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早产儿住院期间母亲的母乳喂养经历:一项定性系统评价方案

Experiences of breastfeeding among mothers of preterm infants during their infants' hospital stay: a qualitative systematic review protocol.

作者信息

Srichalerm Tippawan, Kamkhoad Donruedee, Phonyiam Ratchanok

机构信息

Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.

Mahidol University Ramathibodi School of Nursing: A JBI Affiliated Group, Bangkok, Thailand.

出版信息

JBI Evid Synth. 2024 Dec 1;22(12):2611-2617. doi: 10.11124/JBIES-24-00078.

DOI:10.11124/JBIES-24-00078
PMID:39246229
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11630659/
Abstract

OBJECTIVE

The objective of this review is to synthesize the existing qualitative evidence on the breastfeeding experiences of mothers of hospitalized preterm infants.

INTRODUCTION

Breastfeeding is crucial for the well-being and development of preterm infants born before 37 weeks' gestation. Mothers of preterm infants often face challenges that make breastfeeding particularly complex. Understanding mothers' breastfeeding experience is important for health care professionals, as it enables them to provide appropriate support and assistance. The qualitative evidence synthesis regarding the breastfeeding experiences of mothers of preterm infants in hospital settings is a valuable area of research that has not been documented.

INCLUSION CRITERIA

This review will consider all qualitative studies that explore mothers' experiences of breastfeeding and mother's own milk management for their hospitalized infants. Mothers of preterm infants who provide their own milk to their infants will be considered, regardless of their age, gravidity, parity, singleton/multiple pregnancies, gender identity, marital status, social status, or preterm infant's gestational age.

METHODS

This review will follow the JBI approach for qualitative systematic review. The search strategy aims to find both published and unpublished studies, with no date limit. A search of PubMed, CINAHL (EBSCOhost), and Embase (EBSCOhost) will be undertaken to identify articles on the topic. Studies published in English will be considered for inclusion in this review. Two independent reviewers will evaluate the methodological validity of the selected papers before incorporating them into the review. Data synthesis will be conducted using the meta-aggregation approach, and synthesized findings will be assessed using the ConQual approach.

REVIEW REGISTRATION

PROSPERO CRD42024501454.

摘要

目的

本综述的目的是综合现有的关于住院早产儿母亲母乳喂养经历的定性证据。

引言

母乳喂养对于妊娠37周前出生的早产儿的健康和发育至关重要。早产儿母亲往往面临使母乳喂养特别复杂的挑战。了解母亲的母乳喂养经历对医护人员很重要,因为这能使他们提供适当的支持和帮助。关于医院环境中早产儿母亲母乳喂养经历的定性证据综合是一个尚未有文献记载的有价值的研究领域。

纳入标准

本综述将考虑所有探索母亲母乳喂养经历以及母亲对其住院婴儿母乳管理情况的定性研究。提供母乳给婴儿的早产儿母亲将被纳入,无论其年龄、孕次、产次、单胎/多胎妊娠、性别认同、婚姻状况、社会地位或早产儿的胎龄。

方法

本综述将遵循JBI定性系统综述方法。检索策略旨在查找已发表和未发表的研究,无时间限制。将检索PubMed、CINAHL(EBSCOhost)和Embase(EBSCOhost)以识别该主题的文章。英文发表的研究将被考虑纳入本综述。两名独立评审员将在把选定论文纳入综述之前评估其方法学有效性。将使用元聚合方法进行数据综合,并使用ConQual方法评估综合结果。

综述注册

PROSPERO CRD42024501454。

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本文引用的文献

1
Postpartum Depression and Maternal Care: Exploring the Complex Effects on Mothers and Infants.产后抑郁症与母婴护理:探究对母亲和婴儿的复杂影响
Cureus. 2023 Jul 4;15(7):e41381. doi: 10.7759/cureus.41381. eCollection 2023 Jul.
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Mothers' strategies for creating positive breastfeeding experiences: a critical incident study from Northern Sweden.母亲创造积极母乳喂养体验的策略:来自瑞典北部的关键事件研究。
Int Breastfeed J. 2022 May 8;17(1):35. doi: 10.1186/s13006-022-00474-9.
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Exclusive Breastfeeding and Vitamin D Supplementation: A Positive Synergistic Effect on Prevention of Childhood Infections?纯母乳喂养与维生素 D 补充:对预防儿童感染有协同增效作用?
Int J Environ Res Public Health. 2022 Mar 3;19(5):2973. doi: 10.3390/ijerph19052973.
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Breastfeeding preterm born infant: Chance and challenge.母乳喂养早产儿:机遇与挑战。
Int J Pediatr Adolesc Med. 2021 Jun;8(2):94-97. doi: 10.1016/j.ijpam.2020.02.003. Epub 2020 Feb 6.
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Mother's Own Milk Feeding in Preterm Newborns Admitted to the Neonatal Intensive Care Unit or Special-Care Nursery: Obstacles, Interventions, Risk Calculation.母亲母乳喂养早产儿入住新生儿重症监护病房或特护病房:障碍、干预、风险计算。
Int J Environ Res Public Health. 2021 Apr 14;18(8):4140. doi: 10.3390/ijerph18084140.
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The PRISMA 2020 statement: An updated guideline for reporting systematic reviews.PRISMA 2020 声明:系统评价报告的更新指南。
Int J Surg. 2021 Apr;88:105906. doi: 10.1016/j.ijsu.2021.105906. Epub 2021 Mar 29.
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Role of Human Milk Bioactives on Infants' Gut and Immune Health.人乳生物活性成分对婴儿肠道和免疫健康的作用。
Front Immunol. 2021 Feb 12;12:604080. doi: 10.3389/fimmu.2021.604080. eCollection 2021.
8
Language restrictions in systematic reviews should not be imposed in the search strategy but in the eligibility criteria if necessary.系统评价中的语言限制不应在检索策略中设置,如有必要,应在纳入标准中设置。
J Clin Epidemiol. 2021 Apr;132:146-147. doi: 10.1016/j.jclinepi.2020.12.027. Epub 2020 Dec 28.
9
Indicators of Secretory Activation in Mothers of Preterm Very Low Birth Weight Infants.早产儿极低出生体重儿母亲的分泌激活指标。
J Hum Lact. 2021 Aug;37(3):581-592. doi: 10.1177/0890334420980424. Epub 2020 Dec 22.
10
Anatomy and Physiology of the Breast during Pregnancy and Lactation.孕期及哺乳期乳房的解剖与生理
Adv Exp Med Biol. 2020;1252:3-7. doi: 10.1007/978-3-030-41596-9_1.