scholarly journals Determinants of prelacteal feeding practice in Uganda; a population based cross-sectional study using Uganda demographic and health survey data

2021 ◽  
Vol 33 (4) ◽  
pp. 269-275
Author(s):  
Ibrahim Isa Koire ◽  
Ayla Acikgoz ◽  
Turkan Gunay

BackgroundBreastfeeding has well-established short-term and long-term health benefits for both the mother and infant. Initiating breastfeeding immediately after birth stimulates breast milk production. Prelacteal feeding (PLF) may result in late initiation of breastfeeding, and thus insufficient production of breast milk. This study aimed to identify the determinants of PLF among children under five years in Uganda. MethodsThis cross-sectional study was conducted using the data from the database of Uganda Demographic and Health Survey 2011. The data of 4,774 children/mothers were evaluated in this study.ResultsThe prevalence of PLF was 40.3%. The rate of PLF practice was found to be 2.15 times higher in women with moderate economic status and 2.02 times higher in women with high economic status compared to those who have low economic status. The rate of PLF practice was found to be 1.73 times higher in newborns delivered by an unskilled birth attendant and 4.35 times higher in newborns delivered with no birth attendant compared to those infants delivered by a skilled birth attendant. The ratio of PLF practice was found to be 2.49 times higher in multiple births. Mothers who initiated breastfeeding in the first 24 hours after birth had higher odds of PLF. No relationship was found between PLF practice with somesociodemographic characteristics of mother’s (age, marital status, educational status, religion, residential location), maternal factors (number of children, antenatal and postnatal care attendance, place of delivery), and characteristics of the newborn infants (sex, type of delivery, birth order number) in the multivariate logistic regression analysis.ConclusionsAll mothers should be informed about the importance of initiation of breastfeeding immediately after delivery, the risks associated with PLF, the optimal practices for breastfeeding, and the presence of a skilled birth attendant at delivery.

BMJ Open ◽  
2019 ◽  
Vol 9 (12) ◽  
pp. e031986
Author(s):  
Dabere Nigatu ◽  
Demewoz Haile ◽  
Bereket Gebremichael ◽  
Yordanos M Tiruneh

ObjectivesThe study was designed to evaluate the accuracy of maternally perceived baby birth size assessments as a measure of birth weight and examine factors influencing the accuracy of maternal size assessments.Study designCross-sectional study.SettingThe study is based on national data from the 2016 Ethiopian Demographic and Health Survey.ParticipantsWe included 1455 children who had both birth size and birth weight data.Main outcome measuresPredictive accuracy of baby birth size for low birth weight. Level of discordance between maternally perceived birth size and birth weight including factors influencing discordance.ResultsMother-reported baby birth size had low sensitivity (57%) and positive predictive value (41%) to indicate low birth weight but had high specificity (89%) and negative predictive values (94%). The per cent of agreement between birth weight (<2500 g vs ≥2500 g) and maternally perceived birth size (small size vs average or above) was 86% and kappa statistics indicated a moderate level of agreement (kappa=0.41, p<0.001). Maternal age, wealth index quintile, marital status and maternal education were significant predictors of the discordance between birth size and birth weight.ConclusionsMaternal assessment of baby size at birth is an inaccurate proxy indicator of low birth weight in Ethiopia. Therefore, a mother’s recall of birth size should be used as a proxy indicator for low birth weight with caution and should take maternal characteristics into consideration.


BMJ Open ◽  
2022 ◽  
Vol 12 (1) ◽  
pp. e053196
Author(s):  
Rafi Amir-ud-Din ◽  
Hafiz Zahid Mahmood ◽  
Faisal Abbas ◽  
Muhammad Muzammil ◽  
Ramesh Kumar ◽  
...  

