scholarly journals Consistency of the determinants of early initiation of breastfeeding in Ghana: insights from four Demographic and Health Survey datasets

2020 ◽  
Author(s):  
Precious A Duodu ◽  
Henry O Duah ◽  
Veronica M Dzomeku ◽  
Adwoa B Boamah Mensah ◽  
Josephine Aboagye Mensah ◽  
...  
Keyword(s):  
Risk Factors ◽  
Caesarean Section ◽  
Early Initiation ◽  
Demographic And Health Surveys ◽  
Current Estimate ◽  
Neonatal Deaths ◽  
Early Initiation Of Breastfeeding ◽  
Multiple Variable ◽  
Using Data ◽  
Initiation Of Breastfeeding

Abstract Background Early initiation of breastfeeding (EIBF) is a key strategy in averting neonatal deaths. However, studies on the facilitators and risk factors for EIBF are rare in Ghana. We examined trends in EIBF and its major facilitators and risk factors in Ghana using data from Demographic and Health Surveys from 1998 to 2014. Methods We used complete weighted data of 3194, 3639, 2909 and 5695 pairs of mothers ages 15–49 y and their children ages 0–5 y in the 1998, 2003, 2008 and 2014 surveys, respectively. We accounted for the complex sampling used in the surveys for both descriptive statistics and multiple variable risk ratio analysis. Results The proportion of children who achieved EIBF increased by about 2.5 times from 1998 to 2003 and there was a marginal increase in the proportion of children who achieved EIBF between 2003 and 2014. Children born by caesarean section were at higher risk of being breastfed later than 1 h across all four surveys. Being born in the Upper East Region (compared with the Western Region) of Ghana facilitated EIBF in 2003 and 2008. Conclusions The study revealed that the current estimate of the proportion of children achieving EIBF in Ghana was 55.1%, and delivery by caesarean section and region of residence consistently predicted the practice of EIBF in Ghana.

scholarly journals Impact of caesarean section on breastfeeding indicators: within-country and meta-analyses of nationally representative data from 33 countries in sub-Saharan Africa

BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e027497
Author(s):  
Engida Yisma ◽  
Ben W Mol ◽  
John W Lynch ◽  
Lisa G Smithers
Keyword(s):  
Caesarean Section ◽  
Exclusive Breastfeeding ◽  
Meta Analysis ◽  
Early Initiation ◽  
Sub Saharan Africa ◽  
Demographic And Health Surveys ◽  
Early Initiation Of Breastfeeding ◽  
Sub Saharan ◽  
The Impact ◽  
Initiation Of Breastfeeding

ObjectiveTo examine the impact of caesarean section on breastfeeding indicators—early initiation of breastfeeding, exclusive breastfeeding under 6 months and children ever breastfed (at least once)—in sub-Saharan Africa.DesignSecondary analysis of Demographic and Health Surveys (DHS).SettingThirty-three low-income and middle-income countries with a survey conducted between 2010 and 2017/2018.ParticipantsWomen aged 15–49 years with a singleton live last birth during the 2 years preceding the survey.Main outcome measuresWe analysed the DHS data to examine the impact of caesarean section on breastfeeding indicators using the modified Poisson regression models for each country adjusted for potential confounders. For each breastfeeding indicator, the within-country adjusted prevalence ratios (aPR) were pooled in random-effects meta-analysis.ResultsThe within-country analyses showed, compared with vaginal birth, caesarean section was associated with aPR for early initiation of breastfeeding that ranged from 0.24 (95% CI 0.17 to 0.33) in Tanzania to 0.89 (95% CI 0.78 to 1.00) in South Africa. The aPR for exclusive breastfeeding under 6 months ranged from 0.58 (95% CI 0.34 to 0.98) in Angola to 1.93 (95% CI 0.46 to 8.10) in Cote d'Ivoire, while the aPR for children ever breastfed ranged from 0.91 (95% CI 0.82 to 1.02) in Gabon to 1.02 (95% CI 0.99 to 1.04) in Gambia. The meta-analysis showed caesarean section was associated with a 46% lower prevalence of early initiation of breastfeeding (pooled aPR, 0.54 (95% CI 0.48 to 0.60)). However, meta-analysis indicated little association with exclusive breastfeeding under 6 months (pooled aPR, 0.94 (95% CI 0.88 to 1.01)) and children ever breastfed (pooled aPR, 0.98 (95% CI 0.98 to 0.99)) among caesarean versus vaginally born children.ConclusionsCaesarean section had a negative influence on early initiation of breastfeeding but showed little difference in exclusive breastfeeding under 6 months and children ever breastfed in sub-Saharan Africa.

