scholarly journals Predictors of early initiation of breastfeeding in Indonesia: A population-based cross-sectional survey

PLoS ONE ◽  
2020 ◽  
Vol 15 (9) ◽  
pp. e0239446
Author(s):  
Maria Gayatri ◽  
Gouranga Lal Dasvarma
PLoS ONE ◽  
2021 ◽  
Vol 16 (11) ◽  
pp. e0260347
Author(s):  
Stephen Dajaan Dubik ◽  
Kingsley E. Amegah

Background There is suboptimal early initiation of breastfeeding (EIBF) with widespread prelacteal feeding in Ghana. However, studies exploring the determinants of EIBF and prelacteal feeding are limited in Ghana. The study was conducted to assess the prevalence and determinants of EIBF and prelacteal feeding in Northern Ghana. Methods This cross-sectional study was conducted among 508 mothers with infants aged 0–24 months in the Sagnarigu Municipality of Northern Ghana. The quantitative data were collected using a structured questionnaire adapted from Ghana’s demographic and health survey. Multivariate logistic regression was used to identify the independent determinants of EIBF and prelacteal feeding. Results The prevalence of EIBF and prelacteal feeding was 72% and 21%, respectively. The independent positive determinants of EIBF were partner support to breastfeed [adjusted Odds ratio (AOR): 1.86, 95% Confidence interval (CI): 1.09–3.17] and exposure to breastfeeding information during pregnancy (AOR = 1.63 (95% CI: 1.01–2.64). Lower odds of EIBF were observed among mothers from extended family (AOR = 0.62, 95% CI: 0.41–0.95). Regarding prelacteal feeding, negative determinants were having a normal weight baby (AOR: 0.50, 95% CI: 0.27–0.90), exposure to breastfeeding information during pregnancy (AOR: 0.54, 95% CI: 0.31–0.92), while experiencing delayed onset of lactation was a risk factor for prelacteal feeding practice (AOR: 2.35, 95% CI: 1.41–3.94). Conclusion In this study, EIBF was slightly higher than the 2030 global target on EIBF with widespread prelacteal feeding practice. Health programs aimed at improving EIBF should focus on the women partners, nutrition counselling, and support to mothers from the extended family. In the same vein, programs aimed at discouraging prelacteal feeding practice should also target women at risk, such as those with low birthweight babies and women experiencing delayed lactation onset.


Author(s):  
Luh Sudemi ◽  
K. Tresna Adhi ◽  
Dyah Pradnyaparamita Duarsa

Background and purpose: Infant Mortality Rate (IMR) in Bali and also in Indonesia is still high while the proportion of exclusive breastfeeding fully for six months is still very low. One effort to improve exclusive breastfeeding is the early initiation of breastfeeding (EIB) i.e. breastfeeding to infants shortly after birth. This study was conducted to determine the implementation of EIB by midwives and the factors that influence it.Methods: The study design was cross-sectional survey among 61 private practice midwives as respondents in Badung Regency. The respondents were all private practice midwives in three regencies purposively selected from six districts in Badung Regency. The data were collected through questionnaires filled out by midwives and analyzed by bivariate with chi-square test and multivariate using poisson regression method.Results: The IMD was implemented by 62.3% of the respondents. In the group of midwives having >4 patients per month significantly implemented the IMD more compared with those having ?4 patients per month i.e. 83.3% and 57.1% respectively (p=0.008). The implementation of IMD had a significant difference among midwives with higher knowledge i.e. 84.6% and 45.7% respectively (p=0.002), midwives having positive attitude were 79.1% vs. 22.2% (p=<0.001) and those having received supervision, namely 77.5% vs. 33.3% (p=0.001). Multivariate analysis showed that factors associated with implementation of IMD was knowledge with APR=1.5 (95%CI: 1.04-2.1) and attitude with APR=2.7 (95%CI: 1.1-6.3).Conclusion: Knowledge and attitude had a significant relationship to the implementation of IMD by midwives.


2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Vasanthakumar Namasivayam ◽  
Bidyadhar Dehury ◽  
Ravi Prakash ◽  
Marissa Becker ◽  
Lisa Avery ◽  
...  

