scholarly journals Rural Versus Urban Variations on the Factors Associated with Early Initiation of Breastfeeding in Ethiopia.

2021 ◽  
Author(s):  
Desalegn Girma ◽  
Zinie Abita
Keyword(s):  
Health Care ◽  
Urban Population ◽  
Mode Of Delivery ◽  
Early Initiation ◽  
Health Care Decisions ◽  
Urban Populations ◽  
Factors Associated ◽  
Early Initiation Of Breastfeeding ◽  
Initiation Of Breastfeeding ◽  
Peripheral Regions

Abstract Background: Early initiation of breastfeeding (EIBF) is defined as starting breastfeeding within the first hour of birth. It has clinical importance to reduce neonatal morbidity and mortality. Previously studies have been conducted in Ethiopia to identify factors associated with EIBF. However, those studies hadn’t investigated the variation of factors within rural versus urban populations. Therefore, this study is aimed to investigate the differences in factors associated with the early initiation of breastfeeding in rural-urban populations.Methods: This study was used Ethiopian Demographic and Health Survey data, 2016. A total of 3662 children aged less than 24 months were included in the study. Thus,2897 children were disaggregated into rural and the rest 765 of them were into urban. A multivariable logistic regression model was fitted to identify the determinant of EIBF. Finally, a statistically significant association was declared at a p-value of ≤0.05.Results: In rural populations, the study found that the age of mothers 15-24 years (AOR=1.50, 95%CI: 1.13,2.00), mothers not working (AOR=1.38,95%CI: 1.12,1.69), large birth size (AOR=1.44,95%CI:1.12,1.85), and participation of mothers in making health care decisions (AOR=1.43, 95%CI: 1.17,1.75) were positively associated with EIBF. Rural mothers having ≤2 children(AOR=0.55,95%CI: 0.45,0.67), living in larger to center regions (AOR=0.13,95%CI: 0.06, 0.27), and small peripheral regions (AOR=0.12,95%CI:0.06, 0.24) were negatively associated with EIBF. Irrespective of residence, the odds of EIBF were higher in vaginal delivery (RuralAOR= 4.38,95%CI:1.81,10.59; urban AOR= 3.19,95%CI:1.86, 5.48 ).In the urban population, having frequent ANC follow-ups was associated with a higher odds of EIBF.Conclusions: The study concludes that the age of mothers, working status of mothers, birth sizes, mothers participation in making health care decisions, numbers of children in the households, living in large to center regions and small peripheral regions were determinants of early initiation of breastfeeding, only rural residence. Mode of delivery was associated with EIBF, Irrespective of the residence. In the urban population, having frequent ANC follow-ups was associated with a higher odds of EIBF. Special emphases to mothers living in rural large to center and small peripheral regions should be given. Regardless of the residence, appropriate guidance and supports should be given for babies delivered through cesarean section.

scholarly journals Frequency of primiparous mother initiated breastfeeding earlier after birth and factors associated with it in Sindh, Pakistan: a secondary analysis

2021 ◽  
Vol 8 (8) ◽  
pp. 3766
Author(s):  
Asma A. Bham ◽  
Suchita Sharma ◽  
Akash Sardool ◽  
Umer F. Mujahid ◽  
Amrat Ayaz ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Secondary Analysis ◽  
Cross Sectional Study ◽  
Vital Role ◽  
Early Initiation ◽  
Cross Sectional ◽  
Factors Associated ◽  
Early Initiation Of Breastfeeding ◽  
Initiation Of Breastfeeding

