Colostrum avoidance practice and associated factors among mothers of children aged less than six months in Bure District, Amhara Region, North West, Ethiopia: A community-based cross-sectional study

Introduction The World Health Organization and the United Nations International Children’s Emergency Fund jointly recommend colostrum feeding immediately following delivery of the newborn. Colostrum avoidance is the practice of discarding colostrum at least once within the first three days after delivery of the newborn. Colostrum contains antibodies that protect the newborn against disease. Despite this fact, many Ethiopian mothers see colostrum feeding as a cause of neonatal morbidity and mortality, and they believe colostrum should be discarded to alleviate its effects. However, the cause of this misconception about colostrum is not well researched in Ethiopia, particularly in the study area. Objective To assess the prevalence of colostrum avoidance and associated factors among mothers of children aged less than six months in Bure district, Amhara Region, North West, Ethiopia. Methods A community-based cross-sectional study was conducted from March 1st to 30th, 2019 in Bure district. Structured questionnaires and face to face interviews were used to collect data from 621 study participants. Multistage sampling technique was used to select study participants. Data were entered into Epi Data version 4.2.0 and then exported to Statistical Package for the Social Sciences version 23. Bivariate and multivariate logistic regression analyses were performed to identify predictors of colostrum avoidance practice. Results Six hundred twenty-one (621) mothers of children aged less than six months participated. The prevalence of colostrum avoidance was 14.5% (95%CI; 11.5–17.4). The multivariate analysis indicated that home delivery [AOR = 3.350, (95%CI; 2.517–14.847)], giving birth through cesarean section [AOR = 3.368, (95%CI; 1.339–8.471)], no participation in an antenatal care group [AOR = 1.889, (95%CI; 1.144–3.533)], poor knowledge of mothers about colostrum [AOR = 3.44, (95%CI; 2.45–4.977)], and poor attitude of mothers towards colostrum [AOR = 3.053, (95%CI; 1.157–8.054)] were important predictors of colostrum avoidance practice. Conclusion and recommendations Home delivery, giving birth through cesarean section, no participation in an antenatal care group, poor knowledge of mothers about colostrum, and poor attitude of mothers towards colostrum were significantly associated with colostrum avoidance practice. Therefore, health care workers in the district should promote institutional delivery, reduce the magnitude of cesarean section, encourage pregnant mothers to participate in an antenatal care group, and enhance maternal awareness about the merits of colostrum feeding. Moreover, health educations for mothers to have a positive attitude towards colostrum are important recommendations to be taken to prevent the further practice of colostrum avoidance.

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Knowledge, and Practice of Mothers and Its Associated Factors on Colostrum Feeding of Neonates at Este (Mekane-eyesus), South Gondar Amhara, North West, Ethiopia: Community Based Cross-sectional Study 2020

10.21203/rs.3.rs-546518/v1 ◽

2021 ◽

Author(s):

Gashaw Mehiret Wubet ◽

Libsuye Yalgaw Zemamu ◽

Gashaw Mekete Adan ◽

Bisrat Desie Getu

Keyword(s):

Sampling Technique ◽

Cross Sectional Study ◽

Community Based ◽

Cross Sectional ◽

North West ◽

North West Ethiopia ◽

Colostrum Feeding ◽

Knowledge And Practice ◽

Study Participants ◽

South Gondar

Abstract Introduction - Feeding of human breast milk, especially colostrum, is the normative standards for infants and regarded as a complete form of nutrition. The positive health benefits of breastfeeding/breast milk feeding as part of caring for premature, sick and vulnerable newborns are well documented in the scientific literature.Objective -To assess the knowledge and practice of mothers and its contributing factors on colostrum feeding of newborn at Este (Mekane Eyesus), south Gondar Amhara ,north west, ethiopia,2020Method – community-based cross sectional study design was conducted among 376 mothers, from March 10/2020 to May 2020. The study participants were selected by multistage sampling technique after selecting 02 urban and 03 rural kebeles by simple random sampling technique. Each participant was also selected from household after determining and proportionately allocating of samples in each selected kebeles. During selection of participants, house to house visit was made. To select the study participants from each household, Kth interval was determined for each proportionally allocated 3rural and 02 urban kebeles. Multivariable binary logistic regression model was fitted and adjusted odds ratios with 95% confidence interval were computed to determine the strength of association between each variable with milk teeth extraction. Variables with P-value < 0.05 was considered as statistically significant.Result - knowledge of mothers about colostrum feeding was 86.4 % [95% CI: ( 83.0-89.6)] whereas the overall practice of mothers about colostrum feeding was found to be 98.4% [95%, CI :( 96.8-99.5)]. counseling about colostrum feeding [AOR: 31.1(10.35, 93.2] were significantly associated with knowledge of mothers about colostrum feeding. Regarding to practice of mothers on colostrum feeding mothers’ the place of delivery at home [AOR: 20.00(2.30, 173.8] was significantly associated with practice of mothers about colostrum feeding.Conclusion - Discarding of colostrum (first milk) is still common in Este (Mekane Eyesus) and the surrounding rural kebeles. The current knowledge and practice level of colostrum feeding among mothers was 96.4% and 98.4% respectively and which was considered being high when compared the study conducted in Northern Ethiopia and post-natal educations in health institutions.

