scholarly journals Factors associated with delayed initiation of breastfeeding: a survey in Northern Uganda

2017 ◽  
Vol 10 (1) ◽  
pp. 1410975 ◽  
Author(s):  
David Mukunya ◽  
James K Tumwine ◽  
Victoria Nankabirwa ◽  
Grace Ndeezi ◽  
Isaac Odongo ◽  
...  
2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Shahreen Raihana ◽  
Ashraful Alam ◽  
Tanvir M. Huda ◽  
Michael J. Dibley

Abstract Background Irrespective of the place and mode of delivery, ‘delayed’ initiation of breastfeeding beyond the first hour of birth can negatively influence maternal and newborn health outcomes. In Bangladesh, 49% of newborns initiate breastfeeding after the first hour. The rate is higher among deliveries at a health facility (62%). This study investigates the maternal, health service, infant, and household characteristics associated with delayed initiation of breastfeeding among health facility deliveries in Bangladesh. Methods We used data from the 2014 Bangladesh Demographic and Health Survey. We included 1277 last-born children born at a health facility in the 2 years preceding the survey. ‘Delayed’ breastfeeding was defined using WHO recommendations as initiating after 1 h of birth. We performed univariate and multivariable logistic regression to determine factors associated with delayed initiation. Results About three-fifth (n = 785, 62%) of the children born at a health facility delayed initiation of breastfeeding beyond 1 h. After adjusting for potential confounders, we found delayed initiation to be common among women, who delivered by caesarean section (adjusted Odds Ratio (aOR): 2.93; 95% CI 2.17, 3.98), and who were exposed to media less than once a week (aOR: 1.53; 95% CI 1.07, 2.19). Women with a higher body mass index had an increased likelihood of delaying initiation (aOR: 1.05; 95% CI 1.01, 1.11). Multiparous women were less likely to delay (aOR: 0.71; 95% CI 0.53, 0.96). Conclusions Delayed initiation of breastfeeding following caesarean deliveries continues to be a challenge, but several other health facility and maternal factors also contributed to delayed initiation. Interventions to promote early breastfeeding should include strengthening the capacity of healthcare providers to encourage early initiation, especially for caesarean deliveries.


2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Shahreen Raihana ◽  
Tanvir Huda ◽  
Ashraful Alam ◽  
Michael Dibley

Abstract Objectives This study investigates the factors associated with delayed initiation of breastfeeding among hospital deliveries in Bangladesh, where only 50% women initiate breastfeeding within the 1st hour of birth and the rate is lower among deliveries at a health facility (38%). Early initiation of breastfeeding is crucial in improving maternal and newborn health outcomes. Methods We used data from the 2014 Bangladesh demographic and health survey. A total of 1277 last-born children born at a health facility in the 2 years preceding the survey were included in this analysis. ‘Early’ breastfeeding was defined using WHO recommendations as initiating within 1st hour of birth. Univariate and multivariable logistic regression were performed to determine factors associated with delayed initiation. Results About three-fifth (n = 785, 62%) of the children born at a health facility delayed initiation of breastfeeding beyond the first hour. After adjusting for potential confounders, delayed initiation was found to be more common among caesarean deliveries (aOR 3.31; 95%CI 2.38–4.61), delivery by medically un-trained personnel (aOR 1.57; 95%CI 1.02–2.42), delay in first postnatal check-up after birth (aOR 1.61; 95%CI 1.17–2.21), and women exposed to media less than once a week (aOR 1.57; 95%CI 1.09–2.26). Women with higher body mass index had an increased likelihood of delaying initiation (aOR 1.05; 95%CI 1.01–1.10). Multiparous women were less likely to delay initiation (aOR 0.72; 95%CI 0.53–0.98). Conclusions Delayed initiation following caesarean deliveries continues to be a challenge but several other health facility factors and maternal characteristics also contributed to delayed initiation of BF. Interventions to promote early breastfeeding initiation should include strengthening the capacity of healthcare providers to encourage early initiation especially for caesarean deliveries. Funding Sources Endeavour Postgraduate Scholarship. Supporting Tables, Images and/or Graphs


2020 ◽  
Vol 8 (B) ◽  
pp. 38-44
Author(s):  
Zainab Taha ◽  
Ahmed Ali Hassan ◽  
Ludmilla Wikkeling-Scott ◽  
Dimitrios Papandreou

