Timely initiation of breastfeeding and its association with birth place in Ethiopia: a systematic review and meta-analysis.
Timely initiation of breastfeeding and its association with birth place in Ethiopia: a systematic review and meta-analysis.
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DOI：
10.1186/s13006-017-0133-x
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发表时间：
2017
影响因子：
3.5
通讯作者：
Eshetie S
中科院分区：
文献类型：
--
作者：
Alebel A;Dejenu G;Mullu G;Abebe N;Gualu T;Eshetie S
及时开始母乳喂养的定义是在出生后1小时内将新生儿放在乳房上。在埃塞俄比亚，进行了不同的研究，以评估及时开始母乳喂养的普遍程度和相关因素。这些研究的结果是不一致的，其特点是差异很大。因此，本系统性综述和荟萃分析的目的是使用现有研究估计埃塞俄比亚及时开始母乳喂养的汇总患病率及其与出生地的相关性。检索PubMed、Google scholar、Science direct、科克伦图书馆等数据库。考虑了所有报告埃塞俄比亚及时开始母乳喂养流行率的原始研究。两位作者使用标准化数据提取格式独立提取了所有必要的数据。采用STATA 11统计软件进行统计分析。采用科克伦Q检验和I2检验评价研究间的异质性。计算随机效应模型以估计及时开始母乳喂养的合并患病率。此外，还确定了及时开始母乳喂养与出生地点之间的关系。16项研究最终纳入荟萃分析。这项荟萃分析的结果显示，埃塞俄比亚及时开始母乳喂养的合并患病率为61.4%（CI：51.4，71.5%）。研究还表明，农村母亲在分娩后1小时内开始母乳喂养的比例低于城市母亲。此外，在卫生机构分娩的母亲在1小时内开始母乳喂养的可能性几乎是未在卫生机构分娩的母亲的2.11倍。在这项研究中，与目前全球母乳喂养建议相比，埃塞俄比亚及时开始母乳喂养的比例明显较低。与城市妇女相比，农村妇女在1 h内开始母乳喂养的可能性较小。在卫生机构分娩的母亲更有可能及时开始母乳喂养。
Timely initiation of breastfeeding is defined as putting the newborn to the breast within 1 h of birth. In Ethiopia, different studies have been conducted to assess the prevalence of timely initiation of breastfeeding and associated factors. The findings of these studies were inconsistent and characterized by great variability. Therefore, the aim of this systematic review and meta-analysis was to estimate the pooled prevalence of timely initiation of breastfeeding and its association with birth place in Ethiopia using the available studies. Databases, including PubMed, Google scholar, Science direct and Cochrane library were systematically searched. All original studies reporting the prevalence of timely initiation of breastfeeding in Ethiopia were considered. Two authors independently extracted all necessary data using a standardized data extraction format. STATA 11 statistical software was used to analyze the data. The Cochrane Q test statistics and I 2 test were used to assess the heterogeneity between the studies. A random effect model was computed to estimate the pooled prevalence of timely initiation of breastfeeding. In addition, the associations between timely initiation of breastfeeding and place of birth were determined. Sixteen studies were finally included in the meta-analysis. The findings of this meta-analysis revealed that, the pooled prevalence of timely initiation of breastfeeding in Ethiopia was 61.4% (CI: 51.4, 71.5%). The study also indicated that rural mothers had lower rate of initiating breastfeeding within the first 1 h after delivery as compared to their urban counterparts. Additionally, mothers who gave birth at health institution were almost 2.11 times more likely to initiate breastfeeding within 1 h as compared to mothers who did not give birth at health institution. In this study, timely initiation of breastfeeding in Ethiopia was significantly low compared to the current global recommendation on breastfeeding. Women from rural area were less likely to initiate breastfeeding within 1 h as compared with women from urban areas. Mothers who give birth at health institution were more likely to initiate breastfeeding timely.
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