scholarly journals The relationship between caesarean section and breastfeeding: evidence from the 2013 Turkey demographic and health survey

2019 ◽  
Author(s):  
Nuket Paksoy Erbaydar ◽  
Tuğrul Erbaydar
Keyword(s):  
Caesarean Section ◽  
Exclusive Breastfeeding ◽  
Mode Of Delivery ◽  
Incidence Rates ◽  
Early Initiation Of Breastfeeding ◽  
Breastfeeding Practices ◽  
Late Initiation ◽  
Rate Ratios ◽  
The Relationship ◽  
Initiation Of Breastfeeding

Abstract Background The mode of delivery influences breastfeeding practices. High caesarean section and low breastfeeding rates are important public health concerns for all developing countries. This study aimed to determine the relationship between caesarean section and early breastfeeding practices among primiparas. Methods Data for primiparas with a singleton birth (n = 777) obtained from the 2013 Turkish Demographic and Health Survey were used in this retrospective cohort study. Early initiation of breastfeeding within one hour of delivery and exclusive breastfeeding during the first three days after delivery were evaluated. Standardized incidence rates and standardized rate ratios of non-early initiation of breastfeeding and non-exclusive breastfeeding were calculated according to mode of delivery. Results The late initiation of breastfeeding and non-exclusive breastfeeding incidence rates were 42.7% and 41.0%, respectively. The standardized incidence rate of late initiation of breastfeeding among women with vaginal delivery was 35.34%, versus 50.49% for those with caesarean delivery. The standardized rate ratios for late initiation of breastfeeding and non-exclusive breastfeeding were 1.428 (95% CI: 1.212, 1.683) and 1.468 (95% CI: 1.236-1.762), respectively. Women that underwent caesarean section had a higher risk of late initiation of breastfeeding and non-exclusive breastfeeding during the three days following delivery, after controlling for socio-demographic and delivery-related factors. Conclusions This study provides evidence useful for implementing strategies to prevent unnecessary caesarean sections, which negatively affect not only maternal health, but also neonatal health as well. Promotion of mother-friendly policies by healthcare institutions that are implemented in a baby-friendly manner are essential.

scholarly journals Relationship between caesarean section and breastfeeding: evidence from the 2013 Turkey Demographic and Health Survey

2020 ◽  
Author(s):  
Nuket Paksoy Erbaydar ◽  
Tuğrul Erbaydar
Keyword(s):  
Caesarean Section ◽  
Health Survey ◽  
Exclusive Breastfeeding ◽  
Mode Of Delivery ◽  
Incidence Rates ◽  
Early Initiation Of Breastfeeding ◽  
Breastfeeding Practices ◽  
Late Initiation ◽  
Rate Ratios ◽  
Initiation Of Breastfeeding

Abstract Background: The mode of delivery influences breastfeeding practices. High rates of caesarean section and low breastfeeding rates are important public health concerns for all developing countries. This study aimed to determine the relationship between caesarean section and early breastfeeding practices among primiparae. Methods: Data for primiparae with a singleton birth (N = 777) obtained from the 2013 Turkey Demographic and Health Survey were used in this retrospective cohort study. Early initiation of breastfeeding within one hour of delivery and exclusive breastfeeding during the first three days following birth were evaluated. Standardised incidence rates and standardised rate ratios of non-early initiation of breastfeeding and non-exclusive breastfeeding were calculated according to the mode of delivery. Results: The late initiation of breastfeeding and non-exclusive breastfeeding incidence rates were 42.7% and 41.0%, respectively. The standardised incidence rate of late initiation of breastfeeding among women with vaginal delivery was 35.34%, versus 50.49% among those with caesarean delivery. The standardised rate ratios for late initiation of breastfeeding and non-exclusive breastfeeding were 1.428 (95% confidence interval (CI): 1.212-1.683) and 1.468 (95% CI: 1.236-1.762), respectively. Women who underwent caesarean section had a higher risk of late initiation of breastfeeding and non-exclusive breastfeeding during the three days following delivery, after controlling for sociodemographic and delivery-related factors. Conclusions: This study provides useful evidence for the implementation of strategies to prevent unnecessary caesarean sections, which negatively affect not only maternal health but also neonatal health. The promotion of mother-friendly policies by healthcare institutions, implemented in a baby-friendly manner, is essential.

scholarly journals Caesarean Delivery and Breastfeeding Relationship: Evidence from 2013 Turkey Demographic and Health Survey

