为住院新生儿优化母乳养:对助产士主导的干预措施的叙述性审查
Kira Madeleine Harting1, Dominique Singer2, Julia Heiter2
1Division of Obstetrics and Fetal Medicine, University Medical Center Eppendorf, Hamburg, Germany.
European journal of midwifery
|February 24, 2025
概括
助产士的支持对于住院新生儿的哺乳成功至关重要. 关键干预措施包括皮肤接触,定期奶,咨询和不间断的访问时间,增强婴儿营养和母婴关系.
科学领域:
- 新生儿护理 新生儿护理
- 母婴健康 母婴健康
- 哺乳期科学 哺乳期科学
背景情况:
- 母乳是婴儿最佳营养,由世界卫生组织专门推六个月.
- 哺乳住院新生儿由于母亲和婴儿分离而带来了独特的挑战.
- 助产士的支持对于克服这些挑战和确保母乳养成功至关重要.
研究的目的:
- 确定助产士主导的干预措施,积极影响住院新生儿的母乳养结果.
- 审查在分娩病房,产后病房和家庭实施的措施的证据.
主要方法:
- 在PubMed,CINAHL和欧洲母乳养和哺乳研究所网站 (2023年4月至9月) 进行了叙事文献综述.
- 包括2013-2023年间发表的德语或英语研究,比较至少两个干预措施.
- 分析了20项研究,以确定有效的助产士实践.
主要成果:
- 皮肤与皮肤接触改善了独家母乳养率,吸行为,以及完全肠道养的时间.
- 定期抽出母乳和监督的母乳养尝试增加了母乳养率.
- 哺乳辅导促进了母亲获得哺乳教育的机会,不间断的访问时间促进了纯母乳养.
结论:
- 助产士通过启动哺乳期,加强母婴纽带和提供指导,对住院婴儿的母乳养成功产生重大影响.
- 有证据支持诸如皮肤接触,哺乳支持和灵活的访问政策等干预措施.
- 需要进一步的研究,在研究设计和执行中更多地纳入助产士.
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