中国儿童保健杂志 ›› 2019, Vol. 27 ›› Issue (3): 269-272.DOI: 10.11852/zgetbjzz2018-1678

• 综述 • 上一篇    下一篇

母乳喂养困难、离乳原因及影响因素的系统综述

凌聪,张静   

  1. 海军军医大学护理学院,上海 200433
  • 收稿日期:2018-11-20 修回日期:2018-12-25 出版日期:2019-03-20 发布日期:2019-03-20
  • 通讯作者: 张静,E-mail:jane_zhang@smmu.edu.cn
  • 作者简介:凌聪(1994-),女,安徽人,护士,硕士研究生在读,主要研究方向为妇女儿童健康行为及干预
  • 基金资助:
    上海高校Ⅰ类高峰学科项目(2015-19)

Systematic review on breastfeeding difficulties,reasons of weaning and factors affecting breastfeeding practices

LING Cong,ZHANG Jing   

  1. School of Nursing,the Second Military Medical University,Shanghai 200433,China
  • Received:2018-11-20 Revised:2018-12-25 Online:2019-03-20 Published:2019-03-20
  • Contact: ZHANG Jing,E-mail: jane_zhang@smmu.edu.cn

摘要: 目的 对母乳喂养困难、离乳原因、影响因素进行系统综述,以总结母乳喂养困难、提前离乳的原因。方法 计算机检索护理学及医疗相关文献累计索引(CINAHL)、PubMed、Embase、维普、中国生物医学文献数据库,收集母乳喂养困难、离乳原因、影响因素的相关研究,根据纳入和排除标准筛选文献、提取资料及质量评价,并对文献进行定性分析。结果 共纳入35篇文献,分析纳入研究结果显示,母亲在母乳喂养过程中尤其是产后最初的几周会遇到很多困难,导致母亲停止(纯)母乳喂养的原因多种多样,影响母乳喂养的可能因素很多,但有些因素仍存在争议。结论 现有研究结果对母乳喂养行为的改变机制阐述仍不明确,还需进一步探索。

关键词: 母乳喂养, 断奶, 影响因素, 系统综述

Abstract: Objective To conduct a system review on published literatures related to breastfeeding difficulties,reasons of weaning and factors affecting breastfeeding practices. Methods Databases of CINAHL,PubMed,Embase,Wip and CBM were searched. Relevant studies were enrolled according to definite inclusion and exclusion criteria and were analyzed to summarize interventions supporting breastfeeding. Results Totally 35 studies were included. Most of breastfeeding mothers have experienced a lot of breastfeeding difficulties,especially in the first few weeks after giving birth. Various reasons are reported for stopping(exclusive) breastfeeding. There are many influencing factors for breastfeeding,but remains controversial. Conclusion The mechanism underlying breastfeeding behavior change is not clear,and further study is clearly warranted.

Key words: breastfeeding, weaning, factors, systematic review

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