Abstract:Objective To evaluate the effect of continuous maternal health management on the likelihood of exclusive breastfeeding and postpartum depression. Methods Studies published in the PubMed, CNKI, WanFang Med Online, and VIP database were searched up to January 2016. Randomized controlled trials (RCTs) that investigated continuous maternal health management in the puerperium period for breastfeeding and postpartum depression were included. Revman 5.3 software and fixed-effects models were used to summarize the risk estimates.Results 14 eligible RCTs were included in the meta-analysis, of which 7 studies reporting breastfeeding (970 women) and 9 reporting postpartum depression (1370 women). Women who received continuous maternal health management in the puerperium period, including at least two home visits, were significantly more likely to breastfeed their babies and less likely to develop postpartum depression at 6 weeks postpartum compared with those receiving no care or telephone based care (average OR=5.48, 95% confidence interval (CI):4.24-7.08, and OR=0.16, 95% CI: 0.10-0.27, respectively).No material difference in pooled estimates was observed in stratified analyses based on parity and different care in the control group.Conclusion Continuous maternal health management in the puerperium period, including at least two home visits, may increase the rate of exclusive breastfeeding and decreased the risk of postpartum depression.
沈松英, 刘志婷, 肖晚晴, 梁会营, 邱琇. 产后延续健康管理对中国产妇纯母乳喂养和产后抑郁影响的meta分析[J]. 中国生育健康杂志, 2016, 27(4): 301-306.
SHEN Songying, LIU Zhiting, XIAO Wanqing, LIANG Huiying, QIU Xiu. Continuousmaternal health management in the puerperium period for breastfeeding and postpartum depression:a meta-analysis. Chinese Journal of Reproductive Health, 2016, 27(4): 301-306.
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