Formula Feeding and Associated Factors among Mothers with Infants 0-6 Months Old in Mettu Town, South West Ethiopia

Maternal Knowledge ◽

Cross Sectional ◽

Abstract Background Adequate nutrition during infancy is essential for the normal development and future wellbeing of the child. Despite the fact that breast milk is optimal nutrition for infants during the first six months of life, the duration of breastfeeding has been declining and being replaced by formula feeding particularly in urban communities of developing countries including Ethiopia. However, relatively little information is available regarding formula feeding in Ethiopia; particularly in Mettu town. Methods Community-based cross-sectional study was conducted in Mettu town from May, 17 to July 1, 2021, among 366 mothers with infants 0-6 months old. A simple random sampling technique was employed. Pre-tested semi-structured questionnaires were used to collect data. Descriptive statics and multivariable logistic regression were performed, and variables with a p-value <0.05 in the final model were declared statistically significant with formula feeding. Result The prevalence of formula feeding among the study participants was 28.4%, 95% [CI: 24.0-33.0]. In multivariable logistic regression analysis primparity [AOR=3.3, 95% CI:(1.71-6.26)], cesarean delivery [AOR=2.6, 95% CI:(1.28-5.35)], initiation of breastfeeding after 24hrs [AOR=3.7,95% CI:(1.24-10.05)] employed mothers [AOR=2.4, 95% CI:(1.29-4.49] poor knowledge [AOR=2.6, 95%CI:(1.49-4.73)] and positive attitude toward formula feeding [AOR= 2.4, 95% CI: (1.27-4.84)] were significantly associated with formula feeding. Conclusion About one-third of mothers were formula feeding their infant. Primi parity, initiation of breast milk after 24hrs, cesarean delivery, and poor maternal knowledge and positive attitude were significantly associated with formula feeding. Hence, education on infant feeding for pregnant and lactating mothers, and supporting primipara mothers and as well as mothers who deliver by cesarean section should be implemented at health facility and community level.

Occupational exposures and symptoms of hearing loss among traffic police wardens, Karachi Pakistan.

The Professional Medical Journal ◽

10.29309/tpmj/2021.28.12.6472 ◽

2021 ◽

Vol 28 (12) ◽

pp. 1817-1823

Author(s):

Muhammad Kamran Khan ◽

Mohammed Akram ◽

Naushad Nizam ◽

Mohammad Mairaj Khan ◽

Aneeta Khoso ◽

...

Keyword(s):

Hearing Loss ◽

Logistic Regression ◽

Demographic Data ◽

Data Entry ◽

Sampling Technique ◽

Occupational Exposures ◽

Cross Sectional ◽

Traffic Police ◽

Objective: To assess the frequency and association of symptoms of hearing loss among traffic police wardens. Study Design: Observational (Cross-sectional) study. Setting: Liaquat National Hospital, Karachi, Pakistan. Period: January to June 2019. Material & Methods: Non-probability purposive sampling technique was used to employ 181 traffic police wardens. A self-administered questionnaire translated into the Urdu language was used. Written informed consent was taken from the participants. IBM SPSS Statistics version 22 was used for the data entry and analysis. Frequencies were determined of socio-demographic data. Multivariable logistic regression analysis was done to assess the factors associated with tinnitus. Results: Most of the traffic police wardens were young (mean age: 29.96 years), non-smokers (95%), having a matriculate degree (49.7%). Around 97.8% documented working in noisy places; 98.3% of the wardens did not use any hearing protection devices during work, while 98.9% stated that they never had a hearing test. Multivariable logistic regression showed strong inverse associations of tinnitus with lower education levels, longer duration of work, working in a noisy area, and experiencing sudden noise exposures in their lifetime. Conclusion: Traffic police wardens are exposed to loud noise during work, exhibiting the deleterious health impacts of occupational exposure. This workforce needs to be educated regarding the deleterious impacts of occupational noise pollution, the importance and use of personal protective equipment. Further research is warranted using more quantitative assessment.

