Impact of cesarean section on timely initiation of breastfeeding in Ethiopia: a systematic review and meta-analysis
Abstract Background Timely 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...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-07-01
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| Series: | International Breastfeeding Journal |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13006-021-00399-9 |
| _version_ | 1818577407501664256 |
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| author | Temesgen Getaneh Ayenew Negesse Getenet Dessie Melaku Desta Habtamu Temesgen Tadesse Getu Kihinetu Gelaye |
| author_facet | Temesgen Getaneh Ayenew Negesse Getenet Dessie Melaku Desta Habtamu Temesgen Tadesse Getu Kihinetu Gelaye |
| author_sort | Temesgen Getaneh |
| collection | DOAJ |
| description | Abstract Background Timely 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. Methods This 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. Results According 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). Conclusions In 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. |
| first_indexed | 2024-12-16T06:29:25Z |
| format | Article |
| id | doaj.art-2d1f86aed1f548f0a212ff6487e49fea |
| institution | Directory Open Access Journal |
| issn | 1746-4358 |
| language | English |
| last_indexed | 2024-12-16T06:29:25Z |
| publishDate | 2021-07-01 |
| publisher | BMC |
| record_format | Article |
| series | International Breastfeeding Journal |
| spelling | doaj.art-2d1f86aed1f548f0a212ff6487e49fea2022-12-21T22:40:55ZengBMCInternational Breastfeeding Journal1746-43582021-07-0116111010.1186/s13006-021-00399-9Impact of cesarean section on timely initiation of breastfeeding in Ethiopia: a systematic review and meta-analysisTemesgen Getaneh0Ayenew Negesse1Getenet Dessie2Melaku Desta3Habtamu Temesgen4Tadesse Getu5Kihinetu Gelaye6Department of Midwifery, College of Health Science, Debre Markos UniversityDepartment of Human Nutrition and Food Sciences, College of Health Science, Debre Markos UniversityDepartment of Nursing, School of Health Science, College of Medicine and Health Science, Bahr Dar UniversityDepartment of Midwifery, College of Health Science, Debre Markos UniversityDepartment of Human Nutrition and Food Sciences, College of Health Science, Debre Markos UniversityDepartment of Midwifery, Hosanna Health Science CollegeDepartment of Midwifery, School of Health Science, College of Medicine and Health Science, Bahr Dar UniversityAbstract Background Timely 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. Methods This 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. Results According 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). Conclusions In 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.https://doi.org/10.1186/s13006-021-00399-9Timely initiation of breastfeedingCesarean sectionEthiopiaSystematic review and meta-analysis |
| spellingShingle | Temesgen Getaneh Ayenew Negesse Getenet Dessie Melaku Desta Habtamu Temesgen Tadesse Getu Kihinetu Gelaye Impact of cesarean section on timely initiation of breastfeeding in Ethiopia: a systematic review and meta-analysis International Breastfeeding Journal Timely initiation of breastfeeding Cesarean section Ethiopia Systematic review and meta-analysis |
| title | Impact of cesarean section on timely initiation of breastfeeding in Ethiopia: a systematic review and meta-analysis |
| title_full | Impact of cesarean section on timely initiation of breastfeeding in Ethiopia: a systematic review and meta-analysis |
| title_fullStr | Impact of cesarean section on timely initiation of breastfeeding in Ethiopia: a systematic review and meta-analysis |
| title_full_unstemmed | Impact of cesarean section on timely initiation of breastfeeding in Ethiopia: a systematic review and meta-analysis |
| title_short | Impact of cesarean section on timely initiation of breastfeeding in Ethiopia: a systematic review and meta-analysis |
| title_sort | impact of cesarean section on timely initiation of breastfeeding in ethiopia a systematic review and meta analysis |
| topic | Timely initiation of breastfeeding Cesarean section Ethiopia Systematic review and meta-analysis |
| url | https://doi.org/10.1186/s13006-021-00399-9 |
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