scholarly journals Socioeconomic inequalities in exclusive breastfeeding, early initiation of breastfeeding, and skin-to-skin contact between mother and newborn in Nigeria: evidence from Demographic and Health Survey

2020 ◽  
Author(s):  
Michael Ekholuenetale ◽  
Amit Arora ◽  
Amadou Barrow
Keyword(s):  
Socioeconomic Status ◽  
Exclusive Breastfeeding ◽  
Wealth Quintile ◽  
Household Wealth ◽  
Socioeconomic Inequalities ◽  
Early Initiation Of Breastfeeding ◽  
Skin Contact ◽  
Breastfeeding Practices ◽  
Skin To Skin ◽  
Initiation Of Breastfeeding

Abstract Background The effects of breastfeeding practices on children’s health are undoubtedly of great interest worldwide. Exclusive breastfeeding (EBF), early initiation of breastfeeding (EIBF) and skin-to-skin contact (SSC) between mother and the newborn have many short-term and long-term benefits. The aim of this study was to explore state-level prevalence and examine the socioeconomic inequalities between EBF, EIBF and SSC in Nigeria. Methods Data on 2,936 children aged less than 6 months were extracted from the 2018 Nigeria Demographic and Health Survey (NDHS) to determine EBF. In addition, data from 21,569 women were used for EIBF and SSC estimations. Lorenz curve and concentration index were used to examine socioeconomic inequalities in EBF, EIBF and SSC. Results The prevalence of EBF, EIBF, and SSC were 31.8%, 44.2%, and 12.1% respectively. Furthermore, Ogun State had the highest prevalence of EBF (71.4%); while Bayelsa State had the highest prevalence of SSC (67.8%) and EIBF (96.2%) respectively. Urban dwellers had higher prevalence of EBF, SSC and EIBF across household wealth quintile and levels of mother’s education, in contrast to their rural counterparts. We quantified the degree of wealth-related and mother’s education inequalities in EBF, SSC and EIBF. Overall, EBF, SSC and EIBF had pro-rich coverage; EBF (Conc. Index = 0.118; p < 0.001), SSC (Conc. Index = 0.152; p < 0.001) and EIBF (Conc. Index = 0.103; p = 0.002) respectively. Also, EBF was significantly more concentrated among mothers with higher educational attainment (Conc. Index = 0.157; p < 0.001), SSC (Conc. Index = 0.156; p < 0.001) and EIBF (Conc. Index = 0.091; p < 0.001). The test for differences between urban vs. rural was significant in EBF, SSC and EIBF for mother’s educational attainment. But this was only significant in EIBF for household wealth quintile. Conclusion Socioeconomic status determined breastfeeding practices and SSC in Nigeria. Breastfeeding practices interventions should target all mothers, especially low socioeconomic status mothers to ensure improvements in baby friendly initiatives.

scholarly journals Skin-to-skin contact and breastfeeding practices in Nigeria: a study of socioeconomic inequalities

2022 ◽  
Vol 17 (1) ◽  
Author(s):  
Michael Ekholuenetale ◽  
Amadou Barrow ◽  
Amit Arora
Keyword(s):  
Concentration Index ◽  
Maternal Education ◽  
Household Wealth ◽  
Socioeconomic Inequalities ◽  
Early Initiation ◽  
Early Initiation Of Breastfeeding ◽  
Skin Contact ◽  
Breastfeeding Practices ◽  
Skin To Skin ◽  
Initiation Of Breastfeeding

Abstract Background The effects of breastfeeding practices on children’s health are undoubtedly of great interest. However, inequalities in breastfeeding practices and mother and newborn skin-to-skin contact (SSC) exist in many resource-constrained settings. This study examined the regional prevalence and socioeconomic inequalities in exclusive breastfeeding (EBF), early initiation of breastfeeding and SSC in Nigeria. Methods Data on 2936 infants under six months were extracted from the 2018 Nigeria Demographic and Health Survey (NDHS) to determine EBF. In addition, data on 21,569 children were analysed for early initiation of breastfeeding and SSC. Concentration index and curves were used to measure socioeconomic inequalities in EBF, early initiation of breastfeeding and SSC. Results The prevalence of EBF, early initiation of breastfeeding and SSC were 31.8, 44.2 and 12.1% respectively. Furthermore, Ogun state had the highest prevalence of EBF (71.4%); while Bayelsa state had the highest prevalence of SSC (67.8%) and early initiation of breastfeeding (96.2%) respectively. Urban dwellers had higher prevalence of EBF, SSC and early initiation of breastfeeding across household wealth quintile and by levels of mothers’ education in contrast to their rural counterparts. We quantified inequalities in early initiation of breastfeeding, EBF, and SSC according to household wealth and maternal education. The study outcomes had greater coverage in higher household wealth, in contrast to the lower household wealth groups; early initiation of breastfeeding (concentration index = 0.103; p = 0.002), EBF (concentration index = 0.118; p < 0.001), and SSC (concentration index = 0.152; p < 0.001) respectively. Furthermore, early initiation of breastfeeding (concentration index = 0.091; p < 0.001), EBF (concentration index = 0.157; p < 0.001) and SSC (concentration index = 0.156; p < 0.001) had greater coverage among mothers with higher educational attainment. Conclusion Low prevalence and socioeconomic inequalities in early initiation of breastfeeding, EBF and SSC were identified. We recommend that health promotion programs targeted and co-designed with disadvantaged mothers are critical to meet global breastfeeding targets. Also, future researchers should conduct further studies especially clinical control trials and qualitative studies to unravel the possible reasons for differences in the indicators.

