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一项综合综述:导乐在母乳喂养启动和持续时间方面的作用。

An Integrative Review: The Role of the Doula in Breastfeeding Initiation and Duration.

作者信息

Acquaye Stephanie N, Spatz Diane L

出版信息

J Perinat Educ. 2021 Jan 1;30(1):29-47. doi: 10.1891/J-PE-D-20-00037. Epub 2020 Dec 28.

DOI:10.1891/J-PE-D-20-00037
PMID:33488045
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7819475/
Abstract

The objective of this integrative review was to assess birth and postpartum doulas' roles in supporting breastfeeding initiation and duration. The electronic databases Cumulative Index to Nursing and Allied Health Literature (CINAHL), Embase, PubMed, and Scopus were searched using the key terms and . Fourteen articles met inclusion criteria. Six key themes were identified. Doulas may acquire only modest amounts of lactation-specific education; however, doula care still enhances the breastfeeding care provided by health-care professionals. Doulas offer prenatal and intrapartum support that encourages breastfeeding initiation in the hospital, as well as providing breastfeeding support in the community and home settings. This reinforces the unique role of the doula in bolstering maternal-infant health. The effect of doulas on breastfeeding duration is less clear.

摘要

本整合性综述的目的是评估分娩及产后导乐在支持母乳喂养启动和持续时间方面的作用。使用关键词在电子数据库护理及联合健康文献累积索引(CINAHL)、Embase、PubMed和Scopus中进行了检索。十四篇文章符合纳入标准。确定了六个关键主题。导乐可能仅获得少量特定于哺乳的教育;然而,导乐护理仍能加强医疗保健专业人员提供的母乳喂养护理。导乐提供产前和产时支持,鼓励在医院启动母乳喂养,并在社区和家庭环境中提供母乳喂养支持。这强化了导乐在促进母婴健康方面的独特作用。导乐对母乳喂养持续时间的影响尚不清楚。

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本文引用的文献

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Volunteer doulas' experiences supporting cesarean births: A qualitative analysis for preliminary program evaluation.志愿者导乐在支持剖宫产分娩方面的经验:初步方案评估的定性分析。
Midwifery. 2019 Oct;77:117-122. doi: 10.1016/j.midw.2019.07.001. Epub 2019 Jul 9.
2
Perceptions and Practices of Infant Feeding among African American Women.非裔美国女性对婴儿喂养的认知与做法
Ecol Food Nutr. 2019 Jul-Aug;58(4):301-316. doi: 10.1080/03670244.2019.1598977. Epub 2019 Apr 29.
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Randomized Controlled Trial of Doula-Home-Visiting Services: Impact on Maternal and Infant Health.导乐家庭访视服务的随机对照试验:对母婴健康的影响
Matern Child Health J. 2018 Oct;22(Suppl 1):105-113. doi: 10.1007/s10995-018-2537-7.
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Intention and Initiation of Breastfeeding Among Women Who Are Incarcerated.被监禁女性的母乳喂养意愿与开始情况。
Nurs Womens Health. 2018 Feb;22(1):64-78. doi: 10.1016/j.nwh.2017.12.004.
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Continuous support for women during childbirth.分娩期间对产妇的持续支持。
Cochrane Database Syst Rev. 2017 Jul 6;7(7):CD003766. doi: 10.1002/14651858.CD003766.pub6.
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Support for healthy breastfeeding mothers with healthy term babies.为有健康足月儿的健康母乳喂养母亲提供支持。
Cochrane Database Syst Rev. 2017 Feb 28;2(2):CD001141. doi: 10.1002/14651858.CD001141.pub5.
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Nursing Student Birth Doulas' Influence On the Childbearing Outcomes of Vulnerable Populations.
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Birth. 2016 Jun;43(2):97-9. doi: 10.1111/birt.12213.
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