scholarly journals Factors associated with exclusive breastfeeding practice among mothers in nine community health centres in Nanning city, China: a cross-sectional study

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Jia Li ◽  
Chen Zhao ◽  
Yan Wang ◽  
Yin P. Wang ◽  
Chun Y. Chen ◽  
...  
Keyword(s):  
Exclusive Breastfeeding ◽  
Self Efficacy ◽  
Premature Birth ◽  
Early Initiation ◽  
Cross Sectional ◽  
Community Health Centres ◽  
Factors Associated ◽  
Early Initiation Of Breastfeeding ◽  
Breastfeeding Practice ◽  
Initiation Of Breastfeeding

Abstract Background The prevalence of exclusive breastfeeding (EBF) is suboptimal in China. There is limited evidence of effective interventions to increase EBF in China. Therefore, it is urgent to explore the potential factors that may be effective in promoting exclusive breastfeeding. Previous studies have mainly focused on socio-demographic factors and the Han ethnic group. This study explores more modifiable influencing factors of EBF in the Guangxi Zhuang Autonomous Region of China. Methods The cross-sectional data used in this study were collected to provide baseline information on EBF prevalence for a breastfeeding promotion project. A total of 494 mothers of infants aged 0–5 months were recruited from nine community health centres in Nanning, China, in October 2019. Data were collected through face-to-face interviews using structured questionnaires. Infant feeding was measured by 24-h recall. The Chinese version of the Breastfeeding Self-Efficacy Scale–Short Form was used to examine the maternal breastfeeding self-efficacy. Univariate and multivariate logistic regressions were used to examine the factors associated with EBF practices. Results In the present study, the prevalence of exclusive breastfeeding was 37.0%. Higher breastfeeding self-efficacy scores (adjusted odds ratio [AOR] 1.93; 95% confidence interval [CI] 1.25, 2.98), a college degree or above (AOR 2.15; 95% CI 1.24, 3.71), and early initiation of breastfeeding (AOR 2.06; 95% CI 1.29, 3.29) were positively associated with EBF practice. However, the preparation for infant formula before childbirth (AOR 0.30; 95% CI 0.17, 0.52) and premature birth (AOR 0.30; 95% CI 0.10, 0.87) were negatively associated with EBF practice. Conclusions Exclusive breastfeeding practice was suboptimal and associated with various factors in the study area. The prevalence of EBF was positively associated with higher breastfeeding self-efficacy, education level of mothers, and early initiation of breastfeeding, whereas premature birth and preparation for infant formula before childbirth were barriers to exclusive breastfeeding. Future intervention projects should target mothers with premature babies, lower levels of education, and breastfeeding self-efficacy. Breastfeeding-friendly practices, such as the early initiation of breastfeeding and regulations on breastmilk substitutes, should also be encouraged.

scholarly journals The Determinants of Early Initiation of Breastfeeding Practice among Mothers Attending a Tertiary Hospital, Kathmandu

2019 ◽  
Vol 39 (3) ◽  
pp. 168-173
Author(s):  
Sharada Acharya ◽  
Chitra Khanal ◽  
Akriti Shree Dahal ◽  
Mankeshari Maharjan ◽  
Bhagawati Bhandari
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Tertiary Care ◽  
Early Initiation ◽  
Multivariate Logistic Regression Model ◽  
Cross Sectional ◽  
Early Initiation Of Breastfeeding ◽  
Low Birth Weight Babies ◽  
Breastfeeding Practice ◽  
Initiation Of Breastfeeding

Introduction: Breastfeeding is the best way of providing ideal food for the optimal growth and development of an infant. Early initiation of breastfeeding (EIBF) within one hour of birth is one of the cost effective strategies to reduce neonatal mortality. The aim of the study was to find out the determinants of breastfeeding practice. Methods: This was a descriptive cross-sectional study conducted among 207 mothers who have child from birth to 12 months in Maternal and Child Health (MCH) Clinic of tertiary care referral hospital. The mothers for the study were selected using probability sampling technique. Variables were analysed using a multivariate logistic regression model to identify the determinants of EIBF. Results: The prevalence of EIBF in the study population was 47.3%. Caesarean delivery (AOR: 3.449, CI: 1.224-9.719, p = 0.019), mothers who have done more than one postnatal visit (AOR: 2.824, CI: 1.126-7.079, p = 0.027) and low birth weight babies (AOR: 7.973, CI: 1.571-40.465, p = 0.027) were more likely to delay initiation of breastfeeding. Conclusions: Less than half newborn receive breast milk within the first hour of birth. Mothers delivered by caesarean section, who have done more than two postnatal visit and low birth weight babies were more likely to delay initiation of breastfeeding. These are the major determinants of initiation of breastfeeding. Existing breastfeeding promotion program should be strengthened within the existing health care system.

scholarly journals Determinants of Early Initiation of Breastfeeding among Mothers of Children Aged Less Than 24 Months in Northwestern Romania