2019 ◽  
Author(s):  
Nuket Paksoy Erbaydar ◽  
Tuğrul Erbaydar
Keyword(s):  
Confidence Interval ◽  
Incidence Rate ◽  
Exclusive Breastfeeding ◽  
Caesarean Delivery ◽  
Mode Of Delivery ◽  
Early Initiation Of Breastfeeding ◽  
Breastfeeding Practices ◽  
Late Initiation ◽  
Rate Ratios ◽  
Initiation Of Breastfeeding

Abstract Background Mode of delivery is associated with the breastfeeding practices. High caesarean and low breastfeeding rates are an important public health problem for developing countries. This study aimed to measure the effect of caesarean delivery on early breastfeeding practices of primiparas.Methods Data of primiparas with a singleton birth (n=777) of 2013 Turkey Demographic and Health Survey was used in this retrospective cohort study. Early initiation of breastfeeding within one hour of delivery and exclusive breastfeeding during the first three days after delivery were evaluated. Standardized incidence rate and standardized rate ratios of non-early initiation of breastfeeding and non-exclusive breastfeeding according to mode of delivery were calculated.Results Late initiation of breastfeeding and non-exclusive breastfeeding incidence rates were 42.7% and 41.0% respectively. Standardized incidence rate of late initiation of breastfeeding in the vaginal deliveries was 35.34%, versus 50.49% in the caesareans. The standardized rate ratios for late initiation of breastfeeding and non-exclusive breastfeeding was 1.428 (95% Confidence Interval: 1.212, 1.683) and 1.468 (95% Confidence Interval: 1.236-1.762) respectively. Women who had caesarean delivery had higher risk of late initiation of breastfeeding and non-exclusive breastfeeding three days following delivery after controlling for socio-demographic and delivery related factors.Conclusion This study provided evidence for strategies to prevent unnecessary caesarean deliveries, which negatively affects not only mothers’ health but also babies’ health as well. Promotion of mother friendly policies in health institutions and incorporating these policies with baby friendly strategies are essential.

scholarly journals The Relationship between Early Initiation of Breastfeeding and Exclusive Breastfeeding in the Work Area of Wiyung Public Health Center, Surabaya

2019 ◽  
Vol 10 (2) ◽  
pp. 48
Author(s):  
Vira Dwi Nisrina ◽  
Sundari Indah Wiyasihati ◽  
Widati Fatmaningrum ◽  
Sulistiawati Sulistiawati
Keyword(s):  
Public Health ◽  
Health Center ◽  
Exclusive Breastfeeding ◽  
Early Initiation ◽  
Fisher Exact Test ◽  
Public Health Center ◽  
Early Initiation Of Breastfeeding ◽  
Work Area ◽  
The Relationship ◽  
Initiation Of Breastfeeding

Introduction: In Indonesia, there has been a 10% increase in the span of five years for exclusive breastfeeding, however this is still far from the national target. One of the factors that can cause low rates of national exclusive breastfeeding is that not all babies have received an early initiation of breastfeeding. The purpose of this study was to determine the relationship between early initiation of breastfeeding and exclusive breastfeeding for babies aged 7-12 months in the work area of Wiyung Public Health Center, Surabaya. Methods: This study was a quantitative research with a cross-sectional approach. The study used a questionnaire as the research instrument given to 30 respondents, namely mothers who had 7-12 month old babies in the work area of Wiyung Public Health Center, Surabaya. Results: The percentage of early initiation of breastfeeding in babies aged 7-12 months was 53.33% meanwhile the percentage of exclusive was 73.33%. Using Chi Square Fisher Exact Test, it was found that there is no relationship between early initiation of breastfeeding and exclusive breastfeeding for babies aged 7-12 months in the working area of the Wiyung Public Health Center in Surabaya. (The value of p = 0.574 with a value of α = 0.05, p>α). Conclusion: The early initiation of breastfeeding is not the only factor influencing exclusive breastfeeding for babies aged 7-12 months in the work area of the Wiyung Public Health Center in Surabaya. Further research is needed on other factors that can relate to and influence exclusive breastfeeding.

scholarly journals Socioeconomic inequalities in early initiation and exclusive breastfeeding practices in Bangladesh: findings from the 2018 demographic and health survey

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Michael Ekholuenetale ◽  
Sabuj Kanti Mistry ◽  
Ritesh Chimoriya ◽  
Simone Nash ◽  
Ashish M. Doyizode ◽  
...  
Keyword(s):  
Higher Education ◽  
Health Survey ◽  
Exclusive Breastfeeding ◽  
Formal Education ◽  
Socioeconomic Inequalities ◽  
Early Initiation ◽  
Demographic And Health Survey ◽  
Early Initiation Of Breastfeeding ◽  
Breastfeeding Practices ◽  
Initiation Of Breastfeeding