scholarly journals Trends in early initiation of breastfeeding in Bangladesh and a multilevel analysis approach to find its determinants

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Foyez Ahmmed ◽  
Muhammad Mahabub Rahaman Manik
Keyword(s):  
Wealth Index ◽  
Early Initiation ◽  
Multiple Birth ◽  
Demographic And Health Surveys ◽  
Antenatal Visit ◽  
Regression Result ◽  
Chi Square ◽  
Early Initiation Of Breastfeeding ◽  
The Hierarchical Structure ◽  
Initiation Of Breastfeeding

AbstractEarly initiation of breastfeeding (EIBF) is an essential practice for child health as well as for maternal health. This study aims to determine trends, prevalence, and factors associated with EIBF in Bangladesh. Data for this study were extracted from Bangladesh demographic and health surveys (BDHS) 2004, 2007, 2011, and 2014. This study found an increasing trend in EIBF in Bangladesh irrespective of the different characteristics of mothers and children. Chi-square test was conducted to find the association between EIBF and different factors. Multilevel logistic regression analysis was used to consider the hierarchical structure of the data. Regression result showed that educated parents [Adjusted odds ratio (AOR) = 1.14, 95% Confidence Interval (CI) = 1.04, 1.26 ], exposure to media [AOR = 1.13, CI = 1.05, 1.21], 2nd or 3rd birth order [AOR = 1.13, CI = 1.04, 1.23], wanted child [AOR = 1.12, CI = 1.02, 1.23], antenatal visit [AOR = 1.07, CI = 1.00, 1.15], antenatal visit by medically trained provider [AOR = 1.06, CI = 1.00,1.13] and rich wealth index [AOR = 1.10, CI = 1.01, 1.20] were positively associated with EIBF. In contrast, mothers with caesarian delivery [AOR = 0.36, CI = 0.31, 0.40], delivery in private facility [AOR = 0.83, CI = 0.73, 0.95], multiple birth, and higher maternal age were less likely to EIBF.

scholarly journals Modelling the Trend and Determinants of Breastfeeding Initiation in Nigeria

2013 ◽  
Vol 2013 ◽  
pp. 1-9 ◽  
Author(s):  
Waheed Babatunde Yahya ◽  
Samson Babatunde Adebayo
Keyword(s):  
Urban Areas ◽  
Educational Status ◽  
Early Initiation ◽  
Demographic And Health Surveys ◽  
Breastfeeding Initiation ◽  
Early Initiation Of Breastfeeding ◽  
Singleton Birth ◽  
Nursing Mothers ◽  
Mother’S Age ◽  
Initiation Of Breastfeeding

This paper examined the general trend of timing of breastfeeding initiation among nursing mothers in Nigeria. The time of initiating the first breast milk to an infant by his/her mother is measured as whether it is immediate (before the first hour of birth) or delayed (after the first hour of birth), and the impacts of some socioeconomic and maternal factors on this are determined. Results from this study showed that mother’s age at birth, her enhanced educational status, mothers’ domiciling in urban areas, singleton birth, and mother’s frequent antenatal visits among others contributed positively to early initiation of breastfeeding by Nigerian nursing mothers (P<0.05). In the contrary, delivery through caesarean operation, nursing mothers that delivers at homes instead of hospitals, and the current birth being the first from a mother are all found to militate against early initiation of breastfeeding (P<0.05) among others. General results showed that early breastfeeding initiation experience among nursing mothers in Nigeria significantly improves over time between 1990 and 2008 (P<0.05), although following a sinusoidal pattern. Four waves of national data from the Nigerian Demographic and Health Surveys for 1990, 1999, 2003, and 2008 were employed in the study.

scholarly journals INISIASI MENYUSU DINI (IMD) MEMPERCEPAT PENGELUARAN ASI

2018 ◽  
Vol 5 (1) ◽  
pp. 41-48
Author(s):  
Mariati Mariati
Keyword(s):  
Breast Milk ◽  
Exclusive Breastfeeding ◽  
Coming Out ◽  
Private Practice ◽  
Early Initiation ◽  
Neonatal Deaths ◽  
Early Initiation Of Breastfeeding ◽  
The City ◽  
Depth Interviews ◽  
Initiation Of Breastfeeding

