产前母乳养教育对12周以上母乳养时间的影响:系统性审查
Megan K Oggero1,2, Cathy L Rozmus1, Geri LoBiondo-Wood1
1Cizik School of Nursing, The University of Texas Health Science Center at Houston, Houston, TX, USA.
概括
产前母乳养教育可以提高母乳养的持续时间,当它包括心理应对策略或亲自产后支持时. 这对于实现公共卫生母乳养目标至关重要.
科学领域:
- 公共卫生 公共卫生
- 孕产妇和儿童的健康
- 行为科学 行为科学
背景情况:
- 美国的母乳养率低于健康人2030目标,与更短的持续时间相关的重大健康风险.
- 低于最佳的母乳养增加了儿童白血病和母亲2型糖尿病的风险.
- 产前教育可以提高母乳养的自我效能和应对能力.
研究的目的:
- 系统地审查旨在增加母乳养时间的干预措施.
- 确定产前母乳养教育的特点,有效延长母乳养时间.
主要方法:
- 系统性审查遵循系统性审查和元分析 (PRISMA) 准则的首选报告项目.
- 使用了健康行动过程方法 (HAPA) 框架.
- 包括21项研究,检查产前母乳养教育和产后至少12周的持续时间.
主要成果:
- 产前母乳养教育在增加母乳养时间方面更有效,当它整合了心理因素,如应对计划 (HAPA).
- 与亲自产后母乳养支持相结合的干预措施也证明了母乳养持续时间的增加.
- 具体的心理成分及其对不同人群的影响需要进一步研究.
结论:
- 将心理策略和产后支持纳入产前母乳养教育可以提高母乳养的持续时间.
- 需要进一步的研究来探索心理成分在不同人群中的作用.
- 优化产前教育是改善公众健康哺乳结果的关键.
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