Leads from the MMWR. Racial and educational factors associated with breast-feeding

In a private pediatric practice, 94 infants who were breast-feeding were followed for the first 2 months of life in order to define the frequency of cessation of breast-feeding and to identify factors that would predict mothers and infants at risk for early cessation. At 8 weeks, 30% of the mothers had stopped nursing. Factors associated with cessation were: maternal lack of confidence in breast-feeding (P < .001); anticipated duration of nursing less than 6 months (P = .002); ratings by the nursery staff of infant's excessive crying (P = .007), infant's demanding personality (P = .007), trouble with féeding (P = .001), and future trouble with feeding (P = .004). Together, these factors predicted 77% of the mothers who terminated breast-feeding. Supplementing with formula before the 2-week office visit also led to termination of breast-feeding by 8 weeks (P = .006). This decision was frequently made without medical advice. Nearly 64% (14/22) of the mothers who added formula within the first 2 weeks did so without contacting the pediatric practice.

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Prelacteal Feeding and Associated Factors Among Northwestern Ethiopian Women Having Children Less than Six Months Age: A Community Based Cross- Sectional Study

10.21203/rs.3.rs-37785/v1 ◽

2020 ◽

Author(s):

Maezu G/slassie1 ◽

Kiflay Mulugeta ◽

Abraha Teklay Berhe

Keyword(s):

Breast Feeding ◽

Associated Factors ◽

Cross Sectional Study ◽

Sectional Study ◽

Prelacteal Feeding ◽

Community Based ◽

Cross Sectional ◽

Timely Initiation ◽

Factors Associated

Abstract Background: Prelacteal feeding is administration of any food or fluid other than breast milk before initiation of breast feeding. Optimal breastfeeding including discouraging prelacteal feeding could save 823,000 lives per year among children ages five years old and younger. Despite of this mothers give prelacteal feeding to their child in different part of Ethiopia; However, there is a paucity of information on prevalence of prelacteal feeding and associated factors in the study area. Thus, the current study aimed at determining of the prevalence of prelacteal feeding and associated factors among mothers of children aged less than six months in Gozamen district, East Gojjam zone, North West Ethiopia, 2019-2020Methods: A community -based cross-sectional study was conducted among 741 mothers of children aged less than six months in Gozamen district from August 2019 to Feb 2020. Stratified cluster sampling technique was used to select study participants. Data were collected by face to face interviewer-administered, pretested and semi-structured questionnaire. Descriptive analysis, bi-variable and multivariable logistic regression model were employed. Adjusted odds ratio with 95% confidence interval was used to identify factors associated with prelacteal feeding.Results: In this study the prevalence of prelacteal feeding was found to be 17.1%with 95%CI [14.3, 20]. Mothers who had no ANC follow up [AOR: 7.53, CI; 3.32, 17.05], those mothers who did not discard colostrum [AOR: 0.12, CI; 0.07, 0.12] time of breast feeding initiation [AOR: 3.53, CI; 2.05, 6.11] and mothers who had single ANC visit [AOR: 2.98, CI; 1.52, 5.85] were significant independent factors associated with prelacteal feeding.Conclusion: This study concluded that prelacteal feeding was high in the study area .Therefore, in order to tackle this problem strengthening antenatal follow up, timely initiation of breastfeeding, health education and awarenes creation of the communities are recommended interventions.

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Factors Associated with Breast feeding as Well as the Nutritional Status of Infants (0-12) Months: An Epidemiological Study in Yaounde, Cameroon

Pakistan Journal of Nutrition ◽

10.3923/pjn.2007.259.263 ◽

2007 ◽

Vol 6 (3) ◽

pp. 259-263 ◽

Cited By ~ 9

Author(s):

Kengne Nouemsi Anne . ◽

Ngondi Judith Laure . ◽

Oben Julius Enyong .