Abstract Background Optimal breastfeeding practices including early initiation of breastfeeding and exclusive breastfeeding (EBF) are associated with positive health outcomes. Socioeconomic inequalities in key breastfeeding indicators may play a role in the prevalence of breastfeeding practices. The objective of this study was to examine the socioeconomic inequalities in early initiation of breastfeeding and EBF practices in Bangladesh based on the 2018 Bangladesh Demographic and Health Survey (BDHS). Methods This was a secondary data analysis of the nationally representative 2018 BDHS. Data on 4950 women of reproductive age who had ever given birth and 924 children aged 0–5 months were extracted, for early initiation of breastfeeding and EBF. Early initiation of breastfeeding was determined from children who were put to the breast within the first hour of birth. Exclusive breastfeeding was estimated from children aged 0–5 months who were exclusively breastfed. Results The weighted prevalence of early initiation of breastfeeding and EBF were 60.8% (95% CI; 59.0, 62.6%) and 66.8% (95% CI; 63.1, 70.3%), respectively. The estimated prevalence of early initiation among the poorest, poorer, middle, richer and richest households were 67.8, 66.3, 58.4, 56.3 and 54.4%, respectively. Similarly, early initiation prevalence of 64.4, 65.0, 61.1 and 52.3% were estimated among women with no formal education, primary, secondary and higher education, respectively. The estimated prevalence of EBF among the poorest, poorer, middle, richer and richest households were 63.0, 65.2, 67.7, 66.7 and 69.9%, respectively. Similarly, the estimated EBF prevalence were 62.5, 66.0, 66.3 and 68.9% among women with no formal education, primary, secondary and higher education, respectively. Early initiation of breastfeeding was higher among lower household wealth (Conc. Index = − 0.049; SE = 0.006) and lower educational attainment groups (Conc. Index = − 0.035; SE = 0.006). Conclusions Improving optimal breastfeeding practices in Bangladesh should be given utmost priority. A need to address the socioeconomic inequalities in breastfeeding practices was also identified.

scholarly journals Breastfeeding Practices, Demographic Variables, and Their Association with Morbidities in Children

2015 ◽  
Vol 2015 ◽  
pp. 1-9 ◽  
Author(s):  
Dipen V. Patel ◽  
Satvik C. Bansal ◽  
Archana S. Nimbalkar ◽  
Ajay G. Phatak ◽  
Somashekhar M. Nimbalkar ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Exclusive Breastfeeding ◽  
Demographic Variables ◽  
Severe Malnutrition ◽  
Cross Sectional ◽  
Under Five ◽  
Under Five Children ◽  
Early Initiation Of Breastfeeding ◽  
Breastfeeding Practices ◽  
Initiation Of Breastfeeding

Appropriate feeding practices are the key contributor to reducing morbidities and mortalities in under-five children. A cross-sectional questionnaire based survey of mothers of children aged less than 5years was conducted in 781 mothers. More than half of mothers (57.5%) started feeding within an hour of birth, 55.9% gave exclusive breastfeeding for six months, 89.1% of the mothers stopped breastfeeding before two years of age, 18.2% of the mothers bottle-fed the babies, and 15.6% had problems during breastfeeding in first 6 months. Early initiation of breastfeeding within one hour of birth promoted exclusive breastfeeding, and breastfeeding for longer duration. Exclusive breastfeeding increased frequency of feeds. Multivariable logistic regression showed that initiation of breastfeeding after an hour of birth (p= 0.035), not providing exclusive breastfeeding for 6 months (p< 0.0001), unemployed mothers (p= 0.035), having two or more kids (p= 0.001), and complementary feeds given by person other than mother (p= 0.007) increased hospitalization. Starting breastfeeding after an hour of birth (p= 0.045), severe malnutrition (p= 0.018), and breastfeeding for < two years (p= 0.026) increased rates of diarrhea. Breastfeeding practices were not optimum and interventions to improve these practices need to be strengthened.

scholarly journals Exploration of Breastfeeding Practices in India: A Systematic Review

2022 ◽  
Vol 32 (1) ◽  
pp. 58-68
Author(s):  
Prasuna Jelly ◽  
◽  
Suresh K Sharma ◽  
Vartika Saxena ◽  
Gunjot Arora ◽  
...  
Keyword(s):  
Systematic Review ◽  
Exclusive Breastfeeding ◽  
Early Initiation ◽  
Cochrane Library ◽  
Plain Water ◽  
Prelacteal Feeding ◽  
Early Initiation Of Breastfeeding ◽  
Breastfeeding Practices ◽  
Animal Milk ◽  
Initiation Of Breastfeeding

