Meta-Analysis the Effect of Section Caesarea on Early Breastfeeding Initiation

Abstract

Background: Early Initiation of Breastfeeding is the baby's first activity to find the mother's nipple within the first hour of birth. UNICEF and WHO recommend Early Breastfeeding Initiation as a strategy to achieve the 4th MDG, namely reducing child mortality. Early Breastfeeding Initiation has many benefits but its prevalence is still low, one of the contributing factors is cesarean section delivery. This study aims to estimate the effect of cesarean section delivery on early breastfeeding initiation based on the results of a number of previous studies. Subjects and Method: This study was a meta-analysis and systematic study. The articles used were obtained from PubMed, Science Direct and Google Scholar published from 2009-2020. The inclusion criteria used were full text articles with observational designs, articles published in English and Indonesian. The PICO study problems are as follows. Population= post partum mothers. Intervention= cesarean section delivery. Comparison= normal delivery. Outcome= early initiation of breastfeeding. Articles were collected using a prism flow diagram. Meta analysis was performed using RevMan 5.3 with a Random Effect Model. Results: A total of 11 articles conducted a meta-analysis review of this study. The metaanalysis of 11 articles showed that women who gave birth through cesarean section technique were 0.33 times more likely to have early breastfeeding initiation compared to normal delivery. (aOR= 0.33; 95% CI= 0.18 to 0.59; p<0.001). Conclusion: Mothers who gave birth through cesarean section technique were more likely to initiate early breastfeeding by 0.33 times compared to normal delivery. Keywords: caesarean section, delivery method, early initiation of breastfeeding Correspondence: Ferda Fibi Tyas Nurkholifa. Masters Program in Public Health, Universitas Sebelas Maret, Surakarta, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: ferdafibi13@- gmail.com. Mobile: +62856557788