Nurse and midwife interventions to protect, promote and support breastfeeding: an umbrella review protocol

Abstract

Objective: To synthesize the nurse and midwife interventions on protecting, promoting, and supporting breastfeeding. Introduction: Considering the benefits of breast milk, the WHO declares breastfeeding as a fundamental practice for infant health. Therefore, it recommends exclusive breastfeeding for all children, up to six months of age, and on a complimentary basis, up to at least two years of age. Despite this, about two out of every three babies under six months worldwide are not exclusively breastfed, representing a considerable divergence from the established goals. Worldwide breastfeeding rates are concerning for nurses and midwives involved in breastfeeding care, which raises questions about the knowledge and ability to promote it effectively. So, it makes it relevant to understand the nursing and midwifery intervention in the breastfeeding process, which justifies this umbrella review. Inclusion criteria: Will be considered all systematic review studies that explore the nurse and midwife intervention in protecting, promoting, and supporting breastfeeding in hospital and/or community settings. Methods: This umbrella review will be carried out according to the proposed methodology of the Joanna Briggs Institute (JBI). Published literature in English, Portuguese, and Spanish, from 2018 to the present will be included. Databases aggregated by the EBSCOhost, SCOPUS and Web of Science engine will be searched, including relevant grey literature sources. Two independent reviewers will extract data using a tool developed specifically for this umbrella review objective. The results will be presented in infographic form, accompanied by a narrative explanation of their relationship with the review questions