scholarly journals Higher rates of early initiation of breastfeeding associated with health facility delivery in Nepal

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
D Dharel ◽  
A Bhattarai ◽  
Y R Paudel ◽  
P Acharya ◽  
K Acharya
Keyword(s):  
Health Facility ◽  
Newborn Care ◽  
Facility Delivery ◽  
Early Initiation ◽  
Health Facility Delivery ◽  
Essential Newborn Care ◽  
Place Of Delivery ◽  
Early Initiation Of Breastfeeding ◽  
Nationally Representative ◽  
Initiation Of Breastfeeding

Abstract Background Initiation of breastfeeding within one hour from birth is one of the five key essential newborn care messages, implemented along with birth preparedness package since 2008. This study aimed to determine the trend of early initiation of breastfeeding (EIBF) and to assess the effect of health facility delivery on EIBF in Nepal. Methods We analyzed the data from the last four nationally representative Nepal Demographic and Health Surveys (NDHS) conducted in 2001,2006,2011 and 2016. Data on the early initiation of breastfeeding was obtained from the mothers of infants born within 24 months prior to the survey. The explanatory variable was the place of delivery, dichotomized as either the health facility, or home delivery. Survey year had a significant interaction with the place of delivery. Multivariable logistic regression was conducted separately on pooled samples before (NDHS 2001 and 2006) and after (NDHS 2011 and 2016) the program implementation. Adjusted odds ratio (AOR) with 95% confidence interval (CI) for EIBF was calculated after adjusting for predetermined covariates. Results The rate of EIBF increased by 26.5% points (from 32.8% in 2001 to 59.3% in 2016) among infants delivered in a health facility, compared to an increase by 17.1% points (from 29.9% to 47.0%) among home born infants. EIBF increased by 32.5% points before, compared to 49.7% points after BPP. Delivery in a health facility was associated with a higher odd of EIBF in later years (AOR2.3, 95% CI 2.0,2.8), but not in earlier years (AOR1.3, 95% CI 0.9,2.0). Delivery by caesarean section, first-born infant, and lack of maternal education were associated with a lower rate of EIBF in both periods. Conclusions Higher EIBF was associated with health facility delivery in Nepal, only after programmatic emphasis on essential newborn care messages. This implies the need for explicit focus on EIBF at birth, particularly when mother is less educated, primiparous or undergoing operative delivery. Key messages The rate of initiation of breastfeeding within an hour from birth is increasing in Nepal, with higher rates in health facility delivery, as shown by the recent four nationally representative surveys. Programmatic focus on essential newborn care messages may have contributed to significant association of higher rates of early initiation of breastfeeding when delivered in health facility.

scholarly journals Trends and determinants of breastfeeding within one hour in Ethiopia, further analysis of Ethiopian Demographic and Health Survey: multivariate decomposition analysis

2021 ◽  
Vol 47 (1) ◽  
Author(s):  
Tilahun Yemanu Birhan ◽  
Wullo Sisay Seretew ◽  
Muluneh Alene
Keyword(s):  
Health Facility ◽  
Decomposition Analysis ◽  
Facility Delivery ◽  
Early Initiation ◽  
Breastfeeding Initiation ◽  
Health Facility Delivery ◽  
Initiation Rate ◽  
Early Initiation Of Breastfeeding ◽  
Over Time ◽  
Initiation Of Breastfeeding

Abstract Background Despite the substantial efforts to improve timely/early initiation of breastfeeding, avoidance of colostrum, and delayed initiation of breastfeeding remains a big challenge in developing countries. Therefore, this study aimed to analyze the trends of early breastfeeding rate over time based on the Ethiopian Demographic and Health Survey (EDHS). Methods Secondary data analysis was conducted based on the Ethiopian Demographic Health Surveys (EDHSs) conducted in 2005, 2011, and 2016. A total weighted sample of 9, 111, 10,106, and 8564 in 2005, 2011, and 2016 respectively were included for analysis. Trend and Logistic based decomposition analysis technique was used for analyzing the trends of early breastfeeding initiation over time and factors contributing to the change in early breastfeeding initiation rate. STATA 15 was employed for data management and analyses. All analyses presented in this paper were weighted for the sampling probabilities and non-response. Result Among children age less than 5 years the rate of early breastfeeding initiation rate overtime was increased from 70.5% in 2005 to 72.7% in 2016. The highest rate of improvement was seen in the second phase of the study (2011–2016) while it shows a decline in the first phase (2005–2011) from 70.5 to 55.1%. The decomposition analysis indicated that about half of the overall change in early breastfeeding initiation rate was due to the difference in women’s composition. Particularly, an increase in health facility delivery and vaginal delivery was a significant predictor of the increasing rate of early breastfeeding initiation over the surveys. Conclusion Early initiation of breastfeeding slightly increasing over the last 10 years in Ethiopia. Half of the overall increase in the early initiation of breastfeeding was due to the change in compositional characteristics of women over 10 years in Ethiopia. Change in the composition of women according to health facility delivery and vaginal delivery were the major source of the increase in early breastfeeding initiation over time. Public interventions including promoting health facility delivery of women for further improvements of early breastfeeding initiation should be needed.

