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Review
. 2022 Sep;60(9):837-842.
doi: 10.1038/s41393-022-00805-x. Epub 2022 Apr 22.

The availability and quality of breastfeeding guidelines for women with spinal cord injury: a narrative review

Leah Rosetti  1 , Stacy Elliott  2   3   4   5 , Amanda H X Lee  2 , Laura A McCracken  2 , Shea Hocaloski  5 , Karen Hodge  6 , Ineta Zobina  7 , Christina-Anastasia Rapidi  8 , Prokopios Manthos  8 , Aggeliki Galata  9 , Tiev Miller  2   10 , Raymond C K Chung  11 , Andrei V Krassioukov  12   13   14
Affiliations
Review

The availability and quality of breastfeeding guidelines for women with spinal cord injury: a narrative review

Leah Rosetti et al. Spinal Cord. 2022 Sep.

Abstract

Study design: Narrative review.

Objectives: To evaluate the availability and quality of breastfeeding guidelines for women with spinal cord injury (SCI).

Setting: International Collaboration on Repair Discoveries (ICORD), Department of Medicine, Vancouver, BC.

Methods: An environmental scan restricted to English language literature was performed to identify existing postpartum and breastfeeding guidelines. Guidelines were evaluated using a structured, validated tool (AGREE II) by 13 appraisers [medical/research experts (n = 10) and those with lived experience (n = 3)] from Vancouver and two international sites. Seven guidelines were evaluated across Domain 1 of the AGREE II tool to determine if they were applicable to mothers with SCI/physical disabilities. Domains 2 to 7 were evaluated if the guideline made mention of the SCI population.

Results: Of the seven guidelines evaluated, only one mentioned SCI (Postpartum Care in SCI from BC Women's Hospital). Other guidelines were excluded from further evaluation as they did not address the issue of breastfeeding in women with SCI. The overall scaled score for this guideline was 34.5%. There was significant variability between domains but no AGREE II domain scored greater than 50%, indicating substantial limitations.

Conclusions: Current breastfeeding guidelines are not targeted to persons with SCI. The one guideline that made mention of women with SCI had significant global deficits. This highlights the importance of developing guidelines for health care providers focused specifically on women with SCI to support and optimize breastfeeding in this unique population for the benefit of mother and infant across the lifespan.

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References

    1. World Health Organization. WHO recommendations on postnatal care of the mother and newborn. 2014. https://www.ncbi.nlm.nih.gov/books/NBK190090/#:~:text=At%20least%20three... .
    1. Dieterich CM, Felice JP, O’Sullivan E, Rasmussen KM. Breastfeeding and health outcomes for the mother-infant dyad. Pediatr Clin N Am. 2013;60:31–48. - DOI
    1. Horta BL. Breastfeeding: investing in the future. Breastfeed Med. 2019;14:S11–12. - DOI
    1. Horta BL, de Mola CL, Victora CG. Long-term consequences of breastfeeding on cholesterol, obesity, systolic blood pressure and type 2 diabetes: a systematic review and meta-analysis. Acta Paediatr. 2015;104:30–7. - DOI
    1. Bartick MC, Stuebe AM, Schwarz EB, Luongo C, Reinhold AG, Foster EM, et al. Cost analysis of maternal disease associated with suboptimal breastfeeding. Obstet Gynecol. 2013;122:111–9. - DOI

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