极低出生体重儿母亲在母婴分离期泌乳维持最佳证据总结

Summary of the best evidence for maintaining lactation of very low birth weight infant mothers during separation

目的检索、评价和整合极低出生体重儿(VLBWI)母亲泌乳维持最佳证据,为维持其泌乳提供依据。方法计算机检索Up To Date,BMJ best practice,新生儿服务指南网(Newborn Services Clinical Guidelines),母乳喂养医学会官网(ABM),英国国家卫生与临床优化研究所指南网(NICE),OVID循证数据库,美国国立指南库(NGC),Joanna Briggs Institute Library,Cochrane library,web of science,PubMed,中国期刊全文数据库(CNKI),中国生物医学文献数据库(CBM),万方数据库(Wanfang Data)中关于VLBWI母亲泌乳维持的指南、系统评价、专家共识/意见、证据总结相关文献,经过文献筛选、质量评价,对符合要求的文献进行证据提取和整合。结果共纳入10篇文献,包括3篇指南、4篇系统评价、1篇专家共识、2篇专家意见,总结了包括泌乳支持、泌乳启动、泌乳监测及催奶剂的应用等9个方面共44条证据。结论VLBWI母亲泌乳维持相关证据较充分,可为医护人员做出临床决策提供依据。

Objective To search,evaluate and integrate the best evidence for lactation maintenance of very low birth weight infant(VLBWI)mothers,and to provide evidence for lactation maintenance.Methods Up to Date,BMJ best practice,Newborn Services Clinical Guidelines,ABM,NICE,OVID evidence-based database,NGC,Joanna Briggs Institute Library,Cochrane Library,Web of Science,PubMed,CNKI,CBM and Wanfang Data were retrieved by computer on the Maintenance of Mother′s Lactation in VLBWI:Guidelines,Systematic Evaluation,Expert Consensus/Opinions,Evidence Summary Literature screening,quality evaluation,evidence extraction and integration of documents which met the requirements.Results A total of 10 articles were included,including 3 guidelines,4 systematic reviews,1 expert consensus and 2 expert opinions.A total of 41 evidences were summarized from 9 aspects,including lactation support,lactation initiation,lactation monitoring and the application of lactating agents.Conclusion The evidence of lactation maintenance of VLBWI mothers is sufficient,which can provide a basis for medical staff to make clinical decisions.