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Interventions to support the re‐establishment of breastfeeding and their application in humanitarian settings: A systematic review
In 1998, the World Health Organisation (WHO) published general guidelines proposing essential measures to achieve relactation. Yet, increased knowledge about the practical set‐up of relactation support interventions in different contexts is needed, especially in humanitarian settings, where nonbreas...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9749597/ https://www.ncbi.nlm.nih.gov/pubmed/36222214 http://dx.doi.org/10.1111/mcn.13440 |
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author | Amat Camacho, Nieves von Schreeb, Johan Della Corte, Francesco Kolokotroni, Ourania |
author_facet | Amat Camacho, Nieves von Schreeb, Johan Della Corte, Francesco Kolokotroni, Ourania |
author_sort | Amat Camacho, Nieves |
collection | PubMed |
description | In 1998, the World Health Organisation (WHO) published general guidelines proposing essential measures to achieve relactation. Yet, increased knowledge about the practical set‐up of relactation support interventions in different contexts is needed, especially in humanitarian settings, where nonbreastfed infants are particularly at risk. This study aimed to compile and assess the characteristics, outcomes and factors influencing the implementation of relactation support interventions reported since the latest WHO recommendations. We conducted a systematic review following Preferred Reporting Items for Systematic Reviews and Meta‐analysis (PRISMA) guidelines, undertaking a search from Medline, Embase, PubMed Central, Web of Science, Global Health and CINAHL electronic databases. Studies published in English and Spanish, reporting characteristics and outcomes of relactation support provided to non‐(breastfeeding) BF mothers with infants aged less than 6 months were included. Data were analysed by narrative synthesis and the Johanna Briggs Institute Critical Appraisal Tools were used for quality assessment. Overall, 16 studies met the inclusion criteria. Most were observational and conducted in middle‐income countries, only one focused on humanitarian settings. Studies reported inpatient and community‐based interventions, which generally followed WHO recommendations for relactation. In 13 out of 16 studies, over 80% of mothers restarted BF after receiving relactation support. Enabling factors included younger infant age, shorter lactation gap, mother's strong motivation, family support, and continuous skilled support. Although current literature suggests that intensive relactation support can contribute to re‐establish BF, its application and effectiveness in humanitarian settings remain uncertain. Further research is needed to explore the effectiveness, feasibility and acceptability of different approaches to relactation support, especially in humanitarian settings. |
format | Online Article Text |
id | pubmed-9749597 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-97495972022-12-15 Interventions to support the re‐establishment of breastfeeding and their application in humanitarian settings: A systematic review Amat Camacho, Nieves von Schreeb, Johan Della Corte, Francesco Kolokotroni, Ourania Matern Child Nutr Review Articles In 1998, the World Health Organisation (WHO) published general guidelines proposing essential measures to achieve relactation. Yet, increased knowledge about the practical set‐up of relactation support interventions in different contexts is needed, especially in humanitarian settings, where nonbreastfed infants are particularly at risk. This study aimed to compile and assess the characteristics, outcomes and factors influencing the implementation of relactation support interventions reported since the latest WHO recommendations. We conducted a systematic review following Preferred Reporting Items for Systematic Reviews and Meta‐analysis (PRISMA) guidelines, undertaking a search from Medline, Embase, PubMed Central, Web of Science, Global Health and CINAHL electronic databases. Studies published in English and Spanish, reporting characteristics and outcomes of relactation support provided to non‐(breastfeeding) BF mothers with infants aged less than 6 months were included. Data were analysed by narrative synthesis and the Johanna Briggs Institute Critical Appraisal Tools were used for quality assessment. Overall, 16 studies met the inclusion criteria. Most were observational and conducted in middle‐income countries, only one focused on humanitarian settings. Studies reported inpatient and community‐based interventions, which generally followed WHO recommendations for relactation. In 13 out of 16 studies, over 80% of mothers restarted BF after receiving relactation support. Enabling factors included younger infant age, shorter lactation gap, mother's strong motivation, family support, and continuous skilled support. Although current literature suggests that intensive relactation support can contribute to re‐establish BF, its application and effectiveness in humanitarian settings remain uncertain. Further research is needed to explore the effectiveness, feasibility and acceptability of different approaches to relactation support, especially in humanitarian settings. John Wiley and Sons Inc. 2022-10-12 /pmc/articles/PMC9749597/ /pubmed/36222214 http://dx.doi.org/10.1111/mcn.13440 Text en © 2022 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 Amat Camacho, Nieves von Schreeb, Johan Della Corte, Francesco Kolokotroni, Ourania Interventions to support the re‐establishment of breastfeeding and their application in humanitarian settings: A systematic review |
title | Interventions to support the re‐establishment of breastfeeding and their application in humanitarian settings: A systematic review |
title_full | Interventions to support the re‐establishment of breastfeeding and their application in humanitarian settings: A systematic review |
title_fullStr | Interventions to support the re‐establishment of breastfeeding and their application in humanitarian settings: A systematic review |
title_full_unstemmed | Interventions to support the re‐establishment of breastfeeding and their application in humanitarian settings: A systematic review |
title_short | Interventions to support the re‐establishment of breastfeeding and their application in humanitarian settings: A systematic review |
title_sort | interventions to support the re‐establishment of breastfeeding and their application in humanitarian settings: a systematic review |
topic | Review Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9749597/ https://www.ncbi.nlm.nih.gov/pubmed/36222214 http://dx.doi.org/10.1111/mcn.13440 |
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