Assessment of Maternal Satisfaction and Associated Factors among Parturients Who Underwent Cesarean Delivery under Spinal Anesthesia at University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia, 2019

Anesthesiology Research and Practice ◽

10.1155/2020/8697651 ◽

2020 ◽

Vol 2020 ◽

pp. 1-8

Author(s):

Samuel Debas Bayable ◽

Seid Adem Ahmed ◽

Girmay Fitiwi Lema ◽

Debas Yaregal Melesse

Keyword(s):

Logistic Regression ◽

Spinal Anesthesia ◽

Cesarean Delivery ◽

Associated Factors ◽

Northwest Ethiopia ◽

Anesthetic Technique ◽

Spinal Block ◽

Maternal Satisfaction ◽

Cross Sectional ◽

Background. Spinal anesthesia is the most common anesthetic technique for cesarean delivery. Patient satisfaction is a subjective and complicated concept, involving physical, emotional, psychological, social, and cultural factors. Regular evaluation of maternal satisfaction related to anesthesia service is an important parameter to the required changes and expansion of high-quality care services. We aimed to assess maternal satisfaction and associated factors among parturients who underwent cesarean delivery under spinal anesthesia. Methods. Institutional-based cross-sectional study was conducted from February to May 2019. A total of 383 parturients were enrolled to assess maternal satisfaction using a 5-point Likert scale. Both bivariable and multivariable logistic regression analyses were done. Variables of p value ≤0.2 in the bivariable analysis were a candidate for multivariable logistic regression. A p value <0.05 was considered as significantly associated with maternal satisfaction at 95% CI. Results. This study revealed that 315 (82.3%) of the parturients were satisfied. Single spinal prick attempts (AOR = 2.08, 95% CI = 1.05–4.11), successful spinal block (AOR = 7.17, 95% CI = 3.33–15.43), less incidence of postdural puncture headache (AOR = 2.36, 95% CI = 1.33–4.20), and prophylactic antiemetic use (AOR = 0.35, 95% CI = 0.19–0.66) were positively associated with maternal satisfaction. Conclusions. The overall maternal satisfaction receiving spinal anesthesia was considerably low. Single spinal prink attempts, successful spinal block, and less incidence of postural puncture headache can increase maternal satisfaction. Therefore, effective perioperative management, skillful techniques, and using the small-gauge Quincke spinal needle (25–27 gauge) may increase the maternal satisfaction and quality of spinal anesthesia management.

Prevalence and Determinants of Fertility Desire Among HIV-positive Women in Rwanda in the Context of Improved Life Expectancy: A Statistical Analysis of Cross-Sectional Data

10.21203/rs.3.rs-105991/v1 ◽

2020 ◽

Author(s):

François Niragire ◽

Celestin Ndikumana ◽

Marie Gaudence Nyirahabimana ◽

Dieudonne Uwizeye

Keyword(s):

Logistic Regression ◽

Scale Up ◽

Reproductive Age ◽

Hiv Positive ◽

People Living With Hiv ◽

Fertility Desire ◽

Cross Sectional ◽

Multivariable Logistic Regression ◽

Hiv Positive Women

Abstract Background: The knowledge of the key determinants of fertility desire among people living with HIV/AIDS is crucial for the design of efficient maternal and child health care programs. However, such determinants are not well understood in the context of a successful scale-up of antiretroviral therapy in Rwanda. The present study aim was to assess fertility desire among HIV- positive women and its determinants in Rwanda.Methods: Data were extracted from the 2015 Rwanda demographic health survey (RDHS) for 243 HIV-positive women of reproductive age. Univariate and multivariable based variable selection as well as multivariable logistic regression analysis were conducted. Results: The prevalence of desire to have another child in HIV-positive women was as high as 40.7%. Multivariable logistic regression analyses showed that the woman’s age, number of her living children, woman’s employment status, and having a co-wife are significant determinants of fertility desire among HIV- positive women in Rwanda. Women younger than 25 years, with no living child, who were unemployed or who had at least a co-wife were associated with greater odds of desire to have another child in the future than other HIV- positive women.. Conclusion: There is a need to devise integrated programs and services that are tailored to support HIV-positive women in planning their fertility, and controlling HIV transmission to their prospective children. Efficient policy and fertility interventions among WLHA in Rwanda should target young women, especially those living with partners and have fewer children than they prefer.

