scholarly journals Determinants of breastfeeding practice in Pujehun district, southern Sierra Leone: a mixed-method study

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Dorothee van Breevoort ◽  
Francesca Tognon ◽  
Arne Beguin ◽  
Amara S. Ngegbai ◽  
Giovanni Putoto ◽  
...  
Keyword(s):  
Breast Milk ◽  
Sierra Leone ◽  
Exclusive Breastfeeding ◽  
Mixed Method ◽  
Critical Role ◽  
World Health ◽  
Mixed Method Study ◽  
Breastfeeding Rate ◽  
Breastfeeding Practice ◽  
Determinants Of Breastfeeding

Abstract Background It is well established that exclusive breastfeeding can play a critical role in reducing child morbidity and mortality. Limited research has been done thus far on the practice and perceptions of breastfeeding in Sierra Leone, where more than 10 % of children die before the age of five. This study aimed to gain understanding into and explore both matters in order to develop recommendations for effective strategies to promote breastfeeding practice in Pujehun District, Southern Sierra Leone. Methods This exploratory mixed-method study included a cross-sectional survey of 194 mothers, semi-structured interviews and focus group discussions. Logistic regression analysis was used calculated odds ratios of factors associated with primarily breastfeeding practice, defined as ‘Children under six months of age who are fed with breast milk only and children older than six months of age that were exclusively breastfed up to six months’, based on recall from birth. Exclusive breastfeeding rate was based on breastfeeding practice 24 h prior to the survey. Qualitative data was analysed through a deductive approach, using a pre-determined framework on determinants of breastfeeding. Results This study revealed an exclusive breastfeeding rate of 62.8% (95% CI 53.9, 71.7); dropping from 74% in the 0–1-month age group to 33% in the 4–5 months group. Triangulation of qualitative and quantitative data revealed enabling factors for primarily breastfeeding practice included mothers receiving support during their first breastfeed, pregnant women being provided with information on the benefits of the practice, counselling by nurses, support from husbands, and women’s awareness of how their friends and family members fed their own babies. The main barriers were a lack of encouragement by husbands, women’s perception that their infants’ stools were abnormal or that they were not producing enough breast milk. Conclusions Although the exclusive breastfeeding may have risen over recent years, a gap remains compared to World Health Organization recommendations. According to the breastfeeding determinants identified in this study, promotion of counselling by a nurse, encouragement of husbands’ support, and improve knowledge of mothers on breastfeeding are recommended to be incorporated in the design of future health programs.

THE STUDY ON SITUATON OF EXCLUSIVE BREAST FEEDING FOR THE FIRST 6 MONTHS IN HOI AN

2016 ◽  
pp. 36-42
Author(s):  
Thi Ngoc Anh Nguyen ◽  
Hoang Lan Nguyen
Keyword(s):  
Breast Milk ◽  
Breast Feeding ◽  
Exclusive Breastfeeding ◽  
Multivariable Logistic Regression Model ◽  
Factors Affecting ◽  
Exclusive Breast Feeding ◽  
Key Words Breast ◽  
Breastfeeding Rate ◽  
Knowledge And Attitude ◽  
Structured Questionnaire

Background: Breast milk is the most valuable source of food for infants, no food is comparable. However in many countries around the world including Vietnam, the breastfeeding prevalence has been declining. A report of the Ministry of Health showed that only 19.6% of infants in Vietnam were exclusively breastfed for the first 6 months. The study was conducted in Hoi An with the aim at describing the situation of exclusive breastfeeding for the first 6 months of the mothers in Hoi An city, Quang Nam province and; identifying some factors affecting exclusive breast feeding for the first 6 months in the study area. Methods: A crosssectional descriptive study was conducted in Hoi An city in December 2014. 516 mothers of infants aged from 6 to 12 months were directly interviewed on the basis of a structured questionnaire. Information about general characteristics of mothers and their infants, their knowledge and attitude of breastfeeding and the feeding types of their baby for the first 6 months was collected. Multivariable logistic regression model was used to identify factors affecting exclusive breastfeeding for the first 6 months. Results: The exclusive breastfeeding prevalence for the first 6 months is 22.3%. Knowledge in breastfeeding and attitude toward exclusive breastfeeding for the first 6 months are factors that significantly related to exclusive breastfeeding prevalence for the first 6 months (OR = 3.3; p=0.001 and OR=10.4; p<0.001, respectively). Conclusion: The exclusive breastfeeding rate for the first 6 months in Hoi An city is low. The promoting antenatal education in exclusive breastfeeding is necessary solution to improve exclusive breastfeeding rate for the first 6 months. Key words: breast milk, exclusive breastfeeding, Hoi An

scholarly journals Intermittent Kangaroo Mother Care and the Practice of Breastfeeding Late Preterm Infants: Results from Four Hospitals in Different Provinces of China

