Factors Associated With Timely Initiation of Breastfeeding and Prelacteal Feeding in North-Central Nigeria

2020 ◽  
Vol 10 (2) ◽  
pp. 104-113
Author(s):  
Andy Emmanuel ◽  
Sheila Elizabeth Clow
Keyword(s):  
Breast Milk ◽  
Milk Production ◽  
The State ◽  
Early Initiation ◽  
Timely Manner ◽  
Prelacteal Feeding ◽  
Timely Initiation ◽  
Early Initiation Of Breastfeeding ◽  
Timely Initiation Of Breastfeeding ◽  
Initiation Of Breastfeeding

OBJECTIVEDelay in initiation of breastfeeding after birth is associated with the introduction of other feeds. It has been recommended that all women should initiate breastfeeding within the first hour after birth. Early initiation of breastfeeding and exclusive breastfeeding could reasonably reduce neonatal deaths. The aim of this study was to assess the initiation of breastfeeding and prelacteal feeding in Plateau State, Nigeria.MATERIALS AND METHODA cross-sectional design was adopted for the study. A total of 763 women drawn equally from the three senatorial zones of the state voluntarily completed a questionnaire. Results were analyzed using chi-squared statistics and regression analysis.RESULTSFindings show that 33.1% of women initiated breastfeeding in a timely manner. The relationships between the timely initiation of breastfeeding and the use of pain relief, maternal age, maternal employment, economic status, influence of family and friends, and advertisement were found to be statistically significant. Furthermore, 92% gave breast milk for the first feed, while 8% gave infant formula, glucose, herbs, or water. Inadequate breast milk production, delayed initiation of breastfeeding, and health conditions were factors identified as responsible for prelacteal feeding.CONCLUSIONThe proportion of women who initiated feeding in a timely manner was low, which underscores the need to promote and support early initiation of breastfeeding in the state. There is thus a need for a public education campaign, particularly directed at women receiving antenatal care, and focusing on the need for establishing feeding early. Women with health challenges and those with a history of poor milk production may require additional support to breastfeed as recommended.

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 Determinants of Timely Initiation of Breastfeeding among Disadvantaged Ethnic Groups in Midwest Nepal

2019 ◽  
Vol 16 (41) ◽  
pp. 385-391
Author(s):  
Keshab Sanjel ◽  
Archana Amatya
Keyword(s):  
Ethnic Groups ◽  
Health Facility ◽  
Univariate Analysis ◽  
Facility Delivery ◽  
Early Initiation ◽  
Health Facility Delivery ◽  
Timely Initiation ◽  
Early Initiation Of Breastfeeding ◽  
Timely Initiation Of Breastfeeding ◽  
Initiation Of Breastfeeding

Background: Timely initiation of breastfeeding has the potential to prevent 22% of neonatal deaths if breastfed within an hour after birth. Although breastfeeding is almost universal in Nepal, ranges of regional differences in timely initiation of breastfeeding have been documented. The aim of this study was to identify the prevalance and the determinants of early initiation of breastfeeding among disadvantaged ethnic women in Midwest Nepal. Methods: The data was obtained from a household survey of women who had their last child less than one year of age. Descriptive statistics were used to analyze respondents’ demographic, socioeconomic, obstetric and health services related characteristics. Determinants of timely initiation of breastfeeding were assessed using univariate analysis and further evaluated using multivariable logistic regression analysis.Results: Of 362 mothers, 65.5% initiated breastfeeding within one hour of childbirth. Mothers belonging to Tharu ethnic groups (aOR 1.788; 95% CI: 1.014, 3.152), health facility delivery (aOR 3.381; 95% CI: 1.795, 6.369) and mothers who were counseled on breastfeeding during ANC attendance (aOR 2.898; 95% CI: 1.038, 8.096) were more likely to initiate breastfeeding within the first hour of child birth. Conclusions: Almost two in every three mothers had initiated breastfeeding within one hour of childbirth. The factors influencing timely initiation of breastfeeding were Tharu ethnic mothers, health facility delivery and Ante Natal Care counseling. We need to aim at increasing institutional deliveries and counseling during ANC which may increase the early initiation of breastfeeding among disadvantaged ethnic groups. Keywords: Breastfeeding; determinants; Nepal; prevalence; timely initiation

scholarly journals Association of prenatal counselling and immediate postnatal support with early initiation of breastfeeding in Uttar Pradesh, India