Nutrients ◽  
2019 ◽  
Vol 11 (12) ◽  
pp. 2988 ◽  
Author(s):  
Anamaria Cozma-Petruţ ◽  
Ioana Badiu-Tişa ◽  
Oana Stanciu ◽  
Lorena Filip ◽  
Roxana Banc ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Early Initiation ◽  
Cross Sectional ◽  
Face To Face ◽  
Factors Associated ◽  
Early Initiation Of Breastfeeding ◽  
Skin Contact ◽  
Modifiable Factors ◽  
Northwestern Region ◽  
Initiation Of Breastfeeding

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.

scholarly journals Early initiation of breastfeeding practice and associated factors among mothers of children aged less than six months of old in Mizan-Aman town, southwest Ethiopia, 2018

2020 ◽  
Author(s):  
Tesfa Birlew ◽  
Muluken Amare
Keyword(s):  
Breast Feeding ◽  
Associated Factors ◽  
Early Initiation ◽  
P Value ◽  
Multivariable Logistic Regression Analysis ◽  
Cross Sectional ◽  
Timely Initiation ◽  
Early Initiation Of Breastfeeding ◽  
Breastfeeding Practice ◽  
Initiation Of Breastfeeding

Abstract BackgroundEthiopian government implemented baby-friendly hospital initiative and community integrated management of childhood illnesses program. Despite early initiation of breastfeeding taken as a key tool for tackling neonatal mortality, EIBF is still low and most of the neonatal mortalities were existed due to delayed initiation of breastfeeding in Ethiopia in general and the practice is not well documented in South West Ethiopia in particular. Therefore, this study aimed to assess early initiation of breastfeeding practice and associated factors among mothers of children aged less than six months of old in Mizan-Aman town, southwest Ethiopia.MethodsA community-based cross-sectional study was employed from April 15 to May 15, 2018. A total of 487 recently delivered mothers were included. The data was collected through face to face interview by using a pre-tested and structured questionnaire. Binary and multivariable logistic regression analysis were employed and p-value < 0.05 was identified as statistically significant factors, and the quality of the data were assured, checked, coded, cleaned and entered in Epi-Info version 3.5.3 and exported to SPSS version 25 for the analysis. ResultThe prevalence of timely initiation of breast feeding was 296(64.50%) in Mizan- Aman Town. Mothers who had < 24 months birth spacing history 1.85(AOR: 95% CI: 1.22, 2.81), mothers’ income level between 1001-1500 Ethiopian Birr 2.21 (AOR: 95% CI: 1.12, 4.37), Primipara mothers 2.00 (AOR: 95% CI: 1.24, 3.23) and home delivery 2.76(AOR: 95% CI: 1.24, 6.14) were important positive predictors for timely initiation of breast feeding. Furthermore, Government employee and merchant mother by occupation was found to be protective factors.Conclusion and recommendationThe practice of early initiation of breast feeding was suboptimal and still below the national average. Intervention at the community and facility level should paid special attention.

scholarly journals Effect of Early Initiation on Exclusive Breastfeeding in Blindungan Village Blindungan District Bondowoso

2021 ◽  
Vol 2 (1) ◽  
pp. 23-27
Author(s):  
Susilowati Susilowati ◽  
Damon Wicaksi
Keyword(s):  
Exclusive Breastfeeding ◽  
Research Method ◽  
Early Initiation ◽  
Variable Result ◽  
Formula Milk ◽  
Cross Sectional ◽  
Independent Variables ◽  
Early Initiation Of Breastfeeding ◽  
Initiation Of Breastfeeding

Introduction: Mothers who do not provide exclusive and customary breastfeeding to their babies are influenced by several factors such as insufficient breast milk so that the babies often fuss and cry. Exclusive breastfeeding constraints are also due to the provision of food and drinks to the baby before breastfeeding, such as honey and formula milk, and the distrust of mothers in breastfeeding the baby. Method: The research method used is observational analytic with cross sectional approach to see the effect of independent variables on the dependent variable. Result: The results of this study were 69 respondents who did Early Initiation of Breastfeeding (IMD), 23 respondents (33.3%) succeeded in giving exclusive breastfeeding, and 18 respondents (26.1%) were unable to provide exclusive breastfeeding. Mothers who did not perform IMD and were able to provide exclusive breastfeeding were 6 respondents (8.7%) and 22 respondents (31.9%) were unable to exclusively breastfeed. This shows that IMD can increase exclusive breastfeeding, while mothers who do not do IMD are at risk of not being able to provide exclusive breastfeeding. Conclusion: From the results of this study, it is necessary to increase health education about improving the quality of mothers in carrying out IMD and exclusive breastfeeding.

scholarly journals Associated factors of early initiation of breastfeeding among mothers in Rajshahi district, Bangladesh: A cross-sectional study

2021 ◽  
Author(s):  
Ummay Ayesha ◽  
Abu Sayed Md. Al M ◽  
Md. Nurul Islam ◽  
Md. Ripter Hossain ◽  
Samme Amena Tasmia ◽  
...  
Keyword(s):  
Associated Factors ◽  
Cross Sectional Study ◽  
Immune Defense ◽  
Early Initiation ◽  
Binary Logistic Regression Model ◽  
Cross Sectional ◽  
Factors Associated ◽  
Early Initiation Of Breastfeeding ◽  
Modifiable Factors ◽  
Initiation Of Breastfeeding

