剖宫产术后妇女母乳喂养的经验:综合研究

IF 1.7 4区 医学 Q2 NURSING
Yunefit Ulfa, Naoko Maruyama, Yumiko Igarashi, Shigeko Horiuchi
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引用次数: 0

摘要

世界卫生组织和联合国儿童基金会建议在产后第一个小时内尽早开始母乳喂养,以实现成功的纯母乳喂养。然而,剖宫产是早期开始母乳喂养不成功的一个危险因素。在此,我们的目的是探讨妇女在剖宫产术后母乳喂养的经验。方法采用乔安娜·布里格斯研究所框架进行meta综合。我们检索了1990年至2022年在PubMed、CINAHL、Cochrane图书馆、PsycInfo和EMBASE上发表的文章,以确定有关剖宫产术后妇女母乳喂养经历的定性研究。我们使用定性研究的关键评估技能程序检查表来评估纳入研究的质量。结果来自5个国家的7项定性研究符合纳入标准,代表了194名剖宫产妇女的观点。剖宫产后妇女的母乳喂养经历纳入了六个新的类别,如下:(i)母乳喂养的感知价值;(ii)母乳喂养的情感脆弱性;(iii)母乳喂养的身体困难;(iv)母乳喂养的不方便条件;(v)母乳喂养的资源不足;(vi)支持母乳喂养的系统。结论:我们提供的证据表明,了解特定的母乳喂养机制,并在剖宫产术后提供最适当的术后护理,可以减少剖宫产后母乳喂养的障碍。此外,有效的医院政策和家庭支持可促成母乳喂养的积极结果。考虑到母乳喂养实践的文化方面的未来研究可能会对提供最佳产后护理产生额外的见解。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Women's experiences of breastfeeding after a cesarean section: A meta-synthesis

Aim

The World Health Organization and United Nations Children's Fund recommend the early initiation of breastfeeding within the first hour postpartum for successful exclusive breastfeeding. However, cesarean section is a risk factor for unsuccessful early initiation of breastfeeding. Herein, we aim to explore women's experiences of breastfeeding after a cesarean section.

Methods

We used the Joanna Briggs Institute framework in this meta-synthesis. We searched articles published from 1990 to 2022 on PubMed, CINAHL, Cochrane library, PsycInfo, and EMBASE to identify qualitative studies on women's experiences of breastfeeding after a cesarean section. We used the Critical Appraisal Skills Programme checklist for qualitative studies to assess the quality of the included studies.

Results

Seven qualitative studies from five countries met the inclusion criteria, representing the views of 194 women who underwent cesarean sections. Six new categories were integrated into the women's experiences of breastfeeding after a cesarean section as follows: (i) Perceived values of breastfeeding, (ii) Emotional vulnerability in breastfeeding, (iii) Physical difficulties in breastfeeding, (iv) Inconvenient conditions in breastfeeding, (v) Inadequate resources for breastfeeding, and (vi) Support systems to enable breastfeeding.

Conclusions

We provide evidence showing that knowledge of the specific breastfeeding mechanism and provision of the most appropriate postsurgical care by healthcare providers just after a cesarean section can reduce the barriers to post-cesarean breastfeeding. Moreover, effective hospital policies and family support can result in the initiation of positive breastfeeding outcomes. Future studies that consider the cultural aspects of breastfeeding practice may generate additional insights into providing optimal postpartum care.

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来源期刊
CiteScore
4.10
自引率
0.00%
发文量
55
审稿时长
>12 weeks
期刊介绍: The Japan Journal of Nursing Science is the official English language journal of the Japan Academy of Nursing Science. The purpose of the Journal is to provide a mechanism to share knowledge related to improving health care and promoting the development of nursing. The Journal seeks original manuscripts reporting scholarly work on the art and science of nursing. Original articles may be empirical and qualitative studies, review articles, methodological articles, brief reports, case studies and letters to the Editor. Please see Instructions for Authors for detailed authorship qualification requirement.
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