Impact of cesarean section on timely initiation of breastfeeding in Ethiopia: a systematic review and meta-analysis

International Breastfeeding Journal

Habtamu Temesgen¹  Ayenew Negesse²  Temesgen Getaneh³  Melaku Desta³  Tadesse Getu⁴  Kihinetu Gelaye⁵  Getenet Dessie⁶ 

[1] Department of Human Nutrition and Food Sciences, College of Health Science, Debre Markos University, Debre Markos, Ethiopia;Department of Human Nutrition and Food Sciences, College of Health Science, Debre Markos University, Debre Markos, Ethiopia;Center of Excellence in Human Nutrition, School of Human Nutrition, Food Science and Technology, Hawassa University, Awasa, Ethiopia;Department of Midwifery, College of Health Science, Debre Markos University, Debre Markos, Ethiopia;Department of Midwifery, Hosanna Health Science College, Hosanna, Ethiopia;Department of Midwifery, School of Health Science, College of Medicine and Health Science, Bahr Dar University, Bahir Dar, Ethiopia;Department of Nursing, School of Health Science, College of Medicine and Health Science, Bahr Dar University, Bahir Dar, Ethiopia;

关键词: Timely initiation of breastfeeding;    Cesarean section;    Ethiopia;    Systematic review and meta-analysis;   

DOI  :  10.1186/s13006-021-00399-9

来源: Springer

【 摘 要 】

BackgroundTimely initiation of breastfeeding is feeding of breast milk within one hour of birth, however, three in five babies were not breastfed in the first hour of birth globally. There is evidence that cesarean section is the major constraint for this low prevalence, but the impact of cesarean section on timely initiation of breastfeeding in Ethiopia is limited. Therefore, this meta-analysis aimed to provide evidence for policy makers, health professionals and program implementers.MethodsThis systematic review followed the Preferred Reporting Items for Systematic reviews and Meta-Analysis guidelines. Electronic bibliographic databases such as PubMed/Medline, EMBASE, PsycINFO, CINHAL, Scopus, Google Scholar, Science Direct and Cochrane Library were used to search relevant studies and was conducted up to February 2021. Random effects model meta-analysis was applied to estimate the pooled impact of cesarean section on timely initiation of breastfeeding with 95% confidence intervals (CI). I2 statistical test and, funnel plot and Egger’s test were used to check heterogeneity and publication bias across included studies respectively.ResultsAccording to meta-analysis of 17 studies, the pooled estimate of timely initiation of breastfeeding among women who had cesarean section in Ethiopia was 40.1% (95% CI 33.29, 46.92). The meta-analysis of 29,919 study participants showed that cesarean section was associated with a 79% lower odds of timely initiation of breastfeeding compared with vaginal birth (OR 0.21; 95% CI 0.16, 0.28).ConclusionsIn Ethiopia, almost only one-third of mothers who gave birth by cesarean section initiate breastfeeding within one hour of birth, much lower than the pooled prevalence among general population. Special health promotion, intervention and healthcare provider support during immediate or early skin to skin contact, and having focused breastfeeding guidelines for post-operative patient and trained health professionals should be considered for mothers who give birth through cesarean section.

【 授权许可】

CC BY