scholarly journals Exclusive breastfeeding in rural Western China: does father’s co-residence matter?

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jingchun Nie ◽  
Lifang Zhang ◽  
Shuyi Song ◽  
Andrew John Hartnett ◽  
Zhuo Liu ◽  
...  

Abstract Background China suffers from a low exclusive breastfeeding rate. Though it has been proofed that paternal support benefits breastfeeding a lot, the correlation between father’s co-residence and exclusive breastfeeding in China remain undiscovered. This study is to provide population-based evidence for the association of paternal co-residence on exclusive breastfeeding in rural western China. We also attempt to detect how the process works by examining the correlation between the father’s co-residence and breastfeeding family support as well as maternal decision-making power. Methods A cross-sectional study was conducted in 13 nationally-designated poverty-stricken counties in the Qinba Mountains area in 2019. Data on breastfeeding practices, the status of fathers co-residence, breastfeeding family support, and maternal decision-making power were collected via structured questionnaires from 452 caregivers-infant pairs. Multivariate regressions were conducted to explore the correlation between paternal co-residence and exclusive breastfeeding. Results The exclusive breastfeeding (0–6 months) rate was 16% in rural western China. Fathers’ co-residence was associated with a lower exclusive breastfeeding rate (OR = 0.413, 95% CI = 0.227–0.750, P = 0.004) and the rate did not improve when the father was the secondary caregiver. Even ruling out support from grandmothers, the association was still negative. Paternal co-residence did not improve maternal perceived breastfeeding family support, neither practically nor emotionally (β =0.109, P = 0.105; β =0.011,P = 0.791, respectively) and it reduced maternal decision-making power (β = − 0.196, P = 0.007). Conclusions Fathers’ co-residence is negatively associated with the exclusive breastfeeding rates in rural western China. More skill-based practical and emotional strategies should be considered on father’s education to help them better involvement and show more respect to mothers’ decisions.

2020 ◽  
Author(s):  
Lingling Li ◽  
Yu Zhang ◽  
Mu Li ◽  
Hong Jiang ◽  
Yajuan Yang ◽  
...  

Abstract Background Breast milk is the ideal food to meet all nutrients needs for a baby’s healthy growth and development. The status of breastfeeding supportive services in Baby-Friendly Hospitals and their role in influencing mothers’ breastfeeding practice in Shanghai, China is less understood. The aim of this study was to explore the association between breastfeeding supportive services provided by Baby-Friendly Hospitals around childbirth and exclusive breastfeeding rate at discharge. Methods This was a hospital-based cross-sectional study, conducted in eight Baby-Friendly Hospitals in Shanghai between October 2015 and January 2017. The breastfeeding supportive services during hospitalization were assessed using a 12-question questionnaire based on the evaluation criteria of Baby-Friendly Hospitals. In total 707 mothers completed the survey. Results The overall exclusive breastfeeding rate among participants was 34.4% at discharge. Mothers who received more breastfeeding supportive services during hospitalization were more likely to practice exclusive breastfeeding at discharge compared with mothers who received less services (aOR: 3.00; 95% CI: 2.08, 4.35; p < 0.001). Conclusion Better breastfeeding supportive services during hospitalization was significantly associated with higher rate of exclusive breastfeeding at discharge. More effective measures should be adopted to improve the breastfeeding supportive services in line with the Baby-friendly Hospital Initiative’s Ten Steps to promote and support exclusive breastfeeding and better maternal and child health.


