Meta-analysis of correlation between assisted reproductive technology and postpartum breastfeeding outcomes
10.3760/cma.j.cn115682-20230523-02032
- VernacularTitle:辅助生殖技术与产后母乳喂养结局关系的Meta分析
- Author:
Danni SONG
1
;
Hui ZHOU
;
Yingying ZHANG
;
Congshan PU
;
Weiwei JIANG
;
Jiahua ZHANG
;
Chun ZHAO
;
Chunjian SHAN
Author Information
1. 南京医科大学附属妇产医院（南京市妇幼保健院）产科，南京 210004
- Keywords:
Breast feeding;
Reproductive techniques, assisted;
Difficulty in breastfeeding;
Meta-analysis
- From:
Chinese Journal of Modern Nursing
2024;30(3):322-330
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the impact of assisted reproductive technology (ART) on postpartum breastfeeding outcomes.Methods:This paper electronically retrieved the China Biology Medicine disc, China National Knowledge Infrastructure, VIP, WanFang Data, PubMed, Embase, Web of Science, and Cochrane Library. The search period was from database establishment to March 15, 2023. After independent literature search, screening, data extraction, and quality evaluation by two researchers, Meta-analysis was conducted using R 4.2.2 software.Results:A total of 11 articles were included. Meta-analysis showed that compared with naturally conceived mothers, the rates of exclusive breastfeeding at 1th week postpartum ( RR=0.84, 95% CI: 0.73-0.97), exclusive breastfeeding at 6th months postpartum ( RR=0.77, 95% CI: 0.61-0.98), and the incidence of breastfeeding for >6 months postpartum ( RR=0.71, 95% CI: 0.53-0.96) were decreased, and the rate of artificial feeding at 12th months postpartum ( RR=1.09, 95% CI: 1.02-1.17) was increased. However, there were no statistically significant differences in the rate of artificial feeding at 8th months postpartum, the incidence of breastfeeding duration >12 months, and the incidence of breastfeeding difficulties ( P>0.05) . Conclusions:ART reduces the rate of exclusive breastfeeding in postpartum 1th week and 6th months, and the incidence of postpartum breastfeeding duration>6 months, and increases the artificial feeding rate in postpartum 12th months. However, the impact of ART on the incidence of breastfeeding difficulties is not yet clear and still needs to be further demonstrated by high-quality studies.