2020 ◽  
Author(s):  
Bo Zhang ◽  
Zhiying Duan ◽  
Yingxi Zhao ◽  
Sarah Williams ◽  
Stephen Wall ◽  
...  
Keyword(s):  
Breast Milk ◽  
Preterm Infants ◽  
Exclusive Breastfeeding ◽  
Kangaroo Mother Care ◽  
Late Preterm ◽  
Feeding Practice ◽  
Late Preterm Infants ◽  
Breastfeeding Rate ◽  
Milk Feeding

Abstract Background China has an extremely low exclusive breastfeeding rate. Kangaroo mother care (KMC) has been shown to increase the exclusive breastfeeding rate among infants born extremely or very preterm. However, there is limited evidence surrounding intermittent KMC and exclusive breastfeeding in late preterm infants. In our study we investigated the association between the provision of intermittent KMC and breastfeeding practice for late preterm infants in four hospitals in different provinces of China. Methods Intermittent KMC was recommended to the mothers of all preterm infants admitted to the postnatal wards of participating hospitals between March 2018 and March 2019. Those who agreed to practice KMC were enrolled in the “KMC group”, those who did not were enrolled in the “No KMC group”. Basic maternal socio-demographic information was collected, feeding practice; outcome and method, were recorded daily whilst in hospital. A follow-up survey of feeding practice was conducted 42 days after discharge. Calculations for feeding practice were performed separately for both groups. Logistics regression was used to analyze the association between KMC and feeding outcome and method, adjusting for socio-demographic covariates. Results Among the 844 mothers participating in the study, 627 (74.3%) chose to perform KMC. More of the mothers who provided KMC were exclusively breast milk feeding their infants in the 24 hours before hospital discharge (54.6%) and at follow-up (57.3%), compared to mothers who did not provide KMC (34.6% at discharge and 33.2% at follow-up,). Mothers in the KMC group were more likely to be breastfeeding (method) than mothers in the No KMC group (65.3% vs. 52.1% at discharge, and 83.1% vs. 67.3% at follow up). Logistic regression indicated that compared with the No KMC group, mothers who provided KMC were twice as likely to be exclusively breast milk feeding their infants at discharge (OR=2.15 (1.53-3.02)), use breastfeeding method at discharge as opposed to other means such as bottle or cup feeding (OR=1.61 (1.15-2.25)), be exclusive breast milk feeding at follow-up (OR=2.55 (1.81-3.61)), and use breastfeeding method at follow-up (OR=2.09 (1.44-3.02)). Conclusions Intermittent KMC was associated with a nearly doubled increase in exclusive breast milk feeding (outcome) and breastfeeding (method) at both discharge and 42 days after discharge for late preterm infants. This is especially important in China where exclusive breastfeeding rates are low, intermittent KMC provides a feasible means to increase the likelihood of these vulnerable infants receiving the benefits of exclusive breastmilk.

scholarly journals Evaluation of the impact of breastfeeding support groups in primary health centres in Andalusia, Spain: a study protocol for a cluster randomized controlled trial (GALMA project)

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Isabel Rodríguez-Gallego ◽  
Fatima Leon-Larios ◽  
Cecilia Ruiz-Ferrón ◽  
Maria-de-las-Mercedes Lomas-Campos
Keyword(s):  
Support Groups ◽  
Exclusive Breastfeeding ◽  
Intervention Group ◽  
World Health ◽  
Control Group ◽  
Breastfeeding Initiation ◽  
Primary Health ◽  
Breastfeeding Rate ◽  
Breastfeeding Rates ◽  
The Impact

Abstract Background In 2003, the World Health Organization recommended exclusive breastfeeding (EB) during the newborn’s first 6 months of life and, if possible, during the first 2 years. However, EB rates resist these recommendations. In developed countries, only 1 out of 3 babies is breastfed during its first 6 months of life, and great differences between areas and countries can be observed. Only 35% of the newborns receive breastfeeding at 3–4 months of age. There are diverse strategies described in the literature that have proven their efficiency in improving breastfeeding rates. It has also been proven that professional support is an effective tool to extend any kind of breastfeeding; besides, it has been observed that mother-to-mother support also increases breastfeeding initiation, sustainment, and exclusive duration. The overall aim of the study is to assess the impact of the support groups on the sustainment of exclusive breastfeeding until 6 months after birth. Methods/design This study is a cluster-random multicentric clinical trial with a control group and an intervention group, without blinding because it is impossible to mask the intervention. A randomization by centres of primary health (clusters) will be carried out. The women allocated to the intervention or control group will be randomized with a simple randomization sampling. The participants’ breastfeeding rate will be followed up at the first 10 days, and at 2, 4, and 6 months of their newborn’s life. Discussion There is a need to assess the impact of mother support groups on exclusive breastfeeding. This study aims to analyse the outcomes related to the support received and to identify what should the structure of these groups be; in other words, to describe factors related to a better breastfeeding experience in order to help women increase breastfeeding rates. Trial registration The trial is prospectively recorded at the ISRCTN registry (Trial ID: ISRCTN17263529). Date recorded: 17/06/2020.

