e-Library of Evidence for Nutrition Actions (eLENA)


An online library of evidence-informed guidelines for nutrition interventions and single point of reference for the latest nutrition guidelines, recommendations and related information.

Alternate Text All interventions

Breastfeeding education for increased breastfeeding duration

Intervention | Last updated: 20 June 2023


Breastfeeding has many health benefits for both the mother and infant. Breast milk contains all the nutrients an infant needs in the first six months of life.

Breastfeeding protects against diarrhoea and common childhood illnesses such as pneumonia, and may also have longer-term health benefits for the mother and child, such as reducing the risk of overweight and obesity in childhood and adolescence.

WHO recommends that infants should be exclusively breastfed for the first six months of life to achieve optimal growth, development and health. Thereafter, to meet their evolving nutritional requirements, infants should receive nutritionally adequate and safe complementary foods, while continuing to breastfeed for up to two years or beyond.

Evidence suggests that educational interventions during pregnancy (e.g. peer counselling, lactation consultation or formal breastfeeding education) may increase the duration of breastfeeding.

WHO Recommendations


Where facilities provide antenatal care, pregnant women and their families should be counselled about the benefits and management of breastfeeding.



Evidence


Systematic reviews used to develop the guidelines


Antenatal breastfeeding education for increasing breastfeeding duration

Lumbiganon P, Martis R, Laopaiboon M, Festin MR, Ho JJ, Hakimi M. Cochrane Database of Systematic Reviews. 2016; Issue 12. Art. No.: CD006425.

Summary of this review Alternate Text

Interventions for promoting the initiation of breastfeeding

Balogun OO, O’Sullivan EJ, McFadden A, Ota E, Gavine A, Garner CD et al. Cochrane Database of Systematic Reviews. 2016; Issue 11. Art. No.: CD001688.


Other related systematic reviews


Breastfeeding Peer Counseling: From Efficacy through Scale-up

Chapman DJ, Morel K, Anderson AK, Damio G, Pérez-Escamilla R. Journal of Human Lactation. 2010; 26(3):314–326.


Breastfeeding promotion interventions and breastfeeding practices: a systematic review

Haroon S, Das JK, Salam RA, Imdad A, Bhutta ZA. BMC Public Health. 2013; 13(Suppl 3):S20.


Interventions to improve breastfeeding outcomes: a systematic review and meta-analysis

Sinha B, Chowdhury R, Sankar MJ, Martines J, Taneja S, Mazumder S, et al. Acta Paediatrica. 2015; 104:114–134.


Cost-effectiveness Learn More Alternate Text


Cost-effectiveness analyses


Scaling-up exclusive breastfeeding support programmes: the example of KwaZulu-Natal

Desmond C, Bland RM, Boyce G, Coovadia HM, Coutsoudis A, Rollins N, Newell ML. PLoS One. 2008; 3(6):e2454.


Potential economic impacts from improving breastfeeding rates in the UK

Pokhrel S, Quigley MA, Fox-Rushby J, McCormick F, Williams A, Trueman P, et al. Arch Dis Child. 2015; 100(4):334-40.


Cost-effectiveness of peer counselling for the promotion of exclusive breastfeeding in Uganda

Chola L, Fadnes LT, Engebretsen IM, Nkonki L, Nankabirwa V, Sommerfelt H, et al. PLoS One. 2015; 10(11):e0142718.


Cost effectiveness analysis of strategies for child health in developing countries

Edejer TT, Aikins M, Black R, Wolfson L, Hutubessy R, Evans DB. BMJ. 2005; 331(7526):1177.