scholarly journals Déterminants clés de la pratique optimale de l’allaitement exclusif au niveau de la communauté urbaine de Niamey, Niger

2021 ◽  
Vol 15 (3) ◽  
pp. 1006-1014
Author(s):  
Diadie Oumarou Halima ◽  
Balla Abdourahamane

L’allaitement maternel exclusif (AME), mode d’alimentation de prédilection pour les nourrissons, demeure insuffisamment pratiqué.  ’objectif général de cette étude était de contribuer à la pratique optimale de l’AME au niveau de la communauté urbaine de Niamey. Cette étude transversale, d’une durée de 3 mois a porté sur un échantillon de 400 mères d’enfants de 0-6 mois choisi, par commodité au cours de leurs consultations nourrisson au niveau des centres de santé. Les résultats ont montré que l’initiation précoce à l’allaitement maternel a concerné 48% d’enfants ayant été mis au sein dans l’heure qui suit la naissance, et que seulement 33, 5% des mères ont pratiqué l’AME. Cependant, l’analyse statistique traduit une association entre l’allaitement maternel exclusif et certains des facteurs testés. Ces facteurs clés permettant d’optimiser la pratique de l’AME demeurent: la connaissance de la durée et de la définition de l’AME, la connaissance des avantages de l’AME pour la mère tels que : retarde la fertilité et renforce le lien mère/enfant ; la connaissance des avantages pour l’enfant notamment: enfant grossit bien ou l’enfant est toujours en bonne santé et enfin le caractère économique de l’AME. Ces données permettent une meilleure orientation des interventions axées sur la pratique optimale de l’allaitement maternel à Niamey.   English title: Key determinants of exclusive breastfeeding optimal practice in the urban community of Niamey, Niger Exclusive breastfeeding, the preferred feeding mode for infants, remains insufficiently practised. The overall objective of this study was to contribute to the optimal practice of exclusive breastfeeding in Niamey urban community. This cross-sectional study included a sample of 400 mothers of children aged 0-6 months chosen for convenience during their infant consultations at the health centre level. The results showed that 48% of children who were breast-fed within one hour of birth were introduced early to breastfeeding, and only 33.5% of mothers practiced exclusive breastfeeding. However, the statistical analysis shows an association between exclusive breastfeeding and some of the factors tested. These key factors for optimizing the practice of exclusive breastfeeding remain: knowledge of the duration and definition of breastfeeding, knowledge of the benefits of breastfeeding for the mother such as: delays fertility and strengthens the mother/child bond; knowledge of the benefits for the child in particular: child grows well or the child is always healthy and finally the economic character of the breastfeeding. These data allow a better orientation of interventions focused on the optimal practice of breastfeeding in Niamey.  

2019 ◽  
Vol 6 (5) ◽  
pp. 2108
Author(s):  
A. Dharmalingam ◽  
Chandru Bhaskar ◽  
N. S. Raghupathy

Background: The knowledge and practice of exclusive breastfeeding has been prejudiced by demographic, social, cultural, biophysical, and psychosocial factors. About two-thirds of under-five deaths in India are associated with inappropriate infant feeding practices. Objective of this study was to assess the awareness, knowledge and practice of breastfeeding among the mothers attending to the tertiary care institute at Puducherry, India.Methods: This hospital-based, cross-sectional study was carried out among 150 postnatal mothers who attended immunization clinics, post-natal and paediatric wards at the tertiary care hospital at Puducherry collecting data about breastfeeding knowledge and practices using a structured interview.Results: The breastfeeding practices were significantly poorer in terms of initiation, feeding colostrums, timing and frequency of feeding and inclusion of pre-lacteal feeds among obese women compared to the normal weighted mothers. The breastfeeding knowledge and attitude was healthy among the mothers as depicted by the awareness of nutritive value of breast milk by majority (84%) of mothers.Conclusions: The mothers had poor knowledge regarding initiation of breastfeeding and administration of colostrum. There was a positive attitude about exclusive breastfeeding, frequency of feeding and social aspects of breastfeeding.


2021 ◽  
Author(s):  
Gassem Gohal ◽  
Mai Mohamed Elhassan Mustafa ◽  
Ali Ali Ahmed Al-makramani ◽  
Amani Ahmed ◽  
Mohamed Elsharief ◽  
...  

