Department of International Health, Johns Hopkins University Bloomberg School of Public Health, Baltimore, United States of America.
East Mediterr Health J. 2021 Sep 21;27(9):931-940. doi: 10.26719/emhj.21.027.
There is a paucity of published studies on factors influencing feeding practices for infants and young children born via caesarean section.
To assess whether the mode of childbirth affects early initiation and exclusive breastfeeding, and to identify factors that positively or negatively influence breastfeeding after caesarean births in selected countries in the Middle East.
We conducted a scoping review of publicly available population-based surveys and peer-reviewed literature on the associations between birthing mode and breastfeeding published between 2000 and 2018. The search identified 33 demographic surveys and 16 studies containing information on the mode of childbirth and breastfeeding in selected countries in the Middle East listed in PubMed, Embase, and CINAHL databases. Searches were completed in March 2019.
Demographic surveys in 6 participating Middle Eastern countries demonstrated increased rates of births by caesarean section. All 3 countries with ≥ 3 datasets available demonstrated that early initiation of breastfeeding was less likely after caesarean section than after vaginal births. Eleven studies analysed differences in breastfeeding outcomes between caesarean section and vaginal births, and all of them identified significant differences between birthing modes. Five studies addressed factors influencing breastfeeding after caesarean births.
Caesarean births are associated with a higher risk of delayed initiation of breastfeeding as well as early cessation of exclusive breastfeeding.
关于影响剖宫产婴儿和幼儿喂养实践的因素，发表的研究较少。
评估分娩方式是否会影响早期母乳喂养和纯母乳喂养，并确定在中东部分国家剖宫产分娩后对母乳喂养产生积极或消极影响的因素。
我们对 2000 年至 2018 年期间发表的关于分娩方式与母乳喂养之间关联的公开可用的基于人群的调查和同行评议文献进行了范围综述。该搜索在 PubMed、Embase 和 CINAHL 数据库中确定了 33 项人口普查调查和 16 项关于中东部分国家剖宫产和母乳喂养模式的研究。搜索于 2019 年 3 月完成。
参与的 6 个中东国家的人口普查显示剖宫产率增加。所有 3 个有≥3 个数据集的国家都表明，剖宫产后母乳喂养的早期开始比阴道分娩后更不可能。11 项研究分析了剖宫产和阴道分娩之间母乳喂养结果的差异，所有研究都发现了分娩方式之间的显著差异。有 5 项研究探讨了影响剖宫产后母乳喂养的因素。
剖宫产与母乳喂养开始延迟以及早期停止纯母乳喂养的风险增加有关。
