scholarly journals Maternal country of birth and in-hospital exclusive breastfeeding: results from a Portuguese study

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
C Lisi ◽  
C Freitas ◽  
H Barros
Keyword(s):  
Hospital Stay ◽  
Exclusive Breastfeeding ◽  
Early Stage ◽  
Mode Of Delivery ◽  
Country Of Birth ◽  
African Countries ◽  
Native Women ◽  
Mainland Portugal ◽  
Breastfeeding Practices ◽  
Portuguese Study

Abstract Background Breastfeeding provides benefits for children, mothers, society and the environment. The promotion of optimal breastfeeding, from an early stage in life is, therefore, a public health priority. Infant feeding can be influenced by maternal country of birth. However, studies carried out in European settings point to inconsistent findings. This study aims to compare first day in-hospital exclusive breastfeeding among migrant and native women in Portugal. Methods This study is based on a national project on perinatal health among migrants and natives in Portugal (baMBINO). Out of 39 public maternity units in mainland Portugal, 32 were enrolled. Women aged 18 years old or older with a live birth were recruited. The final sample included 5109 participants (2431 natives and 2678 migrants). Logistic regression was used to assess the association between maternal country of birth and in-hospital exclusive breastfeeding. Results Migrant participants included women from Portuguese-speaking African countries (PSAC) (49,7%), Brazil (18%), Eastern Europe (10.2%), other European countries (9.6%), Asia (5.5%) and other countries (7.0%). No differences were found between migrants and natives, with the exception of women from PSAC who were more likely to exclusively breastfeed during the first day of hospital stay (aOR 1.34 CI95% 1.05-1.72), irrespective of maternal age, education, parity, type of pregnancy, reproductive assistance, tobacco use, gestational age, newborn birth weight, mode of delivery and antenatal care. Conclusions In Portugal, women from PSAC are more likely to exclusively breastfeed their babies during the first day of hospital stay when compared to native women. Strategies to maintain healthy breastfeeding practices in this population are fundamental. Key messages Women from PSAC are more likely to breastfeed exclusively in the first day after delivery than Portuguese natives. They should be supported in the maintenance of optimal breastfeeding practices.

scholarly journals Relationship between caesarean section and breastfeeding: evidence from the 2013 Turkey Demographic and Health Survey

2020 ◽  
Author(s):  
Nuket Paksoy Erbaydar ◽  
Tuğrul Erbaydar
Keyword(s):  
Caesarean Section ◽  
Health Survey ◽  
Exclusive Breastfeeding ◽  
Mode Of Delivery ◽  
Incidence Rates ◽  
Early Initiation Of Breastfeeding ◽  
Breastfeeding Practices ◽  
Late Initiation ◽  
Rate Ratios ◽  
Initiation Of Breastfeeding

Abstract Background: The mode of delivery influences breastfeeding practices. High rates of caesarean section and low breastfeeding rates are important public health concerns for all developing countries. This study aimed to determine the relationship between caesarean section and early breastfeeding practices among primiparae. Methods: Data for primiparae with a singleton birth (N = 777) obtained from the 2013 Turkey Demographic and Health Survey were used in this retrospective cohort study. Early initiation of breastfeeding within one hour of delivery and exclusive breastfeeding during the first three days following birth were evaluated. Standardised incidence rates and standardised rate ratios of non-early initiation of breastfeeding and non-exclusive breastfeeding were calculated according to the mode of delivery. Results: The late initiation of breastfeeding and non-exclusive breastfeeding incidence rates were 42.7% and 41.0%, respectively. The standardised incidence rate of late initiation of breastfeeding among women with vaginal delivery was 35.34%, versus 50.49% among those with caesarean delivery. The standardised rate ratios for late initiation of breastfeeding and non-exclusive breastfeeding were 1.428 (95% confidence interval (CI): 1.212-1.683) and 1.468 (95% CI: 1.236-1.762), respectively. Women who underwent caesarean section had a higher risk of late initiation of breastfeeding and non-exclusive breastfeeding during the three days following delivery, after controlling for sociodemographic and delivery-related factors. Conclusions: This study provides useful evidence for the implementation of strategies to prevent unnecessary caesarean sections, which negatively affect not only maternal health but also neonatal health. The promotion of mother-friendly policies by healthcare institutions, implemented in a baby-friendly manner, is essential.