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.

scholarly journals Prevalence of and factors associated with early initiation of breastfeeding among women with children aged < 24 months in Kilimanjaro region, northern Tanzania: a community-based cross-sectional study

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Farida Ali ◽  
Melina Mgongo ◽  
Redempta Mamseri ◽  
Johnston M. George ◽  
Innocent B. Mboya ◽  
...  
Keyword(s):  
Healthcare Providers ◽  
Early Initiation ◽  
Prelacteal Feeding ◽  
Cross Sectional ◽  
Timely Initiation ◽  
Factors Associated ◽  
Early Initiation Of Breastfeeding ◽  
Northern Tanzania ◽  
Kilimanjaro Region ◽  
Initiation Of Breastfeeding

Abstract Background Early initiation of breastfeeding offers nutritional and immunological benefits to the newborn, which is critical for health and survival. Understanding factors associated with timely initiation of breastfeeding is crucial for healthcare providers and policy-makers. This study aimed to assess the prevalence and factors associated with early initiation of breastfeeding among mothers with children < 24 months of age in the Kilimanjaro region, Northern Tanzania. Methods This study utilized secondary data from a cross-sectional survey conducted in April 2016 and April 2017 in the Kilimanjaro region. A multistage sampling technique was used to select study participants and interviewed using a questionnaire. A total of 1644 women with children aged < 24 months were analyzed. Modified Poisson regression models were used to determine factors independently associated with early initiation of breastfeeding, within first hour of life. Results The prevalence of early initiation of breastfeeding in the Kilimanjaro region was 70%, ranging from 64% in Same to 80% in Siha districts. The prevalence of early initiation of breastfeeding was lower among women who initiated prelacteal feeding compared to their counterparts (prevalence ratio [PR] 0.42; 95% Confidence Interval [CI] 0.34, 0.53). Likewise, women living in Same and Hai district had lower prevalence of early initiation of breastfeeding compared to women in Rombo (PR 0.8; 95% CI 0.76, 0.93) and (PR 0.89, 95% CI 0.80, 0.98) respectively. Higher prevalence of early initiation of breastfeeding was found in women with primary education compared to those with secondary education (PR 1.09; 95% CI 1.003, 1.18), and among women with two children compared to one child (PR 1.14, 95% CI 1.03, 1.26). Conclusions Early initiation of breastfeeding practice was suboptimal in this study. To improve early initiation of breastfeeding, healthcare providers at reproductive and child health clinics and labour wards should discourage women from prelacteal feeding, give more support to women with one child and those with secondary level of education and above. Furthermore, a qualitative study is crucial to understand the reasons for low prevalence of early initiation of breastfeeding in Same and Hai districts.

scholarly journals Disparity in knowledge, attitude and practice among mothers of children under three years of age about early initiation of breastfeeding, exclusive breastfeeding and continued breastfeeding in Alwar district, Rajasthan, India

2020 ◽  
Vol 6 (4) ◽  
pp. 146
Author(s):  
Harish Chand ◽  
Mansi Chopra ◽  
Jyoti Sharma
Keyword(s):  
Exclusive Breastfeeding ◽  
Positive Attitude ◽  
Cross Sectional Study ◽  
Early Initiation ◽  
Categorical Variables ◽  
Cross Sectional ◽  
Early Initiation Of Breastfeeding ◽  
Attitude And Practice ◽  
Knowledge Attitude And Practice ◽  
Initiation Of Breastfeeding

<p class="abstract"><strong>Background:</strong> Considering the poor practices of optimal breastfeeding, a cross-sectional study with the objective to ascertain the disparity in knowledge, attitude and practice (KAP) pertaining to early initiation, exclusive and continued breastfeeding behaviours was conducted among the mothers of children below 3 years of age.</p><p class="abstract"><strong>Methods:</strong> 400 mothers of children ≤6 months from 52 villages of Rajasthan were included in the analysis for EBF. The data collection was analysed using statistical software SPSS version 23.0. All characteristics were summarized descriptively. Chi-square (χ2) test was performed to study the association between two categorical variables. Three points liket scale was administered to assess the attitude of mothers.  </p><p class="abstract"><strong>Results:</strong> 72.8 % mothers initiated early breastfeeding, 22.5% continued breastfeeding, and exclusively breastfeeding was practiced by none. 34.3% mothers had knowledge on early initiation of breastfeeding, 34.6% on exclusive breastfeeding and 65.5% had knowledge on continued breastfeeding. 73.8% mothers had positive attitude towards early initiation of breastfeeding, 13.5 % on exclusive breastfeeding and 79.5% had positive attitude towards continued breastfeeding up to 2 years.</p><p class="abstract"><strong>Conclusions:</strong> Though the attitude and knowledge on breastfeeding is good yet exclusive breastfeeding practice was observed very poor. These findings indicate that despite of having good knowledge and a positive attitude towards breastfeeding, there are certain myths and social determinants which hinder optimal breastfeeding. Identification of such barriers will be extremely useful, since counselling and behaviour change strategies will focus and address them, resulting in the practice of good behaviours.</p>

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