背景:有效的母乳喂养对母婴健康至关重要,特别是在像埃塞俄比亚这样的低资源环境中。它包含一系列的技能和策略,包括适当的闩锁,定位,和喂食的频率。这些技术不仅确保了足够的牛奶转移,而且还促进了母亲和孩子之间的联系,增强母乳喂养体验。切实把妇幼保健列为优先事项,全面了解全国有效母乳喂养的流行情况和影响因素至关重要。因此,本研究旨在汇总埃塞俄比亚哺乳期母亲中有效母乳喂养技术的流行情况及相关因素.
方法:研究遵循系统评价和荟萃分析(PRISMA)清单的首选报告项目,专注于在埃塞俄比亚进行的研究。我们通过谷歌学者确定了八项相关研究,Medline,PubMed,Scopus,还有Cochrane图书馆.使用STATA版本11进行分析,系统数据提取采用清单提取相关数据。采用I2检验和CochraneQ检验统计量评价异质性。为了探索潜在的出版偏见,艾格的加权回归,Begg\'stest,并利用了漏斗图。
结果:我们共确定了955篇研究文章。符合资格标准的8项研究被纳入本荟萃分析和系统评价。有效母乳喂养技术的合并患病率为41.99%[95%CI32.16-51.81]。根据目前的荟萃分析结果,有效的母乳喂养技术与产前护理随访显著相关[OR=1.75,95%CI1.10-2.78],母亲的教育状况[OR=2.70,95%CI1.55-4.71],母乳喂养技术咨询[OR=2.02,95%CI1.41-2.90],没有乳房问题[OR=2.26,95%CI1.49-3.43],母乳喂养经验[OR=1.98,95%CI1.14-3.46],和立即皮肤与皮肤接触[OR=2.32,95%CI1.56-3.44]。
结论:我们的研究结果强调了各种因素在塑造有效母乳喂养中的重要作用。
结论:为了改善实践和健康结果,我们建议有针对性的干预措施,例如加强产前护理,实施孕产妇教育,并提供全面的母乳喂养咨询。积极解决乳房问题并优先考虑立即的皮肤与皮肤接触对于成功母乳喂养至关重要。
BACKGROUND: 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.
METHODS: 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.
RESULTS: 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].
CONCLUSIONS: Our findings highlight the vital role of various factors in shaping effective breastfeeding.
CONCLUSIONS: 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.