Maternal intention to breastfeed: a systematic review
Maternal intention to breastfeed: a systematic review
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DOI：
10.1590/1413-812320152112.17962015
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发表时间：
2016-12-01
期刊：
影响因子：
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通讯作者：
Silva, Luciana Rodrigues
中科院分区：
文献类型：
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作者：
Vieira, Tatiana de Oliveira;Martins, Camilla da Cruz;Silva, Luciana Rodrigues
本研究旨在找出与孕妇母乳喂养意向(MIB)相关的因素。对在线医学文献分析和检索系统(PubMed/Medline)和拉丁美洲和加勒比健康科学文献数据库(Lilacs)的文章进行了系统审查。两位独立的评价者使用“医学主题”和“科学与健康中的关键词”词汇表进行了搜索，涉及：母乳喂养、意向和孕妇。选择了英语、葡萄牙语和西班牙语的研究文章，将MIB作为结果进行分析。这些研究根据方法学质量进行分类，使用考虑了内部和外部有效性标准的量表，最高得分为30分。共有9篇文章入选，其方法质量从12分到21分不等。这些研究评估了68个变量；其中35个变量与MIB有关。在两项或两项以上研究中发现的与MIB相关的特征是：初产、较高的教育水平和较大的产妇年龄、既往有母乳喂养经验、不吸烟和与伴侣同居。了解与MIB有关的特征是规划旨在延长母乳喂养持续时间的行动的基本步骤。
This study seeks to identify the factors associated with maternal intention to breastfeed (MIB) in pregnant women. A systematic review of articles in the Medical Literature Analysis and Retrieval System Online (PubMed/Medline) and the Latin American and Caribbean Literature in Health Sciences (Lilacs) databases was conducted. Two independent reviewers performed the search, using the "Medical Subject Headings" and "Key words in Science and Health" vocabulary, referring to: breastfeeding, intention, and pregnant women. Research articles in English, Portuguese and Spanish that analyzed MIB as an outcome were selected. The studies were classified by methodological quality, using a scale that considered internal and external validity criteria, with a maximum score of 30 points. Nine articles were selected, with a methodological quality varying from 12 to 21 points. The studies assessed 68 variables; 35 of which were associated with MIB. The characteristics associated with MIB found in two or more studies were: primiparity, higher level of schooling and older maternal age, prior experience with breastfeeding, not smoking, and living with a partner. Knowledge of the characteristics associated with MIB represents a fundamental step in the planning of actions that seek to increase the duration of breastfeeding.