爱婴医院倡议旨在通过将成功母乳喂养的十步(十步)纳入出生医院的常规母乳喂养支持来改善母乳喂养。母亲对母乳喂养支持的观点很重要,因为母亲和婴儿是这种支持的中心。
■回顾和综合现有的有关母亲对婴儿友好医院母乳喂养支持的看法和经验的文献。一个子目的是从产妇的角度描述爱婴医院和非爱婴医院在母乳喂养支持方面的差异。
■综合文献综述。2021年10月,在五个数据库中进行了系统的文献检索:PubMed,CINAHL,科克伦,Scopus,Web的科学。包括以英文发表的原始同行评审研究,探索母亲对爱婴医院母乳喂养支持的观点。两名审稿人独立筛选标题(n=914),摘要(n=226),和全文(n=47)。该综述包括17项研究,包括定量研究(n=14)和定性研究(n=3)。进行了归纳内容分析和描述性综合。
■大多数研究(n=14)从产妇的角度衡量医院对十步实践的依从性。向母亲提供了母乳喂养信息和鼓励,然而,一项定性发现表明,信息集中在母乳喂养的积极方面.尽管通常持续不超过30分钟,但母亲和婴儿之间的早期皮肤接触得到了很好的促进。母乳喂养得到了实际支持,但根据两项定性研究的结果,支持并不总是足以解决母亲的母乳喂养问题。大多数母亲在住院期间完全母乳喂养,没有向婴儿提供补充牛奶。母亲和婴儿一起住在房间里,大多被鼓励按需母乳喂养。特别是在步骤6和9中观察到婴儿友好医院与非婴儿友好医院之间的差异:在婴儿友好医院中,补充喂养和安抚奶嘴的使用不太常见。
■从母亲的角度来看,爱婴医院的母乳喂养支持主要但并非完全遵循十步措施.对“十项措施”中的一些措施的遵守率较低,这表明需要更频繁地评估母乳喂养支持做法,并考虑促进更可持续地实施该举措的战略。不管母乳喂养支持的一些缺点,母亲对医院的支持主要感到满意。爱婴医院的母亲认为,与非爱婴医院的母亲相比,母乳喂养支持更遵守“十步”。
UNASSIGNED: The Baby-Friendly Hospital Initiative aims to improve breastfeeding by implementing the Ten Steps to Successful Breastfeeding (Ten Steps) into routine breastfeeding support in birth hospitals. Maternal perspective to breastfeeding support is important to consider as mothers and their infants are in the center of that support.
UNASSIGNED: To review and synthesize the existing literature on maternal perceptions and experiences of breastfeeding support in Baby-Friendly hospitals. A sub-aim was to describe differences in breastfeeding support between Baby-Friendly hospitals and non-Baby-Friendly hospitals from maternal perspective.
UNASSIGNED: An integrative literature review. A systematic literature search was conducted in October 2021 in five databases: PubMed, CINAHL, Cochrane, Scopus, Web of Science. Original peer-reviewed studies published in English exploring maternal viewpoints on breastfeeding support in Baby-Friendly hospitals were included. Two reviewers independently screened the titles (n=914), abstracts (n=226), and full texts (n=47). The review comprised of seventeen studies and includes both quantitative studies (n=14) and qualitative studies (n=3). Inductive content analysis and descriptive synthesis were conducted.
UNASSIGNED: Most studies (n=14) measured hospitals\' compliance with the Ten Steps practices from maternal perspective. Mothers were provided with breastfeeding information and encouragement, however, a qualitative finding indicated that information focused on positive aspects of breastfeeding. Early skin-to-skin contact between the mother and infant was well facilitated although often not lasting more than 30 min. Breastfeeding was facilitated by practical support but according to findings of two qualitative studies, support was not always adequate to address mothers\' problems with breastfeeding. Most mothers were exclusively breastfeeding during the hospital stay and no supplemental milk was offered to infant. Mothers were roomed-in together with their infant and were mostly encouraged to breastfeed on demand. Differences between Baby-Friendly hospitals and non-Baby-Friendly hospitals were observed particularly for steps 6 and 9: supplementary feeding and pacifier use were less common in Baby-Friendly hospitals.
UNASSIGNED: From the maternal perspective, breastfeeding support in the Baby-Friendly hospitals was mainly but not completely in adherence with the Ten Steps practices. Low compliance with some of the Ten Steps indicates a need for a more frequent assessment of the breastfeeding support practices and consideration of strategies facilitating a more sustainable implementation of the initiative. Regardless of some shortcomings with the breastfeeding support, mothers were mainly satisfied with the support in the hospital. Mothers in the Baby-Friendly hospitals perceived that breastfeeding support was more adherent to the Ten Steps compared to mothers in non-Baby-Friendly hospitals.