Translational Health Research Institute (THRI), School of Medicine, Western Sydney University, Campbelltown Campus, Locked Bag 1797, Penrith 2571, NSW, Australia.
General Practice Unit, Prescot Specialist Medical Centre, Welfare Quarters, Makurdi 972261, Benue State, Nigeria.
Int J Environ Res Public Health. 2020 Jan 8;17(2):413. doi: 10.3390/ijerph17020413.
Support from partners/fathers and families can play a significant role in a mother's decision to initiate, continue or cease breastfeeding postnatally. This study systematically reviewed published studies to determine the impact of specific types of partner support on breastfeeding initiation, duration and exclusivity. We used the 2015 Preferred Reporting Items for Systematic reviews and Meta-Analysis (PRISMA) guidelines for the review. Seven computerized bibliographic databases (Embase, ProQuest Central, Scopus, PsycINFO, Web of Science, MEDLINE/PubMed and CINAHL) were searched. Of a total of 695 articles retrieved from the databases, seven studies met the inclusion criteria and reported on breastfeeding initiation, duration and exclusivity. Four of the seven studies found that partner support in the form of verbal encouragement to new mothers increased breastfeeding duration and exclusivity. Other types of partner supportive actions that led to improved breastfeeding behavior included sensitivity of the partner to the nursing mother's needs, assistance in preventing and managing breastfeeding difficulties, and helping with household and child care duties. This review showed that specific supportive actions of partners/fathers in the community positively improved breastfeeding practices. To maximise the impact of breastfeeding policies and interventions among new mothers, breastfeeding programmes should consider the involvement of partners/fathers and their specific roles.
伴侣/父亲和家庭的支持可以在母亲产后决定开始、继续或停止母乳喂养方面发挥重要作用。本研究系统地回顾了已发表的研究,以确定特定类型的伴侣支持对母乳喂养开始、持续时间和排他性的影响。我们使用了 2015 年系统评价和荟萃分析的首选报告项目(PRISMA)指南进行综述。检索了七个计算机化的文献数据库(Embase、ProQuest Central、Scopus、PsycINFO、Web of Science、MEDLINE/PubMed 和 CINAHL)。从数据库中总共检索到 695 篇文章,其中 7 项研究符合纳入标准,并报告了母乳喂养的开始、持续时间和排他性。在这 7 项研究中,有 4 项研究发现,以言语鼓励新妈妈的形式给予伴侣的支持增加了母乳喂养的持续时间和排他性。其他改善母乳喂养行为的伴侣支持行为包括伴侣对哺乳母亲需求的敏感性、帮助预防和处理母乳喂养困难,以及帮助处理家务和照顾孩子。这项综述表明,社区中伴侣/父亲的具体支持行为可以积极改善母乳喂养实践。为了最大限度地提高新妈妈的母乳喂养政策和干预措施的效果,母乳喂养计划应考虑伴侣/父亲的参与及其特定角色。