Abstract Background Timely initiation of breastfeeding, also known as early initiation of breastfeeding, is a well-recognized life-saving intervention to reduce neonatal mortality. However, only one quarter of newborns in Uttar Pradesh, India were breastfed in the first hour of life. This paper aims to understand the association of community-based prenatal counselling and postnatal support at place of delivery with early initiation of breastfeeding in Uttar Pradesh, India. Methods Data from a cross-sectional survey of 9124 eligible women (who had a live birth in 59 days preceding the survey) conducted in 25 districts of Uttar Pradesh, India, in 2018, were used. Simple random sampling was used to randomly select 40 Community Development Blocks (sub district administrative units) in 25 districts. The Primary Sampling Units (PSUs), health service delivery unit for frontline workers, were selected randomly from a linelisting of PSUs in each selected Community Development Block. Bivariate and multivariate logistic regression analyses were performed to assess the association of prenatal counselling and postnatal support on early initiation of breastfeeding in public, private and home deliveries. Results Overall 48.1% of mothers initiated breastfeeding within an hour, with major variation by place of delivery (61.2% public, 23.6% private and 32.6% home). The adjusted odds ratio (aOR) of early initiation of breastfeeding was highest among mothers who received both counselling and support (aOR 2.67; 95% CI 2.30, 3.11), followed by those who received only support (aOR 1.99; 95% CI 1.73, 2.28), and only counselling (aOR 1.40; 95% CI 1.18, 1.67) compared to mothers who received none. The odds of early initiation of breastfeeding was highest among mothers who received both prenatal counselling and postnatal support irrespective of delivery at public health facilities (aOR 2.49; 95% CI 2.07, 3.01), private health facilities (aOR 3.50; 95% CI 2.25, 5.44), or home (aOR 2.84; 95% CI 2.02, 3.98). Conclusions A significant association of prenatal counselling and postnatal support immediately after birth on improving early initiation of breastfeeding, irrespective of place of delivery, indicates the importance of enhancing coverage of both the interventions through community and facility-based programs in Uttar Pradesh.


e-NERS ◽  
2013 ◽  
Vol 1 (1) ◽  
Author(s):  
Fransisca M.A. Wowiling ◽  
Benny Wantouw ◽  
Julia Rottie

Abstract: Early Initiation of Breastfeeding is the baby starts to suckle his own soon after birth, as long as the skin is left in contact with his mother, at least 1 hour after birth. How to initiate early breastfeeding baby was named after the breast crawl or crawl seek his own breast. This study aims to gain an overview of the relationship between knowledge and attitude of mothers VK (maternity) Prof Dr Irina D BLU. R.D. Kandou Manado. Design of this study used cross sectional method where the entire population is a normal post partum mothers in space VK (Maternity) Prof Dr Irina D BLU. R.D. Kandou Manado with a sample size of 30 responden. Data responde collected using questionnaires and observation sheets then the data presented preformance cross tabulation tables and chi square test with a significance level of 0.05. Based on the results of the study showed that of the chi square test results obtained ρ value ​> 0.05. It states that there is no correlation between knowledge and attitude with the implementation of early breastfeeding initiation (IMD) in mothers post partum in space VK (maternity) Prof. Dr Irina D BLU R.D. Kandou Manado. Keywords: Knowledge and Attitude Post Partum Mom, Implementation of Early Initiation of Breastfeeding (IMD).     Abstrak: Inisiasi Menyusu Dini adalah bayi mulai menyusu sendiri segera setelah lahir, asalkan dibiarkan kontak dengan kulit ibunya, setidaknya 1 jam setelah lahir. Cara bayi melakukan inisiasi menyusu dini ini dinamakan the breast crawl atau merangkak mencari payudara sendiri. Penelitian ini bertujuan memperoleh gambaran mengenai hubungan pengetahuan dan sikap ibu post partum dengan pelaksanaan inisiasi menyusu dini (IMD) di Ruang VK (bersalin) Irina D BLU RSUP Prof. R.D. Kandou Manado. Desain penelitian ini menggunakan metode cross sectional dimana populasinya adalah keseluruhan ibu post partum secara normal di Ruang VK (Bersalin) Irina D BLU RSUP Prof. R.D. Kandou Manado dengan besar sampel 30 responden.Data dikumpulkan dari responde dengan menggunakan lembar kuisioner dan observasi kemudian data disajikan dalm tabel tabulasi silang dan uji chi square dengan derajat kemaknaan 0,05. Berdasarkan hasil penelitian menunjukkan bahwa dari hasil uji chi square didapatkan nilai ρ > 0,05. Ini menyatakan bahwa tidak ada hubungan pengetahuan dan sikap dengan pelaksanaan inisiasi menyusu dini (IMD) pada ibu post partum di Ruang VK (bersalin) Irina D BLU RSUP Prof.Dr. R.D. Kandou Manado. Kata kunci: PengetahuandanSikapIbuPost Partum, Pelaksanaan Inisiasi Menyusu Dini (IMD).


