Crump Laura, Fontaine Guillaume, Mooney Meagan, Calleja Sabine, Feeley Nancy, Semenic Sonia
Ingram School of Nursing, Faculty of Medicine and Health Sciences, McGill University, Montréal, QC, Canada.
Centre for Clinical Epidemiology, Lady Davis Institute for Medical Research, Sir Mortimer B. Davis Jewish General Hospital, Montréal, QC, Canada.
JBI Evid Synth. 2025 May 1;23(5):1009-1019. doi: 10.11124/JBIES-24-00079. Epub 2025 Jan 7.
The objective of this review is to synthesize the qualitative evidence on factors that influence direct breastfeeding of preterm infants in neonatal wards and the provision of breastfeeding support.
Breastmilk is critical for the health of preterm neonates, and infants who directly feed at the breast are more likely to receive breastmilk exclusively for longer periods. Direct breastfeeding is associated with improved maternal coping and development of maternal identity. Preterm infants are significantly less likely to breastfeed than their term counterparts. An understanding of barriers and facilitators of direct breastfeeding and breastfeeding support in neonatal wards is lacking.
The proposed qualitative systematic review will include studies using qualitative methods and mixed methods, exploring the perceptions of breastfeeding parents, neonatal health care staff, and/or support people about the barriers and facilitators to direct breastfeeding (ie, suckling breastmilk directly from the parent's breast) among preterm infants (infants born at less than 37 weeks' gestation) admitted to a neonatal ward. Articles written in English or French will be considered.
MEDLINE (Ovid), CINAHL (EBSCOhost), Embase (Ovid), PsycINFO (Ovid), Scopus, and the Cochrane Library will be searched, with no time restrictions applied. Two independent reviewers will screen and extract data using a tool developed for this purpose. The findings will be coded and pooled using the meta-aggregation approach. The findings will be mapped to specific domains of the Theoretical Domains Framework using an iteratively developed coding manual. Studies will be appraised using the JBI critical appraisal tool for qualitative research, and confidence in the overall findings will be assessed using the ConQual approach.
PROSPERO CRD42024557250.
本综述的目的是综合关于影响新生儿病房中早产儿直接母乳喂养及母乳喂养支持因素的定性证据。
母乳对早产儿的健康至关重要，直接从乳房喂养的婴儿更有可能在较长时间内纯母乳喂养。直接母乳喂养与母亲更好地应对及母亲身份认同的发展相关。早产儿进行母乳喂养的可能性明显低于足月儿。目前缺乏对新生儿病房中直接母乳喂养及母乳喂养支持的障碍和促进因素的了解。
拟进行的定性系统综述将包括使用定性方法和混合方法的研究，探讨母乳喂养的父母、新生儿医护人员和/或支持人员对早产儿（孕周小于37周出生的婴儿）直接母乳喂养（即直接从母亲乳房吸吮母乳）的障碍和促进因素的看法。将考虑用英语或法语撰写的文章。
将检索MEDLINE（Ovid）、CINAHL（EBSCOhost）、Embase（Ovid）、PsycINFO（Ovid）、Scopus和Cochrane图书馆，不设时间限制。两名独立的评审员将使用为此目的开发的工具筛选和提取数据。研究结果将使用元聚合方法进行编码和汇总。研究结果将使用迭代开发的编码手册映射到理论领域框架的特定领域。将使用JBI定性研究批判性评价工具对研究进行评价，并使用ConQual方法评估对总体结果的信心。
PROSPERO CRD42024557250。
