Research Group SoMeTHin'K (Social, Methodological and Theoretical Innovation/Kreative), Faculty of Social Sciences, KU Leuven, Leuven, Belgium.
National Centre for Early Childhood Intervention, The Austrian Public Health Institute, Vienna, Austria.
Matern Child Nutr. 2022 Oct;18(4):e13405. doi: 10.1111/mcn.13405. Epub 2022 Aug 25.
Breastfeeding is an integral part of early childhood interventions as it can prevent serious childhood and maternal illnesses. For breastfeeding support programmes to be effective, a better understanding of contextual factors that influence women's engagement and satisfaction with these programmes is needed. The aim of this synthesis is to suggest strategies to increase the level of satisfaction with support programmes and to better match the expectations and needs of women. We systematically searched for studies that used qualitative methods for data collection and analysis and that focused on women's experiences and perceptions regarding breastfeeding support programmes. We applied a maximum variation purposive sampling strategy and used thematic analysis. We assessed the methodological quality of the studies using a modified version of the CASP tool and assessed our confidence in the findings using the GRADE-CERQual approach. We included 51 studies of which we sampled 22 for in-depth analysis. Our sampled studies described the experiences of women with formal breastfeeding support by health care professionals in a hospital setting and informal support as for instance from community support groups. Our findings illustrate that the current models of breastfeeding support are dependent on a variety of contextual factors encouraging and supporting women to initiate and continue breastfeeding. They further highlight the relevance of providing different forms of support based on socio-cultural norms and personal backgrounds of women, especially if the support is one-on-one. Feeding decisions of women are situated within a woman's personal situation and may require diverse forms of support.
母乳喂养是儿童早期干预的一个组成部分，因为它可以预防严重的儿童和产妇疾病。为了使母乳喂养支持计划更有效，需要更好地了解影响妇女参与和对这些计划的满意度的背景因素。本综合报告的目的是提出提高支持计划满意度的策略，并更好地满足妇女的期望和需求。我们系统地搜索了使用定性方法收集和分析数据的研究，并重点关注妇女对母乳喂养支持计划的经验和看法。我们采用最大变异目的抽样策略，并使用主题分析。我们使用 CASP 工具的修改版本评估研究的方法学质量，并使用 GRADE-CERQual 方法评估我们对研究结果的信心。我们共纳入了 51 项研究，其中 22 项进行了深入分析。我们的抽样研究描述了妇女在医院环境中接受保健专业人员的正式母乳喂养支持以及非正规支持（例如社区支持小组）的经验。我们的研究结果表明，目前的母乳喂养支持模式取决于各种鼓励和支持妇女开始和继续母乳喂养的背景因素。它们进一步强调了根据妇女的社会文化规范和个人背景提供不同形式支持的重要性，特别是如果支持是一对一的。妇女的喂养决策是在妇女的个人情况下做出的，可能需要多种形式的支持。
