Association of age and colostrum discarding with breast-feeding practice in Ethiopia: systematic review and meta-analyses. Issue 11 (8th March 2019)

• Record Type: Journal Article
• Authors: Alemu, Sisay Mulugeta; Alemu, Yihun Mulugeta; Habtewold, Tesfa Dejenie
• Is Part Of: Public health nutrition. Volume 22:Issue 11(2019)
• Page Start: 2063
• Page End: 2082
• Publication Date: 2019-03-08
• Subjects: Breast-feeding, -- Maternal age, -- Infant, -- Review, -- Meta-analysis, -- Ethiopia; Nutrition -- Periodicals; Nutrition policy -- Periodicals; Public health -- Periodicals; 613.2
• DOI: 10.1017/S1368980019000314
• Languages: English
• ISSNs: 1368-9800

Abstract

Abstract: Objective: To investigate whether maternal/caregiver's age, infant age (0–6 months) and discarding colostrum affects timely initiation of breast-feeding (TIBF) and exclusive breast-feeding (EBF) in Ethiopia. Design: A systematic search of PubMed, SCOPUS, EMBASE, CINHAL, Web of Science and WHO Global Health Library electronic databases was done for all articles published in English from 2000 to January 2018. Two reviewers independently screened, extracted and graded the quality of studies using Newcastle–Ottawa Scale. A weighted inverse-variance random-effects model meta-analysis, cumulative meta-analysis and mixed-effects meta-regression analysis were done. Setting: All observational studies conducted in Ethiopia. Participants: Mothers of children aged less than 2 years. Result: A total of forty articles (fourteen studies on TIBF and twenty-six on EBF) were included. TIBF was associated with colostrum discarding (OR=0·38; 95 % CI 0·21, 0·68) but not with maternal/caregiver's age (OR=0·98; 95 % CI 0·83, 1·15). In addition, colostrum discarding (OR=0·53; 95 % CI 0·36, 0·78) and infant age (OR=1·77; 95 % CI 1·38, 2·27) were significantly associated with EBF but not maternal/caregiver's age (OR=1·09; 95 % CI 0·84, 1·41). Conclusions: There was no association between maternal/caregiver's age and breast-feeding practice (EBF and TIBF). Colostrum discarding was associated with both EBF and TIBF. This evidence could be helpful to counsel all mothers of reproductive age and who discard colostrum.