Factors that positively influence breastfeeding duration to 6 months: a literature review.
Factors that positively influence breastfeeding duration to 6 months: a literature review.
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DOI：
10.1016/j.wombi.2010.02.002
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发表时间：
2010-12-01
期刊：
影响因子：
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通讯作者：
Kable, Ashley
中科院分区：
文献类型：
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作者：
Meedya, Shahla;Fahy, Kathleen;Kable, Ashley
问题：哪些可改变的因素对产后6个月的母乳喂养时间有积极影响？目的：提出这个问题是为了能够开发一个助产干预，旨在延长breastfeed.METHOD：在线文献检索Medline，CINAHL，产妇和婴儿护理，和科克伦数据库的系统评价。检索策略包括以下关键词：母乳喂养、持续时间、开始、停止、因素、干预、教育、伴侣、意图、信心、自我效能和支持。从澳大利亚新南威尔士州卫生部的在线出版物中找到并提取了其他研究。结果：影响妇女母乳喂养决策的可变因素有：母乳喂养意愿、母乳喂养自我效能感和社会支持。现有的助产士母乳喂养的促进策略往往包括社会支持，但没有充分解决试图修改母乳喂养的意图和自我efficacy.CONCLUSION：与母乳喂养持续时间呈正相关的可修改的因素是妇女的母乳喂养的意图，她的母乳喂养自我效能和她的社会支持。迄今为止，干预研究的重点是单独修改这些因素，结果各不相同。没有进行干预性研究，目的是积极修改所有三个因素同时进行。
QUESTION: What modifiable factors positively influence breastfeeding duration to 6 months postpartum?AIM: This question was posed in order to be able to develop a midwifery intervention aimed at prolonging breastfeeding.METHOD: An online literature search was conducted in Medline, CINAHL, Maternity and Infant Care, and Cochrane Database of systematic reviews. The search strategy included the following keywords: breastfeeding, duration, initiation, cessation, factors, intervention, education, partner, intention, confidence, self-efficacy and support. Additional studies were located and extracted from online publications of New South Wales Department of Health, Australia. Bio-psycho-social factors that are positively associated with breastfeeding duration were identified.RESULTS: Modifiable factors that influence women's breastfeeding decisions are: breastfeeding intention, breastfeeding self-efficacy and social support. Existing midwifery breastfeeding promotion strategies often include social support but do not adequately address attempts to modify breastfeeding intention and self-efficacy.CONCLUSION: The modifiable factors that are positively associated with breastfeeding duration are the woman's breastfeeding intention, her breastfeeding self-efficacy and her social support. Intervention studies to date have focussed on modifying these factors individually with variable results. No interventional studies have been conducted with the aim of positively modifying all three factors simultaneously.