Abstract
Breastfeeding is considered the ideal feeding method early in life. Despite the scientific evidence, the worldwide prevalence of breastfeeding is low. Maternal work is pointed out as one of the obstacles to maintain this practice. To systematically review studies that evaluated the association between institutional aspects and breastfeeding and exclusive breastfeeding among working women. A literature search until June 2016 was carried out using PubMed, LILACS, and SciELO (MeSH terms: breastfeeding, workplace and observational study). Eighteen observational studies were included. A positive association with breastfeeding were found for later or not return to work, part-time work, availability or the use of lactation room, breast pumping breaks, professional advice on maintaining breastfeeding after returning to work, and attendance at breastfeeding support program. A negative association with breastfeeding was shown for full-time work. Simple interventions in the workplace and some changes in company policy to encourage breastfeeding can positively influence its maintenance after women return to work.
Highlights
Resumo A amamentação é considerada o método ideal de alimentação no início da vida, porém tem baixa prevalência mundial, sendo o trabalho materno um dos obstáculos para a continuidade dessa prática
To systematically review studies that evaluated the association between institutional aspects and breastfeeding and exclusive breastfeeding among working women
A literature search until June 2016 was carried out using PubMed, LILACS, and SciELO (MeSH terms: breastfeeding, workplace and observational study)
Summary
Foram pesquisadas as bases de dados PubMed, LILACS e SciELO até junho de 2016 para identificar estudos observacionais que avaliaram a associação entre aspectos institucionais e continuidade ou interrupção do AM e/ou AME em mulheres trabalhadoras. Não foi realizada busca em banco de teses e dissertações, anais de conferências e diretrizes. Foram identificados estudos com delineamento observacional, pois não há na literatura publicações de ensaios clínicos randomizados a respeito do tema[39]. Os termos de indexação relacionados ao aleitamento materno (breastfeeding) e ao ambiente de trabalho (workplace) foram combinados a uma estratégia de busca para estudos observacionais com alta sensibilidade. Na Tabela 1 está descrita a estratégia de busca completa conduzida nas três bases de dados. Todos os estudos potencialmente elegíveis foram selecionados para essa revisão, independentemente do idioma e da data de publicação do manuscrito original
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