scholarly journals Determinants of Timely Initiation of Breastfeeding among Disadvantaged Ethnic Groups in Midwest Nepal

2019 ◽  
Vol 16 (41) ◽  
pp. 385-391
Author(s):  
Keshab Sanjel ◽  
Archana Amatya
Keyword(s):  
Ethnic Groups ◽  
Health Facility ◽  
Univariate Analysis ◽  
Facility Delivery ◽  
Early Initiation ◽  
Health Facility Delivery ◽  
Timely Initiation ◽  
Early Initiation Of Breastfeeding ◽  
Timely Initiation Of Breastfeeding ◽  
Initiation Of Breastfeeding

Background: Timely initiation of breastfeeding has the potential to prevent 22% of neonatal deaths if breastfed within an hour after birth. Although breastfeeding is almost universal in Nepal, ranges of regional differences in timely initiation of breastfeeding have been documented. The aim of this study was to identify the prevalance and the determinants of early initiation of breastfeeding among disadvantaged ethnic women in Midwest Nepal. Methods: The data was obtained from a household survey of women who had their last child less than one year of age. Descriptive statistics were used to analyze respondents’ demographic, socioeconomic, obstetric and health services related characteristics. Determinants of timely initiation of breastfeeding were assessed using univariate analysis and further evaluated using multivariable logistic regression analysis.Results: Of 362 mothers, 65.5% initiated breastfeeding within one hour of childbirth. Mothers belonging to Tharu ethnic groups (aOR 1.788; 95% CI: 1.014, 3.152), health facility delivery (aOR 3.381; 95% CI: 1.795, 6.369) and mothers who were counseled on breastfeeding during ANC attendance (aOR 2.898; 95% CI: 1.038, 8.096) were more likely to initiate breastfeeding within the first hour of child birth. Conclusions: Almost two in every three mothers had initiated breastfeeding within one hour of childbirth. The factors influencing timely initiation of breastfeeding were Tharu ethnic mothers, health facility delivery and Ante Natal Care counseling. We need to aim at increasing institutional deliveries and counseling during ANC which may increase the early initiation of breastfeeding among disadvantaged ethnic groups. Keywords: Breastfeeding; determinants; Nepal; prevalence; timely initiation

scholarly journals Association of prenatal counselling and immediate postnatal support with early initiation of breastfeeding in Uttar Pradesh, India

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Vasanthakumar Namasivayam ◽  
Bidyadhar Dehury ◽  
Ravi Prakash ◽  
Marissa Becker ◽  
Lisa Avery ◽  
...  
Keyword(s):  
Community Development ◽  
Uttar Pradesh ◽  
Early Initiation ◽  
Health Facilities ◽  
Cross Sectional Survey ◽  
Timely Initiation ◽  
Place Of Delivery ◽  
Early Initiation Of Breastfeeding ◽  
Prenatal Counselling ◽  
Initiation Of Breastfeeding