scholarly journals Caesarean Delivery and Breastfeeding Relationship: Evidence from 2013 Turkey Demographic and Health Survey

2019 ◽  
Author(s):  
Nuket Paksoy Erbaydar ◽  
Tuğrul Erbaydar
Keyword(s):  
Confidence Interval ◽  
Incidence Rate ◽  
Exclusive Breastfeeding ◽  
Caesarean Delivery ◽  
Mode Of Delivery ◽  
Early Initiation Of Breastfeeding ◽  
Breastfeeding Practices ◽  
Late Initiation ◽  
Rate Ratios ◽  
Initiation Of Breastfeeding

Abstract Background Mode of delivery is associated with the breastfeeding practices. High caesarean and low breastfeeding rates are an important public health problem for developing countries. This study aimed to measure the effect of caesarean delivery on early breastfeeding practices of primiparas.Methods Data of primiparas with a singleton birth (n=777) of 2013 Turkey Demographic and Health Survey was used in this retrospective cohort study. Early initiation of breastfeeding within one hour of delivery and exclusive breastfeeding during the first three days after delivery were evaluated. Standardized incidence rate and standardized rate ratios of non-early initiation of breastfeeding and non-exclusive breastfeeding according to mode of delivery were calculated.Results Late initiation of breastfeeding and non-exclusive breastfeeding incidence rates were 42.7% and 41.0% respectively. Standardized incidence rate of late initiation of breastfeeding in the vaginal deliveries was 35.34%, versus 50.49% in the caesareans. The standardized rate ratios for late initiation of breastfeeding and non-exclusive breastfeeding was 1.428 (95% Confidence Interval: 1.212, 1.683) and 1.468 (95% Confidence Interval: 1.236-1.762) respectively. Women who had caesarean delivery had higher risk of late initiation of breastfeeding and non-exclusive breastfeeding three days following delivery after controlling for socio-demographic and delivery related factors.Conclusion This study provided evidence for strategies to prevent unnecessary caesarean deliveries, which negatively affects not only mothers’ health but also babies’ health as well. Promotion of mother friendly policies in health institutions and incorporating these policies with baby friendly strategies are essential.

Maternal Country of Birth and Exclusive Breastfeeding During the First In-Hospital Day in Portugal: The Influence of the Baby-Friendly Hospital Initiative

2020 ◽  
pp. 089033442098224
Author(s):  
Cosima Lisi ◽  
Cláudia De Freitas ◽  
Henrique Barros
Keyword(s):  
Exclusive Breastfeeding ◽  
Positive Association ◽  
Positive Influence ◽  
Breastfeeding Initiation ◽  
Eastern European ◽  
Baby Friendly Hospital Initiative ◽  
Country Of Birth ◽  
Breastfeeding Practices ◽  
Healthcare Experiences ◽  
Eastern European Countries

Background Early breastfeeding practices are important determinants of later breastfeeding behaviors and can be influenced by multiple factors. Despite the Baby-Friendly Hospital Initiative reported positive influence on breastfeeding initiation, its influence on the association between maternal country of birth and first day in-hospital breastfeeding has not been examined. Research aims To determine (1) if association between maternal country of birth and first day in-hospital exclusive breastfeeding exists in Portugal and (2) if any association is affected by giving birth in a Baby-Friendly Hospital. Methods Data were drawn from baMBINO—a longitudinal, 2017–2019 nationwide study designed to assess the perinatal health and healthcare experiences of migrant and native Portuguese women. Data from participants ( N = 5,340) were collected during their hospital stay from 32 maternity units. Missing data were handled through multiple imputation. After stratifying by Baby-Friendly Hospital Initiative accreditation, a multivariate logistic regression was performed. Results First day in-hospital exclusive breastfeeding rates were high among both migrant and native participants (89.2% vs. 87.4%). Migrants were more likely to exclusively breastfeed when compared to natives ( OR = 1.19, 95% CI [1.00, 1.41]). In non-Baby-Friendly Hospitals, a positive association was found between participants from Eastern European countries (a OR = 2.46, 95% CI [1.27, 4.78]) and first day in-hospital exclusive breastfeeding. In accredited hospitals, maternal country of birth did not influence exclusive breastfeeding during the first 24 hr. Conclusions The Baby-Friendly Hospital Initiative attenuates differences between migrant and native participants, promoting optimal breastfeeding practices among natives.

