Early Infant Feeding Practices among Women Engaged in Paid Work in Africa: A Systematic Scoping Review

IF 8 1区 医学 Q1 NUTRITION & DIETETICS
Melina Mgongo , Scott B Ickes , Beatrice J Leyaro , Innocent B Mboya , Samantha Grounds , Emily R Seiger , Tamara H Hashim , Jamie L Conklin , Elizabeth W Kimani-Murage , Stephanie L Martin
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Abstract

Around the world, paid work without appropriate structural support is a key barrier to optimal breastfeeding practices. To better protect, promote, and support optimal breastfeeding practices among working women in Africa, this scoping review sought to understand how paid work influences infant feeding practices in the first 6 mo of life and what support women need to manage work and optimal infant feeding practices. We systematically searched PubMed, Scopus, Global Health, and CINAHL Plus, screened 2436 abstracts, and reviewed 322 full-text articles using Covidence for review and charting. We identified 203 articles that met the inclusion criteria. We identified 32 quantitative, 10 qualitative, 3 mixed-methods, and 2 review articles that focused on examining the relationship between work and breastfeeding, and 109 quantitative, 22 qualitative, 21 mixed-methods, and 4 review articles that included work as part of broader breastfeeding research but did not focus on work. Most studies reported a significant negative association between work and exclusive breastfeeding. Three major domains were reported in the qualitative studies: challenges to managing work and infant feeding, receiving support from employers and family members/caregivers, and strategies for feeding infants when the mother is working. Reviewed studies proposed recommendations to increase support for breastfeeding through changes to policies and support within worksites, the health system, and childcare; however, evidence of previously implemented policies or programs is limited. We recommend more consistent definitions and measurement of women’s work. Future research is needed on the impact of implementing various strategies and benefits for breastfeeding at workplaces, as well as efforts to support breastfeeding among informal workers.

非洲从事有偿工作的妇女早期喂养婴儿的做法:系统性范围界定综述。
在世界各地,没有适当结构性支持的有偿工作是最佳母乳喂养方式的主要障碍。为了更好地保护、促进和支持非洲职业女性的最佳母乳喂养实践,本范围界定综述试图了解有偿工作如何影响婴儿出生后头六个月的喂养实践,以及女性在管理好工作和最佳婴儿喂养实践方面需要哪些支持。我们系统地检索了 PubMed、Scopus、Global Health 和 CINAHL Plus,筛选了 2,436 篇摘要,并使用 Covidence 对 322 篇全文进行了审阅和制图。我们确定了 203 篇符合纳入标准的文章。我们确定了 32 篇定量研究文章、10 篇定性研究文章、3 篇混合方法研究文章和 2 篇综述文章,这些文章重点研究了工作与母乳喂养之间的关系;我们还确定了 109 篇定量研究文章、22 篇定性研究文章、21 篇混合方法研究文章和 4 篇综述文章,这些文章将工作作为更广泛的母乳喂养研究的一部分,但并未重点研究工作。大多数研究报告称,工作与纯母乳喂养之间存在明显的负相关。定性研究报告了三个主要领域:处理工作与婴儿喂养之间的关系所面临的挑战、从雇主和家庭成员/照顾者那里获得支持以及母亲工作时喂养婴儿的策略。回顾性研究提出了通过改变工作场所、医疗系统和托儿所的政策和支持来增加对母乳喂养支持的建议;然而,以前实施的政策或计划的证据有限。我们建议对妇女的工作进行更加一致的定义和衡量。未来还需要研究在工作场所实施各种母乳喂养策略和福利的影响,以及支持非正规工作者母乳喂养的努力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Advances in Nutrition
Advances in Nutrition 医学-营养学
CiteScore
17.40
自引率
2.20%
发文量
117
审稿时长
56 days
期刊介绍: Advances in Nutrition (AN/Adv Nutr) publishes focused reviews on pivotal findings and recent research across all domains relevant to nutritional scientists and biomedical researchers. This encompasses nutrition-related research spanning biochemical, molecular, and genetic studies using experimental animal models, domestic animals, and human subjects. The journal also emphasizes clinical nutrition, epidemiology and public health, and nutrition education. Review articles concentrate on recent progress rather than broad historical developments. In addition to review articles, AN includes Perspectives, Letters to the Editor, and supplements. Supplement proposals require pre-approval by the editor before submission. The journal features reports and position papers from the American Society for Nutrition, summaries of major government and foundation reports, and Nutrient Information briefs providing crucial details about dietary requirements, food sources, deficiencies, and other essential nutrient information. All submissions with scientific content undergo peer review by the Editors or their designees prior to acceptance for publication.
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