Abstract Background Timely initiation of breastfeeding, also known as early initiation of breastfeeding, is a well-recognized life-saving intervention to reduce neonatal mortality. However, only one quarter of newborns in Uttar Pradesh, India were breastfed in the first hour of life. This paper aims to understand the association of community-based prenatal counselling and postnatal support at place of delivery with early initiation of breastfeeding in Uttar Pradesh, India. Methods Data from a cross-sectional survey of 9124 eligible women (who had a live birth in 59 days preceding the survey) conducted in 25 districts of Uttar Pradesh, India, in 2018, were used. Simple random sampling was used to randomly select 40 Community Development Blocks (sub district administrative units) in 25 districts. The Primary Sampling Units (PSUs), health service delivery unit for frontline workers, were selected randomly from a linelisting of PSUs in each selected Community Development Block. Bivariate and multivariate logistic regression analyses were performed to assess the association of prenatal counselling and postnatal support on early initiation of breastfeeding in public, private and home deliveries. Results Overall 48.1% of mothers initiated breastfeeding within an hour, with major variation by place of delivery (61.2% public, 23.6% private and 32.6% home). The adjusted odds ratio (aOR) of early initiation of breastfeeding was highest among mothers who received both counselling and support (aOR 2.67; 95% CI 2.30, 3.11), followed by those who received only support (aOR 1.99; 95% CI 1.73, 2.28), and only counselling (aOR 1.40; 95% CI 1.18, 1.67) compared to mothers who received none. The odds of early initiation of breastfeeding was highest among mothers who received both prenatal counselling and postnatal support irrespective of delivery at public health facilities (aOR 2.49; 95% CI 2.07, 3.01), private health facilities (aOR 3.50; 95% CI 2.25, 5.44), or home (aOR 2.84; 95% CI 2.02, 3.98). Conclusions A significant association of prenatal counselling and postnatal support immediately after birth on improving early initiation of breastfeeding, irrespective of place of delivery, indicates the importance of enhancing coverage of both the interventions through community and facility-based programs in Uttar Pradesh.

scholarly journals Misalignment of global COVID-19 breastfeeding and newborn care guidelines with World Health Organization recommendations

2020 ◽  
pp. bmjnph-2020-000184
Author(s):  
Duong Vu Hoang ◽  
Jennifer Cashin ◽  
Karleen Gribble ◽  
Kathleen Marinelli ◽  
Roger Mathisen
Keyword(s):  
Psychological Health ◽  
Newborn Care ◽  
Early Initiation ◽  
Psychological Support ◽  
World Health ◽  
Early Initiation Of Breastfeeding ◽  
Skin Contact ◽  
Guidance Documents ◽  
Skin To Skin ◽  
Initiation Of Breastfeeding

IntroductionRecommendations for the clinical management of new mothers with suspected or confirmed COVID-19 and their infants are required. Guidance must weigh the risk posed by transmission of SARS-CoV-2 against the protection that maternal proximity and breastfeeding provide infants. Our aim was to review international COVID-19 guidance for maternal and newborn care, assessing alignment with WHO recommendations and the extent to which policy supported or undermined breastfeeding.MethodsGuidance documents from 33 countries on the care of infants whose mothers were suspected or confirmed as having COVID-19 were assessed for alignment with WHO recommendations regarding: (1) skin-to-skin contact; (2) early initiation of breastfeeding; (3); rooming-in; (4) direct breastfeeding; (5) provision of expressed breastmilk; (6) provision of donor human milk; (7) wet nursing; (8) provision of breastmilk substitutes; (9) psychological support for separated mothers; and (10) psychological support for separated infants.ResultsConsiderable inconsistency in recommendations were found. Recommendations against practices supportive of breastfeeding were common, even in countries with high infant mortality rates. None of the guidance documents reviewed recommended all aspects of WHO guidance. The presence of influential guidance conflicting with WHO recommendations and an undervaluing of the importance of maternal proximity and breastfeeding to infant health appeared to contribute to this poor alignment.ConclusionThose developing guidance in the COVID-19 pandemic and other infectious disease outbreaks need to appropriately consider the importance of skin-to-skin contact, early initiation of breastfeeding, rooming-in and breastfeeding to maternal and infant physical and psychological health. In weighing the value of recommendations of others in future guidance development, countries should consider past reliability and value placed on breastfeeding. Recommendations against maternal proximity and breastfeeding should not be made without compelling evidence that they are necessary, and less harmful than maintaining dyad integrity.

scholarly journals Prevalence and determinants of the place of delivery among reproductive age women in sub–Saharan Africa

PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0244875
Author(s):  
Kenneth Setorwu Adde ◽  
Kwamena Sekyi Dickson ◽  
Hubert Amu
Keyword(s):  
Maternal Mortality ◽  
Health Facility ◽  
Facility Delivery ◽  
Reproductive Age ◽  
Sub Saharan Africa ◽  
Health Facility Delivery ◽  
Place Of Delivery ◽  
Reproductive Age Women ◽  
Sub Saharan ◽  
Ssa Countries

