Download het volledig rapport (302 p.) - KCE

KCE reports vol. 6A Prenatale zorg 62
Study Ref Population Intervention Outcomes Results Comments Study
type
1990 Negative predictive value
in this study used only one
95%
examination, in reality
Cohen´s kappa
sequential examinations may
improve the validity of the
0.11-0.24
test
5. Breast examination
Leads nipple preparation in women with inverted or non-protractile nipples to a sustained improvement in nipple anatomy and successful
breastfeeding?
Study Ref Population Intervention Outcomes Results Comments Study
type
EL
Alexander 6 96 nulliparous women A two treatment by two Sustained improvement in Sustained improvement Small sample size RCT 1b
et al.,
recruited between 25 level factorial design nipple anatomy
was more common in the
1992
and 35 completed
untreated group, but
weeks in a singleton Randomisation to one of 4
differences were not
pregnancy with at options:
Breast feeding six weeks significant
least one inverted or - Breast shells
after delivery
non-protractile nipple - Hoffman´s exercise
24 women (50%) not
- Breast shells and
recommended shells and
Hoffman´s exercise
14 (29%) recommended
- Nothing
shells were breast feeding
six weeks after delivery
(p=0.05)
The same number of
women in exercise an no
exercise groups were
successfully breastfeeding
EL