BACKGROUND: Early initiation of breastfeeding is important for good lactation outcomes and has long been recommended by the World Health Organization. Recommendations are based on research showing that breastfeeding saves children’s lives, particularly among vulnerable populations such as low birth weight (LBW) neonates. In spite of a consistent rise in LBW deliveries, and in spite of the importance of breastfeeding for the survival of LBW neonates, a dearth of research exists regarding early initiation of breastfeeding for this population. AIM: The aim of this study was to investigate the prevalence of, and factors associated with the initiation of breastfeeding among mothers with children aged <2 years who were LBW in Abu Dhabi, United Arab Emirates (UAE). METHODS: The data for this cross-sectional study were extracted from a larger project on the evaluation of breastfeeding practices in Abu Dhabi. The original data were collected from seven health-care centers located in different urban and suburban areas of Abu Dhabi during 2017. A structured questionnaire was used by trained research assistants who collected relevant data from mothers during the interview. RESULTS: The study included a total of 1822 mothers of children below the age of 2 years; 175 (9.6%) of those children were identified as LBW. The mean standard deviation [SD] ages of the mothers and the children were 30.5 (5.0) years and 6.0 (5.1) months, respectively. The mean birth weight (SD) of the LBW children was 2079.6 (255.0) grams. Forty (29.9%) mothers of LBW children initiated breastfeeding within the 1 st h. Sixty-four (47.8%) were delivered vaginally, and 70 (52.2%) were delivered through cesarean section (CS). In multivariable logistic regression analysis, the only factor associated with delayed initiation of breastfeeding among the LBW children was CS (adjusted odds ratio 2.33; 95% confidence interval 1.07, 5.07). CONCLUSION: The prevalence of LBW was 9.6%, and it was associated with delayed initiation of breastfeeding as compared to the normal birth weight babies. While early initiation of breastfeeding should be promoted for all newborns, LBW infants are recognized as a vulnerable group and thus require additional support. There should be more emphasis on promoting and facilitating breastfeeding for LBW babies, especially those delivered by CS.


2020 ◽  
Author(s):  
Shahreen Raihana ◽  
Ashraful Alam ◽  
Tanvir M Huda ◽  
Michael J Dibley

Abstract Background: Irrespective of the place and mode of delivery, 'delayed' initiation of breastfeeding beyond the first hour of birth can negatively influence maternal and newborn health outcomes. In Bangladesh, 49% of newborns initiate breastfeeding after the first hour. The rate is higher among deliveries at a health facility (62%). Objective: This study investigates the maternal, health service, infant, and household characteristics associated with delayed initiation of breastfeeding among health facility deliveries in Bangladesh. Methods and Study Design: We used data from the 2014 Bangladesh Demographic and Health Survey. We included 1277 last-born children born at a health facility in the two years preceding the survey. 'Delayed' breastfeeding was defined using WHO recommendations as initiating after one hour of birth. We performed univariate and multivariable logistic regression to determine factors associated with delayed initiation. Results: About three-fifth (n=785,62%) of the children born at a health facility delayed initiation of breastfeeding beyond one hour. After adjusting for potential confounders, we found delayed initiation to be common among women, who delivered by caesarean section (aOR:2.93; 95%CI:2.17-3.98), and who were exposed to media less than once a week (aOR:1.53; 95%C:1.07-2.19). Women with a higher body mass index had an increased likelihood of delaying initiation (aOR:1.05; 95%CI:1.01-1.11). Multiparous women were less likely to delay (aOR:0.71; 95%CI:0.53-0.96). Conclusions: Delayed initiation following caesarean deliveries continues to be a challenge. Several other health facility and maternal factors also contribute to the delayed. Interventions to promote early breastfeeding should include strengthening the capacity of healthcare providers to encourage early initiation, especially for caesarean deliveries.


2018 ◽  
Vol 13 (1) ◽  
Author(s):  
Justin Bruno Tongun ◽  
Mohammed Boy Sebit ◽  
David Mukunya ◽  
Grace Ndeezi ◽  
Victoria Nankabirwa ◽  
...  

2012 ◽  
Vol 32 (1) ◽  
pp. 23-27
Author(s):  
S Basnet ◽  
E Gauchan ◽  
K Malla ◽  
T Malla ◽  
DP Koirala ◽  
...  

Background: Children in developing countries are prone to infectious diseases due to insufficient and inappropriate feeding practices. Socio-demographic and socio-economic factors directly and indirectly play a role in influencing infant feeding practices.  This study was conducted to assess the socio-demographic and economic factors associated with initiation of breastfeeding, complimentary feeding, and the various prelacteal feeds practiced in Kaski, Pokhara. Materials and Methods: In this prospective study, interviews were conducted to 500 mothers at Manipal Teaching Hospital who brought their child for treatment. The interviews were conducted in a questionnaire format relating to their demographic and financial statuses. Results: A total of 500 mothers were questioned, out of which 86.6% gave their child breastmilk as its first food. 47% initiated breastfeeding within half an hour of child’s birth. 86% gave Jaulo as the first complementary food to their children. About 26% of the mothers gave complementary feeding to their children before the recommended time of 6 months. Conclusion: Initiation of breastfeeding after life and complementary feeding practices overall has improved from previous studies. There is still need of making awareness campaigns and such in order to further improve this trend. Key words: Breastfeeding; Complimentary feeding; Malnourishment DOI: http://dx.doi.org/10.3126/jnps.v32i1.5339     J. Nepal Paediatr. Soc. Vol.32(1) 2012 23-27


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