scholarly journals Regional prevalence and socioeconomic inequalities in infant care practices: evidence from 2018 Nigeria Demographic and Health Survey

2021 ◽  
Author(s):  
Michael Ekholuenetale ◽  
Amit Arora ◽  
Amadou Barrow
Keyword(s):  
Socioeconomic Status ◽  
Educational Attainment ◽  
Health Survey ◽  
Low Socioeconomic Status ◽  
Wealth Quintile ◽  
Household Wealth ◽  
Socioeconomic Inequalities ◽  
Demographic And Health Survey ◽  
Skin Contact ◽  
Breastfeeding Practices

Abstract Background: The effects of breastfeeding practices on children’s health are undoubtedly of great interest worldwide. However, there is inequalities in the coverage of exclusive breastfeeding (EBF), early initiation of breastfeeding (EIBF) and mother and newborn skin-to-skin contact (SSC) in many resource-constrained settings. The aim of this study was to explore regional prevalence and examine the socioeconomic inequalities in EBF, EIBF and SSC in Nigeria.Methods: Data on 2,936 infants under six months old were extracted from the 2018 Nigeria Demographic and Health Survey (NDHS) to determine EBF. In addition, data from 21,569 children were analyzed for EIBF and SSC. Concentration index (CI) and concentration curve were used to measure socioeconomic inequalities in EBF, EIBF and SSC.Results: The prevalence of EBF, EIBF and SSC were 31.8%, 44.2% and 12.1% respectively. Furthermore, Ogun State had the highest prevalence of EBF (71.4%); while Bayelsa State had the highest prevalence of SSC (67.8%) and EIBF (96.2%) respectively. Urban dwellers had higher prevalence of EBF, SSC and EIBF across household wealth quintile and by levels of mothers’ education in contrast to their rural counterparts. We quantified the degree of wealth-related and mothers education inequalities in EBF, SSC and EIBF. There were pro-rich EBF (CI = 0.118; p< 0.001), EIBF (CI = 0.103; p=0.002) and SSC (CI = 0.152; p< 0.001) respectively. Also, EBF (CI = 0.157; p< 0.001), EIBF (CI = 0.091; p< 0.001) and SSC (CI = 0.156; p< 0.001) were significantly more concentrated among mothers with higher educational attainment. The test for differences between urban versus rural was significant in EBF, SSC and EIBF by mothers educational attainment. But this was only significant in EIBF by household wealth respectively.Conclusion: Socioeconomic status determined breastfeeding practices and SSC in Nigeria. Breastfeeding practices interventions should target all mothers, especially those of low socioeconomic status and to ensure improvements in baby friendly initiatives.

scholarly journals Factors influencing exclusive breastfeeding rates until 6 months postpartum: the Japan Environment and Children’s Study

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Hitomi Inano ◽  
◽  
Mariko Kameya ◽  
Kyoko Sasano ◽  
Kenta Matsumura ◽  
...  
Keyword(s):  
Exclusive Breastfeeding ◽  
Early Initiation ◽  
Birth Cohort Study ◽  
Multiple Logistic Regression ◽  
Body Type ◽  
Smoking During Pregnancy ◽  
Early Initiation Of Breastfeeding ◽  
Skin Contact ◽  
Skin To Skin ◽  
Initiation Of Breastfeeding

AbstractThis research aimed to examine the efficacy of the early initiation of breastfeeding within 1 h of birth, early skin-to-skin contact, and rooming-in for the continuation of exclusive breastfeeding until 6 months postpartum. The research used data from the Japan Environment and Children’s Study (JECS), a nationwide government-funded birth cohort study. A total of 80,491 mothers in Japan between January 2011 and March 2014 who succeeded or failed to exclusively breastfeed to 6 months were surveyed in JECS. Multiple logistic regression model was used to analyse the data. The percentage of mothers who succeeded in exclusively breastfeeding to 6 months is 37.4%. Adjusted odds ratios were analysed for all 35 variables. Early initiation of breastfeeding (adjusted odds ratio [AOR]: 1.455 [1.401–1.512]), early skin-to-skin contact (AOR: 1.233 [1.165–1.304]), and rooming-in (AOR: 1.567 [1.454–1.690]) affected continuation of exclusive breastfeeding. Regional social capital (AOR: 1.133 [1.061–1.210]) was also discovered to support the continuation of breastfeeding. In contrast, the most influential inhibiting factors were starting childcare (AOR: 0.126 [0.113–0.141]), smoking during pregnancy (AOR: 0.557 [0.496–0.627]), and obese body type during early pregnancy (AOR: 0.667 [0.627–0.710]).

