Effectiveness of early initiation of breastfeeding on maternal satisfaction with breast feeding among women who have undergone caesarean section and the breastfeeding behaviour of their newborns

Abstract Background Early initiation of breastfeeding (EIBF) is a key strategy in averting neonatal deaths. However, studies on the facilitators and risk factors for EIBF are rare in Ghana. We examined trends in EIBF and its major facilitators and risk factors in Ghana using data from Demographic and Health Surveys from 1998 to 2014. Methods We used complete weighted data of 3194, 3639, 2909 and 5695 pairs of mothers ages 15–49 y and their children ages 0–5 y in the 1998, 2003, 2008 and 2014 surveys, respectively. We accounted for the complex sampling used in the surveys for both descriptive statistics and multiple variable risk ratio analysis. Results The proportion of children who achieved EIBF increased by about 2.5 times from 1998 to 2003 and there was a marginal increase in the proportion of children who achieved EIBF between 2003 and 2014. Children born by caesarean section were at higher risk of being breastfed later than 1 h across all four surveys. Being born in the Upper East Region (compared with the Western Region) of Ghana facilitated EIBF in 2003 and 2008. Conclusions The study revealed that the current estimate of the proportion of children achieving EIBF in Ghana was 55.1%, and delivery by caesarean section and region of residence consistently predicted the practice of EIBF in Ghana.

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Retrospective study to improve early initiation of breastfeeding in newborns

International Journal of Reproduction Contraception Obstetrics and Gynecology ◽

10.18203/2320-1770.ijrcog20194872 ◽

2019 ◽

Vol 8 (11) ◽

pp. 4444

Author(s):

Joyce Jayaseelan ◽

Anita Krishna Mohan

Keyword(s):

Breast Feeding ◽

Early Initiation ◽

Third Trimester ◽

Professional Help ◽

Exclusive Breast Feeding ◽

Early Initiation Of Breastfeeding ◽

Lactation Consultants ◽

Breast Feed ◽

Retrospective Data Collection ◽

Initiation Of Breastfeeding

Background: Breast milk is the best nutrition to every new born baby. WHO recommends that all new-borns should be breastfed within one hour of birth and then on demand. Exclusive breast feeding i.e. avoiding any other feeds till 6 months of age, is best for the baby. Despite these guidelines, our national average of initiating breastfeeding within the first hour is less than 50% as per NFHS 2015-2016. The objective was to study the existing rate of early initiation of breast feeding in the study hospital.Methods: Retrospective data collection from 2015 to 2017 was used for this study. Mothers were educated about colostrum and benefits of early initiation of breastfeeding in their third trimester and during their baby shower.Results: Early initiation of breast feeding was successful among 2624 babies out of 2835 babies who were born in the study period.Conclusions: As compared to national averages, the study hospital had a superior percentage of babies being initiated early on breastfeeding. We need to educate and motivate the society to encourage exclusive breast feeding for all babies. Professional help in the form of dedicated lactation consultants of guidelines will help mothers to breast feed their babies sooner and for longer. Busting local myths and harmful practices is the need of the hour.

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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

10.21203/rs.3.rs-72239/v1 ◽

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.

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Early initiation of breast feeding practice among institutional delivered women in district Bareilly

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20173858 ◽

2017 ◽

Vol 4 (9) ◽

pp. 3436 ◽

Cited By ~ 1

Author(s):

Atul Kumar Singh ◽

S. B. Gupta ◽

Huma Khan

Keyword(s):

