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Duration of Breastfeeding and Maternal-Related Factors in Iran, Systematic Review and Meta-Analysis

  • Hosein Dalili
    Hosein Dalili
      Affiliations
      Family Health Research Institute, Breastfeeding Research Center, Tehran University of Medical Science, Tehran, Iran
      Search for articles by this author
    • Mamak Shariat
      Mamak Shariat
        Affiliations
        Family Health Research Institute, Maternal-Fetal and Neonatal Research Center, Tehran University of Medical Science, Tehran, Iran
        Search for articles by this author
      • Fatemeh Nayeri
        Fatemeh Nayeri
          Affiliations
          Family Health Research Institute, Breastfeeding Research Center, Tehran University of Medical Science, Tehran, Iran
          Search for articles by this author
        • Zahra Emami
          Zahra Emami
            Affiliations
            Family Health Research Institute, Breastfeeding Research Center, Tehran University of Medical Science, Tehran, Iran
            Search for articles by this author
          • Roya Sahebi
            Roya Sahebi
              Affiliations
              MSc of Epidemiology, Researcher, National Public Health Management Center (NPMC), Tabriz University of medical sciences, Tabriz, Iran
              Search for articles by this author
            • Leyla Sahebi
              Leyla Sahebi
              Correspondence
              Corresponding author at: Epidemiologist, Assistant professor, Family Health Research Institute, Maternal-Fetal and Neonatal Research Center, Tehran University of Medical Science, Tehran, Iran.
              Contact
              Affiliations
              Family Health Research Institute, Maternal-Fetal and Neonatal Research Center, Tehran University of Medical Science, Tehran, Iran
              Search for articles by this author
            Published:June 15, 2020DOI:https://doi.org/10.1016/j.pedn.2020.04.011
            Duration of Breastfeeding and Maternal-Related Factors in Iran, Systematic Review and Meta-Analysis
            Previous ArticleAn Assessment of Turkish Adults' Knowledge Levels About Their Salt and Sugar Consumption, and Their Attitudes Toward Protecting Children from Excessive Salt and Sugar Consumption
            Next ArticleHealth Literacy and Health Promotion Behaviors of Adolescents in Turkey
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                Highlights

                • •
                  In this study, meta-analysis on breast-feeding duration and contributory maternal factors is carried out in Iran for first time.
                • •
                  The mean of breast-feeding duration was calculated at 17.44 months in this study.
                • •
                  Children with younger mothers and lower birth orders had shorter duration of breastfeeding.
                • •
                  Women with high school& diploma education level had early cessation of breastfeeding in comparison with less literate women.

                Abstract

                Background

                Although the benefits of breastfeeding are commonly approved, there remains a significant discrepancy between maternal practices and World Health Organization (WHO) guidelines in some countries.

                Objectives

                We had two aims in this study; average duration of breastfeeding, and its maternal determinants.

                Data sources

                A web-based citation index was used for citing documents.

                Study eligibility criteria and participants

                We included observational studies evaluating breastfeeding duration among children who were at least two years old and not older than five were included in Iran.

                Synthesis methods

                The pooled mean and mean differences were considered. Heterogeneity was evaluated with the I2 statistic.

                Results

                The pooled mean of breastfeeding duration was calculated at 17.31 months. Children with younger mothers and lower birth orders had shorter durations of breastfeeding. Women with a high school and higher education level had early cessation of breastfeeding in comparison with less educated women.

                Limitations

                The main limitation of the current study was lack of librarian assistance.

                Conclusions

                The pooled mean of breastfeeding duration in Iranian children aged 2–5 was less than WHO recommendations. Accurate identification of the effect a mother's level of education has on duration of lactation requires standardized categorization.

                Implications of key findings

                Raising awareness among women can be an effective strategy in increasing the duration of lactation.

                Keywords

                • Breast-feeding
                • Maternal exposure
                • Meta-analysis
                • Iran
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                Article info

                Publication history

                Published online: June 15, 2020
                Accepted: April 12, 2020
                Received in revised form: April 11, 2020
                Received: November 23, 2019

                Identification

                DOI: https://doi.org/10.1016/j.pedn.2020.04.011

                Copyright

                © 2020 Elsevier Inc. All rights reserved.

                ScienceDirect

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