基于证据的母乳养支持干预措施的共同开发,优化为医疗机构的分娩,以及对患有长期疾病的母亲的适应:母乳养行动 (A4B) 计划
Albert Farre1, Anna Gavine1, Phyllis Buchanan2
1School of Health Sciences, University of Dundee, Dundee, UK.
Maternal & child nutrition
|February 11, 2026
概括
这项研究开发了母乳养行动计划 (A4B),这是一个基于证据的母乳养支持干预,与英国医疗保健机构的各种利益相关者共同设计. 它为所有母亲提供结构化支持,包括那些患有长期疾病的母亲.
科学领域:
- 公共卫生 公共卫生
- 医疗保健服务研究 医疗服务研究
- 干预 发展 干预
背景情况:
- 有效的母乳养支持对母亲和婴儿健康至关重要.
- 现有关于母乳养支持的证据需要整合,特别是对于患有长期疾病的母亲来说.
- 与多种利益相关者共同制作对于开发相关和可实施的干预措施至关重要.
研究的目的:
- 整合全球证据,并共同为英国医疗保健机构开发复杂的母乳养支持干预措施.
- 优化对患有或没有长期疾病的母亲的干预.
- 确保干预是基于证据和共同制作的.
主要方法:
- 四次系统性审查综合了来自116个RCT和16个过程评估 (健康母亲) 和22个试验/24个研究 (患有长期疾病的母亲) 的证据.
- 嵌入式联合制作涉及利益相关者工作组,家长小组,焦点小组和联合制作研讨会,共有128名参与者.
- 干预开发整合了系统审查的结果,并得到了广泛的利益相关者和家长的意见.
主要成果:
- 母乳养行动计划 (A4B) 是共同开发的,包括四个核心组成部分:产前,产后,后续和标志.
- 确定了实施策略,行动机制和评估结果.
- 共同设计的材料和指南支持A4B计划的采用和交付.
结论:
- A4B计划提供基于证据的,共同制作的干预措施,以在医疗保健机构提供有组织的母乳养支持.
- 对于患有长期疾病的母亲,已经提出了适应措施.
- 未来的工作将解决剩余的不确定性,并进一步完善干预.
相关概念视频
Documentation in Long-Term and Home Healthcare Setting
1.6K
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
1.6K
PPE Use in Healthcare Settings I: Donning
1.8K
Donning PPE must be completed before contact with the patient. This process protects from infectious agents. The sequence and action included in each donning are critical, and the steps must be systematic to avoid exposure to pathogens. The institutional policy also needs to be followed while donning PPE. The pre-donning preparations are gathering equipment, inspecting the PPE equipment for tears, holes, or damage, removing jewelry, removing any garments below the elbows, and tying the hair...
1.8K
PPE Use in Healthcare Settings II: Doffing
1.6K
The sequence of removing or doffing PPE starts with the gloves, as they are the most contaminated. Next is removal of the face shield or goggles, as they would interfere with removing other PPE. Then remove the gown, followed by the mask or respirator. Perform hand hygiene between steps if hands become contaminated and immediately after removing all PPE. Generally, the outside front and sleeves of the isolation gown, the goggles or the mask, the respirator, and the face shield are contaminated.
1.6K
Operant Conditioning Intervention
515
Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
In operant conditioning, behaviors that are...
In operant conditioning, behaviors that are...
515
Methods Of Healthcare Delivery System
4.2K
At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
4.2K
Issues And Trends In Healthcare Delivery System
6.3K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
6.3K