scholarly journals Is increasing urbanicity associated with changes in breastfeeding duration in rural India? An analysis of cross-sectional household data from the Andhra Pradesh children and parents study

BMJ Open ◽  
2017 ◽  
Vol 7 (9) ◽  
pp. e016331 ◽  
Author(s):  
Laura Oakley ◽  
Christopher P Baker ◽  
Srivalli Addanki ◽  
Vipin Gupta ◽  
Gagandeep Kaur Walia ◽  
...  
Keyword(s):  
Exclusive Breastfeeding ◽  
Andhra Pradesh ◽  
Maternal Education ◽  
Early Stage ◽  
Breastfeeding Duration ◽  
Similar Proportion ◽  
Breastfeeding Initiation ◽  
Cross Sectional ◽  
Breastfeeding Practices ◽  
Children And Parents

ObjectiveTo investigate whether village-level urbanicity and lower level socioeconomic factors are associated with breastfeeding practices in transitioning rural communities in India.Setting29 villages in Ranga Reddy district, southern India between 2011 and 2014.Participants7848 children under 6 years identified via a cross-sectional household survey conducted as part of the Andhra Pradesh Children and Parents Study.Outcome measuresTwo key indicators of optimal breastfeeding: termination of exclusive breastfeeding before 6 months and discontinuation of breastfeeding by 24 months. Village urbanicity was classified as low, medium or high according to satellite assessed night-light intensity.ResultsBreastfeeding initiation was almost universal, and approximately two in three children were exclusively breastfed to 6 months and a similar proportion breastfed to 24 months. Using multilevel logistic regression, increasing urbanicity was associated with breastfeeding discontinuation before 24 months (medium urbanicity OR 1.45, 95% CI 0.71 to 2.96; high urbanicity OR 2.96, 95% CI 1.45 to 6.05) but not with early (<6 months) termination of exclusive breastfeeding. Increased maternal education was independently associated with both measures of suboptimal breastfeeding, and higher household socioeconomic position was associated with early termination of exclusive breastfeeding.ConclusionIn this transitional Indian rural community, early stage urbanicity was associated with a shorter duration of breastfeeding. Closer surveillance of changes in breastfeeding practices alongside appropriate intervention strategies are recommended for emerging economies.

scholarly journals Breastfeeding Practices as Observed in Those Attending a Teaching Hospital for Perinatal Care

2014 ◽  
Vol 34 (2) ◽  
pp. 90-95
Author(s):  
Onyinye Uchenna Anyanwu ◽  
Thecla Chinonyelum Ezeonu ◽  
Obumneme Beniah Ezeanosike ◽  
Clifford Onuora Okike
Keyword(s):  
Breast Feeding ◽  
Teaching Hospital ◽  
Low Income ◽  
Exclusive Breastfeeding ◽  
Perinatal Care ◽  
Mode Of Delivery ◽  
Child Survival ◽  
Cross Sectional ◽  
Timely Initiation ◽  
Breastfeeding Practices