ObjectivesThis study analysed the association between breast feeding (BF) and birth interval (BI) (both succeeding and preceding) with neonatal mortality (NM), infant mortality (IM) and under-5 mortality (U5M).DesignThis cross-sectional study used data from the Pakistan Demographic and Health Survey 2017–2018.SettingsAll provinces, Islamabad and Federally Administered Tribal Areas were included in the analysis.ParticipantsA total of 12 769 children born to ever-married multiparous women aged 30–49 years who gave live birth within 5 years preceding the interview. Multiple births are not included.Data analysisMultivariate logistic regression analysis was used.ResultsWe found that BF was associated with nearly 98% lower risk of NM (OR 0.015; 95% CI: 0.01 to 0.03; p<0.001), 96% lower risk of IM (OR 0.038; 95% CI: 0.02 to 0.06; p<0.001) and 94% lower risk of U5M (OR 0.050; 95% CI: 0.03 to 0.08; p<0.001). Compared with optimal preceding birth interval (PBI) (36+ months), short PBI (<18 months) was associated with around six times higher risk of NM (OR 5.661; 95% CI: 2.78 to 11.53; p<0.001), over five times risk of IM (OR 4.704; 95% CI: 2.70 to 8.19; p<0.001) and over five times risk of U5M (OR 4.745; 95% CI: 2.79 to 8.07; p<0.001). Disaggregating the data by child’s gender, place of residence and mother’s occupational status showed that being ever breast fed was associated with a smaller risk of NM, IM and U5M in all three disaggregations. However, the risk of smaller PBI <18 months was generally more pronounced in female children (NM and U5M) or when the children lived in rural areas (NM, IM and U5M). PBI <18 months was associated with greater risk of NM and IM, and smaller risk of U5M when mothers did a paid job.ConclusionThis study’s significance lies in the fact that it has found BF and BI to be consistent protective factors against NM, IM and U5M. Given Pakistan’s economic constraints, optimal BF and BI are the most cost-effective interventions to reduce child mortality.


Author(s):  
Sushil Chavan ◽  
Ashok Jadhao ◽  
Uday Narlwar ◽  
Suresh Ughade ◽  
Hemant Adikane

Background: Delayed breastfeeding initiation, colostrum deprivation, supplementary feeding of breast milk substitutes, early introduction of complementary feeding, and incorrect weaning from breast milk are commonly found practices in tribal communities around the world. Aim of the study was to assess the breast-feeding knowledge and practices among mothers belonging to tribal community and having children less than 1 years of age in Melghat area, Maharashtra, India.Methods: Present cross-sectional study was conducted in 14 villages of 4 sub centres of Bijudhawadi, Primary Health Centre in Dharni block of Amravati District, Maharashtra, India. Mothers belonging to tribal community having child less than one year and Mothers who were permanent residents of study area were included in study. Interview was planned as per the convenient time of the mother. Finally, 225 study subjects could be contacted during study period.Results: The mean age of mothers was 22.47 years with SD 3.24 years with range 16 - 35 years. Majority 178 (79.11%) study subjects were having correct knowledge about initiation of breastfeeding. Correct practice of initiation of breastfeeding within 1 hour was seen in 167 (74.22%) study subjects. Significant difference was seen among correct knowledge and practice Colostrum initiation, Pre-lacteals, Period of exclusive breastfeeding.Conclusions: The present study was an attempt to understand knowledge and practices regarding breastfeeding in the context of tribal mothers in Melghat, Maharashtra, India.


2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Senait Gebreslasie Gebremeskel ◽  
Tesfay Tsegay Gebru ◽  
Selam Shushay Kassahun ◽  
Berhanu Gebresilassie Gebrehiwot

Background. Prelacteal feeding is an obstacle to optimal breastfeeding practices in developing countries. It directly or indirectly affects the health of the infants. Despite its importance, this issue has received little attention in Ethiopia. As a result, this study aimed to assess prelacteal feeding and associated factors among mothers of children aged less than 12 months in the rural eastern zone, Tigray, Ethiopia. Methods. Community-based cross-sectional study design was employed. The final sample size was 828, and the multistage sampling technique was used. Pretested and structured interviewer-administered tool was used for data collection. Data were entered, coded, and cleaned by Epi-Info version 7 and analyzed by using SPSS 22.0. Multivariable logistic regression was used to control the effect of confounding. Results. Eight hundred three mothers participated in this study. During the first three days after birth, 198 (24.7%) mothers practiced prelacteal feeding. Parity (AOR: 1.52, 95% CI: 1.04–2.23), late initiation of breastfeeding (AOR: 1.83, 95% CI: 1.30–2.59), and colostrum discard (AOR: 1.57, 95% CI: 1.06–2.33) were strongly associated with prelacteal feeding practice. Conclusion and Recommendation. One-fourth of participants practiced prelacteal feeding. Late initiation of breastfeeding, colostrum discard, and parity were significant determinants of prelacteal feeding. Awareness creation and health education concerning the advantages of early initiation of breastfeeding and the importance of colostrum during their health visits is necessary.


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