Breast Milk Production in terms of Knowledge of Postpartum Mother about the Initiation of Early Breastfeeding in Newborns

Journal Of Nursing Practice ◽

10.30994/jnp.v3i1.73 ◽

2019 ◽

Vol 3 (1) ◽

pp. 114-122

Author(s):

Siti Patonah ◽

Dwi Agung Susanti ◽

Dara Dwifa Anggraita

Keyword(s):

Breast Milk ◽

Milk Production ◽

Health Workers ◽

Post Partum ◽

Health Centre ◽

Sampling Technique ◽

Maternal Knowledge ◽

Cross Sectional ◽

Breast Milk Production ◽

Postpartum Mothers

Background: Many mothers do not know about the benefits of Breast Crawl. Often mothers have an improper understanding, such as not having to breastfeed the baby because the breast milk has not come out or because the milk that comes out first and yellow is the dirt and stale.Purpose: The purpose of this research is to know the relationship of postpartum knowledge about Breast Crawl in newborn with the smoothness of milk production.Method: This research use analytical method with cross sectional approach. The study was conducted on May 29 to June 23, 2018. The population in this study were all post partum mothers in Sri Widayati Wiwik BPS, SST Tanggungan Ngraho Sub-district Bojonegoro Regency in 2018 as many as 22 people, the sample size of 22 postpartum women was taken by purposive sampling technique. The instrument used is a questionnaire, then performed data processing through editing, coding, scoring and tabulating and analysis of data with Cross tables.Results: The results showed that 22 postpartum mothers in BPS Wiwik Sri Widayati, SST Tanggungan Ngraho Sub-district Bojonegoro Regency is knowledgeable good of 11 people, more than half the smoothness of breast milk production smoothly for 14 people (63,64%).Conclusion: There is relation of maternal knowledge about Breast Crawl on newborn with smoothness of breast milk production at BPS Wiwik Sri Widayati, SST Tanggungan Ngraho Sub-district Bojonegoro Regency. From the results of this study should postpartum mother can improve knowledge especially about Breast Crawl in newborn by coming to counseling conducted by health workers at Maternal & Child Health Centre every month

Anaemia Prevalence and Contributory Factors among Children in Uttarakhand, India

Asian Journal of Medicine and Health ◽

10.9734/ajmah/2020/v18i230184 ◽

2020 ◽

pp. 41-51

Author(s):

Shweta Suri ◽

Anuradha Dutta ◽

Rita Singh Raghuvanshi ◽

Anupama Singh ◽

C. S. Chopra

Keyword(s):

Logistic Regression ◽

Regression Analysis ◽

Logistic Regression Analysis ◽

Cross Sectional Study ◽

Health Concern ◽

Sectional Study ◽

Cross Sectional ◽

Multivariable Logistic Regression ◽

History Of

Background: In India, Anaemia among children is still one of the major nutritional problems of public health concern. Aim of the Study: The aim of the present study was to assess the prevalence of anaemia among Anganwadi children (3-6 years of age) and to determine the important risk factors associated with anaemia. Study Design: Cross-sectional study. Place and Duration of Study: Study was conducted among 390 Anganwadi children of Udham Singh Nagar district of Uttarakhand, during April, 2019- August, 2019. Methodology: In this cross sectional study, data on socio-demographic, socioeconomic, hygiene and dietary practices were collected using a self-structured questionnaire. Hemoglobin (Hb) and anthropometric measurements were carried out. Multivariable logistic regression analysis was employed to estimate the adjusted odds ratio (AOR). Results: A majority, 70.54% of the Anganwadi children were found to be anaemic, with higher prevalence among male children (51.30%) as compared to female children (48.70%). The mean hemoglobin concentration of children was 9.91 (±1.9 g/dl). Stunting was higher among males (54.83%) as compared to females (45.17%).Multivariable logistic regression analysis showed that anaemia was significantly associated with monthly income of family AOR (95% CI) 3.25(2.49, 4.00), mother's illiteracy AOR (95% CI) 1.98 (1.49, 2.46), history of anaemia in mother AOR (95% CI) 1.60(0.67, 2.52 ), history of worms in child's stool AOR (95% CI) 3.17(2.26,4.03), barefoot walking AOR (95% CI) 3.08(2.11,4.04) and lack of habit of hand washing AOR (95% CI) 1.55(0.98, 2.11). Conclusion: The prevalence of anaemia among children was high. Iron supplementation, nutrition education among mothers and overall personal hygiene are important to ameliorate their iron status.

