Does Caesarean Section Affect Breastfeeding Practices in China? A Systematic Review and Meta-Analysis.
Objectives To ascertain the association between caesarean delivery and breastfeeding practices in China. Methods We conducted a systematic review and meta-analysis following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and Meta-analysis Of Observational Studies in...
| Publicado en: | Maternal & Child Health Journal Vol. 21; no. 11; pp. 2008 - 2025 |
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| Autores principales: | , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Springer Nature
Nov2017
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=125716630&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 125716630 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10927875 N9J jtl: Maternal & Child Health Journal issn: 10927875 maglogo: N pubinfo: dt: Nov2017 vid: 21 iid: 11 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 125716630 125716630 143977845 125716630 10.1007/s10995-017-2369-x 125716630 ppf: 2008 ppct: 17 formats: fmt: @attributes: type: P tig: atl: Does Caesarean Section Affect Breastfeeding Practices in China? A Systematic Review and Meta-Analysis. aug: au: Zhao, Jian Zhao, Yun Du, Mengran Binns, Colin Lee, Andy affil: School of Public Health , Curtin University , Kent Street, Bentley Perth 6845 Australia sug: subj: Cesarean Section Breast Feeding Postnatal Period Human Systematic Review Meta Analysis China Medline Embase CINAHL Database Odds Ratio Confidence Intervals Data Analysis Software ab: Objectives To ascertain the association between caesarean delivery and breastfeeding practices in China. Methods We conducted a systematic review and meta-analysis following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and Meta-analysis Of Observational Studies in Epidemiology (MOOSE) guidelines. Electronic databases of CNKI, Medline, EMBASE, CINAHL, ProQuest and Science Direct were searched and screened to identify relevant articles from January 1990 to June 2015. Both fixed and random effect meta-analysis techniques were used to estimate the pooled effect size between caesarean delivery and breastfeeding outcomes at different time points. Sensitivity analysis and publication bias test were also conducted. Results Forty six studies were eligible for the qualitative synthesis of systematic review; among them, 27 studies were included for the meta-analysis. At the early postpartum period, the odds of exclusive breastfeeding after caesarean section was 47% (pooled OR 0.53, 95% CI 0.41, 0.68) lower than that after vaginal delivery. At 4 months postpartum, the odds of breastfeeding was similarly lower (pooled OR 0.61, 95% CI 0.53, 0.71) for caesarean mothers. Substantial heterogeneity among studies was detected for both breastfeeding outcomes. Subgroup analyses stratified by study design, time points of breastfeeding outcomes and definitions of breastfeeding all confirmed the negative association between caesarean section and breastfeeding prevalence. Conclusions In China, breastfeeding practices were affected adversely by caesarean delivery. Therefore, health policy to improve breastfeeding outcomes should take this into consideration. pubtype: Academic Journal doctype: meta analysis research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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