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伊朗母乳喂养持续时间及与母亲相关的因素:系统评价与荟萃分析

Duration of Breastfeeding and Maternal-Related Factors in Iran, Systematic Review and Meta-Analysis.

作者信息

Dalili Hosein, Shariat Mamak, Nayeri Fatemeh, Emami Zahra, Sahebi Roya, Sahebi Leyla

机构信息

Family Health Research Institute, Breastfeeding Research Center, Tehran University of Medical Science, Tehran, Iran.

Family Health Research Institute, Maternal-Fetal and Neonatal Research Center, Tehran University of Medical Science, Tehran, Iran.

出版信息

J Pediatr Nurs. 2020 Sep-Oct;54:e23-e30. doi: 10.1016/j.pedn.2020.04.011. Epub 2020 Jun 15.

Abstract

BACKGROUND

Although the benefits of breastfeeding are commonly approved, there remains a significant discrepancy between maternal practices and World Health Organization (WHO) guidelines in some countries.

OBJECTIVES

We had two aims in this study; average duration of breastfeeding, and its maternal determinants.

DATA SOURCES

A web-based citation index was used for citing documents.

STUDY ELIGIBILITY CRITERIA AND PARTICIPANTS

We included observational studies evaluating breastfeeding duration among children who were at least two years old and not older than five were included in Iran.

SYNTHESIS METHODS

The pooled mean and mean differences were considered. Heterogeneity was evaluated with the I statistic.

RESULTS

The pooled mean of breastfeeding duration was calculated at 17.31 months. Children with younger mothers and lower birth orders had shorter durations of breastfeeding. Women with a high school and higher education level had early cessation of breastfeeding in comparison with less educated women.

LIMITATIONS

The main limitation of the current study was lack of librarian assistance.

CONCLUSIONS

The pooled mean of breastfeeding duration in Iranian children aged 2-5 was less than WHO recommendations. Accurate identification of the effect a mother's level of education has on duration of lactation requires standardized categorization.

IMPLICATIONS OF KEY FINDINGS

Raising awareness among women can be an effective strategy in increasing the duration of lactation.

摘要

背景

尽管母乳喂养的益处已得到普遍认可,但在一些国家,母亲的实际做法与世界卫生组织(WHO)的指导方针之间仍存在显著差异。

目的

本研究有两个目标;一是母乳喂养的平均持续时间,二是其母亲相关的决定因素。

数据来源

使用基于网络的引文索引来引用文献。

研究纳入标准和参与者

我们纳入了评估伊朗至少两岁且不超过五岁儿童母乳喂养持续时间的观察性研究。

综合方法

考虑合并均值和均值差异。用I统计量评估异质性。

结果

母乳喂养持续时间的合并均值计算为17.31个月。母亲年龄较小且生育顺序较低的儿童母乳喂养持续时间较短。与受教育程度较低的女性相比,具有高中及以上教育水平的女性更早停止母乳喂养。

局限性

本研究的主要局限性是缺乏图书馆员的协助。

结论

伊朗2至5岁儿童母乳喂养持续时间的合并均值低于WHO的建议。准确识别母亲教育水平对哺乳期持续时间的影响需要标准化分类。

主要研究结果的意义

提高女性的认识可能是增加哺乳期持续时间的有效策略。

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