Briere Carrie-Ellen
School of Nursing, University of Connecticut, Storrs; and Institute for Nursing Research and Evidence Based Practice, Connecticut Children's Medical Center, Hartford.
Adv Neonatal Care. 2015 Feb;15(1):65-9. doi: 10.1097/ANC.0000000000000159.
A literature search was conducted to answer the clinical question, "Do premature infants who breastfeed have different oral feeding outcomes compared with those who receive bottles?" The CINAHL, PubMed, and PsycInfo databases were queried for articles published in the past 10 years that reported original research available in English. Two studies specifically addressed a comparison between infants who received exclusive direct breastfeeding, mixed direct breast and bottle, and/or exclusive bottle-feeding. Additional studies were included that addressed oral feeding outcomes specific to either direct breastfeeding (n = 2) or those that grouped bottle and breastfeeding together (n = 3). The findings from these studies indicate that the statement that bottle-feeding leads to sooner discharge is not based in evidence. Although more data are needed to fully understand the differences between direct breastfeeding and bottle-feeding, neonatal intensive care unit staff should be aware of the message they send to breastfeeding families when they encourage the use of bottles over direct breastfeeding.
为回答临床问题“与使用奶瓶喂养的早产儿相比，母乳喂养的早产儿是否有不同的经口喂养结果？”进行了文献检索。对CINAHL、PubMed和PsycInfo数据库进行了查询，以获取过去10年发表的报告了英文原创研究的文章。两项研究专门探讨了纯直接母乳喂养、混合直接母乳喂养和奶瓶喂养以及/或纯奶瓶喂养的婴儿之间的比较。还纳入了其他研究，这些研究涉及纯直接母乳喂养（n = 2）或奶瓶喂养与母乳喂养合并（n = 3）的特定经口喂养结果。这些研究的结果表明，奶瓶喂养导致更早出院这一说法没有证据依据。尽管需要更多数据来充分了解直接母乳喂养和奶瓶喂养之间的差异，但新生儿重症监护病房的工作人员在鼓励使用奶瓶而非直接母乳喂养时，应意识到他们向母乳喂养家庭传达的信息。