Introduction Maternal mortality is an issue of global public health concern with over 300,000 women dying globally each year. In sub-Saharan Africa (SSA), these deaths mainly occur around childbirth and the first 24hours after delivery. The place of delivery is, therefore, important in reducing maternal deaths and accelerating progress towards attaining the 2030 sustainable development goals (SDGs) related to maternal health. In this study, we examined the prevalence and determinants of the place of delivery among reproductive age women in SSA. Materials and methods This was a cross-sectional study among women in their reproductive age using data from the most recent demographic and health surveys of 28 SSA countries. Frequency, percentage, chi-square, and logistic regression were used in analysing the data. All analyses were done using STATA. Results The overall prevalence of health facility delivery was 66%. This ranged from 23% in Chad to 94% in Gabon. More than half of the countries recorded a less than 70% prevalence of health facility delivery. The adjusted odds of health facility delivery were lowest in Chad. The probability of giving birth at a health facility also declined with increasing age but increased with the level of education and wealth status. Women from rural areas had a lower likelihood (AOR = 0.59, 95%CI = 0.57–0.61) of delivering at a health facility compared with urban women. Conclusions Our findings point to the inability of many SSA countries to meet the SDG targets concerning reductions in maternal mortality and improving the health of reproductive age women. The findings thus justify the need for peer learning among SSA countries for the adaption and integration into local contexts, of interventions that have proven to be successful in improving health facility delivery among reproductive age women.

scholarly journals Factors influencing early initiation of breastfeeding among mothers in Rajshahi district, Bangladesh

2020 ◽  
Author(s):  
Ummay Ayesha ◽  
Abu Sayed Md. Al M ◽  
Md. Nurul Islam ◽  
Md. Ripter Hossain ◽  
Samme Amena Tasmia ◽  
...  
Keyword(s):  
Breast Milk ◽  
Logistic Model ◽  
Binary Logistic Regression ◽  
Influential Factors ◽  
Early Initiation ◽  
Binary Logistic Regression Model ◽  
Chi Square ◽  
Place Of Delivery ◽  
Early Initiation Of Breastfeeding ◽  
Initiation Of Breastfeeding

Abstract Background Early initiation of breastfeeding (EIBF) is referred as providing the breast milk to the newborn within one hour of birth which ensures that the infant receives the colostrum. The aim of this study was to identify the risk factors associated with early initiation of breastfeeding among mothers in Rajshahi district, Bangladesh. Methods The data was collected from mothers living in Rajshahi district who had at least one child aged 6–24 months from January to March, 2019. The EIBF was measured by a question to mother, “did you provide your breast milk to your infant within one hour after delivered? Frequency distribution, Chi-square and multivariable binary logistic regression model were utilized in this study for getting prevalence and influential factors of EIBF. Results This study revealed that the prevalence of EIBF was 88.4%. Logistic model provided that place of delivery, family monthly income, husbands’ education level, mothers’ nutritional status, mothers’ age, husbands’ occupation, getting pregnancy with planning, mothers taking advice regarding the benefit of breastfeeding during their pregnancy were the influential factors of EIBF among mothers in Rajshahi district, Bangladesh. Conclusions This study identified several modifiable influential factors of EIBF. The customs, culture and other characteristics are almost same across the country in Bangladesh. These factors could be considered to increase the rate of EIBF among mothers in Bangladesh.

scholarly journals PENGARUH PERAWATAN RUTIN BAYI BARU LAHIR TERHADAP KEBERHASILAN INISIASI MENYUSU DINI DI RUANG PONEK RSUD KABUPATEN JOMBANG

2018 ◽  
Vol 9 (2) ◽  
Author(s):  
Rini Hayu Lestari
Keyword(s):  
Health Workers ◽  
Newborn Care ◽  
Routine Care ◽  
Early Initiation ◽  
Cross Sectional ◽  
Early Initiation Of Breastfeeding ◽  
Treated Sample ◽  
Life Saving ◽  
Child Health Programs ◽  
Initiation Of Breastfeeding

Early initiation of breastfeeding today has become a new hope for the world of obstetrics as a life-saving alternative step mother and baby. However, in practice there are factors that lead to the failure to conduct such an early suckling insiasi implementation of routine care of the newborn. This study aims to determine the effect of routine newborn care to the success of early initiation of breastfeeding in hospitals PONEK Jombang whose implementation. This study used the Analytic korelastional research with cross sectional method. The population in this study were newborn babies born in hospitals PONEK Lounge Jombang and using purposive sampling the treated sample obtained all newborns vaginal qualified IMD and do not do routine maintenance BBL according to the stages. The results showed that the influence of routine maintenance There newborn to suckle Early initiation success in PONEK Hospital Jombang on April 27 to June 6, 2015. Concluded there is the influence of routine newborn care to the success of Early Initiation of Breastfeeding. From these results, health workers must increase efforts to prevent maternal deaths, childbirth, postpartum and improvement of maternal and child health programs. 