2021 ◽  
Vol 48 (1) ◽  
pp. 20-25
Author(s):  
Joanah M. Ikobah ◽  
Kelechi Uhegbu ◽  
Iwasam E. Agbor ◽  
Ekong Udoh

Introduction: Breastfeeding is essential for optimum childhood development. Although there is an increased awareness of the importance of breast milk, the Nigerian Demographic and Health Survey of 2018 showed that less than one-third (29%) of mothers in Nigeria practice exclusive breastfeeding. This may be attributed to several factors, hence the need for this study to assess the indicators and predictors of breastfeeding practices among mothers in a tertiary facility in Calabar, Cross River State. Methods: This cross-sectional study was conducted in the University of Calabar Teaching Hospital, Calabar, Nigeria. Consenting mothers of children aged six weeks to two years were sequentially recruited into the study using an interviewer-administered questionnaire. A test of association of categorical variables was done using Chi square test and pvalue was set at 0.05. Results: One hundred and twenty one children and their mothers were surveyed. Mean age of children was 6.2±3.8months and mothers was 28±25years. Exclusive breastfeeding rate for six months was 67.8%.Timely breastfeeding within one hour of life was 44.6%,ever breastfed rate was 86%. Practice of giving water alongside breast milk and use of breast milk substitute was 18.2% and 14.0% respectively. Mothers age was significantly associated with practice of exclusive breastfeeding (p=0.014) and giving water alongside breast milk (p=0.005) while birth order was associated with timely commencement of breastfeeding within one hour of life (p=0.022). Conclusion: The ever breastfed and exclusive breastfeeding rates were fairly high. However, the timely first suckling rate, increased use of breast milk substitute and giving of water alongside breast milk in the first six months of life were low. There is the need for continuous health education of mothers.


Author(s):  
Aswathy S. ◽  
Lakshmi M. K.

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.


2021 ◽  
Vol 1 (1) ◽  
pp. 7
Author(s):  
Vivienne Tjung ◽  
Husnia Auliyatul Umma ◽  
Jarot Subandono

<p class="16"><strong><em>Introduction</em></strong><strong><em>:</em></strong><strong><em> </em></strong><em>Exclusive breast milk is breastfeeding for six months to babies, without providing other foods and drinks. Breastfeeding for up to 6 months is recommended by various health organizations, including the Ministry of Health. In Indonesia, exclusive breastfeeding is still low, even though the benefits of breastfeeding are numerous. Various studies that have been conducted have shown </em><em>different</em><em> results regarding the relationship between the number and sequence of children with breastfeeding practices. This stud</em><em>y </em><em>aimed</em><em> </em><em>to determine the relationship between the number of children and the order of the children with the practice of exclusive breastfeeding in Surakarta</em><em></em></p><p class="16"><strong><em>Methods</em></strong><strong><em>:</em></strong><strong><em> </em></strong><em>This study </em><em>was</em><em> an analytic observational study with a cross-sectional study design. The research sample was determined by random sampling of mothers registered at the Penumping Health Center. The research sample consisted of 50 people who have children aged 1-5 years. Assessment of completeness of breastfeeding was measured using a questionnaire. Data were analyzed using bivariate analysis techniques using chi-square and multivariate logistic regression</em><em>.</em><em></em></p><p class="16"><strong><em>Result</em></strong><strong><em>s and discussions: </em></strong><em>From</em><em> 47</em><em> </em><em>subjects studied with the bivariate analysis technique using the chi square between the number of children and the order of children with exclusive breastfeeding practice, the results were less significant, p = 0.724 and p = 0.401</em><em>.</em><em></em></p><p class="16"><strong><em>Conclusion</em></strong><strong><em>: </em></strong><em>There </em><em>was</em><em> no significant relationship between the number of children and the order of children with the practice of exclusive breastfeeding in Surakarta.</em><em></em></p><p class="18"><strong><em>Keywords</em></strong><strong><em>: </em></strong><strong><em>E</em></strong><strong><em>xc</em></strong><strong><em>lusive breastfeeding, number of children, </em></strong><strong><em>order </em></strong><strong><em>of children</em></strong><strong><em>.</em></strong><strong><em></em></strong></p>


2019 ◽  
Vol 36 (3) ◽  
pp. 436-447
Author(s):  
Zhe Fang ◽  
Yuning Liu ◽  
Hanyu Wang ◽  
Kun Tang

