scholarly journals Factors Associated With Timely Initiation Of Breastfeeding Among Mothers In JPMC

2018 ◽  
Vol 08 (02) ◽  
pp. 92-96
Author(s):  
Beena Barkat Ali ◽  
Shazia Naseeb ◽  
Razia Korejo
Keyword(s):  
Birth Weight ◽  
Middle Class ◽  
Gestational Age ◽  
Medical Center ◽  
Mode Of Delivery ◽  
Common Factors ◽  
Timely Initiation ◽  
Factors Associated ◽  
Timely Initiation Of Breastfeeding ◽  
Initiation Of Breastfeeding

Objective: Study the frequency of common factors Associated with timely initiation of breastfeeding. Study design: Descriptive Cross sectional. Duration and place of study: this study was conducted at, Jinnah postgraduate Medical center Karachi unit-I from 19 May to 18 November 2015. Material & Methods: A total of 108 mother infant pairs were selected by Non probability consecutive sampling technique, meeting our inclusion criteria. Informed consent was taken after explaining the pros and cons, purpose and procedure of the study. The common factors associated with timely initiation of breastfeeding like age of the mother, gestational age, parity, educational status, working status of the mother, mode of delivery, birth weight of the baby and gender of the baby were evaluated through face to face interview of the mothers . Results: In our study mean age of mothers found to be 26.1 years old. Mean birth interval found to be 3.1years. Mean birth weight of the babies was 2.86 kg. Mean gestational age of the Patients was 38.1weeks. Most of the babies were female 63(58%) other were male 45(42%).Out of 108 patients, 40(37%) received Primary education, 27 (25%) were graduated, 18(17%) were Illiterate, 13(12%) secondary and 10(9%) were Intermediate. Thirty eight (35.2%) belonged to middle class, 56(51.9%) to upper middle class and only 14(13%) to higher class. Fifty eight (53.7%) women were multiparae and 76(70.3%) were employed; And Mostly 66 (61%) delivered through Cesarean -Section. Conclusion: According to this study the main conclusion of Common factors associated to timely initiation of breastfeeding were age of mothers(74.07%) more than 20years , parity 2 or more( 61.1%), educational level secondary and above (50.9%), house wives (32.9%), male sex of infant (41.6%) and Vaginal mode of delivery (38.8%)

scholarly journals Prevalence and predictors of timely initiation of breastfeeding in Ghana: an analysis of 2017–2018 multiple indicator cluster survey

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Paschal Awingura Apanga ◽  
Maxwell Tii Kumbeni
Keyword(s):  
Caesarean Section ◽  
Antenatal Care ◽  
Skilled Attendant ◽  
Timely Initiation ◽  
Cluster Survey ◽  
Factors Associated ◽  
Multiple Indicator Cluster Survey ◽  
Multiple Indicator ◽  
Timely Initiation Of Breastfeeding ◽  
Initiation Of Breastfeeding

Abstract Background Timely initiation of breastfeeding is putting the newborn to the breast within 1 h of birth. Its practice can prevent neonatal and under-5 mortality. This study aims to assess the prevalence and factors associated with timely initiation of breastfeeding among mothers in Ghana. Methods We used data from the 2017–2018 Ghana multiple indicator cluster survey and our analysis was restricted to 15,305 mothers who had a live birth within 2 years. Multivariable logistic regression was used to estimate the factors associated with timely initiation of breastfeeding whilst adjusting for potential confounders, and accounted for clustering, stratification, and sample weights. Results The prevalence of timely initiation of breastfeeding was 51.3% (95% CI 48.1, 54.6%). Mothers who received antenatal care were twice as likely to timely initiate breastfeeding compared to mothers who did not receive antenatal care (Adjusted prevalence odds ratios [aPOR] 2.01, 95% CI 1.03, 3.95). Mothers who were assisted by a skilled attendant at birth had 90% higher odds of timely initiation of breastfeeding compared to mothers who were not assisted by a skilled attendant (aPOR 1.90, 95% CI 1.41, 2.55). Mothers who delivered by caesarean section had 76% lower odds of timely initiation of breastfeeding compared to mothers who had a vaginal delivery (aPOR 0.24, 95, 95% CI 0.16, 0.36). Mothers who had planned their pregnancy had 45% higher odds of timely initiation of breastfeeding compared to mothers who had an unplanned pregnancy (aPOR 1.45, 95% CI 1.09, 1.92). There were also 84% and 55% higher odds of timely initiation of breastfeeding among mothers who perceived their baby was large (aPOR 1.84, 95% CI 1.32, 2.58), and of average size (aPOR 1.55, 95% CI 1.11, 2.17) at birth respectively, compared to mothers who perceived their baby was small. Conclusions Interventions to increase timely initiation of breastfeeding should provide breastfeeding support to mothers who have had a caesarean section or small sized babies, prevent unplanned pregnancies, and promote antenatal care attendance among pregnant women.