Early initiation of breastfeeding is a process of letting the baby breastfeed their own immediately after birth so that it benefits both mother and baby, physically and psychologically. It can safe 22% of neonatal deaths, prevent hipotermi and enhance ties of affection. In the city of Bengkulu implementation of the early initiation of breastfeeding not yet have an impact on exclusive breastfeeding in 2009 (59.1%). The purpose of this study to know the implementation of early initiation of breastfeeding in private practice midwives in the city of Bengkulu.This study design with qualitative methods through an explorative approach to dig more deeply about the situation of implementation of the early initiation of breastfeeding on the midwives who in private practice in the city of Bengkulu. Informants of this study amounted to 12 persons elected by purpose sampling. Data were collected through in-depth interviews and direct observation analyzed by phase: transcripts, coding, and conclusions based on pre-determined category.The results showed all the informants were well versed in the early initiation of breastfeeding, but its implementation has not been done in the most especially when the patients feel tired or lack motivation and family do not support this implementation so that postponed and not taken immediately. Furthermore, this implementation did not result in exclusive breastfeeding because the patient feels there is no milk coming out so it is not important for mothers to keep breastfeeding. The attitude of midwives in the implementation of the early initiation of breastfeeding is quite good and supports the implementation of the early initiation of breastfeeding, especially with seeing the benefits. To improve the implementation of the early initiation of breastfeeding needs to be done counseling since pregnant women and prepare it so that mothers will understand its benefits and to continually feeding that can accelerate spending and prevent breast milk feeding other than breast milk during the month / exclusive

scholarly journals Prevalence and Predictors of Delayed Initiation of Breastfeeding Among Postnatal Women at a Tertiary Hospital in Eastern Uganda: a Cross-Sectional Study

2021 ◽  
Author(s):  
Loyce Kusasira ◽  
David Mukunya ◽  
Obakiro Samuel ◽  
Kiyimba Kenedy ◽  
Nekaka Rebecca ◽  
...  
Keyword(s):  
Caesarean Section ◽  
Antenatal Care ◽  
Cross Sectional Study ◽  
Early Initiation ◽  
Sectional Study ◽  
Cross Sectional ◽  
Early Initiation Of Breastfeeding ◽  
Delayed Initiation ◽  
Eastern Uganda ◽  
Initiation Of Breastfeeding

Abstract BackgroundThe rates for the delayed initiation of breastfeeding in Uganda remain unacceptably high and reasons for this are not well understood. We aimed to determine the prevalence and predictors for the delayed initiation of breastfeeding in Eastern Uganda. MethodsThis study employed a cross-sectional study design. A total of 404 mother-infant pairs were enrolled onto the study between July and November, 2020 at Mbale regional referral hospital (MRRH). They were interviewed on socio-demographic related, infant-related, labour and delivery characteristics using a structured questionnaire. We estimated adjusted odds ratios using multivariable logistic regression models.Results. The rate of delayed initiation of breastfeeding was 70% (n=283/404, 95% CI: 65.3% – 74.4%). The factors that were associated with delayed initiation of breastfeeding were maternal charateristics including: being single (AOR=0.37; 95%CI: 0.19 – 0.74), receiving antenatal care for less than 3 times while pregnant (AOR=1.85, 95%CI: 1.07 – 3.19) undergoing a caesarean section (AOR= 2.07; 95%CI: 1.3 – 3.19) and having a difficult labour (AOR=2.05; 95%CI: 1.25 – 3.35). Infant characteristics included: having a health issue at birth (AOR=9.8; 95%CI: 2.94 – 32.98).Conclusions:The proportion of infants that do not achieve early initiation of breastfeeding in this setting remains high. Women at high risk of delaying the initiation of breastfeeding include those who: deliver by caesarean section, do not receive antenatal care and have labour difficulties. Infants at risk of not achieving early initiation of breastfeeding include those that have a health issue at birth. We recommend increased support for women who undergo caesarean section in the early initiation of breastfeeding. Breastfeeding support can be initiated in the recovery room after caesarean delivery or in the operating theatre. The importance of antenatal care attendance should be emphasized during health education classes.

scholarly journals Trends of inequalities in early initiation of breastfeeding in Ethiopia: Evidence from Ethiopian Demographic and Health Surveys, 2000-2016

