J Obstet Gynecol Neonatal Nurs. 2022 Mar;51(2):153-165. doi: 10.1016/j.jogn.2021.12.005. Epub 2022 Jan 31.
To synthesize the evidence for associations between Baby-Friendly Hospital Initiative (BFHI) compliance and breastfeeding initiation in Sri Lanka.
We searched PubMed, ProQuest, Scopus, Embase, MEDLINE, and CINAHL using various Boolean operators for multiple search terms. Studies conducted in Sri Lankan published in English from April 1, 2000, to April 30, 2020 were considered. We also searched Sri Lankan government and international organization websites and hand-searched reference lists of the included documents.
We screened the titles and abstracts of 99 records and retrieved 31 documents for review and assessment. We selected 24 documents, including the full texts of primary research articles, reviews, discussions, letters to the editor, and government reports if they specifically addressed breastfeeding initiation and BFHI compliance in Sri Lanka.
We extracted the data for author(s), year of publication, study setting, study design, aims of the study, population and sample size, inclusion and exclusion criteria, data collection methods, participant response rate, prevalence, associated factors of breastfeeding initiation, and BFHI compliance and its contributing factors if they were available depending on the type of document.
We synthesized the data narratively to address the research questions. We identified contradicting reports of the prevalence of breastfeeding initiation (23.5%-100%) across Sri Lankan hospitals. Breastfeeding initiation was significantly associated with mode of birth. We identified inconsistent compliance with the BFHI, and poor compliance was associated with inadequate staff training and ineffective monitoring systems.
We found inadequate evidence to clarify the association between BFHI compliance and breastfeeding initiation in Sri Lanka. It is therefore not possible to conclude whether adherence to Baby-Friendly care is optimizing breastfeeding initiation in Sri Lanka.
综合斯里兰卡婴儿友好医院倡议（BFHI）合规与母乳喂养开始之间关联的证据。
我们使用各种布尔运算符和多个搜索词在 PubMed、ProQuest、Scopus、Embase、MEDLINE 和 CINAHL 上进行了搜索。考虑了在斯里兰卡发表的英文出版物，其发表日期为 2000 年 4 月 1 日至 2020 年 4 月 30 日。我们还搜索了斯里兰卡政府和国际组织的网站，并对纳入文献的参考文献列表进行了手工检索。
我们筛选了 99 条记录的标题和摘要，并检索了 31 篇文件进行审查和评估。我们选择了 24 篇文件，包括主要研究文章、综述、讨论、给编辑的信和政府报告的全文，如果它们专门涉及斯里兰卡的母乳喂养开始和 BFHI 合规性。
我们根据文件类型提取了作者、发表年份、研究地点、研究设计、研究目的、人口和样本大小、纳入和排除标准、数据收集方法、参与者回复率、流行率、母乳喂养开始的相关因素以及 BFHI 合规性及其促成因素的数据。
我们对数据进行了叙述性综合，以回答研究问题。我们发现斯里兰卡各医院母乳喂养开始的流行率（23.5%-100%）存在相互矛盾的报告。母乳喂养开始与分娩方式显著相关。我们发现 BFHI 的合规性不一致，并且合规性差与员工培训不足和监测系统效率低下有关。
我们发现没有足够的证据来阐明斯里兰卡 BFHI 合规性与母乳喂养开始之间的关联。因此，无法得出结论认为婴儿友好护理的坚持是否优化了斯里兰卡的母乳喂养开始。