Background With rapid industrialization and urbanization, there is a growing need for women to enter the workforce, and affluent people are drawn to the infant formula market. The breastfeeding rates in China are below the optimal level. Large scale quantitative research studying breastfeeding practices after 2015 in China are lacking. Research aim We aimed to (1) explore the latest patterns and (2) identify the determinants of breastfeeding in China. Methods The study was a population-based, cross-sectional survey. A multi-stage sampling technique was adopted for the selection of participants. We recruited 10,408 mothers with children under 12 months old, in 12 regions of China, and conducted a questionnaire survey about breastfeeding patterns. The associations between social and biophysical determinants and breastfeeding outcomes were analyzed using a logistic regression model. Results The exclusive breastfeeding rate was 29.32% ( n = 3,052) decreasing from 32.71% ( n = 3,404) to 15.83% ( n = 1,648) among children aged 0–5 months. Cesarean section had a negative association with early breastfeeding initiation ( OR = .33, 95% CI [.30, .36]), exclusive breastfeeding ( OR = .78, 95% CI [.69, .89]), and predominant breastfeeding ( OR = .73, 95% CI [.65, .83]). Compared to participants with an annual household income lower than 40,000 Yuan ($5,817 USD), those with over 100,000 Yuan ($14,542 USD) had an OR of .78 (95% CI [.67, .90]) in exclusive breastfeeding. Compared with illiterate and unemployed groups, middle/high school education and a current work status, respectively, were associated with a lower likelihood of exclusive breastfeeding ( OR = .73, 95% CI [.63, .84]; OR = .58, 95% CI [.37, .89]). Conclusions The prevalence of breastfeeding in 12 selected regions in China was low and interventions focusing on the targeted population should be strengthened.


2019 ◽  
Vol 10 (3) ◽  
pp. 163-171
Author(s):  
Indah Purnama Sari ◽  
Dewi Handayani ◽  
Fatmalina Febry

Exclusive breastfeeding is one of the successful indicators in improving the health of babies. From 2013 until 2014, the practice of exclusive breastfeeding has decreased in Indonesia and has not reached the national targets of around 80% of babies being exclusively breastfed. This study aimed to identify the prevalence and determinants of exclusive breastfeeding in Seberang Ulu I, Palembang. A community-based cross sectional study was executed from July 5, 2016 to August 5, 2016 among mothers who had infants aged less than six months. A purposive sampling technique was used to select a sample of 125 participants. Data were collected using a structured questionnaire by the face-to-face interview technique. Bivariate and multiple logistic regression analysis were used to determine factors associated with the practice of breastfeeding exclusively and to control confounding effects. The prevalence of exclusive breastfeeding was 26.4% (95% CI: 20.0%-35.1%). After adjusting for confounders (mothers’ attitudes and health workers’ support), mothers who had good knowledge were 11.66 times more likely to breastfeed exclusively than those who had poor knowledge (AOR: 11.66, 95% CI: 3.07-44.31). The prevalence of exclusive breastfeeding in Seberang Ulu I, Palembang, was still very low and has not reached the national target. The recommendation is to maximize the role of health workers in providing information about exclusive breastfeeding, so that they can continue providing motivation for mothers, husbands and families, so that the success and sustainability of exclusive breastfeeding practices could be achieved.   Keywords: Mother’s knowledge, mother’s attitude, health workers support, exclusive breastfeeding


Author(s):  
Consolata Mandi Machila ◽  
Jane Karonjo ◽  
Dominic Mogere ◽  
Peterson Kariuki

Background: Knowledge of exclusive breastfeeding (EBF) among women is essential when promoting optimal breastfeeding practices. Breastfeeding is recommended for the first six months of life and continuation of breastfeeding and adequate complementary foods for up to two years of age or beyond.Methods: A descriptive cross-sectional study design was used. This study utilized a mixed method approach (qualitative and quantitative).Results: The prevalence of exclusive breastfeeding was low at 33.6%. Data revealed that 60.9% of respondents were knowledgeable on the benefits of EBF, while 38.6% were not knowledgeable, the rest of the respondents did not respond or their answers were not valid.Conclusions: Women's knowledge on benefits EBF and intention to practice it is still low. There was significant difference in the participants place of residence (rural versus urban).


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