scholarly journals Prevalence of exclusive breastfeeding in Indonesia: a qualitative and quantitative study

2016 ◽  
Vol 55 (6) ◽  
pp. 302
Author(s):  
Elizabeth Yohmi ◽  
Nanis Sacharina Marzuki ◽  
Eveline Nainggolan ◽  
I Gusti Ayu Nyoman Partiwi ◽  
Badriul Hegar Sjarif ◽  
...  
Keyword(s):  
Socioeconomic Status ◽  
Breast Milk ◽  
Urban Area ◽  
Rural Area ◽  
Exclusive Breastfeeding ◽  
Random Sampling ◽  
Urban Areas ◽  
Sampling Design ◽  
Capital City ◽  
Breastfeeding Rate

Background Breast milk is the best and most ideal food for babies because it contains all nutrition needed for their optimal growth and development. Babies who receive breast milk will have strong immune system, good brain development, and closer emotional bonding with their mothers. Considering the importance of breast milk, Indonesian government has been campaigning to endorse exclusive breastfeeding up to six months in the last four years. To date, there is no national data available to evaluate the exclusive breastfeeding program. Therefore, Indonesian Pediatric Society (IDAI) conducted a national survey on breastfeeding to investigate exclusive breastfeeding rate in Indonesia.Objective To find out the prevalence of exclusive breastfeeding in Indonesia.Methods This study included 22 provinces in Indonesia and targeted on mothers with infants aged 0-11 months. For the quantitative portion of the study we used simple random sampling design to get the prevalence from the population. For the qualitative interview data we used a stratified random sampling design to ensure that each infant age group was well represented. Survey location in each province was selected based on defining the capital city to be urban area and its sub-urban areas to be rural. This study was performed between October – November 2010.Results We found that the prevalences of breastfeeding among baby 0-11 months was quite high which were 91%, 86%, and 72% in infants aged 0-3 months, 0-6 months, and 6-11 months, respectively. Interestingly, the prevalence of breastfeeding in urban area was higher than in rural area for infants aged 6-11 months. However, despite the high prevalence of giving breast milk, less than half of mothers gave breast milk exclusively, to babies aged 0-3 months and to those aged 0-6 months. The awareness to exclusively breastfeed was greater for urban mothers than for rural ones in those with infants aged 0-6 months. Mothers with high socioeconomic status had the highest prevalence of exclusive breastfeeding. The prevalence of breastfeeding without formula was still the highest up to 12 months but the role of giving formula was increasing especially in rural area. The prevalence of breast milk introduced as the first milk was around 60%. Java and Sumatra had lower prevalence of breast milk introduced as the first milk compared to Kalimantan and Sulawesi. We also found that mothers started giving solid food from an early age, especially in rural areas. With increasing age, the frequency of giving breast milk declined in both urban and rural areas.Conclusion The overall prevalence of exclusive breastfeeding up to 6 months of age in Indonesia was 49.8%. Maternal unemployment and high family socioeconomic status were associated with longer duration of breastfeeding. 

The Patterns and Social Determinants of Breastfeeding in 12 Selected Regions in China: A Population-Based Cross-Sectional Study

2019 ◽  
Vol 36 (3) ◽  
pp. 436-447
Author(s):  
Zhe Fang ◽  
Yuning Liu ◽  
Hanyu Wang ◽  
Kun Tang
Keyword(s):  
Exclusive Breastfeeding ◽  
Large Scale ◽  
Sampling Technique ◽  
Population Based ◽  
Breastfeeding Initiation ◽  
Cross Sectional Survey ◽  
Annual Household Income ◽  
Cross Sectional ◽  
Breastfeeding Rate ◽  
Determinants Of Breastfeeding

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.

scholarly journals The DIFFERENCES IN NUTRITIONAL STATUS OF INFANTS AGED 4-6 MONTHS WHO WERE EXCLUSIVELY BREASTFED AND THOSE WERE GIVEN NONEXCLUSIVE BREASTFEEDING : LITERATURE REVIEW

