母乳喂养新妈妈的循证乳头护理路径：德尔菲研究

Q2 Nursing

British Journal of Midwifery Pub Date : 2024-07-02 DOI:10.12968/bjom.2024.32.7.352

Oladipupo Olalere, Clare Harley

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引用次数: 0

摘要

根据全球建议，只有 1%的英国母亲在最初 6 个月坚持纯母乳喂养。早期停止母乳喂养往往涉及复杂的问题，与乳头相关的损伤是常见的原因之一。本研究旨在通过专家共识，开发一种循证工具，用于早期识别和管理与母乳喂养相关的乳头损伤。研究采用了混合方法，包括 5 个阶段的范围综述和改良的德尔菲共识技术，共有 26 位英国孕产妇健康专家和经验丰富的母乳喂养母亲参与。就包括提供真实信息、早期同伴支持参与和使用羊毛脂在内的建议达成了共识（80% 的一致意见）。一些普遍推荐的做法，如让乳头风干，没有达成共识，这凸显了专家共识与发布的指南之间的偏差。这项研究产生了以证据为基础、经专家验证的自我管理指南，强调了在政策制定过程中加强利益相关者参与的必要性。

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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An evidence-based nipple care pathway for new breastfeeding mothers: a Delphi study

Only 1% of UK mothers maintain exclusive breastfeeding for the first 6 months, as per global recommendations. Early breastfeeding cessation often involves complex issues, with nipple-related injuries being a common cause. This study aimed to develop an evidence-based tool for early identification and management of breastfeeding-related nipple injuries through expert consensus. A mixed method approach was used, including a 5-stage scoping review and a modified Delphi consensus technique with 26 UK-based maternal health experts and experienced breastfeeding mothers. Consensus (80% agreement) was reached on recommendations, including the provision of realistic information, early peer support engagement and Lanolin use. Some commonly recommended practices, such as letting the nipple air dry, did not reach consensus, highlighting a misalignment between expert consensus and published guidance. This study generated evidence-based, expert-validated self-management guidance, emphasising the need for improved stakeholder engagement in policy development.

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来源期刊

British Journal of Midwifery Nursing-Maternity and Midwifery

CiteScore

1.30

自引率

0.00%

发文量

期刊介绍： British Journal of Midwifery (BJM) is the leading clinical journal for midwives. Published each month, the journal is written by midwives for midwives and peer reviewed by some of the foremost authorities in the profession. BJM is essential reading for all midwives. It contains the best clinical reviews, original research and evidence-based articles available, and ensures that midwives are kept fully up-to-date with the latest developments taking place in clinical practice. In addition, each issue of the journal contains a symposium on a particular theme, providing more in-depth clinical information.