多胎产后母亲经历的母乳养挑战 - - 量化,定性和混合方法研究的系统审查和元综合研究
Geeta Bhardwaj1, Moonjelly Vijayan Smitha2, Prasuna Jelly3
1Department Nursing College, All India Institute of Medical Sciences, Bhopal, India.
概括
双胞胎的母乳养母亲面临着独特的挑战,平衡自我照顾和新生儿的需求,情感困难,并寻求足够的支持. 解决这些问题对于改善多胎母乳养实践至关重要.
科学领域:
- 围产期健康 围产期健康
- 母婴营养 母婴营养
- 多胎产生的结果
背景情况:
- 哺乳对于婴儿的营养至关重要,特别是对于早产的双胞胎.
- 双胞胎母亲的母乳养率低于单胞胎母亲的母乳养率.
- 现有研究强调了双胞胎母亲面临的重大母乳养挑战.
研究的目的:
- 综合关于双胞胎母亲经历的母乳养挑战的研究结果.
- 在这些挑战中识别共同的主题和模式.
- 为双胞胎的母乳提供干预和支持策略的信息.
主要方法:
- 在2023年8月的五个主要电子数据库 (CINAHL,MEDLINE,PsycINFO,EMBASE,Web of Science) 进行系统的文献搜索.
- 包括遵守PRISMA指南的定量,定性和混合方法研究.
- 使用Lucas等人进行的主题综合. 通过乔安娜·布里格斯研究所和混合方法评估工具进行质量评估.
主要成果:
- 包含了16项涉及来自16个国家的3351名母亲的16项研究 (5种定量方法,8种定性方法,3种混合方法).
- 三个主要主题出现了: (1) 角色转换和平衡个人需求与新生儿的需求, (2) 情感挑战,以及 (3) 导航支持系统和信息获取.
- 1980年至2022年间发表的研究反映了长期存在的担忧.
结论:
- 综合发现强调了双胞胎母亲在母乳养期间遇到的多方面的挑战.
- 需要针对这一群体进行量身定制的干预,教育和支持.
- 医疗保健专业人员应重新评估政策和实践,以扩大社区支持,超越分娩后的直接时期,以提高母乳养在多胎产生的成功.
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