scholarly journals Determinants of breastfeeding initiation among newly delivered women in Yaoundé, Cameroon

2020 ◽  
Vol 5 (3) ◽  
Keyword(s):  
Caesarean Section ◽  
Gestational Age ◽  
Mode Of Delivery ◽  
Education Level ◽  
School Education ◽  
World Health ◽  
Breastfeeding Initiation ◽  
Factors Associated ◽  
Centre Region ◽  
Initiation Of Breastfeeding

Exclusive breastfeeding is essential for the mother’s wellbeing, fundamental for the newborn’s development and indispensable for the reinforcement of bonding. According to the World Health Organization (WHO), breastfeeding after childbirth should be initiated within the first 30 minutes following delivery. The Early Initiation of Breastfeeding (EIBF) contributes to the reduction of neonatal morbidity and mortality but is oftentimes not respected. The objective of this survey was to determine the factors associated with breastfeeding initiation and delays. We conducted a cross-sectional study at the Yaoundé Gynaeco-Obstetric and Paediatric Hospital from December 2018 to May 2019. We included women with livebirth infants > 2000g, without breastfeeding contraindications during the first hour of immediate postpartum. We enrolled 250 mothers, mostly from the Centre region (40%), with a secondary school education level in 43%. The vaginal route was the main mode of delivery in 70% of cases. The newborns had a mean gestational age of 38.4 ± 1.6 weeks and a mean birth weight of 3168.6 ± 508.7g; the male sex predominated by a ratio of 1.29. The average time of breastfeeding initiation was 120 minutes and only 40% of mothers had put the baby onto the breast within the first hour after birth. The factors associated with delayed breastfeeding initiation were primary school education level, the Centre region as origin or place of residence, HIV infection in mothers, having delivered through caesarean section, gestational age < 37 weeks, low birthweight < 2500g and neonatal infection. After multivariate analysis, delivery by caesarean section and the Centre region persisted as independent predictors of delayed breastfeeding initiation. Therefore, we concluded breastfeeding initiation in this series was delayed, and was influenced by a number of risk factors pertaining to maternal, neonatal and interventional determinants. However, this may be reduced by the reinforcement of education on good breastfeeding practices and the strengthening of antenatal care in order to prevent complications and hence the delayed initiation of breastfeeding.

Factors Associated with Neonatal Problems in Twin Gestations

1991 ◽  
Vol 40 (2) ◽  
pp. 193-200 ◽  
Author(s):  
D. Fraser ◽  
R. Picard ◽  
E. Picard
Keyword(s):  
Birth Weight ◽  
Neonatal Outcome ◽  
Medical Center ◽  
Mode Of Delivery ◽  
Beer Sheva ◽  
Factors Associated ◽  
Early Neonatal Mortality ◽  
Multiple Gestations ◽  
Congenital Heart Malformations ◽  
Neonatal Problems

AbstractWe examined the neonatal outcome of 644 twins weighing 500 g or more and 656 singletons, born in the years 1984-1986 in the Soroka Medical Center, Beer-Sheva, Israel. There was nearly a four-fold risk of antepartum death in twins vs singletons, which disappeared when birth weight was controlled for. The risks for intrapartum and early neonatal mortality were not raised in this population. A statistically significant relative risk for congenital heart malformations in twins vs singletons remained (RR = 5.0, 95% CI = 1.5-16.3), after controlling for maternal age. Significantly higher rates of hyalin membrane disease, hypoglycemia, hyperbilirubinemia, anemia and septicemia were found in twins. Controlling for the confounding of the association between twinning and mortality or morbidity caused by differences in distributions of mode of delivery or gestational age between twins and singletons, was not as efficient as the controlling for birth weight. Thus, adjustment for birth weight removed all the excess risks detected except in hypoglycemia. Our findings suggest that the-lower birth weight of twins, which is so intimately associated with multiple gestations, is probably the single most important factor associated with neonatal problems found in twin births.

scholarly journals A study on maternal factors affecting low birth weight in institutional deliveries

2020 ◽  
Vol 9 (10) ◽  
pp. 4245
Author(s):  
Chaithra A. ◽  
Mahantappa A. Chiniwar ◽  
Sharada B. Menasinkai
Keyword(s):  
Socioeconomic Status ◽  
Birth Weight ◽  
Middle Class ◽  
Low Birth Weight ◽  
Gestational Age ◽  
Maternal Education ◽  
Tertiary Care ◽  
Mode Of Delivery ◽  
Morbidity And Mortality ◽  
School Level

