产前挤奶的母婴结局：一项范围综述方案

Maternal and newborn outcomes of antenatal breastmilk expression: a scoping review protocol.

作者信息

Foudil-Bey Imane, Murphy Malia Sq, Keely Erin J, El-Chaâr Darine

机构信息

OMNI Research Group, Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.

Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada.

出版信息

BMJ Open. 2020 May 12;10(5):e033101. doi: 10.1136/bmjopen-2019-033101.

DOI:10.1136/bmjopen-2019-033101

PMID:32404385

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7228481/

Abstract

INTRODUCTION

Mothers with diabetes face unique challenges associated with breastfeeding initiation and maintenance. Antenatal breastmilk expression (BME) may be suggested to mothers, including mothers with diabetes, to improve breastfeeding, maternal, and infant outcomes postpartum. However, there have been few evaluations of the potential harms and benefits of this practice. The objective of our scoping review will be to broadly examine the literature describing maternal and infant outcomes of antenatal BME.

METHODS AND ANALYSIS

This scoping review will address the research question: 'Among women who engaged in antenatal BME, what maternal and infant outcomes have been evaluated?' A search of published and unpublished studies available in English will be conducted in February 2020 using the following databases: Medline (OVID), Embase (OVID), CINAHL (EBSCOHost), and Cochrane Database of Systematic Reviews (OVID). A search of the British Library E-Theses Online Services (EThOS) database and OpenGrey will be conducted to identify relevant grey literature. This scoping review will use a five-step framework to guide the selection, extraction, and analysis of eligible studies. Clinical consultation will be included as a sixth step to our methodology. Literature reporting on the effect of antenatal BME on maternal and infant outcomes, breastfeeding initiation and duration, and the experiences of women who have engaged in the practice will be considered. The data will be summarised with attention paid to high-risk obstetrical populations such as women with diabetes. Our results will be reported as outlined by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews.

ETHICS AND DISSEMINATION

Research ethics board approval will not be required due to the nature of the study's methodology. The results of this review will be disseminated through peer-reviewed publication and presentation at relevant conferences.

TRAIL REGISTRATION NUMBER

Open Science Framework (osf.io/gfp2q).

摘要

引言

患有糖尿病的母亲在开始和维持母乳喂养方面面临着独特的挑战。对于包括患有糖尿病的母亲在内的母亲，可能会建议其在产前挤出母乳，以改善产后的母乳喂养情况、母亲和婴儿的结局。然而，对于这种做法的潜在危害和益处，很少有评估。我们的范围综述的目的是广泛研究描述产前挤出母乳对母亲和婴儿结局的文献。

方法与分析

本范围综述将解决以下研究问题：“在进行产前挤出母乳的女性中，评估了哪些母亲和婴儿的结局？”2020年2月，将使用以下数据库对以英文发表和未发表的研究进行检索：医学期刊数据库（OVID）、Embase数据库（OVID）、护理学与健康领域数据库（EBSCOHost）以及Cochrane系统评价数据库（OVID）。将检索大英图书馆电子论文在线服务（EThOS）数据库和OpenGrey，以识别相关的灰色文献。本范围综述将使用一个五步框架来指导对符合条件的研究的选择、提取和分析。临床咨询将作为我们方法的第六步。将考虑报告产前挤出母乳对母亲和婴儿结局、母乳喂养开始和持续时间以及进行该做法的女性经历的影响的文献。将对数据进行总结，并关注高危产科人群，如患有糖尿病的女性。我们的结果将按照系统评价和Meta分析扩展的范围综述的首选报告项目进行报告。