Maternal education and breastfeeding practices in China: A systematic review and meta-analysis

ObjectivesThe aim of this systematic review and meta-analysis was to investigate the association of gender of newborn, antenatal care (ANC) and postnatal care (PNC) with timely initiation of breast feeding (TIBF) and exclusive breastfeeding (EBF) practices in Ethiopia.DesignSystematic review and meta-analysis.Data sourcesTo retrieve all available literature, PubMed, EMBASE, CINAHL, WHO Global Health Library, Web of Science and SCOPUS databases were systematically searched and complemented by manual searches. The search was done from August 2017 to September 2018.Eligibility criteriaAll observational studies including cross-sectional, case-control, cohort studies conducted in Ethiopia from 2000 to 2018 were included. Newcastle-Ottawa Scale was used for quality assessment of included studies.Data extraction and synthesisStudy area, design, population, number of mothers (calculated sample size and participated in the study) and observed frequency data were extracted using Joanna Briggs Institute tool. To obtain the pooled effect size, a meta-analysis using weighted inverse variance random-effects model was performed. Cochran’s Q X2test, τ2and I2statistics were used to test heterogeneity, estimate amount of total/residual heterogeneity and measure variability attributed to heterogeneity, respectively. Mixed-effects meta-regression analysis was done to identify possible sources of heterogeneity. Egger’s regression test at p value threshold ≤0.01 was used to examine publication bias. Furthermore, the trend of evidence over time was examined by performing a cumulative meta-analysis.ResultsOf 523 articles retrieved, 17 studies (n=26 146 mothers) on TIBF and 24 studies (n=17 819 mothers) on EBF were included in the final analysis. ANC (OR=2.24, 95% CI 1.65 to 3.04, p<0.001, I2=90.9%), PNC (OR=1.86, 95% CI 1.41 to 2.47, p<0.001, I2=63.4%) and gender of newborn (OR=1.31, 95% CI 1.01 to 1.68, p=0.04, I2=81.7%) significantly associated with EBF. ANC (OR=1.70, 95% CI 1.10 to 2.65, p=0.02, I2=93.1%) was also significantly associated with TIBF but not with gender of newborn (OR=1.02, 95% CI 0.86 to 1.21, p=0.82, I2=66.2%).ConclusionsIn line with our hypothesis, gender of newborn, ANC and PNC were significantly associated with EBF. Likewise, ANC was significantly associated with TIBF. Optimal care during pregnancy and after birth is important to ensure adequate breast feeding. This meta-analysis study provided up-to-date evidence on breastfeeding practices and its associated factors, which could be useful for breastfeeding improvement initiative in Ethiopia and cross-country and cross-cultural comparison.Trial registration numberCRD42017056768

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The global effect of maternal education on complete childhood vaccination: a systematic review and meta-analysis

BMC Infectious Diseases ◽

10.1186/s12879-017-2890-y ◽

2017 ◽

Vol 17 (1) ◽

Cited By ~ 16

Author(s):

Jennifer Forshaw ◽

Sarah M. Gerver ◽

Moneet Gill ◽

Emily Cooper ◽

Logan Manikam ◽

...

Keyword(s):

Systematic Review ◽

Maternal Education ◽

Meta Analysis ◽

Childhood Vaccination ◽

Global Effect

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Optimal breastfeeding practices and infant and child mortality: a systematic review and meta-analysis

Acta Paediatrica ◽

10.1111/apa.13147 ◽

2015 ◽

Vol 104 ◽

pp. 3-13 ◽

Cited By ~ 228

Author(s):

Mari Jeeva Sankar ◽

Bireshwar Sinha ◽

Ranadip Chowdhury ◽

Nita Bhandari ◽

Sunita Taneja ◽

...

Keyword(s):

Systematic Review ◽

Child Mortality ◽

Meta Analysis ◽

Breastfeeding Practices ◽

Infant And Child Mortality

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Maternal Education and Low Birth Weight in Low- and Middle-Income Countries: Systematic Review and Meta-Analysis

Maternal and Child Health Journal ◽

10.1007/s10995-021-03133-3 ◽

2021 ◽

Author(s):

Mohammad W. Godah ◽

Zahraa Beydoun ◽

Rima A. Abdul-Khalek ◽

Batoul Safieddine ◽

Assem M. Khamis ◽

...

Keyword(s):

Systematic Review ◽

Birth Weight ◽

Low Birth Weight ◽

Maternal Education ◽

Meta Analysis ◽

Middle Income ◽

Middle Income Countries ◽

Low And Middle Income

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Counselling interventions to enable women to initiate and continue breastfeeding: a systematic review and meta-analysis

International Breastfeeding Journal ◽

10.1186/s13006-019-0235-8 ◽

2019 ◽

Vol 14 (1) ◽

Cited By ~ 5

Author(s):

Alison McFadden ◽

Lindsay Siebelt ◽

Joyce L. Marshall ◽

Anna Gavine ◽

Lisa-Christine Girard ◽

...

