支持产妇在产后为婴儿提供最佳营养。

IF 8 1区 医学 Q1 NUTRITION & DIETETICS
Tina Gartley , Joel Bass , Ronald Kleinman
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引用次数: 0

摘要

支持最佳新生儿营养和积极的母婴关系,同时鼓励安全的睡眠方式,这些都是产妇和新生儿出生后在医院环境中护理的重要组成部分。母乳喂养被广泛认为是支持婴儿营养需求和健康的最佳做法,世界卫生组织(WHO)、美国儿科学会(AAP)和美国疾病控制中心(CDC)已制定建议,鼓励并成功支持出院前的母乳喂养工作。由世界卫生组织制定和推广的 "成功母乳喂养的 10 个步骤 "是 "爱婴医院倡议"(BFHI)的基础,并已成为促进母乳喂养的公共卫生倡议的国际框架。许多母乳喂养倡导者建议,通过 "爱婴医院认证"(BFD)程序对医院实施 "十项措施 "的绩效进行评估,是实现 "爱婴医院倡议 "目标的最佳途径。然而,世卫组织已经认识到,"爱婴指定 "并非在所有环境中都是一个合适的目标,并在其 2018 年更新的指南中指出,"医疗机构可能会改变其政策和程序以获得指定,但这些改变并不总是可持续的,尤其是在没有定期监测系统的情况下"(1)。此外,还出现了与新生儿安全和孕产妇对 "10 个步骤 "中某些步骤不满意相关的意外问题。本视角将讨论医院在尝试实施 "婴儿健康保险十项措施 "时所面临的挑战,并提出潜在的解决方案,以便在实施或不实施婴儿健康发展计划的情况下取得进展,以及在适当的时候支持配方奶喂养所需的努力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Supporting Maternal Efforts to Provide Optimal Infant Nutrition in the Postpartum Setting

Supporting optimal newborn nutrition and the positive maternal–infant relationship while encouraging safe sleep practices are essential components of maternal and newborn care in the hospital setting following birth. Breastfeeding is widely recognized as the best practice to support the nutritional needs and well-being of the infant, and recommendations have been developed by the WHO, the American Academy of Pediatrics (AAP), and the United States Centers for Disease Control to encourage and successfully support breastfeeding efforts before hospital discharge. The 10 Steps to Successful Breastfeeding, developed and promoted by the WHO, form the basis of the Baby-Friendly Hospital Initiative (BFHI) and have become the international framework for public health initiatives to promote breastfeeding. An evaluation of hospital performance implementing the 10 steps through the process of “Baby-Friendly Designation” (BFD) has been suggested by many breastfeeding advocates as the optimal pathway to attain the goals of the BFHI. However, the WHO has recognized that BFD may not be an appropriate goal in all settings, and indicated, as part of their updated 2018 guidance, that “facilities may make changes in their policies and procedures to obtain the designation, but these changes are not always sustainable, especially when there are no regular monitoring systems in place.” In addition, unintended associated issues regarding newborn safety and maternal dissatisfaction with some of the 10 steps have emerged. This perspective discusses the challenges faced by hospitals attempting to implement the BFHI 10 steps and suggests potential solutions to make progress in those efforts with or without BFD and also the efforts needed to support formula feedings when appropriate.

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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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