Introduction: The promotion and support of breastfeeding is a global priority with benefits for maternal and infant health, especially in low-income and middle-income countries where the relevance for child survival is undisputed. Timely initiation of breastfeeding within one hour of birth, exclusive breastfeeding for six months with continued breastfeeding till 2years and beyond are important aspects of breast feeding for child survival. The objective of the study was to describe the practice and perception of breast feeding amongst mothers at the post natal wards of the Federal Teaching Hospital, Abakaliki.Materials and Methods: This study was a questionnaire based cross sectional view of breastfeeding practices of mothers who received perinatal care at the Federal Teaching Hospital Abakaliki, Ebonyi, South Eastern Nigeria.Results: 16.1% initiated breastfeeding within one hour, while others initiated later for reasons like poor lactation (19.6%); too tired (15.4%); felt dirty after delivery (5.3%) and caesarean section. Exclusive breastfeeding was not the intention of 30.8% for reasons like, too demanding(15.4%); cannot satisfy baby (38.6%); spouse and relations would not accept (26.5%); Work/School schedule would not permit (13.6%). Mode of delivery and socioeconomic class were significantly associated with time of initiation. Neither maternal age nor parity significantly influenced the overall practice of breastfeeding.Conclusion: Few mothers practice correct breastfeeding in this tertiary health institution suggesting that more work to improve the knowledge and attitudes of mothers is required starting from the antenatal period.DOI: http://dx.doi.org/10.3126/jnps.v34i2.8788J Nepal Paediatr Soc 2014;34(2):90-95

scholarly journals The relationship between caesarean section and breastfeeding: evidence from the 2013 Turkey demographic and health survey

2019 ◽  
Author(s):  
Nuket Paksoy Erbaydar ◽  
Tuğrul Erbaydar
Keyword(s):  
Caesarean Section ◽  
Exclusive Breastfeeding ◽  
Mode Of Delivery ◽  
Incidence Rates ◽  
Early Initiation Of Breastfeeding ◽  
Breastfeeding Practices ◽  
Late Initiation ◽  
Rate Ratios ◽  
The Relationship ◽  
Initiation Of Breastfeeding

Abstract Background The mode of delivery influences breastfeeding practices. High caesarean section and low breastfeeding rates are important public health concerns for all developing countries. This study aimed to determine the relationship between caesarean section and early breastfeeding practices among primiparas. Methods Data for primiparas with a singleton birth (n = 777) obtained from the 2013 Turkish Demographic and Health Survey were used in this retrospective cohort study. Early initiation of breastfeeding within one hour of delivery and exclusive breastfeeding during the first three days after delivery were evaluated. Standardized incidence rates and standardized rate ratios of non-early initiation of breastfeeding and non-exclusive breastfeeding were calculated according to mode of delivery. Results The late initiation of breastfeeding and non-exclusive breastfeeding incidence rates were 42.7% and 41.0%, respectively. The standardized incidence rate of late initiation of breastfeeding among women with vaginal delivery was 35.34%, versus 50.49% for those with caesarean delivery. The standardized rate ratios for late initiation of breastfeeding and non-exclusive breastfeeding were 1.428 (95% CI: 1.212, 1.683) and 1.468 (95% CI: 1.236-1.762), respectively. Women that underwent caesarean section had a higher risk of late initiation of breastfeeding and non-exclusive breastfeeding during the three days following delivery, after controlling for socio-demographic and delivery-related factors. Conclusions This study provides evidence useful for implementing strategies to prevent unnecessary caesarean sections, which negatively affect not only maternal health, but also neonatal health as well. Promotion of mother-friendly policies by healthcare institutions that are implemented in a baby-friendly manner are essential.

Breastfeeding practices among mothers of infants in Peringara Panchayat in Pathanamthitta District

2018 ◽  
Vol 3 (01) ◽  
Author(s):  
Aswathy S. ◽  
Lakshmi M. K.
Keyword(s):  
Exclusive Breastfeeding ◽  
Cross Sectional Study ◽  
Community Based ◽  
Chi Square ◽  
Cross Sectional ◽  
Breastfeeding Practices ◽  
Chi Square Test ◽  
Type Of Delivery ◽  
Initiation Of Breastfeeding

The study was aimed to assess the breastfeeding practices among mothers of infants in Peringara Gramapanchayat in Kerala. Study was a community based cross-sectional study among mothers of infants in Peringara gramapanchayat using a pretested questionnaire. 142 breastfeeding mothers of infants in Peringara gramapanchayat were studied and mothers who were not present at home during the study were excluded from the study. Study period consisted of 18 days between December 2015 and January 2016. Study variables includes type of delivery, initiation of breastfeeding, breastfeeding practices and role of ASHAs in promoting good breastfeeding practices. Statistical analysis was done using Pearson’s Chi-square test and T test. The study found that exclusive breastfeeding has been done by 68.3% of mothers. There is no practice of giving pre-lacteal feed, 95.8% of mothers have given colostrum to the new born. Statistically significant association was found between the type of delivery and time of initiation of breastfeeding (p less than 0.05). Time of initiation of breastfeeding was prolonged in case of Caesarean section. 49.3% of mothers have breastfed the baby within one hour. 55.6% of mothers were informed about importance of breastfeeding by ASHAs and only 20.4% of mothers were informed about period of exclusive breastfeeding and period of complimentary feeding by ASHAs.

