BUNDLE OF MEASURES TO SUPPORT INTRAHOSPITAL EXCLUSIVE BREASTFEEDING: EVIDENCE OF SYSTEMATIC REVIEWS

ABSTRACT Objective: To identify the main recommendations found in systematic reviews regarding exclusive breastfeeding protective factors. Data source: Integrative review based on the guiding question: What evidence is found in literature regarding the protective factors of exclusive breastfeeding during the intrahospital period? A search was conducted in the Cochrane Library, PubMed/MEDLINE and LILACS database using the keyword “Breast Feeding” and the word “Breastfeeding”. Systematic reviews published from 2007 to 2016 that answered the guiding question were included in the study, whereas systematic reviews that analyzed breastfeeding of preterm infants and breastfeeding of children with orofacial malformation were excluded. The sample included eight systematic reviews. Data synthesis: The recommendations related to the protective factors for exclusive in-hospital breastfeeding found in the systematic reviews were: early skin-to-skin contact, rooming-in care, intervention for treating painful nipples during breastfeeding, restriction of infant supplementation, baby-led breastfeeding and educational interventions and support for mothers during hospital stay. The proposed measures included the six practices presented as protective factors. Conclusions: The review enabled the identification of evidence to support the recommended measures from delivery room to hospital discharge, with the aim of encouraging breastfeeding and preventing intrahospital weaning,

摘要
研究目的：本研究旨在明确现有系统综述（systematic review）中关于纯母乳喂养保护因素的核心推荐意见。
数据来源：本研究为整合综述，指导问题为：现有文献中关于住院期间纯母乳喂养保护因素的相关证据有哪些？研究团队以“Breast Feeding”与“Breastfeeding”为检索词，检索了考克兰图书馆（Cochrane Library）、PubMed/MEDLINE及LILACS数据库。纳入2007年至2016年间发表的、可回答该指导问题的系统综述；排除针对早产儿母乳喂养及合并口面部畸形儿童母乳喂养的系统综述。最终纳入8篇系统综述作为研究样本。
数据综合：从纳入的系统综述中提取的住院期间纯母乳喂养保护因素相关推荐意见包括：早期皮肤接触、母婴同室护理、母乳喂养期间乳头疼痛干预措施、限制婴儿补充喂养、婴儿主导式母乳喂养，以及住院期间为产妇提供的教育干预与支持。本研究提出的干预措施包含上述6项被认定为保护因素的实践方案。
结论：本综述明确了可支撑从产房至出院阶段推荐措施的相关证据，旨在推广母乳喂养并预防住院期间断奶。