Virgen del Rocío University Hospital, Red Cross Nursing University Centre, University of Seville, 41009 Seville, Spain.
Nursing Department, Faculty of Nursing, Physiotherapy and Podiatry, University of Seville, 41009 Seville, Spain.
Int J Environ Res Public Health. 2021 Mar 4;18(5):2550. doi: 10.3390/ijerph18052550.
Despite the multiple benefits of breastfeeding both for the mother and for the infant, during the first months there is a progressive decline in the number of mothers who continue breastfeeding, with most countries reporting lower than recommended figures. The objective of this review is to analyse the most effective group support practices for breastfeeding, as well as the characteristics associated to their success in maintaining breastfeeding. A systematic review has been conducted in the 2015-2020 period, in the following databases: MedLine, Scopus, Web of Science, Cumulative Index to Nursing and Allied Health Literature, Cochrane Library and LILACS. The findings were summarized in narrative and table formats. A total of thirteen articles were included, eight of them being experimental studies and five observational. The findings show high heterogeneity regarding the characteristics of the interventions and their periodicity. The most successful group strategies to support and maintain breastfeeding during postpartum are those that combine peer support with the leadership or counselling of a health professional or IBCLC. However, more studies are necessary, randomized and with interventions of similar characteristics, which allow for better data comparison.
尽管母乳喂养对母亲和婴儿都有多种好处，但在最初的几个月里，母乳喂养的母亲人数逐渐减少，大多数国家的报告显示母乳喂养率低于建议水平。本综述的目的是分析对母乳喂养最有效的群体支持实践，以及与维持母乳喂养成功相关的特征。在 2015-2020 年期间，在以下数据库中进行了系统综述：MedLine、Scopus、Web of Science、Cumulative Index to Nursing and Allied Health Literature、Cochrane Library 和 LILACS。研究结果以叙述和表格的形式进行了总结。共纳入 13 篇文章，其中 8 篇为实验研究，5 篇为观察性研究。研究结果表明，干预措施的特征及其周期性存在高度异质性。在产后支持和维持母乳喂养方面最成功的群体策略是将同伴支持与卫生专业人员或 IBCLC 的领导或咨询相结合。然而，还需要更多的研究，包括随机对照试验和具有相似特征的干预措施，以便更好地进行数据比较。
