Summary of best evidence for breastfeeding guidance and management for pregnant women with gestational diabetes mellitus
10.3760/cma.j.cn115682-20230722-00149
- VernacularTitle:妊娠期糖尿病孕产妇母乳喂养指导与管理的最佳证据总结
- Author:
Yifan KONG
1
;
Mengyan XU
;
Zhangyue JIA
;
Yingying WU
;
Fengcheng CAI
Author Information
1. 浙江中医药大学护理学院,杭州 310053
- Keywords:
Diabetes, Gestational;
Breastfeeding;
Guidance;
Management;
Evidence-based nursing
- From:
Chinese Journal of Modern Nursing
2024;30(5):589-596
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the evidence related to the guidance and management of breastfeeding in pregnant women with gestational diabetes mellitus.Methods:UpToDate, BMJ Best Practice, CINAHL, PubMed, Cochrane Library, Embase, Wanfang database, China National Knowledge Infrastructure, and other databases and professional websites were searched by computer for evidence on breastfeeding guidance and management for pregnant women with gestational diabetes mellitus, including clinical decisions, guidelines, evidence summaries, systematic reviews, expert consensus and randomized controlled trials. The search period was from database establishment to April 1, 2023. Two researchers independently conducted literature quality evaluation, evidence extraction, and integration.Results:A total of 23 articles were included, including 4 clinical decision-making articles, 4 guidelines, 4 evidence summaries, 6 systematic reviews, 1 expert consensus and 4 randomized controlled trials. A total of 21 best pieces of evidence were summarized from six aspects of support and education, knowledge and skills, safety issues, feeding issues, dietary care, and blood glucose monitoring.Conclusions:This study summarizes the best evidence on breastfeeding guidance and management for pregnant women with gestational diabetes and suggests that the medical staff should apply the proof according to the clinical situation and the patient's wish.