支持院内纯母乳喂养的一系列措施：系统评价证据
BUNDLE OF MEASURES TO SUPPORT INTRAHOSPITAL EXCLUSIVE BREASTFEEDING: EVIDENCE OF SYSTEMATIC REVIEWS.
作者信息
Coca Kelly Pereira, Pinto Vânia Lopes, Westphal Flavia, Mania Pâmilla Nayara Alves, Abrão Ana Cristina Freitas de Vilhena
机构信息
Universidade Federal de São Paulo, São Paulo, SP, Brasil.
出版信息
Rev Paul Pediatr. 2018 Apr-Jun;36(2):214-220. doi: 10.1590/1984-0462/;2018;36;2;00002. Epub 2018 Apr 23.
OBJECTIVE
To identify the main recommendations found in systematic reviews regarding exclusive breastfeeding protective factors.
DATA SOURCE
Integrative review based on the guiding question: What evidence is found in literature regarding the protective factors of exclusive breastfeeding during the intrahospital period? A search was conducted in the Cochrane Library, PubMed/MEDLINE and LILACS database using the keyword "Breast Feeding" and the word "Breastfeeding". Systematic reviews published from 2007 to 2016 that answered the guiding question were included in the study, whereas systematic reviews that analyzed breastfeeding of preterm infants and breastfeeding of children with orofacial malformation were excluded. The sample included eight systematic reviews.
DATA SYNTHESIS
The recommendations related to the protective factors for exclusive in-hospital breastfeeding found in the systematic reviews were: early skin-to-skin contact, rooming-in care, intervention for treating painful nipples during breastfeeding, restriction of infant supplementation, baby-led breastfeeding and educational interventions and support for mothers during hospital stay. The proposed measures included the six practices presented as protective factors.
CONCLUSIONS
The review enabled the identification of evidence to support the recommended measures from delivery room to hospital discharge, with the aim of encouraging breastfeeding and preventing intrahospital weaning.
目的
确定系统评价中关于纯母乳喂养保护因素的主要建议。
数据来源
基于指导性问题进行的综合评价：文献中关于院内纯母乳喂养保护因素有哪些证据？使用关键词“Breast Feeding”和“Breastfeeding”在考克兰图书馆、PubMed/MEDLINE和LILACS数据库中进行检索。纳入2007年至2016年发表的回答指导性问题的系统评价，排除分析早产儿母乳喂养和口面部畸形儿童母乳喂养的系统评价。样本包括八项系统评价。
数据综合
系统评价中发现的与院内纯母乳喂养保护因素相关的建议有：早期皮肤接触、母婴同室护理、母乳喂养期间治疗乳头疼痛的干预措施、限制婴儿补充喂养、以婴儿主导的母乳喂养以及住院期间对母亲的教育干预和支持。所提出的措施包括作为保护因素呈现的六种做法。
结论
该评价能够确定支持从产房到出院所推荐措施的证据，目的是鼓励母乳喂养并防止院内断奶。
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