Durocher Keri, Jackson Kimberley T, Booth Richard, Tryphonopoulos Panagiota, Kennedy Kelly A
J Obstet Gynecol Neonatal Nurs. 2025 Mar;54(2):176-188.e29. doi: 10.1016/j.jogn.2024.11.005. Epub 2024 Dec 3.
To explore what is currently known about women's breastfeeding experiences associated with maternity care in facilities that implement policies supported by the Baby-Friendly Hospital Initiative (BFHI).
We used the scoping review methodology of JBI. We searched the Scopus, CINAHL, Embase, MEDLINE (Ovid), and PsycINFO databases and gray literature.
We considered articles published during or after 1991 in English. Inclusion criteria were based on the participant, concept, and context framework and included women who gave birth and initiated breastfeeding during or after maternity care in facilities that were certified through the BFHI, were working toward certification, or were implementing BFHI-aligned policies.
We extracted the following data from each report: author(s), year/country of publication, study design, research aim, patient population/sample size, clinical setting, BFHI status, and outcomes. We further extracted relevant outcomes by using concepts from the interactive theory of breastfeeding.
We included 44 reports of studies conducted in 19 countries in the review: 27 quantitative, 9 qualitative, and 8 mixed-methods studies. We mapped the extracted data to 10 concepts from the interactive theory of breastfeeding to classify patient experiences, including dynamic interaction between mother and child; stress; time; woman's and child's biological conditions; woman's and child's perception; woman's decision-making; family and social authority; woman's body image; space; and organizational systems for the protection, promotion, and support of breastfeeding.
We found that various interrelated factors in addition to BFHI-specific policies influenced women's experiences. Based on these results, we suggest that awareness of women's personal breastfeeding experiences is crucial to delivering optimal care and developing evidence-based policies. Breastfeeding practice guidelines and policies should be developed to encompass women's experiences to enhance future inpatient breastfeeding support.
探讨在实施由爱婴医院倡议（BFHI）支持的政策的机构中，目前已知的与产妇护理相关的女性母乳喂养经历。
我们采用了JBI的范围综述方法。我们检索了Scopus、CINAHL、Embase、MEDLINE（Ovid）和PsycINFO数据库以及灰色文献。
我们纳入了1991年及以后发表的英文文章。纳入标准基于参与者、概念和背景框架，包括在通过BFHI认证、正在努力获得认证或正在实施与BFHI一致政策的机构中，在产妇护理期间或之后分娩并开始母乳喂养的女性。
我们从每份报告中提取了以下数据：作者、出版年份/国家、研究设计、研究目的、患者群体/样本量、临床环境、BFHI状态和结果。我们还通过使用母乳喂养互动理论中的概念进一步提取了相关结果。
我们在综述中纳入了在19个国家进行的44项研究报告：27项定量研究、9项定性研究和8项混合方法研究。我们将提取的数据映射到母乳喂养互动理论的10个概念上，以对患者经历进行分类，包括母婴之间的动态互动；压力；时间；女性和儿童的生理状况；女性和儿童的认知；女性的决策；家庭和社会权威；女性的身体形象；空间；以及保护、促进和支持母乳喂养的组织系统。
我们发现，除了BFHI特定政策外，各种相互关联的因素也会影响女性的经历。基于这些结果，我们建议了解女性的个人母乳喂养经历对于提供最佳护理和制定循证政策至关重要。应制定母乳喂养实践指南和政策，纳入女性的经历，以加强未来对住院患者母乳喂养的支持。