Abstract Background: Breastfeeding is considered the optimal infant feeding method with numerous benefits for both mother and infant. This study aims to assess breastfeeding Knowledge and determine barriers to exclusive breastfeeding among mothers attending the Primary Health Care Centers in Jazan City. The scope of this research is to suggest a strategy for encouraging mothers in Jazan for the crucial needs for exclusive breastfeeding and overcoming the barriers of breastfeeding.Methods: This is a descriptive cross-sectional study that included all mothers attending the PHC center. Data was collected through a self-administered questionnaire. SPSS was used for data analysis using the student T-test and ANOVA Test.Results: Most study participants understand breastfeeding's health benefits for babies and mothers, but most believe that synthetic milk is the best alternative for working mothers' to feed their babies. 66.7% of mothers practiced exclusive breastfeeding during the first six months of the child's life, and only 28.9% continued exclusive breastfeeding for six months. During the first six months of the child's life, exclusive breastfeeding shows a significant relationship with breastfeeding knowledge and barriers. Sixty percent of mothers have ever had any information about breastfeeding; those who knew the primary source were from their mothers and only 31.4% from hospital staff. Most of the respondents did not agree with the statements given to them as exclusive breastfeeding barriers, which grabs attention to an unexpected response.Conclusions: Most participants have good knowledge concerning breastfeeding benefits for both the mother and infants and disagreed on the mentioned barriers for exclusive breastfeeding that include lack of breastmilk, feel of Fatigue and tiredness, High household burdens, Father does not encourage breastfeeding, use of birth contraception, embarrassment of breastfeeding in public and in front of family members, lack of information and sufficient support and guidance on the importance of B.F., working conditions, bad smell of the nursing mother, transmission of diseases from mother to the child. Health care professionals should actively work hard to encourage mothers, raise their awareness and find the root cause for low exclusive breastfeeding practice rates.


Author(s):  
Rajsinh V. Mohite ◽  
Vinayak Y. Kshirsagar ◽  
Vaishali R. Mohite

Background: Breast milk is first, natural and nutritious food for newborn that promote sensory and cognitive development as well as protect against infectious and chronic diseases. The aim and objective of the study was to estimate the prevalence and to point out determinants of cessation of exclusive breastfeeding among rural primi-para mothers.Methods: This is a hospital based cross sectional study conducted at rural tertiary health centre located Western Maharashtra, India in the month of November-December 2017. A total of 140 breastfeeding primi-para mothers were enrolled and interviewed by utilizing pretested questionnaire include socio-demographic data, obstetric and breastfeeding history after written consent. Data were analyzed for inferential statistics using SPSS Version 21.Results: Among 140 eligible mothers, max. 84.2% were in age group 18-24 years with high proportions, 72.8% housewives, 90% literate and 75.7% with joint family structure. Max. 92.1% mothers were institutionally delivered. The overall prevalence of cessation of exclusive breastfeeding was 22.85% with gradual and sudden cessation was 20% and 2.85% respectively. Maternal determinants like insufficient breast milk secretion (37.5%), maternal sickness (12.5%) were highly contributed for cessation of breastfeeding whereas, infant illness, 12.5% respectively. The nuclear family structure, caesarean delivery and low birth weight baby were significantly associated with cessation of exclusive breastfeeding. The risk of cessation of exclusive breastfeeding is of 4.5 and 2.5 times higher with maternal nuclear family structure and infant with low birth weight.Conclusions: Prevalence of cessation of exclusive breastfeeding was low among primi-para mothers residing in rural area of western Maharashtra, India. The nuclear family structure, low birth weight baby have had significant effect on cessation of exclusive breastfeeding.


2020 ◽  
Vol 7 (10) ◽  
pp. 1468
Author(s):  
Suhaila Abdalkarim Ali ◽  
Amani Osman Abdelmola

Background: Breastfeeding is the best way of providing nutrition for the healthy growth and development of infants. It is an essential part of the reproductive process with important inferences for the health of mothers. Exclusive breastfeeding for 6 months is the recommended way for infants nourishing. Complementary foods should be introduced after the age of 6 months, and breastfeeding should continue until the age of 2 years. This study was conducted to measure the prevalence of exclusive breastfeeding and to identify the most common obstacles confronting the practice between mothers attending El-Darrassa PHC centre.Methods: A descriptive cross-sectional study included all mothers attending the PHC centre. The data was collected by a questionnaire. The descriptive method and inferential statistics were used for data analysis.Results: The prevalence of breastfeeding was 97%, while the prevalence of exclusive breast-feeding was 51%. The obstacles facing breastfeeding were: 38% decreasing amount of mother’s milk, 16.8% the ease of artificial feeding and 16% the mothers’ working status. Nearly half knew the breastfeeding benefits for mother and child. There were no significant relations between exclusive breastfeeding and demographic characteristics, while there were significant relationships, between breastfeeding and medications contraindicated with lactation, easiness of artificial feeding, and decreased amounts of milk.Conclusions: The study revealed that the key factors for improving exclusive breastfeeding are raising the mothers’ awareness, enhancing health facilities policies to support mothers’ initiation of breastfeeding immediately after birth, promoting effective breastfeeding and enforcing laws protecting working mothers and facilitating their breastfeeding practice during work.


