A summary of best evidence on breast milk expression of premature infants' mothers in maternal separation

Objective To retrieve, assess and summarize the best evidence on breast milk expression of premature infants' mothers in maternal separation so as to provide high-quality evidence for medical staff to carry out breast feeding guide. Methods Guidelines, systematic reviews, recommended practices and evidence summaries were retrieved in the UpToDate, WHO, Academy of Breastfeeding Medicine (ABM) , Cochrane Library, Joanna Briggs Institute Library, Registered Nurses' Association of Ontario (RNAO) , National Guideline Clearinghouse (NGC) , PubMed, Embase, Chinese Biological Medicine, Chinese National Knowledge Infrastructure, WanFang data, VIP and the evidence-based nursing database of Fudan University from January 2008 to December 2018. Results A total of 7 literatures were included, two guidelines, one clinical decision, two systematic reviews and two evidence summaries. A total of 19 evidences were gathered in 7 aspects, such as training for medical staff, parents' education, selection of breast pump, preparation before expression, operational skills of breast expression, measures for increasing lactation and expression effects monitor. Conclusions Clinical medical staff should lay down the individualized nursing measures for maternal women to ensure breast milk collected as soon as possible, gain enough breast milk and fill the bill of growth and development of premature infants. Key words: Infant, premature; Breast milk; Expression; Lactation; Mothers