Abstract
BackgroundPrelacteal feeding is one of the commonest inappropriate child feeding practice which exposes to malnutrition, infection, and neonatal mortality. However, there is no systematic review and meta-analysis that estimates the pooled prevalence of prelacteal feeding and its association with place of birth in Ethiopia. Therefore, this study aimed at investigating the magnitude of prelacteal feeding practice and its association with home delivery in the country.MethodsPrimary studies were accessed through, HINARI and PubMed databases. Additionally, electronics search engines such as Google Scholar, and Google were used. The Joana Briggs Institute quality appraisal checklist was used to appraise the quality of studies. Data were extracted using Microsoft Excel spreadsheet. Heterogeneity between the studies was examined using the I2 heterogeneity test. The DerSimonian and Liard random-effect model was used. The random effects were pooled after conducting subgroup and sensitivity analyses. Publication bias was also checked.ResultsA total of 780 primary studies were accessed. However, about 24 studies were included in the qualitative description and quantitative analysis of the prevalence of prelacteal feeding. To examine the association between home delivery and prelacteal feeding practice, only six studies were included. The prevalence of prelacteal feeding ranged from 6.1–75.8%. The pooled prevalence of prelacteal feeding among Ethiopian children was 26.95% (95% CI: 17.76%, 36.14%). The highest prevalence was observed in the Afar region. The pooled odds of prelacteal feeding among women who gave birth at home was increased by 5.16 (95% CI: 3.7, 7.2) folds as compared to those who gave birth at Health institutions.ConclusionPrelacteal feeding practice in Ethiopia was found to be high. Home delivery was strongly associated with prelacteal feeding practice. Therefore, promoting institutional delivery and strengthening of the existing child nutrition strategies are recommended.
Highlights
Prelacteal feeding is one of the commonest inappropriate child feeding practice which exposes to malnutrition, infection, and neonatal mortality
Six studies were included to show the effect of home delivery on the prelacteal feeding (Table 1)
The prevalence of prelacteal feeding practice ranged between 6.1% [48], and 75.8% [49] in South Nation Nationalities and Peoples (SNNPs) region and Oromia region, respectively
Summary
Prelacteal feeding is one of the commonest inappropriate child feeding practice which exposes to malnutrition, infection, and neonatal mortality. Exclusive breastfeeding (EBF) is one of the core indicators of Infant and Young Child Feeding(IYCF) practices providing many health benefits for the mother, as well as for her growing baby [1]. It reduces unnecessary expenses following health care service costs and infant feeding [2]. Prelacteal feeding is defined as the administration of any solid, semisolid, or liquid food other than breast milk to an infant during the first 3 days of birth [5]. The commonest foods given by Ethiopian women are butter, plain water, cow milk, sugar with water, and formula milk [6,7,8]
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