no statistical significance between the two groups (ES = 0.09 95% CI -0.63, 0.81 p = 0.798). The results of the meta-analysis showed that nipple pain (RR = 0.24 95% CI 0.14, 0.40 p < 0.00001), nipple trauma (RR = 0.47 95% CI 0.29, 0.75 p = 0.002) and correct latching position (RR = 1.22 95% CI 1.11, 1.33 p < 0.0001) in the experimental groups were all better than those of the control groups, and the differences were statistically significant ( p < 0.05), which indicates that the laid-back position has a positive effect on maternal breastfeeding. ResultsĪ total of 12 studies involving 1936 groups of postpartum women and their newborns were included. All the data were analysed separately using Review Manager Version 5.3 and STATA/SE Version 15.1. Two trained investigators independently evaluated the quality of the selected articles and screened the data. All studies regarding laid-back breastfeeding or biological nurturing were considered, regardless of whether they were randomized controlled trials.
We systematically searched the following twelve databases from inception to January 28,2020: Cochrane Library, EMBASE, Medline, Ovid, PubMed, Web of Science, CINAHL, Scopus, Chinese National Knowledge Infrastructure (CNKI), China Biology Medicine disc (CBM), WanFang, and VIP. Multiple studies recommended laid-back breastfeeding, but they are of various levels of quality, and the results are inconclusive. However, lactation-related nipple problems are common and are important factors affecting breastfeeding. The importance of breastfeeding for maternal and child health is agreed upon worldwide.
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