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 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 Determinants of early initiation of breastfeeding in Papua New Guinea: a population-based study using the 2016-2018 demographic and health survey data

2020 ◽  
Vol 78 (1) ◽  
Author(s):  
Abdul-Aziz Seidu ◽  
Bright Opoku Ahinkorah ◽  
Ebenezer Agbaglo ◽  
Louis Kobina Dadzie ◽  
Justice Kanor Tetteh ◽  
...  
Keyword(s):  
Papua New Guinea ◽  
Survey Data ◽  
New Guinea ◽  
Lower Odds ◽  
Factors Associated ◽  
Early Initiation Of Breastfeeding ◽  
Skin Contact ◽  
Health Survey Data ◽  
Skin To Skin ◽  
Initiation Of Breastfeeding

Abstract Background Initiation of breastfeeding after birth comes with a wide range of benefits to the child. For example, it provides the child with all essential nutrients needed for survival within the first six months of birth. This study sought to determine the prevalence and factors associated with early initiation of breastfeeding (EIB) in Papua New Guinea. Methods We utilized the Demographic and Health Survey data of 3198 childbearing women in Papua New Guinea. We employed descriptive and binary logistic regression analyses. We presented the results as Crude Odds Ratios (COR) and Adjusted Odds Ratios (AOR), with 95% confidence intervals (CI) signifying level of precision. Level of statistical significance was set at p < 0.05. Results Women aged 20–29 [AOR = 1.583, CI = 1.147–2.185] and those aged 30+ [AOR = 1.631, CI = 1.140–2.335] had higher odds of EIB, compared to those aged 15–19. Women from the Islands region had lower odds [AOR = 0.690, CI = 0.565–0.842] of EIB, compared to those in Southern region. Women who delivered through caesarean section had lower odds of EIB, compared to those who delivered via vaginal delivery [AOR = 0.286, CI = 0.182–0.451]. Relatedly, women who delivered in hospitals had lower odds of EIB [AOR = 0.752, CI = 0.624–0.905], compared to those who delivered at home. Women who practiced skin-to-skin contact with the baby [AOR = 1.640, CI = 1.385–1.942] had higher odds of EIB, compared to those who did not. Women who read newspaper or magazine at least once a week had lower odds of EIB [AOR = 0.781, CI = 0.619–0.986], compared to those who did not read newspaper at all. Conclusion The prevalence of EIB in Papua New Guinea was relatively high (60%). The factors associated with EIB are age of the women, region of residence, mode of delivery, place of delivery, practice of skin-to-skin contact with the baby, and exposure to mass media (newspaper). To increase EIB in Papua New Guinea, these factors ought to be considered in the implementation of policies and measures to strengthen existing policies. Health providers should educate mothers on the importance of EIB.

scholarly journals The importance of skin–to–skin contact for early initiation of breastfeeding in Nigeria and Bangladesh

2017 ◽  
Vol 7 (2) ◽  
Author(s):  
Kavita Singh ◽  
Shane M Khan ◽  
Liliana Carvajal–Aguirre ◽  
Paul Brodish ◽  
Agbessi Amouzou ◽  
...  
Keyword(s):  
Early Initiation ◽  
Early Initiation Of Breastfeeding ◽  
Skin Contact ◽  
Skin To Skin ◽  
Initiation Of Breastfeeding

scholarly journals Pengaruh Inisiasi Menyusu Dini terhadap Pengeluaran Volume ASI pada Primipara di Rumah Sakit Tk II Prof. Dr. J. A. Latumeten dan RSUD Dr. M. Haulussy Ambon

2021 ◽  
Vol 12 (1) ◽  
pp. 30-38
Author(s):  
Sitti Suharni Hermanses ◽  
Fasiha Fasiha
Keyword(s):  
Early Initiation ◽  
Control Group ◽  
Case Group ◽  
Breastfeeding Initiation ◽  
Early Initiation Of Breastfeeding ◽  
Skin Contact ◽  
A Value ◽  
Quasi Experimental ◽  
Skin To Skin ◽  
Initiation Of Breastfeeding

Early initiation of breastfeeding is an effort to provide colostrum which is rich protective factors. This study aimed to determine the effect of early initiation of breastfeeding on breastmilk volume. This research use quasi experimental. The results showed that the Mann-Whitney test obtained a value of p=0.000 < of α=0.05, there was an effect on breastmilk volume in mothers who did early initiation of breastfeeding. Implementation of early initiation of breastfeeding in case group was 100% otherwise not done in control group, the duration 64% hasn’t been standardized, the breastmilk volume on the third day after early breastfeeding initiation was categorized sufficient (56%) and a lot 40%, which was not 76% breastmilk volume is lacking, there is a difference on breastmilk volume in mothers who have early initiation of breastfeeding and do not have. There is an effect on breastmilk production. It is expected that the role of midwives in providing information to mothers before giving birth about the importance of early breasfeeding initiation. It is expected that midwives will emphasize more on the duration of skin to skin contact, according to minimum standards of 1 hour, Rumkit Tk II Prof. Dr. J.A. Latumeten is expected to do early initiation of breastfeeding as a fixed procedure in the maternity room.

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.

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