Mangrio Elisabeth, Persson Karin, Bramhagen Ann-Cathrine
Department of Care Science, Malmö University, Malmö, Sweden.
Scand J Caring Sci. 2018 Jun;32(2):451-465. doi: 10.1111/scs.12489. Epub 2017 Jun 1.
The World Health Organization recommends exclusive breastfeeding as the main source of nutrition for infants during their first 6 months of life. However, despite this well-known recommendation, not all mothers breastfeed, whether partly or fully, during this time.
The aim of this systematic literature review was to compile evidence regarding sociodemographic, physical, mental and social factors that influence breastfeeding mothers to stop breastfeeding before the infant reaches 6 months.
A systematic search was conducted in four databases.
Studies with quantitative research were included.
Totally, 186 abstracts were read, 83 seemed relevant but 18 were found to be duplicates. Finally, 27 articles met the inclusion criteria and were included. The quality assessment was carried out with a quality assessment template from the Swedish Council on Technology and Assessment, and the grading of the result was carried out according to GRADE.
The association of breastfeeding cessation between the mother's young age, low level of education, return to work within 12-week postpartum, caesarean birth and inadequate milk supply was found to have a low level of evidence. The link found between depressions among the mothers with the cessation of breastfeeding was found to have a very low level of evidence.
Sociodemographic factors appeared to have caused cessation of breastfeeding in some of the included articles. The preventive work should focus on how to improve the knowledge of healthcare professionals and targeted interventions must address mothers who are at risk of ceasing breastfeeding before the recommended time.
世界卫生组织建议，在婴儿出生后的前6个月，纯母乳喂养应作为婴儿的主要营养来源。然而，尽管有这一广为人知的建议，但并非所有母亲在此期间都会进行部分或完全母乳喂养。
本系统文献综述的目的是收集有关社会人口学、身体、心理和社会因素的证据，这些因素会影响母乳喂养的母亲在婴儿6个月前停止母乳喂养。
在四个数据库中进行了系统检索。
纳入定量研究的文献。
共阅读了186篇摘要，其中83篇似乎相关，但发现18篇为重复文献。最终，27篇文章符合纳入标准并被纳入。采用瑞典技术和评估委员会的质量评估模板进行质量评估，并根据GRADE对结果进行分级。
母亲年龄小、教育程度低、产后12周内重返工作岗位、剖宫产和乳汁供应不足与母乳喂养停止之间的关联证据水平较低。母亲抑郁与母乳喂养停止之间的联系证据水平极低。
在一些纳入的文章中，社会人口学因素似乎导致了母乳喂养的停止。预防工作应侧重于如何提高医护人员的知识水平，有针对性的干预措施必须针对那些有在建议时间前停止母乳喂养风险的母亲。