Background: Low birth weight is defined as birth weight below 2500 mg. WHO states prevalence of LBW is 26%. LBW babies are more prone for neonatal morbidity and mortality. 1) To assess various factors like maternal age, height, education, socioeconomic status on the birth weight of the baby. 2) To assess obstetric factors like parity, gestational age, antenatal care, anemia, hypertension on the birth weight of the newborn.Methods: A hospital bound cross sectional study done at the tertiary care centre. Study was done for a period of 2 months from 1st June to 30th July 2019 in Adichunchanagiri Institute of Medical Sciences and Research Hospital a rural medical college in Karnataka. Maternal data were collected and baby weight was recorded soon after birth on weighing scale.Results: There were 65 births during the study period. There were 13 babies weighing less than 2500 gm. Prevalence of LBW was 20%. 43.47% mothers were aged between 18 to 25 years and 7.14% were more than 25 years. 30.4% mother’s height was between 140 to 150 cm and 14.2% were more than 150 cm. Regarding maternal education, 15.3% degree, 24.1% PUC, 15% High school and 33.3% were primary school level. Regarding socioeconomic status 22.2% low, 25% lower middle, 18.7% middle class, 18.7% belonged to upper middle class. Regarding gestational age 50% were <37 weeks, 15.5% between 37-42 weeks, 10% were 42 weeks.73.8% women had normal BP, 21.5% were prehypertensive, 4.6% had PIH.Conclusions: Low birth weight is one of the important factors in infant morbidity and mortality. Maternal health was important factor in delivery of low birth babies. Maternal height, sex of baby, mode of delivery has no role in low birth weight babies.

scholarly journals Determinants of breastfeeding initiation among newly delivered women in Yaoundé, Cameroon

2020 ◽  
Vol 5 (3) ◽  
Keyword(s):  
Caesarean Section ◽  
Gestational Age ◽  
Mode Of Delivery ◽  
Education Level ◽  
School Education ◽  
World Health ◽  
Breastfeeding Initiation ◽  
Factors Associated ◽  
Centre Region ◽  
Initiation Of Breastfeeding

Exclusive breastfeeding is essential for the mother’s wellbeing, fundamental for the newborn’s development and indispensable for the reinforcement of bonding. According to the World Health Organization (WHO), breastfeeding after childbirth should be initiated within the first 30 minutes following delivery. The Early Initiation of Breastfeeding (EIBF) contributes to the reduction of neonatal morbidity and mortality but is oftentimes not respected. The objective of this survey was to determine the factors associated with breastfeeding initiation and delays. We conducted a cross-sectional study at the Yaoundé Gynaeco-Obstetric and Paediatric Hospital from December 2018 to May 2019. We included women with livebirth infants > 2000g, without breastfeeding contraindications during the first hour of immediate postpartum. We enrolled 250 mothers, mostly from the Centre region (40%), with a secondary school education level in 43%. The vaginal route was the main mode of delivery in 70% of cases. The newborns had a mean gestational age of 38.4 ± 1.6 weeks and a mean birth weight of 3168.6 ± 508.7g; the male sex predominated by a ratio of 1.29. The average time of breastfeeding initiation was 120 minutes and only 40% of mothers had put the baby onto the breast within the first hour after birth. The factors associated with delayed breastfeeding initiation were primary school education level, the Centre region as origin or place of residence, HIV infection in mothers, having delivered through caesarean section, gestational age < 37 weeks, low birthweight < 2500g and neonatal infection. After multivariate analysis, delivery by caesarean section and the Centre region persisted as independent predictors of delayed breastfeeding initiation. Therefore, we concluded breastfeeding initiation in this series was delayed, and was influenced by a number of risk factors pertaining to maternal, neonatal and interventional determinants. However, this may be reduced by the reinforcement of education on good breastfeeding practices and the strengthening of antenatal care in order to prevent complications and hence the delayed initiation of breastfeeding.

scholarly journals Prevalence and predictors of timely initiation of breastfeeding in Ghana: an analysis of 2017–2018 multiple indicator cluster survey

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Paschal Awingura Apanga ◽  
Maxwell Tii Kumbeni
Keyword(s):  
Caesarean Section ◽  
Skilled Attendant ◽  
Prevalence Odds Ratio ◽  
Timely Initiation ◽  
Cluster Survey ◽  
Factors Associated ◽  
Multiple Indicator Cluster Survey ◽  
Multiple Indicator ◽  
Timely Initiation Of Breastfeeding ◽  
Initiation Of Breastfeeding

