Evidence map›Paper›PMID 42400223›Full record

SynthesisNursing open2026

Family-Centred Breastfeeding Interventions to Improve Exclusive Breastfeeding: A Systematic Review and Meta-Analysis.

Ziyang Xie, Xuanli Zhang, Yunyi Zhang, Xiao Xiao

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Nursing open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Ziyang XieSchool of Nursing, Southern Medical University, Guangzhou, China.ORCID https://orcid.org/0009-0005-7865-1588
Xuanli ZhangSchool of Nursing, Southern Medical University, Guangzhou, China.ORCID https://orcid.org/0009-0002-1199-279X
Yunyi ZhangSchool of Nursing, Southern Medical University, Guangzhou, China.ORCID https://orcid.org/0009-0000-5657-5805
Xiao XiaoSchool of Nursing, Southern Medical University, Guangzhou, China.ORCID https://orcid.org/0000-0003-1199-9000

Funding

Nursing Special Project of Shenzhen Maternal and Child Healthcare Hospital FYB2022003Sanming Project of Medicine in Shenzen SZSM202211032Shenzhen Science and Technology Program JCYJ20230807120312026Shenzhen Science and Technology Program JCYJ20250604185253070
6 · The paper itself

Abstract

aimsTo explore the effects of different family breastfeeding interventions on improving exclusive breastfeeding rates from 0 to 6 months postpartum and to identify the key characteristics of effective interventions.

methodsThis systematic review and meta-analysis follows the Cochrane Handbook for Systematic Reviews of Interventions. The risk of bias in the included studies was assessed using the Cochrane Risk of Bias 2 (RoB 2) tool.

resultsNineteen studies were included in this systematic review. Family-based interventions significantly improved exclusive breastfeeding rates at 6 months postpartum compared with routine care (OR = 2.93, 95% CI [1.90, 4.50], p < 0.001). Interventions underpinned by theoretical frameworks enhanced exclusive breastfeeding within 2 months postpartum compared with non-theoretical ones (OR = 5.50, 95% CI [2.30, 13.19], p < 0.001). Multi-component interventions were more effective than single-method approaches (OR = 2.70, 95% CI [2.04, 3.57], p < 0.001). Programmes spanning both prenatal and postnatal periods achieved higher exclusive breastfeeding rates at 4-6 months than those implemented in a single phase (OR = 4.84, 95% CI [2.50, 9.40], p < 0.001).

conclusionsFamily-based breastfeeding interventions could improve exclusive breastfeeding rates within the first 6 months postpartum. Future breastfeeding interventions should include key family members, consider the guidance of theoretical frameworks on the intervention design, cover both the prenatal and postnatal periods, and use multiple methods to meet the needs of breastfeeding families. IMPLICATIONS FOR NURSING PRACTICE: Nurses, midwives, lactation nurses, and public health nurses should actively involve fathers, grandparents, and other key family members in breastfeeding education and support. Family-centred breastfeeding interventions may help improve exclusive breastfeeding outcomes and strengthen family support for breastfeeding. REGISTRATION: Not registered.

Indexed as

Breast FeedingFamily SupportFemaleHumansexclusive breastfeedingfamily interventionsintervention strategiesmeta‐analysissystematic review

Identifiers

PMID42400223
PMCPMC13332327

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.