2021 ◽  
Author(s):  
Tsegaw Amare ◽  
Endalkachew Dellie
Keyword(s):  
National Level ◽  
Population Attributable Risk ◽  
Early Initiation ◽  
World Health ◽  
Demographic And Health Surveys ◽  
Dispersion Measure ◽  
Breastfeeding Initiation ◽  
Early Initiation Of Breastfeeding ◽  
Index Of Inequality ◽  
Initiation Of Breastfeeding

Abstract Background Early initiation of breastfeeding (EIBF) is a cost-effective and straightforward activity with numerous neonates' survival benefits. Thus, any disparity would result in an unacceptably high rate of neonatal death at the national level, and disparities among sub-groups regarding EIBF have not been well explored in Ethiopia. Therefore, this study aimed at assessing the trends of socioeconomic inequalities in EIBF in Ethiopia. Methods The Ethiopian demographic and health survey 2000 to 2016 data and the World Health Organization's (WHO) Health Equity Assessment Toolkit (HEAT) were used to investigate the inequalities in early breastfeeding initiation across the wealth quantile, educational level, residence and subnational region. Difference, ratio, slope index of inequality, relative index of inequality and population attributable risk were used as equity summary measures. A 95% uncertainty interval was calculated to declare the significance of the disparity in each point estimate. Results The magnitude of EIBF practice has fluctuated over the last seventeen years, with 47.4% in 2000, 66.2% in 2005, 51.5% in 2011 and 73.3% in 2016. In 2011, a significant change in inequality was observed in wealth- and educational status, whereas in 2016, inequalities were found in the subnational regions. Furthermore, in all survey years, the simple dispersion measure indicated no inequality in EIBF based on residence differences. However, there was high dispersion both in Difference and Ratio in Ethiopia across all survey years based on Ethiopia's sub-national region. In 2016, Afar (42.0%; 95% UI: 34.7–49.7), Tigray (63.0%; 95% UI: 56.6–69.0) and Amhara (66.0%; 95% UI: 59.7–71.8) were the three least EIBF practiced regions in Ethiopia. If the regional performance disparities in 2016 were reduced to an insignificant level, the EIBF proportion at the national level would increase by 17.2% (95% UI: 2.2–32.2). Conclusion In Ethiopia, the trend of socioeconomic inequality in EIBF has increased significantly over the past seventeen years. The disparity in EIBF was observed in all measures of dispersion in 2011. In all survey years, the northern part of Ethiopia (Afar, Tigray and Amhara regions) performed worse than the rest of the country. Therefore, interventions targeting them would significantly improve the national level performance of EIBF for the subsequent reduction of neonatal mortality.

scholarly journals Effect of Caesarean Section on Neonatal Health in Bangladesh after Controlling Selection Bias: Propensity Score Based Analysis

2021 ◽  
Vol 69 (1) ◽  
pp. 23-29
Author(s):  
Md Mahmudur Rahman ◽  
Sabina Sharmin ◽  
Taslim Sazzad Mallick
Keyword(s):  
Caesarean Section ◽  
Propensity Score ◽  
Neonatal Mortality ◽  
Treatment Effect ◽  
Early Initiation ◽  
Treatment Groups ◽  
Early Neonatal Mortality ◽  
Early Initiation Of Breastfeeding ◽  
Weighting Methods ◽  
Initiation Of Breastfeeding

The paper examines the effect of caesarean section (C-section) on early neonatal mortality, neonatal mortality, and early initiation of breastfeeding using Bangladesh Demographic and Health Survey (BDHS), 2014 data. Propensity score matching and weighting methods were used to estimate unbiased estimate of treatment effect. The study demonstrates how conclusion about treatment effect varies with and without having balance in the treatment groups. Standard analysis, without caring about balance, reveals that C-section has no significant impact on early neonatal mortality and neonatal mortality. After applying propensity score adjusted methods, balance was achieved in the treatment groups and it was found that C-section has significant effect on early neonatal mortality and neonatal mortality. However, there was no difference between standard and PS adjusted methods in estimating the effect of C-section on early initiation of breastfeeding. It is concluded that children who were delivered by C-section have significantly lower odds of early neonatal mortality, neonatal mortality, and early initiation of breastfeeding as compared to the children who were not delivered by C-section. Dhaka Univ. J. Sci. 69(1): 23-29, 2021 (January)

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