scholarly journals Predictors of early initiation of breast feeding; Evidence from 2019 Ethiopian mini demographic and health survey

2021 ◽  
Author(s):  
Tadele Abate lucha ◽  
Admassu Ketsela Mengistu
Keyword(s):  
Logistic Regression ◽  
Regression Analysis ◽  
Breast Feeding ◽  
Logistic Regression Analysis ◽  
Mode Of Delivery ◽  
Early Initiation ◽  
Multivariable Logistic Regression Analysis ◽  
Place Of Delivery ◽  
Early Initiation Of Breastfeeding ◽  
Initiation Of Breastfeeding

Abstract Background: World health organization (WHO) recommended all mothers should be supported to initiate breastfeeding as soon as possible after birth within the first hour. This study examined the determinants of early initiation of breastfeeding in Ethiopia by using data from 2019 Ethiopia mini demographic and health survey (EMDHS)..Methods: The data for this study was extracted from 2019 EMDHS. A total of 3752 children born during the last 24 months at the time of survey were included for analysis from the nine regional states and two city administrations. Descriptive statistics was used to identify the proportion of children who had early initiation of breastfeeding (EIBF) after which multivariable logistic regression analysis was carried out to determine the predictors of EIBF. Results were presented using frequencies, percentages, p-value, crude and adjusted odds ratios. Statistical significance was declared at p <0.05 for the multivariable logistic regression analysis .Result: The prevalence of Early Initiation of Breastfeeding (EIBF) in Ethiopia was remarked to be 73.7% (n = 2767). Place of delivery [AOR =1.65, 95% CI: 1.39, 1.96] mother who deliveries at health facility had higher odds to practice early breast-feeding than those who deliveries at home, mode of delivery [ AOR = 3.94, 95% CI: 2.99, 5.17] mother who had deliveries by vaginal had 3.9 times higher odds to practice early breast-feeding compared with cesarian section and parity [ AOR = 1.57, 95% CI: 1.23, 2.00] mother who had more than five children had higher odds to practice early breastfeeding compared with first time babies. In addition, early breast-feeding initiation was also associated with region where mothers residing particularly in regions such as Oromia [AOR = 1.78, 95% CI: 1.26, 2.53] had higher odds to practice early breast feeding as compared with mothers residing in Tigray.Conclusions: The overall prevalence of EIBF was determined to be 73.7%. EIBF in Ethiopia was found to be significantly associated with place of delivery, mode of delivery, parity and region. Focus should be given to expand institutional delivery and increase awareness of mothers with their first delivery .

scholarly journals Factors influencing place of delivery among women residing in Ifakara Town Council, Kilombero District, Tanzania

2021 ◽  
Vol 8 (3) ◽  
pp. 019-026
Author(s):  
Sylivester Wanyaseleli Mkama
Keyword(s):  
Health Facility ◽  
Cross Sectional Study ◽  
Home Delivery ◽  
Sudden Onset ◽  
Facility Delivery ◽  
Health Facility Delivery ◽  
Cross Sectional ◽  
Place Of Delivery ◽  
Town Council ◽  
Factors Influencing

Background: This study was done to assess factors influencing place of delivery among women residing in Ifakara Town Council, Kilombero district, Tanzania. Method: A community based descriptive cross-sectional study was conducted in February 2021. A total of 135 child bearing women from 3 randomly selected wards of Ifakara Town Council were involved in the study. Structured pre-tested questionnaire with key information was used to collect desired data. Results: More than half 55.6% of the women had health facility delivery and 44.4% of them had home delivery. The most common reason for home delivery was sudden onset of labor 50.4%. Other reasons for home delivery were age of 26 and above, parity of four, and education of mother. Conclusion: Maternal health services, such as antenatal care, skilled assistance during delivery and post-natal care, adequate equipment in health facilities, play a major role of in the reduction of maternal morbidity and mortality. Therefore, efforts should be made both at community and government levels to increase health facility delivery.

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