Penny Frances, Judge Michelle, Brownell Elizabeth, McGrath Jacqueline M
School of Nursing, Southern Connecticut State University, New Haven (Dr Penny); School of Nursing, University of Connecticut, Storrs (Drs Penny, Judge, and McGrath); Connecticut Children's Medical Center, Hartford (Drs Brownell); and School of Medicine, University of Connecticut, Farmington (Dr Brownell).
Adv Neonatal Care. 2018 Feb;18(1):31-37. doi: 10.1097/ANC.0000000000000446.
According to the Healthy People 2020 goals, the sustainability of breastfeeding duration rates within the United States has not been achieved. To increase these rates, it is important that women with breastfeeding difficulties receive the support needed to continue breastfeeding. When supplementation occurs, it is essential that the breastfeeding relationship be preserved. Various methods of supplementation are often recommended including use of the supplemental feeding tube device (SFTD).
The question guiding this brief is "What evidence exists to support the use of an SFTD as a method of supplementation for breastfed infants?"
The PubMed and CINAHL databases were queried for original research published in English from 1990 through July 2016. Search terms included "supplemental feeding tube," "breastfeeding," "term infants," "premature infants," "Supplemental Nursing System," "Lact-aid," and "supply line."
Very limited research exists on the use of SFTDs as a method of supplementation for breastfed infants; however, existing research suggests that an SFTD may be useful as a supplementation method for breastfed infants. High-quality research is needed to evaluate the efficacy of using an SFTD for supporting exclusive and all breastfeeding rates.
Nurses and providers need to be educated and trained in the use of SFTDs as well as all supplemental feeding methods. Information on efficacy and SFTD use should also be included in policies related to breastfeeding and human milk use.
Further research should determine best methods of supplementation for breastfed infants and should examine differences in breastfeeding rates when using the SFTD for supplementation.
根据《健康人民2020》目标，美国母乳喂养持续率的可持续性尚未实现。为提高这些比率，有母乳喂养困难的女性获得继续母乳喂养所需的支持很重要。当进行补充喂养时，维持母乳喂养关系至关重要。经常推荐各种补充喂养方法，包括使用补充喂养管装置（SFTD）。
指导本简报的问题是“有哪些证据支持将SFTD用作母乳喂养婴儿的补充喂养方法？”
在PubMed和CINAHL数据库中查询1990年至2016年7月以英文发表的原始研究。检索词包括“补充喂养管”、“母乳喂养”、“足月儿”、“早产儿”、“补充护理系统”、“哺乳辅助器”和“供应线”。
关于将SFTD用作母乳喂养婴儿补充喂养方法的研究非常有限；然而，现有研究表明，SFTD可能作为母乳喂养婴儿的一种补充喂养方法有用。需要高质量的研究来评估使用SFTD提高纯母乳喂养率和全母乳喂养率的效果。
护士和医护人员需要接受使用SFTD以及所有补充喂养方法的教育和培训。关于使用效果和SFTD的信息也应纳入与母乳喂养和人乳使用相关的政策中。
进一步的研究应确定母乳喂养婴儿的最佳补充喂养方法，并应研究使用SFTD进行补充喂养时母乳喂养率的差异。