Breast Feeding ◽

Tertiary Care ◽

Early Initiation ◽

Feeding Practice ◽

Care Hospital ◽

Hospital District ◽

Early Initiation Of Breastfeeding ◽

Skin Contact ◽

Tract Infections ◽

Initiation Of Breastfeeding

Background: A recent trial has shown that early initiation of breastfeeding could reduce neonatal mortality by 22%, which would contribute to the achievement of the Millennium Development Goals. Globally, over one million newborn infants could be saved each year by initiating breastfeeding within the first hour of life. In developing countries alone, early initiation of breastfeeding could save as many as 1.45 million lives each year by reducing deaths, mainly due to diarrheal disorders and lower respiratory tract infections in children. We studied the practice of early initiation of breast feeding among institutional delivered women in district Bareilly.Methods: This cross sectional study was conducted in the residence of 289 mothers who were delivered in health care institutions of district Bareilly. The study was carried out among women who delivered in 3 hospitals (one tertiary care hospital - SRMS IMS, one secondary level care hospital (district hospital) and one primary health center (PHC). All the recently delivered mothers were interviewed at their residences that were having infants aged up to 1 month.Results: 186 (64.4%) mothers had started the breast feeding within 1 hour after delivery. More than half (59.1%) women were aware about the duration of exclusive breast feeding while only 101 (34.9%) women aware about the correct positioning for proper breastfeeding.Conclusions: Early rooming-in, skin-to-skin contact and support to the mother are the simple interventions which are likely to have the greatest impact in reducing child mortality.

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Early initiation of breast feeding and its associated factors among 0-23 months children in Haldwani, District Nainital

Indian Journal of Community Health ◽

10.47203/ijch.2020.v32i03.011 ◽

2020 ◽

Vol 32 (3) ◽

pp. 527-532

Author(s):

Thakkar Hemaben Kanubhai ◽

Mohd Maroof ◽

Pamei Gaihemlung ◽

Bhatt Maneesh ◽

Preeti Kumari

Keyword(s):

Breast Feeding ◽

Associated Factors ◽

Mode Of Delivery ◽

Simple Random Sampling ◽

Early Initiation ◽

P Value ◽

Delivery Mode ◽

Cross Sectional ◽

Early Initiation Of Breastfeeding ◽

Initiation Of Breastfeeding

Introduction: Breastfeeding benefits both the mother and infant. It contains all the essential nutrients in an adequate amount that fulfils the infant first six month’s needs. Early initiation of breastfeeding is necessary to ensure consumption of colostrum having multiple protective factors. Aim and Objectives: To estimate the prevalence of early initiation of breast feeding and to determine its associated factors among 0- 23 months children. Methodology: A community-based cross- sectional study was carried out among 339 children aged 0-23 months in field practice areas of Rural & Urban Health Training Centres (RHTC & UHTC), Department of Community Medicine, Govt. Medical College, Haldwani, District Nainital for a period of 6 months using simple random sampling. Questions related to Early initiation of breast feeding and its associated factors were asked through Epicollect software. Wald’s statistics, Chi- square test, Fisher’s exact test were applied. P value of less than 0.05 was considered as significant. Results: The prevalence of Early Initiation of Breastfeeding was 45.1% (95% CI= 39.9%-50.5%) which was significantly associated with place of delivery, mode of delivery, mother’s education & ANC care. Conclusion: Early Initiation of Breastfeeding practice was found in almost half of children which were significantly associated with various factors highlighting the importance of addressing these factors to improve Early Initiation of Breastfeeding practices.

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Determinant of Early Initiation of Breastfeeding in a Tertiary Neonatal Unit

Journal of Nepal Paediatric Society ◽

10.3126/jnps.v29i2.2042 ◽

2009 ◽

Vol 29 (2) ◽

pp. 74-78 ◽

Cited By ~ 1

Author(s):

Deepeshwara Nepal ◽

Sankar M Jeeva ◽

Satish M Misra ◽

Vinod K Paul

Keyword(s):

