Edlin Glane Mathias, Divya Sussana Patil, Ashwija Kolakemar, Jisha B Krishnan, Vishnu Renjith, Nachiket Gudi, Ravi Shankar Swamy, Angela Brand
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引用次数: 0
摘要
综述目的:母乳是所有婴儿的最佳营养来源。当母亲无法获得母乳时,世界卫生组织建议使用捐赠的母乳来喂养有或没有医学并发症的早产儿。探索母乳捐赠的障碍和促进因素及其可接受性对于制定这一干预措施至关重要。根据Arksey和O'Malley开发的方法框架进行了范围审查(Int J Soc Res methodology 8:19- 32,2005)。在PubMed (NCBI)、CINAHL (EBSCO)和Web of Science (Elsevier)中进行了检索。采用两阶段顺序筛选工艺。数据提取是使用试点数据提取表单完成的。最近的发现:我们纳入了20篇文章进行叙事综合。捐赠和接受母乳的障碍和促进因素分为六个主题:个人、家庭、社区、工作场所、卫生系统和政策相关。常见的个人障碍是BMD的时间要求、个人不喜欢这个过程、缺乏知识、牛奶不足、负面意见和缺乏信息。家庭耻辱、负面谣言、受教育程度较低的家庭成员以及家庭成员患病被认为是与家庭有关的障碍。与社区相关的障碍包括文化或宗教上不可接受的做法、社会禁忌以及与母乳库的距离。确定的与卫生系统有关的主要障碍是缺乏实际和心理支持,缺乏信息,储存和运输问题,卫生保健工作者缺乏知识,以及创建牛奶实验室的后勤挑战。常见的与工作有关的障碍是缺乏足够的时间,哲学上的反对,以及对重返工作的不理解。确定的与政策有关的障碍包括卫生要求的需要、捐赠费用和缺乏标准化指南。加快母乳捐赠流程,为献血者提供上门服务,以及开展有关母乳捐赠的社区教育和男性伴侣参与,都有助于提高母乳捐赠的可接受性。
Barriers and Facilitators for the Donation and Acceptance of Human Breast milk: A Scoping Review.
Purpose of review: Human milk is the best source of nutrients for all infants. When a mother's own milk is unavailable, the World Health Organization suggests using donor human milk for premature neonates with or without medical complications. Exploring the barriers and facilitators for breast milk donation and its acceptability is essential for developing this intervention. A scoping review was conducted based on a methodological framework developed by Arksey and O'Malley (Int J Soc Res Methodol 8:19-32, 2005). A search was conducted in PubMed (NCBI), CINAHL (EBSCO), and Web of Science (Elsevier). A two-stage sequential screening process was adopted. Data extraction was done using a piloted data extraction form.
Recent findings: We included 20 articles for narrative synthesis. Barriers and facilitators for donating and accepting breast milk were categorized under six themes: individual, family, community, workplace, health system, and policy-related. The common individual barriers were time requirements for BMD, personal dislike of the process, lack of knowledge, insufficient milk, negative opinions, and lack of information. Family stigma, negative rumors, less educated family members, and illness of a family member were identified as family-related barriers. Community-related barriers include cultural or religious unacceptable practices, societal taboos, and distance to milk banks. The major barriers identified in relation to the health system were lack of practical and psychological support, lack of information, storing and transportation issues, lack of knowledge among HCWs, and logistical challenges of creating a milk lab. The common work-related barriers were the lack of adequate time, philosophical objections, and incomprehension at returning to work. Policy-related barriers identified include the need for hygiene requirements, donation costs, and lack of standardized guidelines. Making the donation process faster, providing pick-up services for donors, and community education and male partner engagement regarding breast milk donation could help to boost the acceptability of breast milk donation.
期刊介绍:
This journal aims to provide comprehensive review articles that emphasize significant developments in nutrition research emerging in recent publications. By presenting clear, insightful, balanced contributions by international experts, the journal intends to discuss the influence of nutrition on major health conditions such as diabetes, cardiovascular disease, cancer, and obesity, as well as the impact of nutrition on genetics, metabolic function, and public health. We accomplish this aim by appointing international authorities to serve as Section Editors in key subject areas across the field. Section Editors select topics for which leading experts contribute comprehensive review articles that emphasize new developments and recently published papers of major importance, highlighted by annotated reference lists. We also provide commentaries from well-known figures in the field, and an Editorial Board of more than 25 internationally diverse members reviews the annual table of contents, suggests topics of special importance to their country/region, and ensures that topics and current and include emerging research.