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Interventions supporting medical practitioners in the provision of lactation care: A systematic review and narrative analysis

Most children globally are not breastfed to recommendations. Medical practitioners are frequently visited in the first 6 months post‐partum, and the interaction at such visits significantly influences subsequent infant feeding decisions. Medical practitioners report that clinical practice in lactati...

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Autores principales: Boss, Melinda, Saxby, Nicole, Pritchard, Douglas, Pérez‐Escamilla, Rafael, Clifford, Rhonda
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8189190/
https://www.ncbi.nlm.nih.gov/pubmed/33590635
http://dx.doi.org/10.1111/mcn.13160
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author Boss, Melinda
Saxby, Nicole
Pritchard, Douglas
Pérez‐Escamilla, Rafael
Clifford, Rhonda
author_facet Boss, Melinda
Saxby, Nicole
Pritchard, Douglas
Pérez‐Escamilla, Rafael
Clifford, Rhonda
author_sort Boss, Melinda
collection PubMed
description Most children globally are not breastfed to recommendations. Medical practitioners are frequently visited in the first 6 months post‐partum, and the interaction at such visits significantly influences subsequent infant feeding decisions. Medical practitioners report that clinical practice in lactation is often disproportionately reliant on personal experience. This systematic review synthesises the literature on lactation health interventions used to support clinical decision making by medical practitioners. MEDLINE, Embase, PsycINFO, Scopus and Cochrane Library databases were searched for peer‐reviewed empirical studies published after 2000. Two reviewers independently screened and then assessed full‐text articles against inclusion criteria. Quality of reporting and risk of bias were independently assessed using three validated tools. No conclusions can be made regarding the success or failure of implementation strategies used or the outcomes of putting them into effect due to problems with study methodology, intervention reporting and risk of bias. Good‐quality research, which follows proven implementation frameworks, is needed to guide and sustain the incorporation of evidence‐based decision support into medical practitioners' care of breastfeeding mothers and infants.
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spelling pubmed-81891902021-06-16 Interventions supporting medical practitioners in the provision of lactation care: A systematic review and narrative analysis Boss, Melinda Saxby, Nicole Pritchard, Douglas Pérez‐Escamilla, Rafael Clifford, Rhonda Matern Child Nutr Review Articles Most children globally are not breastfed to recommendations. Medical practitioners are frequently visited in the first 6 months post‐partum, and the interaction at such visits significantly influences subsequent infant feeding decisions. Medical practitioners report that clinical practice in lactation is often disproportionately reliant on personal experience. This systematic review synthesises the literature on lactation health interventions used to support clinical decision making by medical practitioners. MEDLINE, Embase, PsycINFO, Scopus and Cochrane Library databases were searched for peer‐reviewed empirical studies published after 2000. Two reviewers independently screened and then assessed full‐text articles against inclusion criteria. Quality of reporting and risk of bias were independently assessed using three validated tools. No conclusions can be made regarding the success or failure of implementation strategies used or the outcomes of putting them into effect due to problems with study methodology, intervention reporting and risk of bias. Good‐quality research, which follows proven implementation frameworks, is needed to guide and sustain the incorporation of evidence‐based decision support into medical practitioners' care of breastfeeding mothers and infants. John Wiley and Sons Inc. 2021-02-16 /pmc/articles/PMC8189190/ /pubmed/33590635 http://dx.doi.org/10.1111/mcn.13160 Text en © 2021 The Authors. Maternal & Child Nutrition published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Articles
Boss, Melinda
Saxby, Nicole
Pritchard, Douglas
Pérez‐Escamilla, Rafael
Clifford, Rhonda
Interventions supporting medical practitioners in the provision of lactation care: A systematic review and narrative analysis
title Interventions supporting medical practitioners in the provision of lactation care: A systematic review and narrative analysis
title_full Interventions supporting medical practitioners in the provision of lactation care: A systematic review and narrative analysis
title_fullStr Interventions supporting medical practitioners in the provision of lactation care: A systematic review and narrative analysis
title_full_unstemmed Interventions supporting medical practitioners in the provision of lactation care: A systematic review and narrative analysis
title_short Interventions supporting medical practitioners in the provision of lactation care: A systematic review and narrative analysis
title_sort interventions supporting medical practitioners in the provision of lactation care: a systematic review and narrative analysis
topic Review Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8189190/
https://www.ncbi.nlm.nih.gov/pubmed/33590635
http://dx.doi.org/10.1111/mcn.13160
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