Caesarean Section ◽

Breast Feeding ◽

Univariate Analysis ◽

General Ward ◽

Neonatal Unit ◽

Innovative Strategies ◽

Early Initiation Of Breastfeeding ◽

Status Occupation ◽

Prelacteal Feeds ◽

Initiation Of Breastfeeding

Introduction: Initiation of breastfeeding within one hour of birth is an important determinant of successful breastfeeding. National Family and Health Survey -3(NFHS-3) reported that only 23.4% of children < 3 years were breastfed within one hour of birth. Objectives: the purpose of this study is to study the determinant of initiation of breastfeeding within one hour of birth. Setting: Tertiary -level neonatal unit. Material and Methods: All mothers admitted in the postnatal ward were eligible for inclusion; mothers of sick and /or preterm infants were excluded. Enrolled mothers were interviewed between 24 and 72 hours after delivery. Results: The proportion of mothers who initiated breast feeding within one hour of delivery was 32%, between 1-6 hrs were 47% and between 6 to 48 hrs were 21%. Maternal age, education, socioeconomic status, occupation and antenatal or labor room counseling did not influence the initiation of breast feeding within one hour of delivery in univariate analysis. On multivariate analysis, admission in the general ward and delivery by caesarean section were found to be significantly associated with not initiating breastfeeding within one hour (adjusted ORs: 8.79, 2.48 to 31.08, p=0.001 and 6.79, 4.07 to 22.02 p=0.001 respectively). Only about 13% of the infants received prelacteal feeds. Conclusion: Mothers delivering by caesarean section or admitted in the general ward were at high risk of not initiating breastfeeding within one hour. Innovative strategies are required to ensure timely ignition of breastfeeding. Key words: Breastfeeding, Caesarean section, prelacteal feeds, time of initiation. doi: 10.3126/jnps.v29i2.2042 J. Nepal Paediatr. Soc. Vol 29, No. 2, pp.74-78

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A cross sectional study on early initiation of breastfeeding among mothers in Chennai city

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20203915 ◽

2020 ◽

Vol 7 (9) ◽

pp. 3512

Author(s):

Anaiappan Jeyakumar ◽

Kuberan Deivasigamani

Keyword(s):

Breast Feeding ◽

Maternal Education ◽

Cross Sectional Study ◽

Early Initiation ◽

Care Providers ◽

Sectional Study ◽

Cross Sectional ◽

Early Initiation Of Breastfeeding ◽

Chennai City ◽

Initiation Of Breastfeeding

Background: The practice of breast feeding is the best intervention in promoting child survival. The success depends on early initiation of breast feeding soon after birth. Globally a three fifth of new born wait for more than one hour to begin breast feeding, despite the fact that the practice will extremely reduce neonatal infections and maternal postpartum complications. In this context, the objectives of the study was to estimate the prevalence of early initiation of breastfeeding and barriers in non-initiation of early breast feeding among recently delivered mothers at Chennai.Methods: This cross sectional study was conducted in Zone VI of Chennai. Four hundred and fifty (450) delivered a term, live baby with in past 1 year were selected by using simple random technique. Pre-tested structured interview schedule was used to collect data.Results: Among the study group, 54.4% mothers initiated breast feeding within first one hour after delivery. Delay in handing over the baby to the mother (43.9%), maternal complications (19%), neonatal complications (14.1%), Caesarean section (17.6%), and misconception of insufficiency of milk secretion (5.4%) were barriers in non-initiation of early breast feeding.Conclusions: The study explains the prevalence and importance of early initiation of breast feeding. Avoidance of pre lacteal feeds. Promotions of breast milk substitutes and commercial products should be restricted. Co-ordination between the health care providers and mothers must be strengthened. Maternal education plays a vital role in clarifying the ignorance and misconceptions. Emotional and social support influences mothers to initiate it early.

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Prevalence and Predictors of Delayed Initiation of Breastfeeding Among Postnatal Women at a Tertiary Hospital in Eastern Uganda: a Cross-Sectional Study

10.21203/rs.3.rs-968600/v1 ◽

2021 ◽

Author(s):

Loyce Kusasira ◽

David Mukunya ◽

Obakiro Samuel ◽

Kiyimba Kenedy ◽

Nekaka Rebecca ◽

...

