Maternal-focused interventions to improve infant growth and nutritional status in low-middle income countries: A systematic review of reviews

Autor: Natasha Lelijveld, Victoria von Salmuth, Marko Kerac, Eilise Brennan, Severine Frison, Marie McGrath
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Counseling
Sanitation
Physiology
Epidemiology
Maternal Health
Breastfeeding
Psychological intervention
Pediatrics
Families
Pregnancy
Infant Mortality
Medicine and Health Sciences
Birth Weight
Medicine
Micronutrients
Infant Nutritional Physiological Phenomena
Children
Multidisciplinary
Obstetrics and Gynecology
Vitamins
Breast Feeding
Maternal Mortality
Systematic review
Physiological Parameters
Practice Guidelines as Topic
Female
Infants
Research Article
Science
Mothers
Nutritional Status
Folic Acid
Early Medical Intervention
Environmental health
Humans
Nutrition
Breastfeeding promotion
business.industry
Body Weight
Infant
Newborn
Biology and Life Sciences
Infant
Nutrients
Infant
Low Birth Weight
Mental health
Infant mortality
Age Groups
Medical Risk Factors
People and Places
Dietary Supplements
Women's Health
Population Groupings
Neonatology
business
Breast feeding
Zdroj: PLoS ONE, Vol 16, Iss 8, p e0256188 (2021)
PLoS ONE
ISSN: 1932-6203
4201-9141
Popis: Background Small and nutritionally at-risk infants under 6 months ( Methods We conducted a systematic review of reviews published since 2008 (PROSPERO, register number CRD 42019141724). We explored five databases and a wide variety of maternal-focused interventions based in low- and middle-income countries. Infant outcomes of interest included anthropometric status, birthweight, infant mortality, breastfeeding and complementary feeding practices. Given heterogenous interventions, we present a narrative synthesis of the extracted data. Results We included a total of 55 systematic reviews. Numerous maternal interventions were effective in improving infant growth or feeding outcomes. These included breastfeeding promotion, education, support and counselling interventions. Maternal mental health, while under-researched, showed potential to positively impact infant growth. There was also some evidence for a positive impact of: women’s empowerment, m-health technologies, conditional cash transfers, water, sanitation and hygiene and agricultural interventions. Effectiveness was increased when implemented as part of a multi-sectoral program. Antenatal supplementation with macronutrient, multiple micronutrients, Vitamin D, zinc, iron folic acid and possibly calcium, iodine and B12 in deficient women, improved birth outcomes. In contrast, evidence for postnatal supplementation was limited as was evidence directly focusing on small and nutritionally at-risk infants; most reviews focused on the prevention of growth faltering. Conclusion Our findings suggest sufficient evidence to justify greater inclusion of mothers in more holistic packages of care for small and nutritionally at-risk infants aged
Databáze: OpenAIRE
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