Author(s):  
Siti Choirul Dwi Astuti

Early initiation of breastfeeding is still difficult to implement because the mother's knowledge about early initiation of breastfeeding is still lacking. Whereas one of the factors that determine the mother's attitude towards early initiation of breastfeeding is because the mother has information about early initiation of breastfeeding. For this reason, the purpose of this study is the influence of knowledge on the mother's attitude to initiate early breastfeeding. The population in this study were all third-trimester pregnant women who visited the RB where the study was conducted and the sample was determined using simple random sampling. This research includes analytical research with a cross-sectional approach. The method used for data analysis using Chi-Square. The questionnaire is used as a tool that has been tested for validity and reliability. The results of this study, the majority of respondents have the characteristics of healthy reproductive age, secondary education and good knowledge have a positive attitude towards early initiation of breastfeeding. This study concludes that there is a relationship between age, education, and knowledge of mothers' attitudes in the early initiation of breastfeeding.


2019 ◽  
Vol 39 (3) ◽  
pp. 168-173
Author(s):  
Sharada Acharya ◽  
Chitra Khanal ◽  
Akriti Shree Dahal ◽  
Mankeshari Maharjan ◽  
Bhagawati Bhandari

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.


Author(s):  
Bekalu Getnet ◽  
Alemu Degu ◽  
Fantahun Yenealem

Abstract Background Early initiation of breastfeeding is putting the newborn to breast within one hour after birth. This study was aimed to assess prevalence of early initiation of breastfeeding and its associated factors among mothers who delivered by cesarean section in South Gondar Zone hospitals Northwest Ethiopia, 2020. Methods An institutional based cross-sectional study was employed in South Gondar Zone hospitals from June 12 to July 03, 2020. A total of 356 cesarean delivered mothers were included. Data were collected using interviewer administered questionnaire and entered in to Epi Data version 4.2 and then exported to SPSS version 23.0. Logistic regression statistical analyses were used to identify factors associated with the outcome variables. Results The prevalence of early initiation of breastfeeding among mothers who delivered by cesarean section was 51.9%. Mothers who had intended pregnancy [AOR = 2.69, 95% CI (1.34–5.38)], had professional guidance [AOR = 2.68, 95% CI (1.18–6.10)], had breastfeeding experience [AOR = 2.25, 95% CI (1.35–3.75)], and had four and above antenatal care visits [AOR = 2.20, 95% CI (1.24–3.91)] were positively associated with early initiation of breastfeeding among mothers who delivered by cesarean section. Conclusion Type of pregnancy, professional guidance, had four or more antenatal care and breastfeeding experience were significantly associated with early initiation of breast feeding among mothers who delivered by cesarean section. Community based breastfeeding education and counseling to pregnant mothers and encouraging all mothers to follow recommended ANC visit is should be recommended.


2020 ◽  
Vol 7 (10) ◽  
pp. 2021
Author(s):  
Ketan Gadhavi ◽  
Ruta Deo

Background: Breastfeeding is the best meal for a new born child. Various initiatives are in place for early initiation of breastfeeding. The effectiveness of these interventions is put to question when a large number of neonates fail to receive breast milk soon after birth. This study analyses the parameters likely to affect the time of onset of breastfeeding and evaluate the scope for interventions. It is important to assess the factors affecting initiation of breastfeeding, determine the relationship of these factors with the time of initiation and to analyse if counselling by health care workers has any benefit on outcome.Methods: This is a hospital based cross sectional observational study in 200 lactating mothers from a pre-designed questionnaire. Main outcome measure- early onset (<1 hour of birth) of breastfeeding.Results: Only 55% neonates included in this study were breastfed within the first 30 minutes. Positive influence for early initiation of breastfeeding was found with non primi mothers aged more than 26 years, with secondary or higher education, who had vaginal birth with institutional delivery. Early oral intake of mother with professional women living in joint family started early breastfeeding. Use of pre lacteal feeds delayed the onset of breastfeeding. Infants fed earlier were males, weight >2.2 kg. Women counselled by health care workers fed their babies earlier.  Conclusions: This study surmises that pre lacteal feeds should be discouraged and active health care workers’ participation should be encouraged for early breastfeeding. Breastfeeding should be initiated as soon as possible for healthy neonatal outcome.


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