Background: Initiation of breastfeeding within one hour after delivery plays a vital role in a newborns life by not only increasing their survival rate but also reducing many life-threatening diseases in the newborn. The aim of the study was to determine frequency of early initiation of breastfeeding among primiparous mothers in a rural district of Thatta, Pakistan.Methods: This study was conducted using survey data extracted from a cross-sectional study conducted in 2019 on prevalence of exclusive breastfeeding and factors associated with it among women in Thatta. The outcome was early initiation of breastfeeding. To determine factors associated with it, multi variable logistic regression was carried out.Results: The study showed that 30.3% of primiparous mothers in Thatta initiated breastfeeding within one hour of birth and knowledge of mothers (OR=9.76, 95% CI: 1.99-17.59), place of birth (OR=3.51, 95% CI: 1.32-9.31) and support of health care professional at health facility (OR=2.93, 95% CI: 1.09-7.86) are the factors significantly associated with early initiation of breastfeeding among primiparous mothers.Conclusions: In order to enhance the early initiation of breastfeeding, it is important for health care professionals to emphasize on the effect of pre-lacteal feeding during and support breastfeeding immediately after delivery, especially among women who had given birth for the first time.

scholarly journals Prevalence and factors associated with early initiation of breastfeeding among women in Moshi municipal, northern Tanzania

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Hadija Y. Lyellu ◽  
Tamara H. Hussein ◽  
Margareta Wandel ◽  
Babill Stray-Pedersen ◽  
Melina Mgongo ◽  
...  
Keyword(s):  
Early Initiation ◽  
Factors Associated ◽  
Early Initiation Of Breastfeeding ◽  
Northern Tanzania ◽  
Initiation Of Breastfeeding

scholarly journals Delayed onset of breastfeeding: what is stopping us?

2020 ◽  
Vol 7 (10) ◽  
pp. 2021
Author(s):  
Ketan Gadhavi ◽  
Ruta Deo
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Oral Intake ◽  
Positive Influence ◽  
Early Initiation ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Early Initiation Of Breastfeeding ◽  
Care Workers ◽  
Initiation Of Breastfeeding

Background: Breastfeeding is the best meal for a new born child. Various initiatives are in place for early initiation of breastfeeding. The effectiveness of these interventions is put to question when a large number of neonates fail to receive breast milk soon after birth. This study analyses the parameters likely to affect the time of onset of breastfeeding and evaluate the scope for interventions. It is important to assess the factors affecting initiation of breastfeeding, determine the relationship of these factors with the time of initiation and to analyse if counselling by health care workers has any benefit on outcome.Methods: This is a hospital based cross sectional observational study in 200 lactating mothers from a pre-designed questionnaire. Main outcome measure- early onset (<1 hour of birth) of breastfeeding.Results: Only 55% neonates included in this study were breastfed within the first 30 minutes. Positive influence for early initiation of breastfeeding was found with non primi mothers aged more than 26 years, with secondary or higher education, who had vaginal birth with institutional delivery. Early oral intake of mother with professional women living in joint family started early breastfeeding. Use of pre lacteal feeds delayed the onset of breastfeeding. Infants fed earlier were males, weight >2.2 kg. Women counselled by health care workers fed their babies earlier.  Conclusions: This study surmises that pre lacteal feeds should be discouraged and active health care workers’ participation should be encouraged for early breastfeeding. Breastfeeding should be initiated as soon as possible for healthy neonatal outcome.

scholarly journals Maternal and child factors associated with early initiation of breastfeeding in Chad: evidence from nationally representative cross-sectional data

2021 ◽  
Author(s):  
Bright Opoku Ahinkorah ◽  
Abdul-Aziz Seidu ◽  
Eugene Budu ◽  
Aliu Mohammed ◽  
Collins Adu ◽  
...  
Keyword(s):  
Health Workers ◽  
Working Women ◽  
Wealth Quintile ◽  
Early Initiation ◽  
Outcome Variable ◽  
Related Factors ◽  
Factors Associated ◽  
Early Initiation Of Breastfeeding ◽  
Child Factors ◽  
Initiation Of Breastfeeding

