Breastfeeding Protection, Promotion, and Support in Humanitarian Emergencies: A Systematic Review of Literature.

Infant and Young Children Feeding in Emergency breastfeeding breastfeeding promotion breastfeeding support disaster humanitarian emergencies infant feeding

Journal

Journal of human lactation : official journal of International Lactation Consultant Association
ISSN: 1552-5732
Titre abrégé: J Hum Lact
Pays: United States
ID NLM: 8709498

Informations de publication

Date de publication:
Nov 2020
Historique:
pubmed: 8 2 2020
medline: 14 7 2021
entrez: 8 2 2020
Statut: ppublish

Résumé

Infants, young children, and their mothers are vulnerable in humanitarian emergencies. The health benefits of optimal breastfeeding practices in emergency settings have been demonstrated by many researchers. (1) To review the literature describing the effectiveness of breastfeeding protection, promotion, and support interventions in humanitarian emergency contexts; (2) to describe the influence of interventions on breastfeeding initiation, exclusivity, and duration; and (3) to evaluate relevant mother and infant/child outcomes available in the literature. PubMed, CINAHL, Cochrane Library, Psychology Database, JSTOR, Web of Science, EMBASE, and Ovid were searched for articles that examined breastfeeding protection, promotion, or support interventions and the resulting outcomes without any time limits ( Improved breastfeeding outcomes were reported in four (40%) papers, and three (30%) highlighted a behavioral change in infant and young child feeding practices following the implementation of the interventions. Increased knowledge about appropriate infant and young child feeding practices among mothers and humanitarian/health staff was reported in eight (80%) papers. However, outcomes were sometimes only generically reported, and some of the included papers had a low strength of evidence. In the literature, there is a great dearth of studies evaluating the influence of interventions aimed at improving breastfeeding in emergency settings. More evidence is urgently needed to encourage and implement optimal breastfeeding practices.

Sections du résumé

BACKGROUND BACKGROUND
Infants, young children, and their mothers are vulnerable in humanitarian emergencies. The health benefits of optimal breastfeeding practices in emergency settings have been demonstrated by many researchers.
RESEARCH AIMS OBJECTIVE
(1) To review the literature describing the effectiveness of breastfeeding protection, promotion, and support interventions in humanitarian emergency contexts; (2) to describe the influence of interventions on breastfeeding initiation, exclusivity, and duration; and (3) to evaluate relevant mother and infant/child outcomes available in the literature.
METHODS METHODS
PubMed, CINAHL, Cochrane Library, Psychology Database, JSTOR, Web of Science, EMBASE, and Ovid were searched for articles that examined breastfeeding protection, promotion, or support interventions and the resulting outcomes without any time limits (
RESULTS RESULTS
Improved breastfeeding outcomes were reported in four (40%) papers, and three (30%) highlighted a behavioral change in infant and young child feeding practices following the implementation of the interventions. Increased knowledge about appropriate infant and young child feeding practices among mothers and humanitarian/health staff was reported in eight (80%) papers. However, outcomes were sometimes only generically reported, and some of the included papers had a low strength of evidence.
CONCLUSION CONCLUSIONS
In the literature, there is a great dearth of studies evaluating the influence of interventions aimed at improving breastfeeding in emergency settings. More evidence is urgently needed to encourage and implement optimal breastfeeding practices.

Identifiants

pubmed: 32032499
doi: 10.1177/0890334419900151
doi:

Types de publication

Journal Article Systematic Review

Langues

eng

Pagination

687-698

Auteurs

Immacolata Dall'Oglio (I)

Health Professions Development, Continuing Education and Research Service, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.

Francesca Marchetti (F)

Department of Biomedicine and Prevention, Tor Vergata University, Rome, Italy.

Rachele Mascolo (R)

Health Professions Development, Continuing Education and Research Service, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.

Patrizia Amadio (P)

Department of Medical and Surgical Neonatology, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.

Orsola Gawronski (O)

Health Professions Development, Continuing Education and Research Service, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.

Maria Clemente (M)

Neonatology, Department of Life and Reproduction Science, University of Verona, Italy.

Andrea Dotta (A)

Department of Medical and Surgical Neonatology, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.

Federico Ferro (F)

Health Professions Development, Continuing Education and Research Service, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.

Antonio Garofalo (A)

Health Professions Development, Continuing Education and Research Service, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.

Guglielmo Salvatori (G)

Department of Medical and Surgical Neonatology, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.

Antonella Tarantino (A)

Department of Biomedicine and Prevention, Tor Vergata University, Rome, Italy.

Emanuela Tiozzo (E)

Health Professions Development, Continuing Education and Research Service, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.

Angela Giusti (A)

National Institute of Health, Rome, Italy.

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Classifications MeSH