Educational actions regarding breastfeeding for parents with newborns who required hospitalization at birth: Systematic review

Tatiane FS Albergaria  *, Josiane S Gomes and Luciana R Silva

Graduate Program in Interactive Processes of Organs and Systems, Institute of Health Sciences, Federal University of Bahia, UFBA.
 
Review Article
World Journal of Advanced Research and Reviews, 2023, 17(01), 1165–1177
Article DOI: 10.30574/wjarr.2023.17.1.0136
 
Publication history: 
Received on 12 December 2022; revised on 24 January 2023; accepted on 26 January 2023
 
Abstract: 
Background: The benefits related to breastfeeding are widely discussed in the scientific literature, with recommendations established by the main national and international organizations. Although all the benefits are clearly published, and most women in the world initiate breastfeeding, the continuation of this practice is impacted by factors on multiple levels, which, over time, interfere with the decisions and behaviors of women who decide to breastfeed. It is necessary to analyze the impact of educational actions on breastfeeding-related outcomes in children who required specialized care so that care practices can also favor better outcomes for this population. The objective of this systematic review was to describe the breastfeeding educational actions directed to parents of newborns who required specialized care at birth as well as to verify the effectiveness of these actions on breastfeeding duration, discharge and long-term follow-up.
Methods: Information was collected from scientific articles located in the databases: NCBI, VHL, Scopus and Embase. Active searches in the references of selected articles and in gray literature through the CAPES/MEC journals portal and the Brazilian Digital Library of Theses and Dissertations were also performed. Articles that showed as the main or secondary outcome the impact of educational interventions or guidelines related to breastfeeding on the parents of newborns who needed hospitalization at birth, with results assessed in the short term and (or) or long term, were selected. The risk of bias assessment was performed using the Cochrane Collaboration Tool. Data analysis was performed in a narrative way.
Results: A total of 163 articles were identified in the databases, of which only 8 met the inclusion criteria, 6 articles were selected in the active search and 14 were included in the gray literature.
Conclusion: The educational interventions optimized mothers’ knowledge and the practice of breastfeeding for newborns who needed hospitalization after birth and also increased their rate at discharge and at 3-, 6-, and 12-month follow-ups.
Practical implications: Reinforce the importance of care aimed at breastfeeding through educational measures, providing individualized monitoring of the mother and child and facing difficulties during the process.
Systematic review registration: PROSPERO CRD42021230230
 
Keywords: 
Hospitalization; Breastfeeding; Health Education; Family
 
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