Abstract
Background: Doctors report insufficient training for the skills expected of them when treating patients with lactation difficulties. To address this, researchers developed LactaMap, a novel lactation care support system.
Objective: To develop an evidence-informed online lactation care support system designed for use during a medical consult.
Methods: A multidisciplinary expert group met weekly to conceptualise content and scope. The need for an evidence-informed description of normal function was identified. From this, a care pathway to screen for lactation outside normality was developed. Clinical practice guideline topics were identified and grouped into subject areas defined by the care pathway. A literature search using relevant search terms and criteria for each guideline topic was completed. Each guideline required group consensus prior to finalisation. An expert, senior researcher moderated when required.
Results:
The normal function description identified 4 domains for consideration when screening for lactation dysfunction: pain, milk transfer, infant health and maternal health. Evidence-informed guidelines for 112 conditions affecting lactation were developed and grouped under the domains in an overarching care pathway. Literature searches highlighted varying terminology and definitions. A glossary of 564 lactation terms was developed to standardise language.
Conclusions:
The successful development of LactaMap took 10 years to complete. The next phase involving piloting with doctors has commenced.
Funding source: The Family Larsson-Rosenquist Foundation.
Objective: To develop an evidence-informed online lactation care support system designed for use during a medical consult.
Methods: A multidisciplinary expert group met weekly to conceptualise content and scope. The need for an evidence-informed description of normal function was identified. From this, a care pathway to screen for lactation outside normality was developed. Clinical practice guideline topics were identified and grouped into subject areas defined by the care pathway. A literature search using relevant search terms and criteria for each guideline topic was completed. Each guideline required group consensus prior to finalisation. An expert, senior researcher moderated when required.
Results:
The normal function description identified 4 domains for consideration when screening for lactation dysfunction: pain, milk transfer, infant health and maternal health. Evidence-informed guidelines for 112 conditions affecting lactation were developed and grouped under the domains in an overarching care pathway. Literature searches highlighted varying terminology and definitions. A glossary of 564 lactation terms was developed to standardise language.
Conclusions:
The successful development of LactaMap took 10 years to complete. The next phase involving piloting with doctors has commenced.
Funding source: The Family Larsson-Rosenquist Foundation.
Original language | English |
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DOIs | |
Publication status | Published - 12 Sept 2018 |