Formula Feeding and Associated Factors among a Group of Egyptian Mothers

Open Access Macedonian Journal of Medical Sciences ◽

10.3889/oamjms.2019.462 ◽

2019 ◽

Vol 7 (11) ◽

pp. 1854-1859 ◽

Cited By ~ 2

Author(s):

Safaa Tawfik ◽

Ola Mostafa ◽

Marwa Salem ◽

Eman Habib ◽

Dina Saied

Keyword(s):

Breast Milk ◽

Infant Nutrition ◽

Sampling Technique ◽

Cross Sectional Study ◽

Health Care Facilities ◽

Artificial Feeding ◽

Formula Feeding ◽

Mixed Feeding ◽

Cross Sectional ◽

Feeding Group

BACKGROUND: Breastfeeding provides an unequalled way of infant nutrition, despite that, the rate of exclusive breastfeeding for the first 6 months in Egypt is only 13%, and the rates of artificial feeding are rising. AIM: The current study aimed to explore the reasons for the use of artificial feeding among mothers receiving subsidised milk from formula dispensing centres in Egypt, and to detect the reasons behind the use of a formula only for infant feeding rather than mixed breastfeeding and artificial feeding. METHODS: This exploratory cross-sectional study involved 197 mothers; who attended centres for dispensing subsidised artificial formula at primary health care facilities (PHC) in El-Fayom and Ismailia governorates via a purposive sampling technique. The study spanned over 6-months duration from June till December 2018. RESULTS: A statistically significant higher percentage of artificial feeding only was noticed in male infants (47.5% in the AF group only versus 28.7% in the mixed feeding group (p = 0.018), and infants aged 6-12 months (47.5% in the AF group only versus 28.7% in the mixed feeding group, p = 0.032). A statistically significant higher percentage of artificial feeding only was noticed among infants born to mothers who have general anaesthesia during labour (67.2% in the AF group only versus 41.9% in the mixed feeding group, p = 0.004), and among infants born to mothers who think that formula feeding is better (13.1% in the AF group only versus 0.7% in the mixed feeding group, or that formula has a similar quality to breast milk (6.6%% in the AF group only versus 4.4% in the mixed feeding group, p = 0.0004. The most common reasons for formula feeding reported by both groups were perceived breast milk insufficiency (60.9%), weak babies (50.3%), and doctors’ advice (37%). Previous negative breastfeeding experience and the need for own body privacy were the two reasons which differed statistically in both groups p = 0.004 and 0.008, respectively. CONCLUSION: antenatal care education is essential to improve mothers’ knowledge and practice of breastfeeding. Baby-friendly hospital initiative implementation is essential to ensure early initiation and continuation of breastfeeding.