scholarly journals In-hospital recurrence in a Chinese large cohort with acute ischemic stroke

2019 ◽  
Vol 9 (1) ◽  
Author(s):  
Fan Yu ◽  
Xiaolu Liu ◽  
Qiong Yang ◽  
Yu Fu ◽  
Dongsheng Fan
Keyword(s):  
Risk Factors ◽  
Ischemic Stroke ◽  
Hospital Mortality ◽  
Hospital Stay ◽  
Acute Ischemic Stroke ◽  
Recurrent Events ◽  
Early Stage ◽  
High Rate ◽  
Large Artery ◽  
Stroke Event

Abstract Acute ischemic stroke (AIS) has a high risk of recurrence, particularly in the early stage. The purpose of this study was to assess the frequency and risk factors of in-hospital recurrence in patients with AIS in China. A retrospective analysis was performed of all of the patients with new-onset AIS who were hospitalized in the past three years. Recurrence was defined as a new stroke event, with an interval between the primary and recurrent events greater than 24 hours; other potential causes of neurological deterioration were excluded. The risk factors for recurrence were analyzed using univariate and logistic regression analyses. A total of 1,021 patients were included in this study with a median length of stay of 14 days (interquartile range,11–18). In-hospital recurrence occurred in 58 cases (5.68%), primarily during the first five days of hospitalization. In-hospital recurrence significantly prolonged the hospital stay (P < 0.001), and the in-hospital mortality was also significantly increased (P = 0.006). The independent risk factors for in-hospital recurrence included large artery atherosclerosis, urinary or respiratory infection and abnormal blood glucose, whereas recurrence was less likely to occur in the patients with aphasia. Our study showed that the patients with AIS had a high rate of in-hospital recurrence, and the recurrence mainly occurred in the first five days of the hospital stay. In-hospital recurrence resulted in a prolonged hospital stay and a higher in-hospital mortality rate.

Prevalence and determinant factors of exclusive breastfeeding practices among mothers in Marrakesh province, Morocco: A cross- sectional survey

2021 ◽  
pp. 1-11
Author(s):  
Soufiane El Moussaoui ◽  
Kamal Kaoutar ◽  
Ahmed Chetoui ◽  
Abdeslam El Kardoudi ◽  
Fatiha Chigr ◽  
...  
Keyword(s):  
Exclusive Breastfeeding ◽  
Multivariate Logistic Regression ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Factors Associated ◽  
Breastfeeding Practices ◽  
Survey Report ◽  
Duration Of Breastfeeding ◽  
Breastfeeding Practice

BACKGROUND: Exclusive breastfeeding is the best form of nutrition for infants during the first 6 months of life. Nevertheless, the practice of breastfeeding is currently declining throughout the world. OBJECTIVE: The objective of this study was to assess the prevalence of exclusive breastfeeding (EBF) practice and its associated factors among mothers living in Marrakesh province, Morocco. METHODS: The data were collected using an interviewer administered questionnaire. Both bivariate and multivariate logistic regression analyses were used to identify factors associated with exclusive breastfeeding practice. RESULTS: Prevalence of exclusive breastfeeding was 50.2%. Mothers with age more than 30 years, residing in rural area, receiving counseling related breastfeeding during antenatal follow up and having knowledge about duration of breastfeeding were more likely to practice exclusive breastfeeding than their counterparts. CONCLUSION: Although the prevalence of breastfeeding in Marrakesh was higher than the last national survey report but it is still insufficient. These findings have to stress authorities and deciders to sensitize mothers and future mothers to increase exclusive breastfeeding practice notably through the involvement of health professionals.

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