Port Macquarie Base Hospital, Mid North Coast Local Health District, NSW Health, Australia.
Charles Sturt University, School of Computing & Mathematics, NSW, Australia.
Women Birth. 2020 Feb;33(1):e15-e23. doi: 10.1016/j.wombi.2019.05.010. Epub 2019 Jun 10.
The impact of specific supportive behaviours of a woman's partner on breastfeeding outcomes is unclear.
Breastfeeding is beneficial for the infant, mother, and society. Partner support plays a significant role in promoting breastfeeding. Strategies to improve breastfeeding rates have had limited success with rates worldwide remaining well below World Health Organization recommendations, contributing to significant morbidity, mortality, and economic burden globally.
To determine what specific supportive behaviours of a breastfeeding woman's partner increase breastfeeding initiation, exclusivity, and duration rates in Western-culture settings.
A Population-Interest-Context framework-based search strategy was applied to the Cumulative Index to Nursing Allied Health Literature Plus with full-text, Web of Science, Scopus, and PubMed databases, limited to primary research published January 2008-December 2018 in English conducted in Western-culture settings.
From 652 articles, after critical appraisal seven articles (eight studies) satisfied the requirements of this integrative review. Supportive behaviours were categorised as knowledge, help, encouragement, and responsiveness. Help and encouragement behaviours were associated with increased initiation. Results were mixed regarding behaviours affecting exclusivity and duration; however, responsiveness was found to ameliorate otherwise generally negative effects of knowledge, help, and encouragement on these outcomes.
Consistent with wider social support research, awareness of receiving support is associated with negative health consequences. However, where partner support is provided in a responsive manner as part of a 'breastfeeding team', thereby promoting the woman's sense of autonomy and self-efficacy, breastfeeding outcomes improve.
Responsive partner behaviours improved breastfeeding outcomes in Western-culture settings. Further primary research is needed.
女性伴侣的特定支持行为对母乳喂养结果的影响尚不清楚。
母乳喂养对婴儿、母亲和社会都有益。伴侣支持在促进母乳喂养方面起着重要作用。提高母乳喂养率的策略在全球范围内收效甚微，母乳喂养率远低于世界卫生组织的建议，这导致了全球范围内的发病率、死亡率和经济负担。
确定女性哺乳伴侣的哪些特定支持行为可以提高西方文化背景下的母乳喂养起始率、持续率和纯母乳喂养率。
采用基于人群利益背景的搜索策略，对 Cumulative Index to Nursing Allied Health Literature Plus 全文数据库、Web of Science、Scopus 和 PubMed 数据库进行了搜索，限定了 2008 年 1 月至 2018 年 12 月期间在西方文化背景下发表的以英语撰写的关于原发性研究。
从 652 篇文章中，经过严格评价，有 7 篇文章（8 项研究）符合本综述的要求。支持性行为分为知识、帮助、鼓励和响应性。帮助和鼓励行为与起始率的提高有关。关于行为对排他性和持续时间的影响结果不一；然而，响应性可以改善知识、帮助和鼓励对这些结果的负面影响。
与更广泛的社会支持研究一致，意识到获得支持与负面健康后果有关。然而，如果伴侣支持是以响应的方式提供的，并作为“母乳喂养团队”的一部分，从而促进女性的自主权和自我效能感，那么母乳喂养的结果就会改善。
在西方文化背景下，伴侣的响应性行为提高了母乳喂养的结果。需要进一步的原发性研究。
