scholarly journals Maternal and child factors associated with early initiation of breastfeeding in Chad: evidence from nationally representative cross-sectional data

Author(s):  
Bright Opoku Ahinkorah ◽  
Abdul-Aziz Seidu ◽  
Eugene Budu ◽  
Aliu Mohammed ◽  
Collins Adu ◽  
...  

Abstract Background Early initiation of breastfeeding (EIB) is an inexpensive practice but has a substantial potential to reduce neonatal morbidity. Therefore, this study investigated the maternal and child-related factors associated with EIB and makes recommendations that could help improve the practice in Chad. Methods We used data from the children's recode file of the 2014–2015 Chad Demographic and Health Survey. A total of 3991 women ages 15–49 y who had last-born children in the 2 y preceding the survey were included in our study. The outcome variable for the study was EIB. Both descriptive (frequencies and percentages) and inferential (binary logistic regression) analyses were carried out. All results of the binary logistic analyses are presented as adjusted odds ratios (aORs) with 95% confidence intervals (CIs). Results We found the prevalence of EIB in Chad to be 23.8%. In terms of maternal factors, the likelihood of EIB was high among non-working women (aOR 1.37 [95% CI 1.18 to 1.59]), the richest wealth quintile women (aOR 1.37 [95% CI 1.04 to 1.79]) and non-media-exposed women (aOR 1.58 [95% CI 1.24 to 2.02]) compared with working women, the poorest wealth quintile women and media-exposed women, respectively. EIB was lower among children whose mothers had one to three antenatal care visits (ANC; aOR 0.73 [95% CI 0.61 to 0.87]) and four or more ANC visits (aOR 0.80 [95% CI 0.66 to 0.97]) compared with those who had no ANC visits. With the child factors, EIB was higher among mothers of children who were smaller than average size at birth compared with those of larger than average birth size (aOR 1.47 [95% CI 1.24 to 1.74]). Mothers of children of fifth-order or more births compared with those of first-order births (aOR 1.51 [95% CI 1.07 to 2.12]) and those who were delivered through vaginal birth compared with those delivered through caesarean section (aOR 4.71 [95% CI 1.36 to 16.24]) were more likely to practice EIB. Conclusions Maternal and child-related factors play roles in EIB in Chad. Hence, it is important to consider these factors in maternal and neonatal health interventions. Such initiatives, including training of outreach health workers, health education, counselling sessions and awareness-raising activities on breastfeeding geared towards EIB should be undertaken. These should take into consideration the employment status, wealth quintile, exposure to mass media, size of the baby at birth, ANC visits, parity and delivery method.

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Hadija Y. Lyellu ◽  
Tamara H. Hussein ◽  
Margareta Wandel ◽  
Babill Stray-Pedersen ◽  
Melina Mgongo ◽  
...  

Author(s):  
Neha Goyal

Background: Early initiation of breastfeeding defined by World Health Organization as initiation of breastfeeding within one hour of birth, provides new-borns the best chance for survival, growth and development. Yet the rates of early initiation are still low (41.5%), varying widely in different parts of India. Present study was done to find the proportion of early initiation of breastfeeding and associated factors in a rural area.Methods: This cross-sectional study was conducted among 73 recently delivered mothers residing in a rural area of Moradabad, who were interviewed using a semi structured questionnaire with early initiation of breastfeeding as outcome variable. For statistical analysis Chi-square and Fisher’s exact tests were used.Results: 61.64% recently delivered mothers responded that they had initiated breastfeeding within one hour of delivery. Early initiation was significantly lower among working mothers as compared to housewives. No significant differences in timely initiation have been found with mother age, religion and type of family. However significant association of early initiation was found between full antenatal care (ANC) and breastfeeding counselling.Conclusions: More than sixty percent mothers initiated breastfeeding within an hour of delivery. Full ANC and breastfeeding counselling can help in improving rates of early initiation. 


Nutrients ◽  
2019 ◽  
Vol 11 (12) ◽  
pp. 2988 ◽  
Author(s):  
Anamaria Cozma-Petruţ ◽  
Ioana Badiu-Tişa ◽  
Oana Stanciu ◽  
Lorena Filip ◽  
Roxana Banc ◽  
...  

Early initiation of breastfeeding (EIBF), defined as putting newborns to the breast within 1 h of birth, may have important benefits for both infant and mother. The aim of this study was to assess EIBF practices and its determinants in northwestern Romania. This cross-sectional study was conducted from March to June 2019, based on a sample of 1399 mothers of children aged less than 24 months. The sample was recruited from the community, from 29 cities and 41 communes distributed across the six counties of the northwestern region of Romania. Mothers responded by face-to-face interviews to a structured questionnaire. Multivariate logistic regression was used to identify factors independently associated with EIBF. Only 24.3% of the mothers initiated breastfeeding within 1 h of birth. Delivering at a private hospital (adjusted odds ratio (AOR): 5.17, 95% confidence interval (CI) 3.87, 6.91), vaginal delivery (AOR: 4.39, 95% CI 3.29, 5.88), mother–newborn skin-to-skin contact for 1 h or more (AOR: 55.6, 95% CI 23.0, 134.2), and breastfeeding counseling during antenatal visits (AOR: 1.48, 95% CI 1.12, 1.97) were factors associated with increased likelihood of EIBF. Overall, the practice of EIBF was poor. Targeting modifiable factors associated with EIBF may be used to improve early initiation practice.


