与定时（或混合）母乳喂养相比，引导式母乳喂养对成功母乳喂养的影响。
Baby-led compared with scheduled (or mixed) breastfeeding for successful breastfeeding.
作者信息
Fallon Anne, Van der Putten Deirdre, Dring Cindy, Moylett Edina H, Fealy Gerard, Devane Declan
机构信息
School of Nursing and Midwifery, National University of Ireland Galway, Áras Moyola, Galway, Ireland.
出版信息
Cochrane Database Syst Rev. 2016 Sep 28;9(9):CD009067. doi: 10.1002/14651858.CD009067.pub3.
BACKGROUND
Baby-led breastfeeding is recommended as best practice in determining the frequency and duration of a breastfeed. An alternative approach is described as scheduled, where breastfeeding is timed and restricted in frequency and duration. It is necessary to review the evidence that supports current recommendations, so that women are provided with high-quality evidence to inform their feeding decisions.
OBJECTIVES
To evaluate the effects of baby-led compared with scheduled (or mixed) breastfeeding for successful breastfeeding, for healthy newborns.
SEARCH METHODS
We searched the Cochrane Pregnancy and Childbirth Group's Trials Register (23 February 2016), CINAHL (1981 to 23 February 2016), EThOS, Index to Theses and ProQuest database and World Health Organization's 1998 evidence to support the 'Ten Steps' to successful breastfeeding (10 May 2016).
SELECTION CRITERIA
We planned to include randomised and quasi-randomised trials with randomisation at both the individual and cluster level. Studies presented in abstract form would have been eligible for inclusion if sufficient data were available. Studies using a cross-over design would not have been eligible for inclusion.
DATA COLLECTION AND ANALYSIS
Two review authors independently assessed for inclusion all potential studies we identified as a result of the search strategy. We would have resolved any disagreement through discussion or, if required, consulted a third review author, but this was not necessary.
MAIN RESULTS
No studies were identified that were eligible for inclusion in this review.
AUTHORS' CONCLUSIONS: This review demonstrates that there is no evidence from randomised controlled trials evaluating the effect of baby-led compared with scheduled (or mixed) breastfeeding for successful breastfeeding, for healthy newborns. It is recommended that no changes are made to current practice guidelines without undertaking robust research, to include many patterns of breastfeeding and not limited to baby-led and scheduled breastfeeding. Future exploratory research is needed on baby-led breastfeeding that takes the mother's perspective into consideration.
背景
推荐采用顺应婴儿主导的母乳喂养方式来确定喂奶的频率和时长，这是最佳做法。另一种方式被描述为定时喂养，即对母乳喂养进行计时，并限制其频率和时长。有必要审视支持当前建议的证据，以便为女性提供高质量的证据，供她们做出喂养决策时参考。
目的
评估顺应婴儿主导的母乳喂养与定时（或混合）母乳喂养相比，对健康新生儿成功进行母乳喂养的效果。
检索方法
我们检索了考克兰妊娠与分娩组试验注册库（2016年2月23日）、护理学与健康领域数据库（1981年至2016年2月23日）、英国国家论文联合目录、学位论文索引及ProQuest数据库，以及世界卫生组织1998年支持成功母乳喂养“十项措施”的证据（2016年5月10日）。
入选标准
我们计划纳入在个体和群组层面均进行随机分组的随机试验和半随机试验。如果有足够的数据，以摘要形式呈现的研究也符合纳入标准。采用交叉设计的研究不符合纳入标准。
数据收集与分析
两位综述作者独立评估了我们通过检索策略识别出的所有潜在研究是否符合纳入标准。如有分歧，我们会通过讨论解决，必要时会咨询第三位综述作者，但实际未必要这样做。
主要结果
未识别出符合本综述纳入标准的研究。
作者结论
本综述表明，尚无随机对照试验的证据来评估顺应婴儿主导的母乳喂养与定时（或混合）母乳喂养相比，对健康新生儿成功进行母乳喂养的效果。建议在未进行充分研究之前，不要对现行实践指南做出改变，研究应涵盖多种母乳喂养模式，而不限于顺应婴儿主导和定时母乳喂养。未来需要开展探索性研究，从母亲的角度考虑顺应婴儿主导的母乳喂养方式。
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