Keyword(s):

Nutritional Status ◽

Epidemiological Study ◽

Breast Feeding ◽

Factors Associated

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Spatial distribution and determinant factors of anaemia among women of reproductive age in Ethiopia: a multilevel and spatial analysis

BMJ Open ◽

10.1136/bmjopen-2018-027276 ◽

2019 ◽

Vol 9 (4) ◽

pp. e027276 ◽

Cited By ~ 7

Author(s):

Kelemu Tilahun Kibret ◽

Catherine Chojenta ◽

Ellie D’Arcy ◽

Deborah Loxton

Keyword(s):

Spatial Distribution ◽

Spatial Analysis ◽

Breast Feeding ◽

Reproductive Age ◽

Hiv Positive ◽

Women Of Reproductive Age ◽

Factors Associated ◽

Determinant Factors ◽

Depth Analysis ◽

North Eastern

ObjectiveThe aim of this study was to assess the spatial distribution and determinant factors of anaemia among reproductive age women in Ethiopia.MethodsAn in-depth analysis of the 2016 Ethiopian Demographic and Health Survey data was undertaken. Getis-Ord Gi* statistics were used to identify the hot and cold spot areas for anaemia among women of reproductive age. A multilevel logistic regression model was used to identify independent predictors of anaemia among women of reproductive age.ResultsOlder age (adjusted OR [AOR]=0.75; 95% CI 0.64 to 0.96), no education (AOR=1.37; 95% CI 1.102 to 1.72), lowest wealth quantile (AOR=1.29; 95% CI 1.014 to 1.60), currently pregnant (AOR=1.28; 95% CI 1.10 to 1.51, currently breast feeding (AOR=1.09; 95% CI 1.025 to 1.28), high gravidity (AOR=1.39; 95% CI 1.13 to 1.69) and HIV positive (AOR=2.11; 95% CI 1.59 to 2.79) are individual factors associated with the occurrence of anaemia. Likewise, living in a rural area (AOR=1.29; 95% CI 1.02 to 1.63) and availability of unimproved latrine facilities (AOR=1.18; 95% CI 1.01 to 1.39) are community-level factors associated with higher odds of anaemia. The spatial analysis indicated that statistically high hotspots of anaemia were observed in the eastern (Somali, Dire Dawa and Harari regions) and north-eastern (Afar) parts of the country.ConclusionThe prevalence rate of anaemia among women of reproductive age varied across the country. Significant hotspots/high prevalence of anaemia was observed in the eastern and north-eastern parts of Ethiopia. Anaemia prevention strategies need to be targeted on rural residents, women with limited to no education, women who are breast feeding, areas with poor latrine facilities and women who are HIV positive.

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Breast-feeding Performance Index: a composite index to describe overall breast-feeding performance among infants under 6 months of age

Public Health Nutrition ◽

10.1017/s1368980007441428 ◽

2007 ◽

Vol 10 (10) ◽

pp. 996-1004 ◽

Cited By ~ 8

Author(s):

Upul Senarath ◽

Michael J Dibley ◽

Kingsley E Agho

Keyword(s):

Breast Feeding ◽

Performance Index ◽

Respiratory Infections ◽

Composite Index ◽

Feeding Practices ◽

Sample Survey ◽

Feeding Performance ◽

Factors Associated ◽

Multi Stage ◽

Timor Leste

AbstractObjectivesTo develop a composite index to describe the overall breast-feeding performance of infants < 6 months of age; and, using this index, to identify the factors associated with poor breast-feeding practices and the association between breast-feeding and infant morbidity.Design, setting and subjectsThe 2003 Demographic and Health Survey was a multi-stage cluster sample survey of 4320 households in Timor-Leste which covered 573 infants aged < 6 months. Breast-feeding Performance Index (BPI) was constructed by allocating one point for each of seven infant feeding practices: first suckling within an hour of birth; absence of prelacteals; non-use of feeding bottles; current breast-feeding; not receiving liquids; not receiving formula or other milk; and not receiving solids in the last 24 hours. BPI was treated as the dependent variable in univariate and multivariate analyses to identify the factors associated with poor breast-feeding.ResultsExclusive breast-feeding rate was 29.9%. The BPI (mean 4.4, standard deviation 1.77) was categorised as low, average and high according to tertiles. Multivariate analysis indicated that infants from the richest households were 1.70 (95% confidence interval (CI) 1.04–2.77) times more likely to have ‘low BPI’ than the poorest. Maternal BMI < 18.5 kg m− 2 was predictive of poor breast-feeding (odds ratio = 1.79; 95% CI 1.27–2.52). In the ‘low’ BPI group, the incidence of diarrhoea (13.4%) and acute respiratory infections (20.7%) during the previous two weeks was significantly higher than in ‘average’ (4.3 and 9.3%) and ‘high’ BPI groups (4.6 and 5.5%).ConclusionsCreating a composite index to assess the overall breast-feeding performance among infants < 6 months of age is feasible. BPI can be effectively used to identify target groups for breast-feeding promotion interventions.

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