Nearly one-in-five mothers avoid colostrum in North Wollo Zone, Ethiopia: an institution-based cross-sectional study

Journal of Nutritional Science ◽

10.1017/jns.2021.97 ◽

2021 ◽

Vol 10 ◽

Author(s):

Misgan Legesse Liben ◽

Nigus Bililign Yimer ◽

Fentaw Wassie Feleke

Keyword(s):

Logistic Regression ◽

Breast Feeding ◽

Cross Sectional Study ◽

Sectional Study ◽

Child Feeding ◽

Cross Sectional ◽

Timely Initiation ◽

Multivariable Logistic Regression ◽

North Wollo

Abstract 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. These mothers believe that colostrum must discard to alleviate this effect. However, the cause of this misconception about colostrum was not well researched, particularly in this study area. The main aim of the present study was to assess colostrum avoidance and associated factors among mothers having children aged 6–59 months in North Wollo Zone, Northeastern Ethiopia. An institution-based cross-sectional study design was used. Descriptive statistics, binary and multivariable logistic regression analyses were used for the statistical analysis. The prevalence of colostrum avoidance was 19 % (95 % CI 15⋅03, 22⋅89 %) among mother–child pair aged 6–59 months. In multivariable logistic regression analysis, the most important predictors were breast-feeding initiation Adjusted Odds Ratio (AOR) 6⋅369; 95 %, Confidence Interval (CI) (3⋅067, 13⋅224), pre-lacteal feeding AOR 3⋅464; 95 % CI (1⋅721, 6⋅973), shared household decision about child feeding AOR 3⋅585; 95 % CI (1⋅563, 7⋅226), Index child sex AOR 2⋅103; 95 % CI (1⋅015, 4⋅358) and health facility delivery AOR 3⋅033; 95 % CI (1⋅293, 7⋅117). The colostrum avoidance in the present study was 19 %. The study recommends the promotion of institutional delivery, timely initiation of breast-feeding, the shared household decisions about child feeding, avoiding sex preferences and stopping pre-lacteal feeding were critically important.

HUBUNGAN PENGETAHUAN IBU DENGAN PEMBERIAN MP-ASI PADA BAYI USIA 0-6 BULAN DI POLINDES BILLA’AN KECAMATAN PROPPOKABUPATEN PAMEKASAN

Sakti Bidadari (Satuan Bakti Bidan Untuk Negeri) ◽

10.31102/bidadari.2021.4.1.12-19 ◽

2021 ◽

Vol 4 (1) ◽

pp. 12-19

Author(s):

Qurratul A’yun

Keyword(s):

Breast Milk ◽

Complementary Feeding ◽

Sampling Technique ◽

Maternal Knowledge ◽

Complementary Foods ◽

Chi Square ◽

Cross Sectional ◽

Feeding Programs ◽

Nutritional Needs ◽

Cross Sectional Design

Complementary food to breast milk is food or drink given to babies aged 6-24 months to meet nutritional needs other than breast milk. Supplementary food or complementary feeding programs have been implemented in Indonesia with the hope of reaching 80%, but in this case it fulfills many things. According to the 2008 Ministry of Health's national data, there were 28.5% or 6 million undernourished toddlers because there were still many people who lacked knowledge about the importance of maintaining nutrition from infancy.The purpose of this study was to analyze the relationship between the level of knowledge of mothers about complementary foods and offering complementary foods at the age of 0-6 months.This type of research is analytical correlation with cross sectional design. The population is all mothers who have babies aged 0-6 months in Billa'an village. Sampling using a total sampling technique of 34 respondents. The independent variable is mother's knowledge, while the dependent variable is offering complementary foods to babies aged 0-6 months. The instruments used were questionnaires and KMS books.The results of the study of 34 obtained results as many as 3 respondents (8.82,%) who have knowledge of complementary foods and 27 respondents (79.4%) are not appropriate in giving complementary foods at the age of 0-6 months. The statistical test used is Chi-Square with a significant number a = 0.05, then it is obtained X2 count (14.008)> X2 table (5.991) so that Ho is rejected.From the results obtained, it can be ignored that there is a significant relationship between maternal knowledge and complementary feeding in infants aged 0–6 months. Therefore the need for mother's awareness to increase mother's knowledge in providing complementary breastfeeding on time or age, namely for babies aged 6 months so that it does not pose a risk because the function of the baby's digestive system is not optimal if given complementary feeding before the baby is 6 months old.