2021 ◽  
Vol 7 (1) ◽  
pp. 28-38
Author(s):  
Frisna Dwika Maheni Maheni ◽  
Abdiana ◽  
Rafika Oktova
Keyword(s):  
Breast Milk ◽  
Literature Review ◽  
Nutritional Status ◽  
World Health Organization ◽  
Exclusive Breastfeeding ◽  
Complementary Food ◽  
World Health ◽  
Formula Milk ◽  
Working Mother ◽  
Health Organization

World Health Organization (WHO) recommends that babies remain given exclusive breast milk for the first six months of a baby's life. However, there were some obstacles that cause the mother to be unable to give exclusive breast milk to her baby. By the time the baby becoming 4 to 6 months, the opportunity to provided exclusive breast milk is reduced because of many factor such as working mother can be an obstacle to providing exclusive breast milk. Often for mothers prefer to provide formula milk or complementary food for their babies to make it simply.This literature review aims to determine the differences in nutritional status of infants who were exclusively breastfed and those who were not exclusively breastfed at the age of 4 to 6 months. This literature review is semi-quantitative using the narrative review method. The search for articles accessed from the PubMed, Google Scholar, and Science Direct database found 40 articles that met the criteria. There were differences in the nutritional status of infants who were exclusively breastfed and those who were given non-exclusive breastfeeding. Babies who were exclusively breastfed at the age of 4 to 6 months had a better nutritional status than babies who were given nonexclusive breastfeeding.

scholarly journals Barrier and facilitator on breastfeeding education and promotion: A literature review

2020 ◽  
Vol 9 (4) ◽  
pp. 320
Author(s):  
Lina Handayani ◽  
Maya Kusuma Dewi ◽  
Lafi Munira
Keyword(s):  
Breast Milk ◽  
Exclusive Breastfeeding ◽  
Study Finding ◽  
Well Being ◽  
Economic Benefits ◽  
World Health ◽  
Full Time ◽  
Literature Study ◽  
Breastfeeding Promotion ◽  
Health Organization

Breast milk contains many nutrients according to the needs of the baby for growth and development. Breast milk is very important for the health and well-being of infants. The world health organization recommends exclusive breastfeeding mothers for six months starting from the baby's first life and continuing until the age of two. Breastfeeding can provide economic benefits for the family and community. This study aimed to explore the barrier and facilitator on breastfeeding promotion and education. This study was literature study. This study finding that support from the baby's father is needed as a strong decision exclusively breastfeeding mothers. Pediatricians and midwives have an important role to support in providing exclusive breastfeeding from mothers and infants. Mothers who work full time find it very difficult to care for their babies exclusively. The workplace can be a barrier for mothers to care for and provide exclusive breastfeeding. Breastfeeding competency-based training is needed as a more optimal promotion of exclusive breastfeeding. Promotion of breastfeeding can increase the duration and exclusivity of breastfeeding. Knowledge promotes breastfeeding can increase the chances of successful breastfeeding and improve baby's health. An important role in the successful promotion of breastfeeding is the quality of knowledge and support for exclusive breastfeeding.

scholarly journals HUBUNGAN MOTIVASI, PERSEPSI, DAN PENGETAHUAN IBU PADA MASA KEHAMILAN DAN PEMBERIAN AIR SUSU IBU

2018 ◽  
Vol 2 (1) ◽  
pp. 66-72 ◽  
Author(s):  
Nurhasmadiar Nandini
Keyword(s):  
Pregnant Woman ◽  
Breast Milk ◽  
Exclusive Breastfeeding ◽  
Positive Perception ◽  
Health Ministry ◽  
High Motivation ◽  
Low Coverage ◽  
The Relationship ◽  
The City ◽  
Breastfeeding Practice

In Indonesia, the coverage of infants that get breastfeeding exclusively were still low. In 2013, the average coverage of exclusive breastfeeding in Indonesia was 54,3%. Surabaya, in East Java Province, is one of the city with low coverage of exclusive breastfeeding. The average of babies who got exclusively breastfeeding in Surabaya since 2012 2015 were 63,13%, still below the target of Health Ministry. This research conducted to analyze the relationship between motivation, perception, and knowledge of pregnant women and breastfeeding practice. The respondent of the research was pregnant woman and the study continued until they are giving birth. Sample size was 79 mothers in East Surabaya. Result showed that majority mothers have high motivation to breastfeed, positive perception related to breast milk, low knowledge about breastfeeding, and they already give breastmilk only for their babies during the first week. Conclusion was there was no significant relationship between motivation, perception, and knowledge towards breastfeeding practice. This is caused by there were a lot of factors that influenced directly or indirectly towards mothers decisionand practice to breasfeed or not.

Sign in / Sign up

Export Citation Format

Share Document