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The challenges of medically complex breastfed children and their families: A systematic review

LYNDSEY HOOKWAY, Janice Lewis, Amy Brown Orcid Logo

Maternal & Child Nutrition, Volume: 17, Issue: 4

Swansea University Authors: LYNDSEY HOOKWAY, Janice Lewis, Amy Brown Orcid Logo

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DOI (Published version): 10.1111/mcn.13182

Abstract

Exclusive breastfeeding for the first 6 months and then alongside solid food for the first 2 years and beyond is the gold standard in young child nutrition. There is an abundance of literature relating to the preventative nature of breastmilk and breastfeeding against many infectious diseases and ch...

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Published in: Maternal & Child Nutrition
ISSN: 1740-8695 1740-8709
Published: Wiley 2021
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URI: https://cronfa.swan.ac.uk/Record/cronfa57452
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last_indexed 2021-12-01T04:16:45Z
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spelling 2021-11-30T10:22:33.7827010 v2 57452 2021-07-26 The challenges of medically complex breastfed children and their families: A systematic review 5b6a46f227828ab6507622903e48f98f LYNDSEY HOOKWAY LYNDSEY HOOKWAY true false 6a4a0720e0f029c6cd392447ed1a6db2 Janice Lewis Janice Lewis true false 37aea6965461cb0510473d109411a0c3 0000-0002-0438-0157 Amy Brown Amy Brown true false 2021-07-26 Exclusive breastfeeding for the first 6 months and then alongside solid food for the first 2 years and beyond is the gold standard in young child nutrition. There is an abundance of literature relating to the preventative nature of breastmilk and breastfeeding against many infectious diseases and chronic conditions. However, despite medically complex infants and children being a group that could benefit most from continued breastfeeding, breastfeeding duration and exclusivity are lower among more complex paediatric populations. The reasons for this are not well known, and there is a paucity of data relating to supporting infants who have acute or chronic illness, disability or congenital anomaly to breastfeed. This systematic review aimed to understand the challenges of breast/chestfeeding the medically complex child and to establish the gaps in healthcare provision that act as barriers to optimal infant and young child feeding. The search was limited to studies published in English, focused on breastfed sick infants in hospital, with no date limits as there is no previous systematic review. Of 786 papers retrieved, 11 studies were included for review, and seven themes identified. Themes included practical and psychological challenges of continuing to breastfeed in a hospital setting, complications of the condition making breastfeeding difficult, lack of specialist breastfeeding support from hospital staff and a lack of availability of specialist equipment to support complex breastfeeding. The findings affirm the lack of consistent high-quality care for lactation support in paediatric settings and reinforce the need for further focused research in this area. Journal Article Maternal & Child Nutrition 17 4 Wiley 1740-8695 1740-8709 breastfeeding, healthcare staff, lactation support, medically complex infan,t paediatric care, PICU 6 5 2021 2021-05-06 10.1111/mcn.13182 Review Article. COLLEGE NANME COLLEGE CODE Swansea University 2021-11-30T10:22:33.7827010 2021-07-26T16:06:24.8927117 Faculty of Medicine, Health and Life Sciences School of Health and Social Care - Public Health LYNDSEY HOOKWAY 1 Janice Lewis 2 Amy Brown 0000-0002-0438-0157 3 57452__20453__39f87e155850421a9b6605ad3e450e31.pdf VOR.mcn.13182.pdf 2021-07-26T16:15:48.1206995 Output 2210046 application/pdf Version of Record true This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. true eng http://creativecommons.org/licenses/by/4.0/
title The challenges of medically complex breastfed children and their families: A systematic review
spellingShingle The challenges of medically complex breastfed children and their families: A systematic review
LYNDSEY HOOKWAY
Janice Lewis
Amy Brown
title_short The challenges of medically complex breastfed children and their families: A systematic review
title_full The challenges of medically complex breastfed children and their families: A systematic review
title_fullStr The challenges of medically complex breastfed children and their families: A systematic review
title_full_unstemmed The challenges of medically complex breastfed children and their families: A systematic review
title_sort The challenges of medically complex breastfed children and their families: A systematic review
author_id_str_mv 5b6a46f227828ab6507622903e48f98f
6a4a0720e0f029c6cd392447ed1a6db2
37aea6965461cb0510473d109411a0c3
author_id_fullname_str_mv 5b6a46f227828ab6507622903e48f98f_***_LYNDSEY HOOKWAY
6a4a0720e0f029c6cd392447ed1a6db2_***_Janice Lewis
37aea6965461cb0510473d109411a0c3_***_Amy Brown
author LYNDSEY HOOKWAY
Janice Lewis
Amy Brown
author2 LYNDSEY HOOKWAY
Janice Lewis
Amy Brown
format Journal article
container_title Maternal & Child Nutrition
container_volume 17
container_issue 4
publishDate 2021
institution Swansea University
issn 1740-8695
1740-8709
doi_str_mv 10.1111/mcn.13182
publisher Wiley
college_str Faculty of Medicine, Health and Life Sciences
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hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Health and Social Care - Public Health{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Health and Social Care - Public Health
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description Exclusive breastfeeding for the first 6 months and then alongside solid food for the first 2 years and beyond is the gold standard in young child nutrition. There is an abundance of literature relating to the preventative nature of breastmilk and breastfeeding against many infectious diseases and chronic conditions. However, despite medically complex infants and children being a group that could benefit most from continued breastfeeding, breastfeeding duration and exclusivity are lower among more complex paediatric populations. The reasons for this are not well known, and there is a paucity of data relating to supporting infants who have acute or chronic illness, disability or congenital anomaly to breastfeed. This systematic review aimed to understand the challenges of breast/chestfeeding the medically complex child and to establish the gaps in healthcare provision that act as barriers to optimal infant and young child feeding. The search was limited to studies published in English, focused on breastfed sick infants in hospital, with no date limits as there is no previous systematic review. Of 786 papers retrieved, 11 studies were included for review, and seven themes identified. Themes included practical and psychological challenges of continuing to breastfeed in a hospital setting, complications of the condition making breastfeeding difficult, lack of specialist breastfeeding support from hospital staff and a lack of availability of specialist equipment to support complex breastfeeding. The findings affirm the lack of consistent high-quality care for lactation support in paediatric settings and reinforce the need for further focused research in this area.
published_date 2021-05-06T08:07:31Z
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