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首页> 外文期刊>Advances in neonatal care: official journal of the National Association of Neonatal Nurses >What Is the Impact of NICU-Dedicated Lactation Consultants? An Evidence-Based Practice Brief
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What Is the Impact of NICU-Dedicated Lactation Consultants? An Evidence-Based Practice Brief

机译:尼古尔专用哺乳顾问的影响是什么? 基于证据的实践简介

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Background: Benefits of exclusive human milk diets for preterm and low birth-weight infants are well established. Despite known benefits, supporting mothers in the provision of mother's own milk for high-risk infants is challenging. Lactation support in the neonatal intensive care unit (NICU) is highly variable. Lactations consultants (LCs) are often shared between postpartum units and the NICU, potentially increasing LC workload with less time spent with high-risk mothers. Furthermore, less than half of NICUs in the United States staff an international board-certified lactation consultant. Limited understanding exists regarding impacts of NICU-specific lactation support on breastfeeding outcomes. Purpose: The purpose of this evidence-based practice brief is to synthesize the literature on the impact of NICU-specific lactation support, LCs who work exclusively in the NICU, and provide guidance about how NICU staffing with LCs solely focused on supporting mothers of high-risk infants impacts breastfeeding outcomes for low birth-weight infants. Search Strategy: CINAHL PLUS, PubMed, Cochrane Library, and OVID databases were searched using key words and restricted to English language. Findings: During hospitalization, NICUs staffed with dedicated board-certified LCs have increased potential to yield improved breastfeeding rates through hospital discharge, increased proportion of infants who receive mother's own milk, and increased duration of breastfeeding or human milk expression through hospital discharge. Implications for Research: There is a need for further studies pertaining to NICU-specific lactation consultants and influences on breastfeeding outcomes.
机译:背景:用于早产和低出生体重婴儿的独家人牛奶饮食的益处。尽管有了已知的好处,但支持母亲在提供母乳的高风险婴儿的牛奶中是挑战性的。新生儿重症监护病房(NICU)中的哺乳期支持是高度变化的。哺乳顾问(LCS)通常在产后单位和NICU之间分享,潜在地增加LC工作量,与高危母亲的时间较少。此外,在美国工作人员少于一半的尼古斯国际委员会认证的哺乳顾问。有限的理解存在关于NICU特异性哺乳期支持对母乳喂养结果的影响。目的:这种基于证据的实践简介的目的是综合尼古尔特定哺乳期支持的影响,LCS在Nicu工作的LCS,并提供关于Nicu与LCS的人员如何专注于支持高的母亲的指导 - 婴儿会影响低出生体重婴儿的母乳喂养结果。搜索策略:使用关键词搜索Cinahl Plus,PubMed,Cochrane库和Ovid数据库,并限制在英语。调查结果:住院期间,尼古斯人员与专门的董事会认证的LCS有可能通过医院出院产生改善的母乳喂养率,增加接受母乳的婴儿比例,以及通过医院排放增加母乳喂养或人乳表达的持续时间增加。对研究的影响:需要进一步研究与尼古尔特定的哺乳诊查以及对母乳喂养结果的影响。

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