scholarly journals Exclusive Breastfeeding Practice and Associated Maternal Socio-Demographic Factors among Mothers Attending Imo State Specialist Hospital, Owerri, South-Eastern Nigeria

Author(s):  
CI Casmir Ebirim
Medicina ◽  
2021 ◽  
Vol 57 (2) ◽  
pp. 103
Author(s):  
Roberta Magnano San Lio ◽  
Andrea Maugeri ◽  
Maria Clara La Rosa ◽  
Antonio Cianci ◽  
Marco Panella ◽  
...  

Background and objectives: The World Health Organization (WHO) recommends women (1) to initiate breastfeeding within one hour of birth; (2) to exclusively breastfeed for the first six months; and (3) to continue breastfeeding until two years of age. However, women do not always adhere to these recommendations, threatening the health of their children. The present study aims to evaluate breastfeeding status and the main maternal factors associated with exclusive breastfeeding for six months among women from the “Mamma & Bambino” study, a prospective cohort settled in Catania, Italy. Materials and Methods: We used data from 220 women (median age = 37 years) enrolled in the “Mamma & Bambino” cohort during prenatal obstetric counselling. Self-reported breastfeeding status was collected during the follow-up interviews at 1 and 2 years, referring to breastfeeding status (i.e., yes or no) and type of breastfeeding (i.e., exclusive or predominant). We also collected data about duration of breastfeeding to classify women into those who adhered to the WHO recommendation and those who did not. Results: In the general population, we noted that the proportion of women who have breastfed increased with increasing educational level. Accordingly, logistic regression analysis demonstrated that medium (OR = 3.171; 95% CI = 1.285–7.822; p = 0.012) and high educational levels (OR = 4.549; 95% CI = 1.525–13.570; p = 0.007) were positively associated with breastfeeding if compared to low educational level. Among women who have breastfed, instead, the proportion of adherents to the WHO recommendation was higher among those with medium–high educational level and those who were employed. In line with this, we demonstrated that full-time employment (OR = 2.158; 95% CI = 1.033–4.508; p = 0.041) and medium educational level (OR = 4.632; 95% CI = 1.227–17.484; p = 0.024) were positively associated with exclusive breastfeeding for the first six months. Conclusions: Socio-demographic factors should be taken into account through public health strategies for improving maternal knowledge about health benefits of exclusive breastfeeding.


Author(s):  
O. I. Douglas ◽  
S. N. O. Ibe ◽  
C. R. Nwufo

Perception and intent of significant others to promote exclusive breastfeeding is important in understanding their perceived behaviour and their state of mind toward exclusive breastfeeding practice.  It also helps to identify what intentions this significant other had toward the promotion of exclusive breastfeeding practice (EBF). This study aimed to determine the perceptions and intentions of significant others to promote exclusive breastfeeding in Umuokanne Community, Imo State, Nigeria. The descriptive study design was employed to elicit information from 245 significant others (mothers of the nursing mother, mothers-in-law and husbands) within the six villages in Umuokanne Community. Instruments for data collection were structured on the questionnaire and focus group discussions (FGDs). And finally, the reliability test was established (r = 0.68) between them. 20 significant others participated in the FGDs. Results of the study revealed that significant others had positive perceptions and indicate readiness towards the promotion of exclusive breastfeeding. 120(80%) of grandmothers and 69(73%) of husbands had positive perceptions on the elements of EBF, 100(100%) of grandmothers and 74(78%) of husbands had positive perceptions of the essential roles to play in the promotion EBF, 75(50%) of grandmothers and 57(60%) of husbands had negatively perceived not giving of colostrum to an infant, early introduction of any feed in less than six months of an infant life,  early introduction of fluid to an infant, giving off water and water mixed with medicinal herbs/roots, were not believed to be a barriers to EBF promotion. The description could be based on three key concepts namely, perceived insufficiency of breast milk, low income and cultural practices. Age, education, income and parity were also statistically significant (P = 0.05). However, 136(91%) of grandmothers and 78(82%) of husbands showed a positive intention towards the promotion of EBF practice. Hence, this study concluded that a positive perception shows the willingness to take action and a positive intention indicate readiness toward the promotion of EBF. Therefore, there is need to expand the current strategies employed in the promotion of EBF to include significant others and their cultural perspectives.


Author(s):  
Consolata Mandi Machila ◽  
Jane Karonjo ◽  
Domnic Mogere ◽  
Peterson Kariuku

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: Four socio-demographic factors were found to be influencing the practice of exclusive breastfeeding. Those include child gender, level of education, marital status and parity. Two socio-demographic factors were found to influence awareness of the benefits of EBF. Those are Level of education and Occupation.Conclusions: The government should improve on the level of education of women in the area. Increase in number of educated women. 


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