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Vasanthakumar Namasivayam ◽  
Bidyadhar Dehury ◽  
Ravi Prakash ◽  
Marissa Becker ◽  
Lisa Avery ◽  
...  
Keyword(s):  
Community Development ◽  
Uttar Pradesh ◽  
Early Initiation ◽  
Health Facilities ◽  
Cross Sectional Survey ◽  
Timely Initiation ◽  
Place Of Delivery ◽  
Early Initiation Of Breastfeeding ◽  
Prenatal Counselling ◽  
Initiation Of Breastfeeding

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.

scholarly journals Early initiation of breastfeeding among recently delivered mothers in a rural area of Moradabad, India

2019 ◽  
Vol 6 (11) ◽  
pp. 4799
Author(s):  
Neha Goyal
Keyword(s):  
Rural Area ◽  
Cross Sectional Study ◽  
Early Initiation ◽  
World Health ◽  
Outcome Variable ◽  
Chi Square ◽  
Cross Sectional ◽  
Timely Initiation ◽  
Early Initiation Of Breastfeeding ◽  
Initiation Of Breastfeeding

Background: Early initiation of breastfeeding defined by World Health Organization as initiation of breastfeeding within one hour of birth, provides new-borns the best chance for survival, growth and development. Yet the rates of early initiation are still low (41.5%), varying widely in different parts of India. Present study was done to find the proportion of early initiation of breastfeeding and associated factors in a rural area.Methods: This cross-sectional study was conducted among 73 recently delivered mothers residing in a rural area of Moradabad, who were interviewed using a semi structured questionnaire with early initiation of breastfeeding as outcome variable. For statistical analysis Chi-square and Fisher’s exact tests were used.Results: 61.64% recently delivered mothers responded that they had initiated breastfeeding within one hour of delivery. Early initiation was significantly lower among working mothers as compared to housewives. No significant differences in timely initiation have been found with mother age, religion and type of family. However significant association of early initiation was found between full antenatal care (ANC) and breastfeeding counselling.Conclusions: More than sixty percent mothers initiated breastfeeding within an hour of delivery. Full ANC and breastfeeding counselling can help in improving rates of early initiation. 

scholarly journals INISIASI MENYUSU DINI (IMD) MEMPERCEPAT PENGELUARAN ASI

2018 ◽  
Vol 5 (1) ◽  
pp. 41-48
Author(s):  
Mariati Mariati
Keyword(s):  
Breast Milk ◽  
Exclusive Breastfeeding ◽  
Coming Out ◽  
Private Practice ◽  
Early Initiation ◽  
Neonatal Deaths ◽  
Early Initiation Of Breastfeeding ◽  
The City ◽  
Depth Interviews ◽  
Initiation Of Breastfeeding

Early initiation of breastfeeding is a process of letting the baby breastfeed their own immediately after birth so that it benefits both mother and baby, physically and psychologically. It can safe 22% of neonatal deaths, prevent hipotermi and enhance ties of affection. In the city of Bengkulu implementation of the early initiation of breastfeeding not yet have an impact on exclusive breastfeeding in 2009 (59.1%). The purpose of this study to know the implementation of early initiation of breastfeeding in private practice midwives in the city of Bengkulu.This study design with qualitative methods through an explorative approach to dig more deeply about the situation of implementation of the early initiation of breastfeeding on the midwives who in private practice in the city of Bengkulu. Informants of this study amounted to 12 persons elected by purpose sampling. Data were collected through in-depth interviews and direct observation analyzed by phase: transcripts, coding, and conclusions based on pre-determined category.The results showed all the informants were well versed in the early initiation of breastfeeding, but its implementation has not been done in the most especially when the patients feel tired or lack motivation and family do not support this implementation so that postponed and not taken immediately. Furthermore, this implementation did not result in exclusive breastfeeding because the patient feels there is no milk coming out so it is not important for mothers to keep breastfeeding. The attitude of midwives in the implementation of the early initiation of breastfeeding is quite good and supports the implementation of the early initiation of breastfeeding, especially with seeing the benefits. To improve the implementation of the early initiation of breastfeeding needs to be done counseling since pregnant women and prepare it so that mothers will understand its benefits and to continually feeding that can accelerate spending and prevent breast milk feeding other than breast milk during the month / exclusive

scholarly journals Literatur Review : Hubungan Pemberian Inisiasi Menyusu Dini (IMD) Dengan Kelancaran Pengeluaran Asi

2021 ◽  
Vol 1 ◽  
pp. 928-936
Author(s):  
Dewi Solekha ◽  
Emi Nurlaela
Keyword(s):  
Immune System ◽  
Breast Milk ◽  
Literature Review ◽  
Early Initiation ◽  
Infant Mortality Rate ◽  
P Value ◽  
Live Births ◽  
Early Initiation Of Breastfeeding ◽  
Milk Flow ◽  
Initiation Of Breastfeeding