2021 ◽  
Vol 6 (1) ◽  
pp. 21
Author(s):  
Ana Pujianti Harahap ◽  
Aulia Amini ◽  
Nurul Qamariah Rista Andaruni ◽  
Rizkia Amilia

IMD termasuk dalam salah satu 10 Langkah Menuju Keberhasilan Menyusui (LMKM) atau ten step to successful breastfeeding. IMD dapat dilaksanakan pada persalinan secara normal atau dengan Sectio Caesarea. Berdasarkan data yang diperoleh dari Rumah Sakit Umum Provinsi Nusa Tenggara Barat (RSUD Prov NTB), sebagai rumah sakit pusat rujukan terbesar di NTB data jumlah pasien yang melahirkan dengan SC pada tahun 2017 sebanyak 288 (88%), dari total persalinan 327. Dari jumlah pasien yang melahirkan dengan SC sebagian besar tidak pernah dilakukan IMD. Pasien yang melahirkan spontan sebanyak 39 orang (22%). Penelitian ini bertujuan untuk  mengetahui hambatan IMD pasien post SC. Metode penelitian yang digunakan yaitu deskriptif kualitatif. Informen dalam penelitian ini terdiri dari tenaga kesehatan yaitu dokter spesialis kandungan, dokter spesialis anak, pihak manajemen,bidan dan pasien. Dalam penelitian ini peneliti akan menggunakan Analisis data dilakukan menggunakan versi Miles dan Huberman, dalam Sugiyono (2013). Aktivitas meliputi reduksi data (data reduction), penyajian data ( data display) dan penarikan kesimpulan (verification). Hasil penelitian yang sudah terindentifikasi mengenai hambatan pelaksanaan Inisiasi Menyusu Dini (IMD) pada pasien post SC yaitu : 1) Kendala kurangnya informasi pasien tentang IMD, 2) tidak ada tenaga kesehatan khusus yang melaksanakan IMD, 3) kurangnya pelatihan tentang pelaksanaan IMD post SC, 4) Ketidaknyamanan posisi pasien saat SC, 5) Kekhawatiran ibu terhadap kondisi bayi saat dilakukan imd, dan 6) kurangnya kerjasama tim tenaga kesehatan. Dengan adanya hasil penelitian ini diharapkan tenaga kesehatan dan instansi kesehatan bisa bersama-sama untuk lebih mengoptimalkan pelaksanaan Inisiasi Menyusu Dini pada pasien post Sectio Caesrea.Early initiation of breastfeeding is included in one of the 10 Steps to Successful Breastfeeding (LMKM) or ten-step to successful breastfeeding. IMD can be carried out in labor normally or with Caesarean Sectio. Based on data obtained from the General Hospital of West Nusa Tenggara Province, as the largest referral center hospital in West Nusa Tenggara, the number of patients giving birth to SC in 2017 was 288 (88%), out of total delivery of 327. Of the total, most patients who have had an SC have never had an early initiation of breastfeeding. Patients who gave birth spontaneously were 39 people (22%). This study aims to determine the early initiation of breastfeeding barriers for post-SC patients. The research method used is descriptive qualitative. Informants in this study consisted of health workers namely obstetricians, pediatricians, management, midwives and patients. In this study, researchers will use data analysis performed using the version of Miles and Huberman, in Sugiyono (2013). Activities include data reduction, data display, and verification. The results of studies that have been identified regarding the obstacles to implementing early initiation of breastfeeding in post SC patients are: 1) Obstacles to lack of patient information about early initiation of breastfeeding, 2) there are no special health workers who carry out early initiation of breastfeeding, 3) lack of training on implementing post-SC early initiation of breastfeeding, 4) Discomfort of the patient's position during SC, 5) Mother's concern for the condition of the baby during early initiation of breastfeeding, and 6) Lack of teamwork of health workers. With the results of this study, it is expected that health workers and health agencies can work together to further optimize the implementation of early initiation of breastfeeding in post-SC patients.


2021 ◽  
Author(s):  
Ummay Ayesha ◽  
Abu Sayed Md. Al M ◽  
Md. Nurul Islam ◽  
Md. Ripter Hossain ◽  
Samme Amena Tasmia ◽  
...  

Abstract Background: Early initiation of breastfeeding (EIBF) provides the first immunization for the newborns, fortify their immune defense system and eventually reduce the mortality rate. This study aimed to identify the factors associated with EIBF among mothers in Rajshahi district, Bangladesh. Methods: A total number of 421 mothers living in Rajshahi district who had at least one child aged 6-24 months were considered as sample. Mothers were selected using multistage random sampling. This study was conducted from January to March, 2019. The EIBF was measured by a principal question, “Did you provide your breast milk to your newborn within one hour after delivery?” Frequency distribution, Chi-square test and multivariable binary logistic regression model were utilized in this study for getting prevalence and associated factors of EIBF respectively. Results: This study revealed that the prevalence of EIBF among mothers in Rajshahi district was 88.4%. Multivariable logistic model provided eight factors associated with EIBF: (i) husbands’ education level, (ii) husbands’ occupation, (iii) family monthly income, (iv) mothers’ age, (v) mothers’ BMI, (vi) place of delivery, (vii) planned pregnancy and (viii) mothers taking advice regarding the benefit of breastfeeding during their pregnancy. Conclusions: This study identified several modifiable factors associated with EIBF. The customs, culture and other characteristics are almost same across the country. These factors could be considered to increase the rate of EIBF among mothers in Bangladesh.


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