Introduction: Breastfeeding is essential and a unique way of providing food to infants for development and healthy growth. Various breastfeeding practices are followed in different regions of India. Objective: This study aims to collect the information for practices related to prelacteal feed, early initiation of breastfeeding, exclusive breastfeeding, and weaning in India. Materials and Methods: A systematic search was conducted in PubMed, MEDLINE, Embase, Google Scholar, Clinical key, the Cochrane Library, and Science Direct databases to identify studies on practices related to the initiation of early breastfeeding, prelacteal feed, Exclusive Breastfeeding (EBF) practices, and weaning as outcomes. Quality assessment of each study was done by the Newcastle-Ottawa scale. Results: Twenty-four studies were included in this systematic review. Seven studies reported an early initiation of breastfeeding within 1-6 hours of birth. Six studies reported various prelacteal foods given to infants, such as tea, boiled water, honey, sugar, jaggery, or glucose with plain water and diluted animal milk. Four studies stated that exclusive breastfeeding was a suboptimal practice, often continued for less than six months for reasons like working mothers (not enough time for breastfeeding), traditional beliefs, and inadequate milk output. Four studies explored the causes of early onset of weaning, and the most common reasons were initiation of supplementary feeding before six months, insufficient breastmilk, and lack of knowledge. Conclusion: Overall, the results of the individual studies indicate that unhealthy breastfeeding practices such as prelacteal feeding, suboptimal exclusive breastfeeding, and early initiation of weaning practices were prevalent and almost the same across India.

scholarly journals Impact of caesarean section on breastfeeding indicators: within-country and meta-analyses of nationally representative data from 33 countries in sub-Saharan Africa

BMJ Open ◽  
2019 ◽  
Vol 9 (9) ◽  
pp. e027497
Author(s):  
Engida Yisma ◽  
Ben W Mol ◽  
John W Lynch ◽  
Lisa G Smithers
Keyword(s):  
Caesarean Section ◽  
Exclusive Breastfeeding ◽  
Meta Analysis ◽  
Early Initiation ◽  
Sub Saharan Africa ◽  
Demographic And Health Surveys ◽  
Early Initiation Of Breastfeeding ◽  
Sub Saharan ◽  
The Impact ◽  
Initiation Of Breastfeeding

ObjectiveTo examine the impact of caesarean section on breastfeeding indicators—early initiation of breastfeeding, exclusive breastfeeding under 6 months and children ever breastfed (at least once)—in sub-Saharan Africa.DesignSecondary analysis of Demographic and Health Surveys (DHS).SettingThirty-three low-income and middle-income countries with a survey conducted between 2010 and 2017/2018.ParticipantsWomen aged 15–49 years with a singleton live last birth during the 2 years preceding the survey.Main outcome measuresWe analysed the DHS data to examine the impact of caesarean section on breastfeeding indicators using the modified Poisson regression models for each country adjusted for potential confounders. For each breastfeeding indicator, the within-country adjusted prevalence ratios (aPR) were pooled in random-effects meta-analysis.ResultsThe within-country analyses showed, compared with vaginal birth, caesarean section was associated with aPR for early initiation of breastfeeding that ranged from 0.24 (95% CI 0.17 to 0.33) in Tanzania to 0.89 (95% CI 0.78 to 1.00) in South Africa. The aPR for exclusive breastfeeding under 6 months ranged from 0.58 (95% CI 0.34 to 0.98) in Angola to 1.93 (95% CI 0.46 to 8.10) in Cote d'Ivoire, while the aPR for children ever breastfed ranged from 0.91 (95% CI 0.82 to 1.02) in Gabon to 1.02 (95% CI 0.99 to 1.04) in Gambia. The meta-analysis showed caesarean section was associated with a 46% lower prevalence of early initiation of breastfeeding (pooled aPR, 0.54 (95% CI 0.48 to 0.60)). However, meta-analysis indicated little association with exclusive breastfeeding under 6 months (pooled aPR, 0.94 (95% CI 0.88 to 1.01)) and children ever breastfed (pooled aPR, 0.98 (95% CI 0.98 to 0.99)) among caesarean versus vaginally born children.ConclusionsCaesarean section had a negative influence on early initiation of breastfeeding but showed little difference in exclusive breastfeeding under 6 months and children ever breastfed in sub-Saharan Africa.