Abstract Background Early initiation of breastfeeding (EIB) is an inexpensive practice but has a substantial potential to reduce neonatal morbidity. Therefore, this study investigated the maternal and child-related factors associated with EIB and makes recommendations that could help improve the practice in Chad. Methods We used data from the children's recode file of the 2014–2015 Chad Demographic and Health Survey. A total of 3991 women ages 15–49 y who had last-born children in the 2 y preceding the survey were included in our study. The outcome variable for the study was EIB. Both descriptive (frequencies and percentages) and inferential (binary logistic regression) analyses were carried out. All results of the binary logistic analyses are presented as adjusted odds ratios (aORs) with 95% confidence intervals (CIs). Results We found the prevalence of EIB in Chad to be 23.8%. In terms of maternal factors, the likelihood of EIB was high among non-working women (aOR 1.37 [95% CI 1.18 to 1.59]), the richest wealth quintile women (aOR 1.37 [95% CI 1.04 to 1.79]) and non-media-exposed women (aOR 1.58 [95% CI 1.24 to 2.02]) compared with working women, the poorest wealth quintile women and media-exposed women, respectively. EIB was lower among children whose mothers had one to three antenatal care visits (ANC; aOR 0.73 [95% CI 0.61 to 0.87]) and four or more ANC visits (aOR 0.80 [95% CI 0.66 to 0.97]) compared with those who had no ANC visits. With the child factors, EIB was higher among mothers of children who were smaller than average size at birth compared with those of larger than average birth size (aOR 1.47 [95% CI 1.24 to 1.74]). Mothers of children of fifth-order or more births compared with those of first-order births (aOR 1.51 [95% CI 1.07 to 2.12]) and those who were delivered through vaginal birth compared with those delivered through caesarean section (aOR 4.71 [95% CI 1.36 to 16.24]) were more likely to practice EIB. Conclusions Maternal and child-related factors play roles in EIB in Chad. Hence, it is important to consider these factors in maternal and neonatal health interventions. Such initiatives, including training of outreach health workers, health education, counselling sessions and awareness-raising activities on breastfeeding geared towards EIB should be undertaken. These should take into consideration the employment status, wealth quintile, exposure to mass media, size of the baby at birth, ANC visits, parity and delivery method.

scholarly journals Determinants of Early Initiation of Breastfeeding among Mothers of Children Aged Less Than 24 Months in Northwestern Romania

Nutrients ◽  
2019 ◽  
Vol 11 (12) ◽  
pp. 2988 ◽  
Author(s):  
Anamaria Cozma-Petruţ ◽  
Ioana Badiu-Tişa ◽  
Oana Stanciu ◽  
Lorena Filip ◽  
Roxana Banc ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Early Initiation ◽  
Cross Sectional ◽  
Face To Face ◽  
Factors Associated ◽  
Early Initiation Of Breastfeeding ◽  
Skin Contact ◽  
Modifiable Factors ◽  
Northwestern Region ◽  
Initiation Of Breastfeeding

Early initiation of breastfeeding (EIBF), defined as putting newborns to the breast within 1 h of birth, may have important benefits for both infant and mother. The aim of this study was to assess EIBF practices and its determinants in northwestern Romania. This cross-sectional study was conducted from March to June 2019, based on a sample of 1399 mothers of children aged less than 24 months. The sample was recruited from the community, from 29 cities and 41 communes distributed across the six counties of the northwestern region of Romania. Mothers responded by face-to-face interviews to a structured questionnaire. Multivariate logistic regression was used to identify factors independently associated with EIBF. Only 24.3% of the mothers initiated breastfeeding within 1 h of birth. Delivering at a private hospital (adjusted odds ratio (AOR): 5.17, 95% confidence interval (CI) 3.87, 6.91), vaginal delivery (AOR: 4.39, 95% CI 3.29, 5.88), mother–newborn skin-to-skin contact for 1 h or more (AOR: 55.6, 95% CI 23.0, 134.2), and breastfeeding counseling during antenatal visits (AOR: 1.48, 95% CI 1.12, 1.97) were factors associated with increased likelihood of EIBF. Overall, the practice of EIBF was poor. Targeting modifiable factors associated with EIBF may be used to improve early initiation practice.

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