Breastfeeding Barriers for Preterm Infants in Neonatal Intensive Care Unit Environments: A Systematic Assessment and Meta-Analysis

doi:10.1089/bfm.2024.0041

科研成果详情

题名	Breastfeeding Barriers for Preterm Infants in Neonatal Intensive Care Unit Environments: A Systematic Assessment and Meta-Analysis
作者	Liu, Chuntian1,2; Pan, Mengqing3; Lu, Xiaoyu3; Gao, Ying 3; Xu, Jianhong4; Chen, Xiaochun3
发表日期	2024-04-26
发表期刊	BREASTFEEDING MEDICINE 影响因子和分区
语种	英语
原始文献类型	Review ; Early Access
关键词	preterm infants breastfeeding barriers NICU systematic review meta-analysis
其他关键词	BIRTH-WEIGHT INFANTS ; MILK ; DISCHARGE ; PREVALENCE ; TRENDS ; INTERVENTIONS ; PREDICTORS
摘要	Background: Breast milk is vital for the growth and development of preterm infants. However, in Neonatal Intensive Care Units (NICUs), mothers often encounter significant challenges in breastfeeding.Objective: This study aims to systematically evaluate the barriers to breastfeeding in NICUs, thereby providing evidence-based support for clinical practices.Methods: A comprehensive search was conducted in the Cochrane Library, PubMed, Web of Science, Embase, and Scopus databases, up to September 2023. Meta-analysis was performed using Stata 15.0, applying fixed or random effects models to calculate odds ratios (OR) and their 95% confidence intervals (CI). Study quality was assessed using the Newcastle-Ottawa Scale for cases and cohorts and the Agency for Healthcare Research and Quality standards for cross-sectional studies. Heterogeneity was evaluated using Cochran's chi-squared test (Cochran's Q) and I2 statistics, and publication bias was assessed through funnel plots and symmetry tests.Results: A total of 32 studies were included, encompassing 96,053 preterm infants. The main barriers to breastfeeding in preterm infants included: low gestational age (OR = 1.36, 95% CI: 1.06-1.75), lower maternal education (OR = 1.64, 95% CI: 1.39-1.93), insufficient breast milk (OR = 2.09, 95% CI: 1.39-1.93), multiple births (OR = 1.615, 95% CI: 1.18-2.210), smoking (OR = 2.906, 95% CI: 2.239-3.771), and single motherhood (OR = 1.439, 95% CI: 1.251-1.654).Conclusion: This study underscores the need for individualized breastfeeding support strategies in NICUs, taking into account the diverse backgrounds of mothers. Future research should focus on unraveling the underlying mechanisms affecting breastfeeding in preterm infants, with the goal of enhancing breastfeeding rates and improving developmental outcomes.
出版者	MARY ANN LIEBERT, INC
ISSN	1556-8253
EISSN	1556-8342
卷号	19 期号:7 页码:505-514
DOI	10.1089/bfm.2024.0041
页数	10
WOS类目	Obstetrics & Gynecology ; Pediatrics
WOS研究方向	Obstetrics & Gynecology ; Pediatrics
WOS记录号	WOS:001208274600001
收录类别	SCIE ; SCOPUS ; PUBMED
在线发表日期	2024-04
URL	查看原文
PubMed ID	3866642
SCOPUSEID	2-s2.0-85191557069
通讯作者地址	[Xu, Jianhong]Affiliated Cixi Hospital,Wenzhou Medical University,Zhejiang,Cixi,Cixi315300,China ; [Chen, Xiaochun]Department of Neonatology,The Second Affiliated Hospital,Yuying Children’s Hospital of Wenzhou Medical University,Wenzhou,325027,China
Scopus学科分类	Pediatrics;Health Policy;Obstetrics and Gynecology;Maternity and Midwifery
引用统计
文献类型	期刊论文
条目标识符	https://kms.wmu.edu.cn/handle/3ETUA0LF/212488
专题	护理学院附属第二医院第二临床医学院、附属第二医院、育英儿童医院其他_附属慈溪医院（慈溪市人民医院）
通讯作者	Xu, Jianhong; Chen, Xiaochun
作者单位	1.School of Nursing,Wenzhou Medical University School of Nursing,Wenzhou,China; 2.Cixi Institute of Biomedical Engineering,Wenzhou Medical University Cixi Institute of Biomedical Engineering,Cixi,China; 3.Department of Neonatology,The Second Affiliated Hospital,Yuying Children’s Hospital of Wenzhou Medical University,Wenzhou,China; 4.Affiliated Cixi Hospital,Wenzhou Medical University,Zhejiang,Cixi,China
第一作者单位	护理学院; 温州医科大学
通讯作者单位	附属慈溪医院（慈溪市人民医院）; 附属第二医院
第一作者的第一单位	护理学院
推荐引用方式 GB/T 7714	Liu, Chuntian,Pan, Mengqing,Lu, Xiaoyu,et al. Breastfeeding Barriers for Preterm Infants in Neonatal Intensive Care Unit Environments: A Systematic Assessment and Meta-Analysis[J]. BREASTFEEDING MEDICINE,2024,19(7):505-514.
APA	Liu, Chuntian, Pan, Mengqing, Lu, Xiaoyu, Gao, Ying, Xu, Jianhong, & Chen, Xiaochun. (2024). Breastfeeding Barriers for Preterm Infants in Neonatal Intensive Care Unit Environments: A Systematic Assessment and Meta-Analysis. BREASTFEEDING MEDICINE, 19(7), 505-514.
MLA	Liu, Chuntian,et al."Breastfeeding Barriers for Preterm Infants in Neonatal Intensive Care Unit Environments: A Systematic Assessment and Meta-Analysis".BREASTFEEDING MEDICINE 19.7(2024):505-514.