Department of Midwifery, College of Health Sciences, Mattu University, Mattu, Ethiopia.
Department of Health Informatics, College of Health Sciences, Mattu University, Mattu, Ethiopia.
PLoS One. 2024 Jun 27;19(6):e0306167. doi: 10.1371/journal.pone.0306167. eCollection 2024.
Effective breastfeeding is crucial for maternal and child health, particularly in low-resource settings like Ethiopia. It encompasses a range of skills and strategies, including proper latch, positioning, and frequency of feeding. These techniques not only ensure sufficient milk transfer but also foster bonding between mother and child, enhancing the breastfeeding experience. To effectively prioritize maternal and child health, it is crucial to comprehensively understand the prevalence and factors influencing effective breastfeeding nationwide. Therefore, this study aimed to provide a pooled prevalence of effective breastfeeding techniques and associated factors among lactating mothers in Ethiopia.
The study followed the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) checklist, focusing on studies conducted in Ethiopia. We identified eight relevant studies through Google Scholar, Medline, PubMed, Scopus, and the Cochrane Library. Analysis was conducted using STATA version 11, and systematic data extraction employed a checklist to extract relevant data. I2 tests and the Cochrane Q test statistic were used to evaluate heterogeneity. To explore potential publication bias, Egger's weighted regression, Begg's test, and a funnel plot were utilized.
We identified a total of 955 research articles. Eight studies meeting the eligibility criteria were incorporated into this meta-analysis and systematic review. The pooled prevalence of effective breastfeeding techniques was 41.99% [95% CI 32.16-51.81]. According to the results of the current meta-analysis, effective breastfeeding techniques were significantly associated with antenatal care follow-up [OR = 1.75, 95% CI 1.10-2.78], maternal educational status [OR = 2.70, 95% CI 1.55-4.71], breastfeeding technique counseling [OR = 2.02, 95% CI 1.41-2.90], the absence of breast problems [OR = 2.26, 95% CI 1.49-3.43], breastfeeding experience [OR = 1.98, 95% CI 1.14-3.46], and immediate skin-to-skin contact [OR = 2.32, 95% CI 1.56-3.44].
Our findings highlight the vital role of various factors in shaping effective breastfeeding.
To improve practices and health outcomes, we recommend targeted interventions, such as strengthening antenatal care, implementing maternal education, and providing comprehensive breastfeeding counseling. Proactively addressing breast problems and prioritizing immediate skin-to-skin contact is crucial for successful breastfeeding.
有效的母乳喂养对母婴健康至关重要，尤其是在埃塞俄比亚等资源匮乏的环境中。它包括一系列技能和策略，包括正确的衔接、姿势和喂养频率。这些技术不仅确保了足够的乳汁转移，还促进了母婴之间的联系，增强了母乳喂养体验。为了有效地优先考虑母婴健康，全面了解全国范围内有效母乳喂养技术的流行情况和影响因素至关重要。因此，本研究旨在提供埃塞俄比亚哺乳期妇女有效母乳喂养技术的综合流行率及其相关因素。
本研究遵循系统评价和荟萃分析的首选报告项目 (PRISMA) 检查表，重点关注在埃塞俄比亚进行的研究。我们通过 Google Scholar、Medline、PubMed、Scopus 和 Cochrane 图书馆确定了八项相关研究。使用 STATA 版本 11 进行分析，并使用清单进行系统数据提取以提取相关数据。我们使用 I2 检验和 Cochrane Q 检验统计量评估异质性。为了探索潜在的发表偏倚，我们使用了 Egger 的加权回归、Begg 检验和漏斗图。
我们共确定了 955 篇研究文章。八项符合纳入标准的研究被纳入这项荟萃分析和系统评价。有效母乳喂养技术的综合流行率为 41.99%[95%CI 32.16-51.81]。根据当前荟萃分析的结果，有效母乳喂养技术与产前保健随访显著相关[OR=1.75，95%CI 1.10-2.78]、母亲教育程度[OR=2.70，95%CI 1.55-4.71]、母乳喂养技术咨询[OR=2.02，95%CI 1.41-2.90]、无乳房问题[OR=2.26，95%CI 1.49-3.43]、母乳喂养经验[OR=1.98，95%CI 1.14-3.46]和立即皮肤接触[OR=2.32，95%CI 1.56-3.44]。
我们的研究结果强调了多种因素在塑造有效母乳喂养方面的重要作用。
为了改善实践和健康结果，我们建议采取有针对性的干预措施，如加强产前保健、实施母婴教育和提供全面的母乳喂养咨询。积极解决乳房问题和优先考虑立即皮肤接触对于成功的母乳喂养至关重要。
