在2019冠状病毒病大流行期间保护母乳喂养:基于母婴福祉对围产期护理建议的范围审查

Protecting Breastfeeding during the COVID-19 Pandemic: A Scoping Review of Perinatal Care Recommendations in the Context of Maternal and Child Well-Being.

作者信息

Wesołowska Aleksandra, Orczyk-Pawiłowicz Magdalena, Bzikowska-Jura Agnieszka, Gawrońska Małgorzata, Walczak Bartłomiej

机构信息

Laboratory of Human Milk and Lactation Research at Regional Human Milk Bank in Holy Family Hospital, Department of Medical Biology, Medical University of Warsaw, Litewska 14/16, 00-575 Warsaw, Poland.

Human Milk Bank Foundation, Podkowy Str. 128 J, 04-937 Warsaw, Poland.

出版信息

Int J Environ Res Public Health. 2022 Mar 11;19(6):3347. doi: 10.3390/ijerph19063347.

Abstract

The objective of this scoping review is to determine to what extent the recommendations on perinatal care protect breastfeeding during the COVID-19 pandemic. The review follows the PRISMA ScR Extension guidelines. The research was conducted in Scopus, Medline via Pubmed, and Web of Science databases from 1 March 2020 to 31 May 2021, using 392 combinations of keywords. We searched for reviews and original papers published in English providing recommendations on delivery mode, companion during labor, the possibility of skin-to-skin contact (SSC), breastfeeding, and visitors policy. After screening, 86 out of 8416 publications qualified for data extraction. The majority of them indicated that COVID-19 infection is not a sufficient reason for a cesarean section; however, on a national level, cesarean births in severely ill patients were overrepresented. A significant number of recommendations deprived mothers of the necessary support during their labor and stay in the maternity ward. A shared decision-making model was hardly visible. Only the earliest COVID-19 recommendations suspended direct breastfeeding; in later publications, decisions were related to the mother's health, but other options of natural feeding were rarely discussed.

摘要

本范围综述的目的是确定围产期护理建议在多大程度上能在新冠疫情期间保护母乳喂养。该综述遵循PRISMA ScR扩展指南。研究于2020年3月1日至2021年5月31日在Scopus、通过Pubmed检索的Medline以及Web of Science数据库中进行,使用了392组关键词组合。我们搜索了以英文发表的综述和原创论文,这些论文提供了关于分娩方式、分娩时陪伴人员、母婴皮肤接触(SSC)可能性、母乳喂养以及访客政策的建议。筛选后,8416篇出版物中有86篇符合数据提取要求。其中大多数表明,新冠病毒感染并非剖宫产的充分理由;然而,在国家层面,重症患者的剖宫产比例过高。大量建议使母亲在分娩和住院期间得不到必要的支持。几乎看不到共享决策模式。只有最早的新冠疫情建议暂停直接母乳喂养;在后来的出版物中,决策与母亲的健康有关,但很少讨论其他自然喂养方式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45db/8949921/e7e0de366060/ijerph-19-03347-g001.jpg

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