Exclusive breastfeeding rate and related factors among mothers within maternal health WeChat groups in Jiaxing, Zhejiang province, China: A cross-sectional survey

10.21203/rs.3.rs-1046017/v1 ◽

2021 ◽

Author(s):

Chun Y. Fu ◽

Xue J. Tang ◽

Ling P. Pan ◽

Hai Y. Jin ◽

Juan F. Yao ◽

...

Keyword(s):

Logistic Regression ◽

Regression Analysis ◽

Breast Milk ◽

Maternal Health ◽

Exclusive Breastfeeding ◽

Cross Sectional Survey ◽

Related Factors ◽

Cross Sectional ◽

Work Related

Abstract Background The benefits of exclusive breastfeeding (EBF) in the first six months are well recognized, but the EBF rate is still lower in China. WeChat, a most widely used communication application in China, is now used for maternal health education and management in Jiaxing, Zhejiang province, China. The aim of this study was to assess the EBF rate and its associated factors among the mothers within the maternal health WeChat groups. Methods This was a cross-sectional survey on healthy mothers with infants aged 7-12 months from seven maternal health WeChat groups in Jiaxing, China. Data including breastfeeding practice in the first six months, maternal sociodemographic and obstetric characteristics, hospitalization information, work related factors and reasons for non-EBF were collected using an online self-administered questionnaire in October 2021. A multivariable logistic regression analysis was performed to identify the factors independently associated with EBF in the first six months. Results A total of 822 mothers were included in this study. Among them, 586 mothers exclusively breastfed their infants until six months with a EBF rate of 71.3%. Multivariable logistic regression analysis indicated that maternal age (adjusted odds ratio, AOR: 0.948, 95% CI: 0.909-0.990) and perceived insufficient breast milk (AOR: 0.104, 95%CI: 0.072-0.150) were negatively associated with EBF, while EBF during hospitalization was positively associated with EBF within six months (AOR: 2.889, 95% CI: 2.014-4.143). The five of common reasons for non-EBF were no or insufficient breast milk (59.8%), return to work (23.9%), no flexible nursing breaks at work (18.2 %), infant crying or feeling tired or troubled with breastfeeding (9.7%), and nipple and breast problems (9.3%). Conclusion The EBF rate is higher among the mothers within maternal health WeChat groups. WeChat group model can be used to be a cost-effective and useful measure to promote EBF in China. However, perceived insufficient breast milk and work related factors are still the main barriers to EBF in this setting.

A cross-sectional study to estimate the frequency of anti-bovine viral diarrhea virus-1 antibodies in domestic pigs of Mossoró region in the state of Rio Grande do Norte, Brazil

Ciência Rural ◽

10.1590/0103-8478cr20151098 ◽

2016 ◽

Vol 46 (9) ◽

pp. 1607-1612 ◽

Cited By ~ 1

Author(s):

Igor Renan Honorato Gatto ◽

Andreia Gonçalves Arruda ◽

Henrique Meiroz de Souza Almeida ◽

Glaucenyra Cecília Pinheiro da Silva ◽

Alexandro Iris Leite ◽

...

Keyword(s):

Logistic Regression ◽

Rio Grande ◽

Neutralization Assay ◽

Correlated Data ◽

The State ◽

Multivariable Logistic Regression Model ◽

Cross Sectional ◽

Diarrhea Virus ◽

ABSTRACT: This study investigated the occurrence of antibodies for BVDV-1 in swine herds located in the region of Mossoró city of the state of Rio Grande do Norte, Brazil. A sample size of 412 animals was estimated assuming unknown prevalence (set at 50%). Virus neutralization assay was used to the detect the presence of antibodies for BVDV-1 and the results found were analysed using multivariable logistic regression model. The obtained prevalence was 4% at animal level and 45% at the animal and herd level. The titers were highly variable between animals and within farms. The multivariable logistic regression analysis showed an association between being housed outside and exposure to BVDV-1 (OR=0.24, 95% CI:0.06, 0.96, P=0.04). Highly correlated data and low prevalence of antibodies at the animal level resulted in insufficient power to detect significant differences with other selected risk factors. In conclusion, the prevalence is within the range reported for other countries.