Prevalence of exclusive breastfeeding practice in the first six months of life and its determinants in Iran: a systematic review and meta-analysis

Behzadifar, Meysam; Saki, Mandana; Behzadifar, Masoud; Mardani, Mahnaz; Yari, Fatemeh; Ebrahimzadeh, Farzad; Mehr, Hadis Majidi; Bastami, SHadi Abdi; Bragazzi, Nicola Luigi

doi:10.1186/s12887-019-1776-0

Cited by 53 publications

(42 citation statements)

References 57 publications

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“…In an international scale, we have strong evidence from Canada showing a greater prevalence of breastfeeding in the first days of life with 90% [ 3 ]. Prevalence in France is close to ours at 74% [ 4 ], while prevalence in Iran remains low at 53% [ 5 ]. Only 35% of mothers are sensitized while 80% of pregnancies are followed, which shows a lack of sensitization.…”

Section: To the Editors Of The Pan African Medical Journalsupporting

confidence: 73%

How are newborns fed in their first day of life? a survey

Mekaoui

Belkouchi²,

Chajai³

et al. 2020

Pan Afr Med J

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Section: To the Editors Of The Pan African Medical Journalsupporting

confidence: 73%

How are newborns fed in their first day of life? a survey

Mekaoui

Belkouchi²,

Chajai³

et al. 2020

Pan Afr Med J

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“…The interviews were carried out, guided by a questionnaire prepared by the study authors. Inquiries included in the questionnaire were based on previous relevant literature: international [ 15 , 16 ], Middle East [ 17 , 18 ], and Saudi Arabia [ 11 , 19 – 21 ]. Other items that authors considered important to address the aims of the study were included.…”

Section: Methodsmentioning

confidence: 99%

Prevalence and Determinants of Exclusive Breastfeeding Practice among Mothers of Children Aged 6–24 Months in Hail, Saudi Arabia

Alshammari

Haridi

2021

Scientifica

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Background. The WHO recommends that infants should be exclusively breastfed for the first six months of life to achieve optimal growth, development, and health. Nonadherence to exclusive breastfeeding (EBF) depends largely on the individual, sociocultural context, and institutional factors. The aim of this study is to estimate coverage and factors associated with adherence to EBF among mothers in the urban Hail region, Saudi Arabia. Methods. A cross-sectional study was carried out during February–June 2019 among 450 mothers of children aged 6–24 months attending immunization and well-baby clinics in 6 primary healthcare centers in Hail city. A pretested structured questionnaire was used to interview the consented participants. Results. The majority of mothers (72.9%) were aware of EBF; 24% reported initiation of breastfeeding within one hour after delivery; however, 71.1% did during the first 24 hours. The majority (76.8%) fed colostrum to their newborn; nevertheless, 50.1% had given a prelacteal feeding. Mothers who reported EBF practice were 50.7% (CI 45.9–55.4). The adjusted logistic regression analysis revealed that mother’s awareness about EBF (aOR 3.03; 95% CI 1.78–5.18), antenatal care received at the governmental facility (aOR 2.63; 95% CI 1.28–5.41), breastfeeding a previous child (aOR 2.42; 95% CI 1.46–4.03), counseling received after delivery (aOR 2.47; 95% CI 1.34–4.53), and colostrum feeding given (aOR 4.24; 95% CI 2.31–7.77) were positively associated with EBF practice. On the other hand, mother’s education (OR 0.39; 95% CI 0.15–0.99), higher family income (aOR 0.04; 95% CI 0.00–0.31), and practice prelacteal feeding (aOR 0.61; 95% CI 0.38–0.97) were negatively associated with EBF practice. Conclusion. EBF rate in urban Hail is still far below WHO recommendations. Efforts to strengthen mothers’ counseling/support during antenatal care and immediately after delivery are needed to promote EBF practice, especially in the private sector.

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“…Based on a systematic review and meta-analysis study, the overall prevalence of EBF was 53% in 2018. In Iran, health policy and decision makers try to take interventions that encourage mothers to breastfeed their infants exclusively [6].…”

Section: Introductionmentioning

confidence: 99%

The effect of breastfeeding education with grandmothers’ attendance on breastfeeding self-efficacy and infant feeding pattern in Iranian primiparous women: a quasi-experimental pilot study

et al. 2020

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Background One of the most important factors that affects breastfeeding self-efficacy and exclusivity is breastfeeding support provided by the family. The aim of this study was to determine the effect of breastfeeding education sessions for primiparous women, with and without the attendance of maternal grandmothers, on breastfeeding self-efficacy and infant feeding patterns. Methods This quasi-experimental study was conducted on 64 primiparous women who referred to the Antenatal Clinic of Amiralmomenin Hospital, Tehran, Iran from June to December, 2018. Eligible pregnant women were allocated into two groups; either with and without grandmothers in attendance. Group assignments were determined according to the week the women had prenatal care at the hospital. All eligible women seen in the clinic during 1 week were assigned to one group and women who presented in the alternating week were assigned to the other group. In the education group with grandmothers in attendance, each woman participated in two prenatal education programs with her mother and one postpartum program approximately 3 h before discharge. In the other group, participating mothers attended breastfeeding education sessions without the grandmother’s attendance. The participating mothers answered questions from the Breastfeeding Self-Efficacy Scale-Short Form (BSES-SF) at the time of the hospital discharge, and 4 and 8 weeks after delivery. Questions about the infants’ feeding patterns were asked by telephone contact with the participating mothers from both groups at the same time periods. Results The mean BFSE scores were signficantly different between the groups with grandmothers and without grandmothers at the time of the hospital discharge (60.15 ± 4.47 vs. 56.84 ± 6.22, independent t-test; p = 0.017), and at 4 weeks (61.71 ± 2.66 vs. 56.62 ± 9.12, p = 0.004) and 8 weeks after delivery (63.68 ± 2.14 vs. 60.03 ± 6.32, p = 0.003). No significant difference existed in infant feeding patterns between the groups at the same time periods. Conclusions This study suggests that breastfeeding education with grandmothers’ attendance is effective in improving the mothers’ breastfeeding self-efficacy. A family-centered program should be considered in beastfeeding education for increasing of exclusive breastfeeding.

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Prevalence of exclusive breastfeeding practice in the first six months of life and its determinants in Iran: a systematic review and meta-analysis

Cited by 53 publications

References 57 publications

How are newborns fed in their first day of life? a survey

How are newborns fed in their first day of life? a survey

Prevalence and Determinants of Exclusive Breastfeeding Practice among Mothers of Children Aged 6–24 Months in Hail, Saudi Arabia

The effect of breastfeeding education with grandmothers’ attendance on breastfeeding self-efficacy and infant feeding pattern in Iranian primiparous women: a quasi-experimental pilot study

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