A systematic review and meta-analysis of breastfeeding rates, factors influencing breastfeeding and practices in the United Arab Emirates (UAE).

IF 2.9 2区 医学 Q1 OBSTETRICS & GYNECOLOGY
Maeve Anne O'Connell, Shahla Meedya, Jenan Al Baqali, Kadeeja Alraeesi, Patricia Leahy-Warren
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Abstract

Background: Breastfeeding is recommended for optimal infant outcomes. Breastfeeding rates are thought to be suboptimal, but actual rates are not known in the United Arab Emirates (UAE). While there have been various studies about breastfeeding, there is no systematic review or meta-analysis in the UAE which has synthesized available evidence about breastfeeding rates and practices. The primary objectives of this study were to estimate breastfeeding rates, identify factors influencing breastfeeding, and explore breastfeeding practices among women in the United Arab Emirates (UAE).

Methods: A systematic review and meta-analysis of relevant published peer-reviewed literature in six relevant electronic databases from 2013 to 1 August 2023. When statistical pooling was not possible, results were synthesized narratively.

Results: Twelve studies were included. Pooled data from five studies (n = 2009) indicated that 62% of women initiated breastfeeding within the first hour after birth (95% CI 0.45, 0.78; I2 98.3%). At three months, pooled data from three studies (n = 851) showed that 73% of these women were breastfeeding (95% CI 0.42, 0.96; I2 98.7%). At six months, the rate of exclusive breastfeeding, based on pooled data from three studies (n = 1121), was 29.5% (95% CI 0.14, 0.477, I2 97.5%). Significant heterogeneity was observed, suggesting that the results should be interpreted with caution. Three key themes emerged from the analysis of 12 studies: (1) balancing supportive factors with traditional practices, (2) the role of health service provision in breastfeeding, and (3) the influence of socioeconomic factors.

Conclusion: This review highlights the importance of integrating cultural competence into healthcare strategies to better support breastfeeding mothers. Additionally, a national infant feeding survey is recommended to address the existing knowledge gaps in the UAE.

对阿拉伯联合酋长国母乳喂养率、影响母乳喂养的因素和做法的系统回顾和荟萃分析。
背景:推荐母乳喂养以获得最佳婴儿结局。母乳喂养率被认为是次优的,但在阿拉伯联合酋长国(阿联酋)的实际比率尚不清楚。虽然有各种关于母乳喂养的研究,但阿联酋没有系统的综述或荟萃分析来综合有关母乳喂养率和做法的现有证据。本研究的主要目的是估计母乳喂养率,确定影响母乳喂养的因素,并探讨阿拉伯联合酋长国(UAE)妇女的母乳喂养做法。方法:对2013年至2023年8月1日在6个相关电子数据库中发表的相关同行评议文献进行系统综述和meta分析。当无法进行统计合并时,对结果进行叙述合成。结果:纳入12项研究。来自五项研究(n = 2009)的汇总数据表明,62%的妇女在出生后第一个小时内开始母乳喂养(95%可信区间0.45,0.78;I2 98.3%)。三个月时,三项研究(n = 851)的汇总数据显示,这些妇女中有73%是母乳喂养(95% CI 0.42, 0.96;I2 98.7%)。根据三项研究(n = 1121)的汇总数据,在6个月时,纯母乳喂养率为29.5% (95% CI 0.14, 0.477, i297.5%)。观察到显著的异质性,表明结果应谨慎解释。对12项研究的分析产生了三个关键主题:(1)平衡支持因素与传统做法;(2)提供保健服务在母乳喂养中的作用;(3)社会经济因素的影响。结论:本综述强调了将文化能力纳入医疗保健策略以更好地支持母乳喂养母亲的重要性。此外,建议开展一项全国婴儿喂养调查,以解决阿联酋现有的知识差距。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
International Breastfeeding Journal
International Breastfeeding Journal Medicine-Obstetrics and Gynecology
CiteScore
6.30
自引率
11.40%
发文量
76
审稿时长
32 weeks
期刊介绍: Breastfeeding is recognized as an important public health issue with enormous social and economic implications. Infants who do not receive breast milk are likely to experience poorer health outcomes than breastfed infants; mothers who do not breastfeed increase their own health risks. Publications on the topic of breastfeeding are wide ranging. Articles about breastfeeding are currently published journals focused on nursing, midwifery, paediatric, obstetric, family medicine, public health, immunology, physiology, sociology and many other topics. In addition, electronic publishing allows fast publication time for authors and Open Access ensures the journal is easily accessible to readers.
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