2021 ◽  
Author(s):  
◽  
Allion Asiimire

Background: Exclusive breastfeeding for six months provides the nurturing, nutrients, and energy needed for physical and neurological growth and development. However, nearly 2 out of 3 infants are not exclusively breastfed for the recommended 6 months, a rate that has not improved in 2 decades In addition, efforts to increase EBF particularly in Uganda have stagnated, with the rate remaining the same for many years. There is limited documented information specifically at Mbarara Municipal Council Health Centre IV (MMC H/C IV ) regarding the prevalence of exclusive breastfeeding and associated factors among young women. This study is therefore aimed at assessing the prevalence of exclusive breastfeeding and associated factors among young women. Methodology: A health Centre-based cross-sectional study was conducted among 93 pregnant women attending a postnatal clinic at Mbarara municipal council health center IV. Information was collected using a structured question. The prevalence of exclusive breastfeeding was 31.2%. The following variables were found to be significantly associated with exclusive breastfeeding, marital status OR 3.798 (CI.381-8.484) P=0.045, monthly income OR 2.750 (CI.380-8.058) p= 0.033. Conclusion and recommendations: A low prevalence of exclusive breastfeeding was noted among young women attending Mbarara Municipal Council Health Centre IV. The factors associated with exclusive breastfeeding include marital status and monthly income.


Author(s):  
Sri Mulyani

Knowledge of exclusive breastfeeding has been proven, through previous studies, as one of the factors that affect the readiness of pregnant mothers in exclusive breastfeeding. It is also widely reported about the job or profession mothers (especially those done outside the home) as factors inhibiting the implementation of exclusive breastfeeding. This study aims to examine the role of the moderator job as the relationship between knowledge of exclusive breastfeeding with maternal readiness in exclusive breastfeeding. Cross-sectional study performed on pregnant women with first child, a sample of 139 respondents was taken to the criteria does not work (housewives) or working outdoors. Enclosed questionnaire was used to measure the knowledge and readiness of mothers in exclusive breastfeeding. The data analysis technique used is the linear regression model. The results showed that the significant effect of knowledge on the readiness of pregnant women at work (R = 0.412; p = 0.002) but not significant in pregnant women who do not work (R = 0.187; p = 0.086). It can be concluded that the work has a role as moderator effect of exclusive breastfeeding knowledge about the readiness of pregnant mothers in exclusive breastfeeding.


Author(s):  
Kunal Kanti Majumdar ◽  

Background: Breastfeeding is beneficial for both the mother and child. Exclusive breastfeeding protects the child from various infections. It reduces the risks of ovarian and breast cancer in the mother. Poor hygienic and sanitary practices during pregnancy may lead to various infective conditions and adverse obstetric outcomes leading to increased maternal and neonatal morbidity and mortality. Objectives: To determine the breastfeeding knowledge and knowledge and practice of personal hygiene and sanitation among the antenatal mothers. Methodology: A cross-sectional study was performed in a tertiary hospital in Kolkata. 170 antenatal mothers were selected for the study. Data was collected on breastfeeding knowledge and knowledge and practice of personal hygiene and sanitation. Result: 41.8% of antenatal mothers were between 25-30 years of age. According to 98.2% opined that breastmilk should be fed to the child first after birth. 75.9% of them cleaned their teeth twice daily, 72.4% bathed once in a day. 83.5% of them regularly washed their nipples with soap and water. 99.4% washed their hands before eating and after using the toilet, 75.9% had no idea about the 6 steps of hand washing. 37.7% used domestic filter as their source of drinking water. 7.1% used community toilets and 44.7% knows the usefulness of sanitary toilet. Conclusion: In this study, it was found that most of the mothers had adequate knowledge about the importance of colostrum and exclusive breastfeeding and the correct time of initiating complementary feeding. Knowledge as well as practices of hygiene and sanitation were also found to be satisfactory.


Author(s):  
Aswathy S. ◽  
Lakshmi M. K.

The study was aimed to assess the breastfeeding practices among mothers of infants in Peringara Gramapanchayat in Kerala. Study was a community based cross-sectional study among mothers of infants in Peringara gramapanchayat using a pretested questionnaire. 142 breastfeeding mothers of infants in Peringara gramapanchayat were studied and mothers who were not present at home during the study were excluded from the study. Study period consisted of 18 days between December 2015 and January 2016. Study variables includes type of delivery, initiation of breastfeeding, breastfeeding practices and role of ASHAs in promoting good breastfeeding practices. Statistical analysis was done using Pearson’s Chi-square test and T test. The study found that exclusive breastfeeding has been done by 68.3% of mothers. There is no practice of giving pre-lacteal feed, 95.8% of mothers have given colostrum to the new born. Statistically significant association was found between the type of delivery and time of initiation of breastfeeding (p less than 0.05). Time of initiation of breastfeeding was prolonged in case of Caesarean section. 49.3% of mothers have breastfed the baby within one hour. 55.6% of mothers were informed about importance of breastfeeding by ASHAs and only 20.4% of mothers were informed about period of exclusive breastfeeding and period of complimentary feeding by ASHAs.


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