This review demonstrates that there is no evidence from randomised controlled trials evaluating the effect of baby-led compared with
scheduled (or mixed) breastfeeding for successful breastfeeding, for healthy newborns, therefore no conclusions could be taken at this
point. It is recommended that no changes are made to current practice guidelines without undertaking further robust research, to
include many patterns of breastfeeding and not limited to baby-led and scheduled breastfeeding. Further research is needed to also
evaluate the effects of baby-led compared with scheduled (or mixed) breastfeeding on successful breastfeeding, for healthy newborns.
However, conducting such a study, particularly a randomised controlled trial is unlikely to receive ethical approval, as the issue of
obtaining informed consent from new mothers or mothers-to-be for randomisation between baby-led and scheduled breastfeeding is
a difficult one and it is likely that the Baby Friendly Hospital Initiative practices would prohibit such a study
This review demonstrates that there is no evidence from randomised controlled trials evaluating the effect of baby-led compared with
scheduled (or mixed) breastfeeding for successful breastfeeding, for healthy newborns, therefore no conclusions could be taken at this
point. It is recommended that no changes are made to current practice guidelines without undertaking further robust research, to
include many patterns of breastfeeding and not limited to baby-led and scheduled breastfeeding. Further research is needed to also
evaluate the effects of baby-led compared with scheduled (or mixed) breastfeeding on successful breastfeeding, for healthy newborns.
However, conducting such a study, particularly a randomised controlled trial is unlikely to receive ethical approval, as the issue of
obtaining informed consent from new mothers or mothers-to-be for randomisation between baby-led and scheduled breastfeeding is
a difficult one and it is likely that the Baby Friendly Hospital Initiative practices would prohibit such a study
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