SynthesisMaternal and child health journal2017
Does Caesarean Section Affect Breastfeeding Practices in China? A Systematic Review and Meta-Analysis.
Synthesis in Maternal and child health journal, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
18 citing papers in PubMed, 44 citations in OpenAlex.
- Effectiveness of a nurse-led theory-based program on breastfeeding outcomes in women after cesarean section: a randomized controlled trial.BMC pregnancy and childbirth · 2025Trial
- The effect of preoperative oral carbohydrate on the time to colostrum and amount of vaginal bleeding after elective cesarean section.The journal of obstetrics and gynaecology research · 2022Trial
- The association of a team management model based on Timing It Right theory with outcomes after cesarean section.Medicine · 2026Article
- Review
- Does caesarean section have an impact on exclusive breastfeeding? Evidence from four Southeast Asian countries.BMC pregnancy and childbirth · 2024Article
- Article
- Current prevalence, changes, and determinants of breastfeeding practice in China: data from cross-sectional national household health services surveys in 2013 and 2018.International breastfeeding journal · 2023Article
- Impact of caesarean delivery on children's autism-like behaviours: the mediation of exclusive breastfeeding.International breastfeeding journal · 2022Article
- Persistent Pregnancy-Related Anxiety Reduces Breastfeeding Exclusiveness and Duration: A Prospective Cohort Study.Breastfeeding medicine : the official journal of the Academy of Breastfeeding Medicine · 2022Article
- Determinants of Optimal Breastfeeding Practices in Indonesia: Findings From the 2017 Indonesia Demographic Health Survey.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2022Article
- Breastfeeding practice in China from 2013 to 2018: a study from a national dynamic follow-up surveillance.BMC public health · 2021Observational
- Breastfeeding in China: A Review of Changes in the Past Decade.International journal of environmental research and public health · 2020Review
- Incidence and Determinants of Caesarean Section in Shiraz, Iran.International journal of environmental research and public health · 2020Article
- Effect of cesarean section on initiation of breast feeding: Findings from 2016 Ethiopian Demographic and Health Survey.PloS one · 2020Article
- Association between gestational weight gain and exclusive breast-feeding for the first 6 months postpartum in Chinese women.Public health nutrition · 2019Article
- Socioeconomic status and breastfeeding in China: an analysis of data from a longitudinal nationwide household survey.BMC pediatrics · 2019Article
- Physical Activity During Pregnancy is Associated with Improved Breastfeeding Outcomes: A Prospective Cohort Study.International journal of environmental research and public health · 2019Article
- From depression to dietary guidelines: a life's journey.European journal of clinical nutrition · 2018Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Objectives To ascertain the association between caesarean delivery and breastfeeding practices in China. Methods We conducted a systematic review and meta-analysis following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) and Meta-analysis Of Observational Studies in Epidemiology (MOOSE) guidelines. Electronic databases of CNKI, Medline, EMBASE, CINAHL, ProQuest and Science Direct were searched and screened to identify relevant articles from January 1990 to June 2015. Both fixed and random effect meta-analysis techniques were used to estimate the pooled effect size between caesarean delivery and breastfeeding outcomes at different time points. Sensitivity analysis and publication bias test were also conducted. Results Forty six studies were eligible for the qualitative synthesis of systematic review; among them, 27 studies were included for the meta-analysis. At the early postpartum period, the odds of exclusive breastfeeding after caesarean section was 47% (pooled OR 0.53, 95% CI 0.41, 0.68) lower than that after vaginal delivery. At 4 months postpartum, the odds of breastfeeding was similarly lower (pooled OR 0.61, 95% CI 0.53, 0.71) for caesarean mothers. Substantial heterogeneity among studies was detected for both breastfeeding outcomes. Subgroup analyses stratified by study design, time points of breastfeeding outcomes and definitions of breastfeeding all confirmed the negative association between caesarean section and breastfeeding prevalence. Conclusions In China, breastfeeding practices were affected adversely by caesarean delivery. Therefore, health policy to improve breastfeeding outcomes should take this into consideration.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.