Abstract Background Timely initiation of breastfeeding is putting the newborn baby to the breast within 1 h of birth. Its practice can prevent neonatal and under-5 mortality. This study aims to assess the prevalence and factors associated with timely initiation of breastfeeding among mothers in Ghana. Methods We used data from the 2017–2018 Ghana multiple indicator cluster survey and our analysis was restricted to 3466 mothers who had a live birth within 2 years. Multivariable logistic regression was used to estimate the factors associated with timely initiation of breastfeeding whilst adjusting for potential confounders, and accounted for clustering, stratification, and sample weights. Results The prevalence of timely initiation of breastfeeding was 52.3% (95% CI 49.7%, 54.9%). Mothers who were assisted by a skilled attendant at birth had 65% higher odds of timely initiation of breastfeeding compared to mothers who were not assisted by a skilled attendant (adjusted prevalence odds ratio [aPOR] 1.65; 95% CI 1.28, 2.13). Mothers who delivered by Caesarean section had 74% lower odds of timely initiation of breastfeeding compared to mothers who had vaginal delivery (aPOR 0.26; 95% CI 0.18, 0.36). Mothers who had planned their pregnancy had 31% higher odds of timely initiation of breastfeeding compared to mothers who had an unplanned pregnancy (aPOR 1.31; 95% CI 1.05, 1.63). There were also 74% and 51% higher odds of timely initiation of breastfeeding among mothers who perceived their baby was large (aPOR 1.74; 95% CI 1.34, 2.26), and of average size (aPOR 1.51, 95% CI 1.16, 1.97) at birth respectively, compared to mothers who perceived their baby was small. Conclusions Interventions to increase timely initiation of breastfeeding should provide breastfeeding support to mothers who have had a Caesarean section, small sized babies and unplanned pregnancies, and to promote birthing by skilled birth attendants.

scholarly journals Maternal and child factors associated with timely initiation of breastfeeding in sub-Saharan Africa

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Francis Appiah ◽  
Bright Opoku Ahinkorah ◽  
Eugene Budu ◽  
Joseph Kojo Oduro ◽  
Francis Sambah ◽  
...  
Keyword(s):  
Working Women ◽  
Binary Logistic Regression ◽  
Sub Saharan Africa ◽  
African Countries ◽  
Timely Initiation ◽  
Factors Associated ◽  
Child Factors ◽  
Sub Saharan ◽  
Timely Initiation Of Breastfeeding ◽  
Initiation Of Breastfeeding

Abstract Background The probability of not breastfeeding within the first hour after delivery (timely initiation of breastfeeding) is particularly pronounced in sub-Saharan Africa. In this study, we examined the maternal and child factors associated with timely initiation of breastfeeding in sub-Saharan Africa. Methods We pooled data from 29 sub-Saharan African countries’ Demographic and Health Surveys conducted from 2010 to 2018. A total of 60,038 childbearing women were included. Frequencies, percentages, and binary logistic regression analyses were carried out. Binary logistic regression was used to examine the maternal and child factors associated with timely initiation of breastfeeding and the results were presented as adjusted odds ratios (aOR) at 95% confidence interval (CI).  Results We found a prevalence of 55.81% of timely initiation of breastfeeding in the sub-region. The country with the highest prevalence of timely initiation of breastfeeding was Burundi (86.19%), whereas Guinea had the lowest prevalence (15.17%). The likelihood of timely initiation of breastfeeding was lower among married women, compared to never married women (aOR 0.91; 95% CI 0.85, 0.98); working women compared to non-working women (aOR 0.90; 95% CI 0.87, 0.93); women who watched television at least once a week, compared to those who never watched television (aOR 0.74; 95% CI 0.70, 0.78); women who delivered through caesarean section, compared to vaginal birth (aOR 0.30; 95% CI 0.27, 0.32); and those with multiple births, compared to those with single births (aOR 0.67; 95% CI 0.59, 0.76). Women who lived in Central Africa were less likely to initiate breastfeeding timely compared to those who lived in West Africa (aOR 0.80; 95% CI 0.75, 0.84). Conclusions The findings call for the need for a behavioural change communication programmes, targeted at timely initiation of breastfeeding, to reverse and close the timely initiation of breastfeeding gaps stratified by the maternal and child factors. Prioritising policies to enhance timely initiation of breastfeeding is needed, particularly among Cental African countries where timely initiation of breastfeeding remains a challenge. Sufficient supportive care, especially for mothers with multiple births and those who undergo caesarean section, is needed to resolve timely initiation of breastfeeding inequalities.

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