An Examination of the Benefits of Lactation Consultant Services in NICUs for Mothers and Their Newborn: A Systematic Review.

IF 2.1 3区 医学 Q2 OBSTETRICS & GYNECOLOGY Breastfeeding Medicine Pub Date : 2024-10-01 Epub Date: 2024-08-21 DOI:10.1089/bfm.2023.0158
Siobhan Wakeham, Paulina Pronska, Sandra Fucile
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Abstract

Background: It is well accepted that lactation consultant (LC) services can enhance the breastfeeding success in mother-infant dyads. However, despite such advantages, not all neonatal intensive care units (NICUs) offer LC services. The objective of this systematic review was to assess the available evidence on the effect of LC service on breastfeeding outcomes for mothers whose infants are in the NICU. Methods: The PRISMA Extension for Systematic Reviews were used to conduct this systematic review. The following databases: Embase, Medline, CINAHL, and Cochrane library were searched. An initial 464 studies were obtained. Duplicates and studies that did not fit the inclusion criteria were removed, leaving 30 full-text articles to review. Nineteen were further excluded after full-text review. A total of 11 studies were included. Due to the heterogeneity of the included studies, a meta-analysis could not be performed, instead a qualitative numerical summary was conducted. Results: Overall, 10/11 (90%) of studies observed a 6-31% increase in the number of infants who received mother's own milk, and 11-27% in the number of infants who received direct breastfeeds associated with the implementation of LC services in the NICU. The two most common types of LC services studied included: i) multidisciplinary lactation support-described as a team-based approach that includes at least one LC and ii) designation of LC formal role in the NICU. Conclusions: This review highlights that having LC services in the NICU is vital for meeting the unique needs and enhancing breastfeeding outcomes for mothers whose infants are in the NICU.

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研究新生儿重症监护室的哺乳顾问服务对母亲及其新生儿的益处:系统回顾。
背景:众所周知,哺乳顾问(LC)服务可以提高母婴二人组母乳喂养的成功率。然而,尽管有这些优势,并非所有新生儿重症监护病房(NICU)都提供哺乳顾问服务。本系统性综述旨在评估有关哺乳顾问服务对新生儿重症监护病房母亲母乳喂养效果影响的现有证据。方法:本系统性综述采用 PRISMA 系统性综述扩展标准。以下数据库Embase、Medline、CINAHL 和 Cochrane 图书馆。初步获得了 464 项研究。删除了重复的和不符合纳入标准的研究,剩下 30 篇全文文章需要回顾。全文审阅后又排除了 19 篇。最后共纳入 11 项研究。由于纳入的研究存在异质性,因此无法进行荟萃分析,而是进行了定性数字总结。研究结果总体而言,10/11(90%)项研究观察到,在新生儿重症监护室实施母乳喂养服务后,接受母乳喂养的婴儿人数增加了 6-31%,接受直接母乳喂养的婴儿人数增加了 11-27%。研究中最常见的两种哺乳支持服务包括:i) 多学科哺乳支持--被描述为一种以团队为基础的方法,其中至少包括一名哺乳支持者;ii) 指定哺乳支持者在新生儿重症监护室中的正式角色。结论:本综述强调,在新生儿重症监护室提供母乳喂养服务对于满足新生儿重症监护室母亲的独特需求和提高母乳喂养效果至关重要。
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来源期刊
Breastfeeding Medicine
Breastfeeding Medicine OBSTETRICS & GYNECOLOGY-PEDIATRICS
CiteScore
4.20
自引率
11.10%
发文量
130
审稿时长
6-12 weeks
期刊介绍: Breastfeeding Medicine provides unparalleled peer-reviewed research, protocols, and clinical applications to ensure optimal care for mother and infant. The Journal answers the growing demand for evidence-based research and explores the immediate and long-term outcomes of breastfeeding, including its epidemiologic, physiologic, and psychological benefits. It is the exclusive source of the Academy of Breastfeeding Medicine protocols. Breastfeeding Medicine coverage includes: Breastfeeding recommendations and protocols Health consequences of artificial feeding Physiology of lactation and biochemistry of breast milk Optimal nutrition for the breastfeeding mother Breastfeeding indications and contraindications Managing breastfeeding discomfort, pain, and other complications Breastfeeding the premature or sick infant Breastfeeding in the chronically ill mother Management of the breastfeeding mother on medication Infectious disease transmission through breast milk and breastfeeding The collection and storage of human milk and human milk banking Measuring the impact of being a “baby-friendly” hospital Cultural competence and cultural sensitivity International public health issues including social and economic issues.
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