scholarly journals Exclusive Breastfeeding and Complementary Feeding Practices among Children in Slum of Pokhara

2020 ◽  
Vol 16 (2) ◽  
pp. 93-98
Author(s):  
Dibya Sharma ◽  
Ramchandra Kafle
Keyword(s):  
Exclusive Breastfeeding ◽  
Complementary Feeding ◽  
Mode Of Delivery ◽  
Feeding Practices ◽  
Early Initiation ◽  
P Value ◽  
Feeding Practice ◽  
Complementary Foods ◽  
Early Initiation Of Breastfeeding ◽  
Initiation Of Breastfeeding

Background: It is estimated that, on an average about 35% of infants 0 - 6 months old are exclusively breastfed around the world. Optimal breastfeeding and complementary feeding practices can save the lives of 1.5 million children under five every year. The condition is further worse in slum areas where vulnerable group of people resides. So, this study aims to assess prevalence on initiation of breastfeeding, exclusive breastfeeding and complementary feeding practices. Methods: A cross sectional study was conducted from November 2017 - February 2018 among 400 married women having child between 6 - 24 months. A pre-tested structured questionnaire comprising of socio-demographic characteristics, exclusive breastfeeding and complementary feeding practice were used. Data was analyzed using Statistical Package for Social Sciences (SPSS) 18.0 version. Results: About 55% of the mothers had initiated breastfeeding within an hour (<1 hour). About half (50.5%) had practiced exclusive breastfeeding to their children. More than fifty percentages (51.5%)of the mothers introduced complementary foods at 6 months. Age at pregnancy, mode of delivery, family size and colostrum feeding is associated with early initiation of breastfeeding at 95% CI i.e. p value <0.05. Whereas, age of mother, ethnicity, mode of delivery and initiation of breastfeeding were significantly associated with exclusive breastfeeding at 95% CI i.e. p value <0.05. Conclusions: The breastfeeding and complementary feeding practice in slum area is not optimal. Health awareness program focusing on early initiation of breastfeeding, exclusive breastfeeding practices and timely introduction of complementary foods in these vulnerable groups of population is needed o prevent its untoward effects. Keywords: complementary feeding; exclusive breastfeeding; initiation; malnutrition.  

scholarly journals The relationship between early initiation of breastfeeding, exclusive breastfeeding with stunting and wasting in toddlers in Bolaang regency of east Mongondow

2021 ◽  
Vol 9 (1) ◽  
pp. 71
Author(s):  
Maureen I. Punuh ◽  
Rahayu H. Akili ◽  
Adriansa Tucunan
Keyword(s):  
Health Center ◽  
Exclusive Breastfeeding ◽  
Early Initiation ◽  
Survey Method ◽  
Cross Sectional ◽  
Children Under Five ◽  
Under Five ◽  
Early Initiation Of Breastfeeding ◽  
The Relationship ◽  
Initiation Of Breastfeeding

Background: The forms of malnutrition in toddlers include stunting and wasting. Stunting and wasting that occurs in the first 1,000 days of life is at risk for stunted physical and cognitive growth and toddlers are susceptible to disease. One of the factors causing stunting and wasting is exclusive breastfeeding, which is preceded by successful initiation of early breastfeeding. The purpose of this study was to find out the relationship between early initiation of breastfeeding, exclusive breastfeeding with stunting and wasting in toddlers.Methods: This study was a quantitative research with an analytical survey method using a cross sectional design and it was undertaken in the working area of Tutuyan Health Center and Nuangan Health Center, Bolaang Mongondow Timur Regency. Samples were taken as many as 147 respondents using purposive sampling data collection techniques and met the inclusion and exclusion criteria. The data were analysed by univariate and bivariate using chi square statistical test.Results: The percentage of children under five with stunting was 27.9%, not stunting was 72.1%. Toddlers who experienced wasting by 22.4% and normal by 77.6%. Toddlers who received early initiation of breastfeeding were 42.9% while those who did not gain early initiation of breastfeeding were 57.1%. Toddlers who gained exclusive breastfeeding were 66.7% and those who were not exclusively breastfed were 33.3%.Conclusions: There was a relationship between early initiation of breastfeeding (p=0.000), exclusive breastfeeding (p=0.013) and stunting. There was a relationship between early initiation of breastfeeding (p=0.001), exclusive breastfeeding (p=0.001) and wasting in children under five in Bolaang Regency of East Mongondow. It is necessary to optimize stunting and wasting prevention programs and also cross-sectoral handling for stunting and wasting prevention in toddlers.

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