Keyword(s):

Caesarean Section ◽

Antenatal Care ◽

Cross Sectional Study ◽

Early Initiation ◽

Sectional Study ◽

Cross Sectional ◽

Early Initiation Of Breastfeeding ◽

Delayed Initiation ◽

Eastern Uganda ◽

Initiation Of Breastfeeding

Abstract BackgroundThe rates for the delayed initiation of breastfeeding in Uganda remain unacceptably high and reasons for this are not well understood. We aimed to determine the prevalence and predictors for the delayed initiation of breastfeeding in Eastern Uganda. MethodsThis study employed a cross-sectional study design. A total of 404 mother-infant pairs were enrolled onto the study between July and November, 2020 at Mbale regional referral hospital (MRRH). They were interviewed on socio-demographic related, infant-related, labour and delivery characteristics using a structured questionnaire. We estimated adjusted odds ratios using multivariable logistic regression models.Results. The rate of delayed initiation of breastfeeding was 70% (n=283/404, 95% CI: 65.3% – 74.4%). The factors that were associated with delayed initiation of breastfeeding were maternal charateristics including: being single (AOR=0.37; 95%CI: 0.19 – 0.74), receiving antenatal care for less than 3 times while pregnant (AOR=1.85, 95%CI: 1.07 – 3.19) undergoing a caesarean section (AOR= 2.07; 95%CI: 1.3 – 3.19) and having a difficult labour (AOR=2.05; 95%CI: 1.25 – 3.35). Infant characteristics included: having a health issue at birth (AOR=9.8; 95%CI: 2.94 – 32.98).Conclusions:The proportion of infants that do not achieve early initiation of breastfeeding in this setting remains high. Women at high risk of delaying the initiation of breastfeeding include those who: deliver by caesarean section, do not receive antenatal care and have labour difficulties. Infants at risk of not achieving early initiation of breastfeeding include those that have a health issue at birth. We recommend increased support for women who undergo caesarean section in the early initiation of breastfeeding. Breastfeeding support can be initiated in the recovery room after caesarean delivery or in the operating theatre. The importance of antenatal care attendance should be emphasized during health education classes.

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The Relationship between the speed of early initiation of breastfeeding with postpartum hemorrhage volume on stage labor

Jurnal Ilmu Kesehatan ◽

10.32831/jik.v3i2.64 ◽

2017 ◽

Vol 3 (2) ◽

pp. 99

Author(s):

Yunarsih Yunarsih ◽

Dwi Rahayu

Keyword(s):

Mortality Rate ◽

Maternal Mortality ◽

Breast Feeding ◽

Post Partum ◽

Early Initiation ◽

Fourth Stage ◽

Maternal Mortality Rate ◽

Post Partum Hemorrhage ◽

Early Initiation Of Breastfeeding ◽

Initiation Of Breastfeeding

Maternal mortality rate in Indonesia is assumed to be high enough; it is 228 per a hundred thousand alive birth case in 2010 with the main factor is a heavy bleeding. The decrease of maternal mortality rate can be done by decreasing one of its factors that is avoiding a heavy bleeding after the delivery by doing a first breast feeding procedure. The purpose of the study is to find the correlation between the speed of early initiation of breastfeeding with the volume of blood occur at the fourth stage of the labor (post partum hemorrhage). The method used in the study is an analytical observation (longitudinal prospective). While the population of study is some mothers who experience a vaginal birth in BPM Bunda district Prambon. The number of the sample is 29 mothers using a random sampling technique. The independent variable is the speed of early initiation breastfeeding and the dependent variable is the volume of blood on the fourth stage (post partum hemorrhage). The datum are analyzed by ( SPSS ) T analyzed on two random sample and match to the meaningful degree of α; 0,05. The result of the study shows that there is a correlation between the speed of first breastfeeding with the volume of the blood p = 0,00. Therefore the conclusion of the study is that there is a correlation between the speed of the first breastfeeding and the volume of the blood, so that the researcher hope that the person on duty for the delivery process to encourage the first breastfeeding procedure to the mother and also to enlarge the knowledge of health education of the expecting mother about the essential effect of first breast feeding application.; Keyword : early initiation of breastfeeding, post partum hemorrhage, maternal mortality

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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 ◽

10.1136/bmjopen-2018-027497 ◽

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.

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