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首页> 外文期刊>Maternal & child nutrition >A systematic review of structured compared with non-structured breastfeeding programmes to support the initiation and duration of exclusive and any breastfeeding in acute and primary health care settings
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A systematic review of structured compared with non-structured breastfeeding programmes to support the initiation and duration of exclusive and any breastfeeding in acute and primary health care settings

机译：对有组织和无组织母乳喂养计划的系统评价，以支持急性和初级卫生保健机构中纯母乳喂养和任何母乳喂养的开始和持续时间

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Policies and guidelines have recommended that structured programmes to support breastfeeding should be introduced. The objective of this review was to consider the evidence of outcomes of structured compared with non-structured breastfeeding programmes in acute maternity care settings to support initiation and duration of exclusive breastfeeding. Quantitative and qualitative studies were considered. Primary outcomes of interest were initiation of breastfeeding and duration of exclusive breastfeeding. Studies that only considered community-based interventions were excluded. An extensive search of literature published in 1992-2010 was undertaken using identified key words and index terms. Methodological quality was assessed using checklists developed by the Joanna Briggs Institute. Two independent reviewers conducted critical appraisal and data extraction; 26 articles were included. Because of clinical and methodological heterogeneity of study designs, it was not possible to combine studies or individual outcomes in meta-analyses. Most studies found a statistically significant improvement in breastfeeding initiation following introduction of a structured breastfeeding programme, although effect sizes varied. The impact on the duration of exclusive breastfeeding and duration of any breastfeeding to 6 months was also evident, although not all studies found statistically significant differences. Despite poor overall study quality, structured programmes compared with standard care positively influence the initiation and duration of exclusive breastfeeding and any breastfeeding. In health care settings with low breastfeeding initiation and duration rates, structured programmes may have a greater benefit. Few studies controlled for any potential confounding factors, and the impact of bias has to be considered.
机译：政策和指南建议应采用支持母乳喂养的结构化计划。这篇综述的目的是考虑在急性产妇护理环境中结构性母乳喂养计划与非结构性母乳喂养计划的结局证据，以支持纯母乳喂养的开始和持续时间。考虑了定量和定性研究。感兴趣的主要结果是开始母乳喂养和纯母乳喂养的持续时间。仅考虑基于社区干预的研究被排除在外。使用确定的关键词和索引词对1992-2010年发表的文献进行了广泛的搜索。使用乔安娜·布里格斯研究所制定的清单对方法学质量进行评估。两名独立审稿人进行了严格的评估和数据提取;包括26篇文章。由于研究设计在临床和方法上的异质性，因此无法在荟萃分析中合并研究或单个结果。大多数研究发现，在引入结构化的母乳喂养程序后，母乳喂养开始有统计学上的显着改善，尽管效果大小不同。尽管并非所有研究均发现统计学上的显着差异，但对纯母乳喂养时间和任何母乳喂养时间至6个月的影响也很明显。尽管总体研究质量较差，但与标准护理相比，结构化计划对纯母乳喂养和任何母乳喂养的开始和持续时间有积极影响。在母乳喂养开始和持续时间较低的卫生保健机构中，结构化计划可能会带来更大的好处。很少有研究能控制任何潜在的混杂因素，必须考虑偏倚的影响。

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