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Home delivery among antenatal care booked women in their last pregnancy and associated factors: community-based cross sectional study in Debremarkos town, North West Ethiopia, January 2016

BMC Pregnancy and Childbirth ◽

10.1186/s12884-017-1409-2 ◽

2017 ◽

Vol 17 (1) ◽

Cited By ~ 10

Author(s):

Habtamu Kebebe Kasaye ◽

Zerfu Mulaw Endale ◽

Temesgen Worku Gudayu ◽

Melese Siyoum Desta

Keyword(s):

Antenatal Care ◽

Associated Factors ◽

Cross Sectional Study ◽

Home Delivery ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

North West ◽

North West Ethiopia

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Prevalence of asymptomatic Plasmodium species infection and associated factors among pregnant women attending antenatal care at Fendeka town health facilities, Jawi District, North west Ethiopia: A cross-sectional study

PLoS ONE ◽

10.1371/journal.pone.0231477 ◽

2020 ◽

Vol 15 (4) ◽

pp. e0231477

Author(s):

Adane Tilahun ◽

Mulat Yimer ◽

Woynshet Gelaye ◽

Banchamlak Tegegne

Keyword(s):

Antenatal Care ◽

Pregnant Women ◽

Associated Factors ◽

Plasmodium Species ◽

Cross Sectional Study ◽

Health Facilities ◽

Sectional Study ◽

Cross Sectional ◽

North West ◽

North West Ethiopia

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Inadequate Prenatal Visit and Home Delivery as Determinants of Perinatal Outcomes: Does Parity Matter?

Journal of Pregnancy ◽

10.1155/2019/9024258 ◽

2019 ◽

Vol 2019 ◽

pp. 1-9 ◽

Cited By ~ 1

Author(s):

Nigus Bililign Yimer ◽

Zelalem Tenaw ◽

Kalkidan Solomon ◽

Tesfahun Mulatu

Keyword(s):

Antenatal Care ◽

Computer Software ◽

Perinatal Outcomes ◽

Cross Sectional Study ◽

Home Delivery ◽

Cross Sectional ◽

Significant Difference ◽

Multiparous Women ◽

Adverse Perinatal Outcomes ◽

Study Participants

Background. Adverse perinatal outcomes are still high in developing countries. Contradicting evidences were reported about the effect of parity on adverse perinatal outcomes. The aim of this study was to compare perinatal outcomes in grand multiparous and low multiparity women in Hawassa University Comprehensive Specialized Hospital and Adare General Hospital of Ethiopia. Methods. Comparative cross-sectional study design was employed to include 461 mothers from February to June 2018. Data were collected by structured questionnaire using interview and from patient charts. Data were entered using EPI-DATA version 4.4.2.0. Descriptive statistics and logistic regression analyses were computed using STATA version 14 computer software. Results. Of all study participants, 24.9% (95% Confidence interval: 21.1%-29.1%) had at least one adverse perinatal outcome. Stillbirth (38.9), low Apgar score (51.9%), and congenital malformation (3.70%) were frequently occurred complications in grand multiparas compared to low multiparous women. Nevertheless, meconium aspiration, need for resuscitation, and macrosomia were higher in low multiparous women (9.84%, 14.75%, and 57.38%, respectively). Less than four prenatal visits (AOR: 1.74; 95% CI: 1.04, 2.92) and previous home delivery (AOR: 1.87; 95% CI: 1.04, 3.33) were independent predictors of adverse perinatal outcomes. However, parity did not show statistically significant difference in perinatal outcomes. Conclusion. This finding underscores the fact that frequency of antenatal care and place of delivery are significant predictors of perinatal outcomes. However, parity did not show statistically significant difference in perinatal outcomes. Women empowerment, promoting health facility delivery, and early, comprehensive antenatal care are needed.

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