AbstractThe infant mortality rate in Indonesia is still high at 24 per 100 live births. One of the causes is infection. Infection can by prevented by controling breast milk because breast milk contains colostrum which is able to maintain the baby’s immune system. The introduction of breastfeeding begins with early initiation of breastfeeding. The coverage of newsborn in Indonesia in 2019 who received early intiation of breastfeeding was 75,58%.The purpose of this study was to determine the between early initiation of breastfeeding and the smooth production of breast milk throught the Literature Review.This reserch is a quantitive research through Literature Review. The articles were obtained from three articles from articles from Garuda Portal which is a critical review of the JBI instrument written by The Joanna Briggs Institute. The results of this study indicate a relationship between the provion of early intitiation og breastfeeding with the smooth discharge of breast milk with p value <0,05 (0,000-0,029).There is a corelation between the previsions of early initiation of breastfeeding the smoothness is producing breast milk.Keywords :giving early initiation of breastfeeding ( IMD), breast milk flow AbstrakAngka kematian bayi di Indonesia masih tinggi yaitu 24 per 1000 kelahiran hidup. Salah satu penyebabnya yaitu infeksi. Infeksi dapat dicegah dengan pengendalian ASI karena didalam ASI mengandung kolostrum yang mampu menjaga daya tahan tubuh bayi. Pengenalan Asi dimulai dengan inisiasi menyusu dini (IMD).Cakupan bayi baru lahir di Indonesia pada tahun 2019 yang mendapatkan Inisiasi Menyusu Dini ( IMD) yaitu 75,58. Tujuan dari penelitian ini adalah untuk mengetahui hubungan pemberian Inisiasi Menyusu Dini dengan kelancaran Pengeluaran ASI melalui Literatur Review. Penelitian ini merupakan Penelitian kuantitatif melalui Literature Review. Artikel didapatkan dari Searh Ergine Google scholar tiga dan Portal Garuda dua telaah kritis instrument JBI The Joanna Briggs Institute .Hasil penelitian ini menunjukkan adanya hubungan antara pemberian inisiasi menyusu dini (IMD) dengan kelancaran pengeluaran ASI dengan p value<0,05 (0,000-0,029).Terdapat hubungan antara pemberian inisiasi menyusu dini (IMD) dengan kelancaran pengeluaran ASI.Kata kunci: Pemberian IMD ; Kelancaran Pengeluaran ASI.

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 Factors influencing early initiation of breastfeeding among mothers in Rajshahi district, Bangladesh

2020 ◽  
Author(s):  
Ummay Ayesha ◽  
Abu Sayed Md. Al M ◽  
Md. Nurul Islam ◽  
Md. Ripter Hossain ◽  
Samme Amena Tasmia ◽  
...  
Keyword(s):  
Breast Milk ◽  
Binary Logistic Regression ◽  
Influential Factors ◽  
Early Initiation ◽  
Binary Logistic Regression Model ◽  
Chi Square ◽  
Early Initiation Of Breastfeeding ◽  
Protective Antibodies ◽  
Chi Square Test ◽  
Initiation Of Breastfeeding

Abstract Background: Early initiation of breastfeeding (EIBF) is referred to as providing breast milk to the newborn within one hour of birth. EIBF ensures that the infant receives the colostrum containing highly protective antibodies. This study aimed to identify the influential factors of EIBF among mothers in Rajshahi district, Bangladesh. Methods: The data was collected from mothers living in Rajshahi district who had at least one child aged 6-24 months. 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 infant within one hour after delivery?” Frequency distribution and Chi-square test and multivariable binary logistic regression model were utilized in this study for getting prevalence and influential 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 influential factors of EIBF: (i) place of delivery, (ii) family monthly income, (iii) husbands’ education level, (iv) mothers’ nutritional status, (v) mothers’ age, (vi) husbands’ occupation, (vii) getting pregnancy with planning, and (viii) mothers taking advice regarding the benefit of breastfeeding during their pregnancy. Conclusions: This study identified several modifiable influential factors of EIBF. The customs, culture and other characteristics are almost the same across the country. These factors could be considered to increase the rate of EIBF among mothers in Bangladesh.

scholarly journals Barrier of early initiation of breastfeeding among postnatal mothers