Keyword(s):

Systematic Review ◽

Exclusive Breastfeeding ◽

Meta Analysis ◽

Scale Up ◽

Complex Interventions ◽

Public Health Intervention ◽

Specific Effect ◽

Randomised Trials ◽

Breastfeeding Practices ◽

Counselling Interventions

Abstract Background Many infants worldwide are not breastfeeding according to WHO recommendations and this impacts on the health of women and children. Increasing breastfeeding is identified as a priority area supported by current policy targets. However, interventions are complex and multi-component and it is unclear which elements of interventions are most effective to increase breastfeeding in which settings. Breastfeeding counselling is often part of complex interventions but evidence is lacking on the specific effect of counselling interventions on breastfeeding practices. The aim of this systematic review is to examine evidence on effectiveness of breastfeeding counselling to inform global guidelines. Methods A systematic search was conducted of six electronic databases in January 2018. Randomised controlled trials comparing breastfeeding counselling with no breastfeeding counselling or different formulations of counselling were included if they measured breastfeeding practices between birth and 24 months after birth. Results From the 5180 records identified in searches and a further 11 records found by hand searching, 63 studies were included. Of these, 48 were individually-randomised trials and 15 were cluster-randomised trials. A total of 69 relevant comparisons were reported involving 33,073 women. There was a significant effect of counselling interventions on any breastfeeding at 4 to 6 weeks (Relative risk [RR] 0.85, 95% CI 0.77, 0.94) and 6 months (RR 0.92, 95% CI 0.87, 0.94). Greater effects were found on exclusive breastfeeding at 4 to 6 weeks (RR 0.79, 95% CI 0.72, 0.87) and 6 months (RR 0.84, 95% CI 0.78, 0.91). Counselling delivered at least four times postnatally is more effective than counselling delivered antenatally only and/or fewer than four times. Evidence was mostly of low quality due to high or unclear risk of bias of the included trials and high heterogeneity. Conclusions Breastfeeding counselling is an effective public health intervention to increase rates of any and exclusive breastfeeding. Breastfeeding counselling should be provided face-to-face, and in addition, may be provided by telephone, both antenatally and postnatally, to all pregnant women and mothers with young children. To inform scale-up globally there is a need to further understand the elements of breastfeeding interventions such as counselling and their effectiveness in different contexts and circumstances. Study registration This systematic review was registered in Prospero (CRD42018086494).

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Effectiveness of community-based peer support for mothers to improve their breastfeeding practices: A systematic review and meta-analysis

PLoS ONE ◽

10.1371/journal.pone.0177434 ◽

2017 ◽

Vol 12 (5) ◽

pp. e0177434 ◽

Cited By ~ 31

Author(s):

Prakash Shakya ◽

Mika Kondo Kunieda ◽

Momoko Koyama ◽

Sarju Sing Rai ◽

Moe Miyaguchi ◽

...

Keyword(s):

Systematic Review ◽

Peer Support ◽

Meta Analysis ◽

Community Based ◽

Breastfeeding Practices

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Effect of gender of new-born, antenatal care and postnatal care on breastfeeding practices in Ethiopia: Evidence from systematic review and meta-analysis of national studies

10.1101/405605 ◽

2018 ◽

Cited By ~ 3

Author(s):

Tesfa Dejenie Habtewold ◽

Nigussie Tadesse Sharew ◽

Sisay Mulugeta Alemu

Keyword(s):

Systematic Review ◽

Antenatal Care ◽

Postnatal Care ◽

Meta Analysis ◽

P Value ◽

List Type ◽

Optimal Care ◽

Timely Initiation ◽

New Born ◽

Breastfeeding Practices

AbstractObjectiveThe aim of this systematic review and meta-analysis was to investigate the association of gender of new-born, antenatal care (ANC) and postnatal care (PNC) with timely initiation of breastfeeding (TIBF) and exclusive breastfeeding (EBF) practice in Ethiopia.DesignSystematic review and meta-analysisMethodsPubMed, EMBASE, CINAHL, WHO Global Health Library, Web of Science and SCOPUS databases systematically searched and complemented by manual searches to retrieve all available literature. Newcastle-Ottawa Scale (NOS) was used for quality assessment of included studies. Egger’s regression test at p-value threshold ≤ 0.01 was used to examine publication bias. Cochran’s Q X2 test, τ2, and I2 statistics were used to test heterogeneity, estimate amount of total/residual heterogeneity and measure variability attributed to heterogeneity respectively. A meta-analysis using a weighted inverse variance random-effects model was performed. The trend of evidence over time was evaluated by performing a cumulative meta-analysis. Furthermore, mixed-effects meta-regression analysis was done to identify possible sources of heterogeneity.ResultsOf 523 articles retrieved, 17 studies (N = 26,146 mothers) on TIBF and 27 studies (N = 17,819 mothers) on EBF were included in the final analysis. ANC (OR = 2.24, 95% CI 1.65 -3.04, p <0.001, I2 = 90.9%), PNC (OR = 1.86, 95% CI 1.41 - 2.47, p <0.001, I2 = 63.4%) and gender of new-born (OR = 1.31, 95% CI 1.01 - 1.68, p = 0.04, I2 = 81.7%) significantly associated with EBF. In addition, ANC (OR = 1.70, 95% CI 1.10 - 2.65, p = 0.02, I2 = 93.1%) was significantly associated with TIBF but not gender of new-born (OR = 1.02, 95% CI 0.86 -1.21, p = 0.82, I2 = 66.2%).ConclusionsIn line with our hypothesis, gender of new-born, ANC and PNC significantly associated with EBF. Likewise, ANC significantly associated with TIBF. Optimal care during pregnancy and after birth is important to ensure adequate breastfeeding. This meta-analysis study provided evidence on breastfeeding practices and its associated factors in Ethiopian context, which can be useful for cross-country and cross-cultural comparison and for breastfeeding improvement initiative in Ethiopia.Protocol registration and publication:CRD42017056768 and 10.1136/BMJOPEN-2017-017437Strengths and limitations of this studyThis systematic review and meta-analysis was conducted based on the registered and published protocol.Since it is the first study in Ethiopia, the information could be helpful for future researchers, public health practitioners, and healthcare policymakers.Almost all included studies were observational which may hinder causality inference.Perhaps the results may not be nationally representative given that studies from some regions are lacking.Based on the conventional methods of the heterogeneity test, a few analyses suffer from high between-study variation.

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