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- W2555323626 abstract "Abstract Background The breastmilk feeding of premature babies is of great importance to public health, and it provides the optimum nutrition. Yet the difficulties experienced by mothers who have preterm babies are compounded by anxiety and loss because staff may be unable to fully support parents owing to time pressures, established models of care, and limited training opportunities. To inform the 2016 Scottish Government-led review of maternity and neonatal services, we aimed to summarise evidence about effective interventions to support breastmilk feeding in neonatal units and, drawing on findings from qualitative papers, to describe the infant feeding experiences of parents of babies in neonatal units and the views of staff. Methods We searched Medline, Embase, Web of Science, and Cochrane databases to identify systematic reviews published in English between Nov 1, 2010, and April 1, 2014, using the keywords neonatal/intensive care, KMC, kangaroo mother care, low birth weight, premature, breastfeeding, and breast milk. We searched CINAHL and MIDIRS using the same criteria to identify qualitative papers that explored the infant feeding experiences of both parents and neonatal staff. Findings Eight systematic reviews and 17 qualitative publications were identified. Synthesis of systematic review level evidence indicated the effectiveness of interventions including kangaroo mother care, mother's breastmilk, and donor human milk for protecting the infant against necrotising enterocolitis and promoting neurodevelopment and growth. Thematic analysis of the qualitative studies emphasised the importance of attending to the experiences of parents, who had to deal with the impact of premature delivery and the neonatal unit environment, and of developing coping strategies to help them respond to the unpredictability of their baby's health-related feeding issues. Findings from staff indicated that they needed to feel in control, relying on technology and efficiently using time to maximise the health of babies in the neonatal unit in the midst of uncertainty. Interpretation Evidence about the infant feeding experiences of parents and staff in neonatal units (with evidence related to effective interventions for promoting breastmilk feeding) has enhanced the timely partnership between colleagues from NHS Health Scotland and the Scottish Government to influence policy and practice. This evidence has informed the national review of maternity and neonatal provision in Scotland and will be jointly disseminated throughout Scotland. Funding None." @default.
- W2555323626 created "2016-11-30" @default.
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- W2555323626 date "2016-11-01" @default.
- W2555323626 modified "2023-09-23" @default.
- W2555323626 title "Providing the best medicine: adopting a systematic approach to identifying and using evidence to support breastfeeding and breastmilk feeding in neonatal units in Scotland" @default.
- W2555323626 doi "https://doi.org/10.1016/s0140-6736(16)32349-2" @default.
- W2555323626 hasPublicationYear "2016" @default.
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