2021 ◽  
Vol 8 (1) ◽  
pp. 93-101
Author(s):  
Nona Shakya ◽  
Mana Maya Shakya
Keyword(s):  
Descriptive Analysis ◽  
Early Initiation ◽  
Prelacteal Feeding ◽  
Cross Sectional ◽  
Face To Face ◽  
Early Initiation Of Breastfeeding ◽  
Postnatal Mothers ◽  
Prelacteal Feeds ◽  
Initiation Of Breastfeeding ◽  
Structured Questionnaire

Introduction: Early initiation of breastfeeding within one hour of birth decreases infant morbidity and mortality, and it helps promote exclusive breastfeeding. Despite the benefits of early initiation of breastfeeding, the practice is far from adequate. We aim to identify the barriers to the early initiation of breastfeeding among postnatal mothers. Method: A cross-sectional analytical study was carried out among the postnatal ward of Manipal Teaching Hospital from 1 June to 30 August 2017. Consecutive sampling was used. Ethical permission was obtained. Data was collected through face-to-face interviews using a semi-structured questionnaire, including demographics of mother and infant, and time of initiation of feeding. SPSS was used for descriptive analysis of demographics, and the association of factors for the initiation of early breastfeeding was analyzed to draw the inference. Result: Out of 244 postnatal mothers, the early initiation of breastfeeding was done by 19.7%, and 82.4% provided prelacteal feeds of infant formula. Delayed breastfeeding was associated with caesarean section (OR: 21.99; 95% CI 5.55-87.03), prelacteal feeding (OR: 7.49; 95% CI 2.72-20.66), and lack of antenatal checkup visit (OR: 7.38; 95% CI 2.3-23.73). Conclusion: Early initiation of breastfeeding was low (19.7%) in postnatal mothers, with barriers to breastfeeding identified as caesarean delivery, prelacteal feeding, lack of antenatal checkup visits. 

scholarly journals Trends and determinants of early initiation of breastfeeding and exclusive breastfeeding in Ethiopia from 2000 to 2016

2019 ◽  
Vol 14 (1) ◽  
Author(s):  
Kedir Y. Ahmed ◽  
Andrew Page ◽  
Amit Arora ◽  
Felix Akpojene Ogbo
Keyword(s):  
Exclusive Breastfeeding ◽  
Maternal Employment ◽  
National Level ◽  
Early Initiation ◽  
Timely Initiation ◽  
Logistic Regression Models ◽  
Early Initiation Of Breastfeeding ◽  
Modifiable Factors ◽  
Delayed Initiation ◽  
Initiation Of Breastfeeding

Abstract Background At the national level in Ethiopia, there is limited knowledge of trends and factors associated with early initiation of breastfeeding and exclusive breastfeeding (EBF), particularly during the Millenium Development Goal (MDG) era (2000–2015). The study aimed to examine the trends and determinants of early initiation of breastfeeding and EBF in Ethiopia between 2000 and 2016. Methods Using the Ethiopia Demographic and Health Survey (EDHS) data for the years: 2000 (n = 3680), 2005 (n = 3528), 2011 (n = 4037) and 2016 (n = 3861), trends in early initiation of breastfeeding and EBF were estimated. Multivariate logistic regression models that adjusted for confounders, sampling weight, clustering and stratification were used to examine the association between socioeconomic, demographic, health service and community level factors with early initiation of breastfeeding and EBF from 2000 to 2016. Results The prevalence of early initiation of breastfeeding increased from 48.8% in 2000 to 75.7% in 2016 in Ethiopia. Improvement in EBF prevalence was not statistically significant (from 54.5% in 2000 to 59.9% in 2016). Over the study period, informal maternal employment (Adjusted Odds Ratio [aOR] 0.75; 95% Confidence Interval [CI] 0.68, 0.83), frequent antenatal care visits (aOR 0.74; 95% CI 0.65, 0.85), and cesarean birthing (aOR 0.22; 95% CI 0.17, 0.30) were associated with delayed initiation of breastfeeding. Birthing in the health facility (aOR 1.35; 95% CI 1.05, 1.75) and residing in the metropolis region (aOR 1.95; 95% CI 1.65, 2.32) were associated with timely initiation of breastfeeding. In a similar period, informally employed mothers (aOR 1.37; 95% CI 1.15, 1.63) and those with six or more family size (aOR 1.46; 95% CI 1.10, 1.93) were more likely to exclusively breastfeed their babies. Conclusion Early initiation of breastfeeding improved in Ethiopia during the MDG era but it is still below the national target; progress in EBF remained slow. To improve breastfeeding outcomes and meet the global breastfeeding targets in Ethiopia, infant feeding efforts should focus on improving key modifiable factors, including place and mode of birthing and socioeconomic status of mothers.

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