scholarly journals Factors Associated with the Implementation of the WHO Breastfeeding Recommendations in Momo Division, North-West Region of Cameroon

2019 ◽  
pp. 114-123
Author(s):  
Nwachan Mirabelle Boh ◽  
Ejoh Aba Richard
Keyword(s):  
Breast Milk ◽  
Maternity Leave ◽  
Cultural Beliefs ◽  
Mode Of Delivery ◽  
Breastfeeding Initiation ◽  
Maternal Knowledge ◽  
North West ◽  
Factors Associated ◽  
Breastfeeding Practices ◽  
Duration Of Breastfeeding

Breastfeeding is essential to break the spiteful cycle of malnutrition in children. In spite of the WHO recommendations on optimum breastfeeding practices and their extensively acknowledged benefits, adherence to these recommendations in Cameroon remains incredibly low. The aim of this study was to identify the factors associated with the implementation of the WHO breastfeeding recommendations among mothers whose children are aged 0 to 24 months in Momo Division, Cameroon. To achieve this goal, 540 mothers attending 22 health units in the 5 sub divisions of Momo division completed structured interviewer administered questionnaire. Through this questionnaire, information on their socioeconomic and demographic characteristics, their knowledge and cultural beliefs about breastfeeding practices and the characteristics of their babies were collected. Results show that 51.5% of babies were girls and 46.1% of mothers had secondary education as their highest level of education. The monthly household income of most (80%) of the mothers was less than 100000frs CFA. Factors found to influence pre-lacteal feeding were mode of delivery, mother’s attitude on the type of first food to be given to the baby and birth order. Breastfeeding initiation within one hour following delivery was associated with place of delivery and mode of delivery. Exclusive breastfeeding was influenced by breast problems, mother’s employment status and misconceptions. The only factor associated with frequency of breastfeeding was the infant’s age. Duration of breastfeeding was associated with birth weight, and maternal knowledge on recommended duration of breastfeeding. The main impairments to breastfeeding practices were mistaken ideas based on misinformation, inadequate or no maternity leave, caesarian method of delivery, delayed breast milk secretion, breast problems and non-satiation of the baby after breastfeeding. The misconceptions noticed amongst mothers in this Division was the belief that breast milk alone is not enough to meet the nutritional needs of the baby for up to six months, expressed breast milk should not be fed to the baby and that infants below 6 months need water to quench their thirst. Maternal knowledge on breastfeeding was good as many knew the importance of breast milk.  

Prevalence and determinant factors of exclusive breastfeeding practices among mothers in Marrakesh province, Morocco: A cross- sectional survey

2021 ◽  
pp. 1-11
Author(s):  
Soufiane El Moussaoui ◽  
Kamal Kaoutar ◽  
Ahmed Chetoui ◽  
Abdeslam El Kardoudi ◽  
Fatiha Chigr ◽  
...  
Keyword(s):  
Exclusive Breastfeeding ◽  
Multivariate Logistic Regression ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Factors Associated ◽  
Breastfeeding Practices ◽  
Survey Report ◽  
Duration Of Breastfeeding ◽  
Breastfeeding Practice

BACKGROUND: Exclusive breastfeeding is the best form of nutrition for infants during the first 6 months of life. Nevertheless, the practice of breastfeeding is currently declining throughout the world. OBJECTIVE: The objective of this study was to assess the prevalence of exclusive breastfeeding (EBF) practice and its associated factors among mothers living in Marrakesh province, Morocco. METHODS: The data were collected using an interviewer administered questionnaire. Both bivariate and multivariate logistic regression analyses were used to identify factors associated with exclusive breastfeeding practice. RESULTS: Prevalence of exclusive breastfeeding was 50.2%. Mothers with age more than 30 years, residing in rural area, receiving counseling related breastfeeding during antenatal follow up and having knowledge about duration of breastfeeding were more likely to practice exclusive breastfeeding than their counterparts. CONCLUSION: Although the prevalence of breastfeeding in Marrakesh was higher than the last national survey report but it is still insufficient. These findings have to stress authorities and deciders to sensitize mothers and future mothers to increase exclusive breastfeeding practice notably through the involvement of health professionals.

scholarly journals What does early initiation and duration of breastfeeding have to do with childhood mortality? Analysis of pooled population-based data in 35 sub-Saharan African countries

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Michael Ekholuenetale ◽  
Amadou Barrow
Keyword(s):  
Infant Mortality ◽  
Early Initiation ◽  
Childhood Mortality ◽  
Breastfeeding Initiation ◽  
African Countries ◽  
Live Births ◽  
Breastfeeding Practices ◽  
Sub Saharan ◽  
Duration Of Breastfeeding ◽  
Pooled Sample

Abstract Background Breastfeeding practices and their impact on infant health and survival are unquestionably of global interest. The aim of this study was to examine the link between breastfeeding initiation within one hour of birth, breastfeeding duration and childhood mortality in sub-Saharan Africa. Methods This study used data from the Demographic and Health Survey, which was conducted in 35 Sub-Saharan African countries between 2008 and 2017. Early initiation and duration of breastfeeding, food consumption indices, and infant mortality were all important variables. Analysis used percentage, median/interquartile range, and regression models (logistic, linear, Cox). Results Early initiation of breastfeeding within one hour after birth was lowest in Chad (23.0%) and highest in Burundi (85.0%). The pooled median duration of breastfeeding was 12 months. Female children had 3% significant lower odds of consuming tinned, powdered or fresh milk, compared with male children (OR 0.97; 95% CI 0.94, 0.99). Conversely, female children were more likely to be put to breast within one hour after birth, compared with male children (OR 1.03; 95% CI 1.01, 1.05). Results from the pooled sample showed approximately 20% (HR 0.80; 95% CI 0.67, 0.96) and 21% (HR 0.79; 95% CI 0.77, 0.80) reduction in infant mortality for children breastfed within one hour after birth and for every unit increase in the months of breastfeeding respectively. In addition, countries with the leading infant mortality rate include; Sierra Leone (92 deaths per 1000 live births), Chad (72 deaths per 1000 live births), Nigeria (69 deaths per 1000 live births), Cote d’ Ivoire (68 deaths per 1000 live births), Guinea (67 deaths per 1000 live births), Burkina-Faso (65 deaths per 1000 live births) and Mozambique (64 deaths per 1000 live births) respectively. Conclusions The findings from this study underscores the need for early breastfeeding initiation and prolong breastfeeding to be considered in programmes on improving childhood survival. Efforts should be made to improve optimal breastfeeding practices as only about half of children in the pooled sample had best practices of breastfeeding.

scholarly journals Pola, tren, dan perbedaan praktik menyusui di Indonesia: analisis deskriptif peran modernisasi dan budaya tradisional dari data Survei Demografi Kesehatan Indonesia 2007

2009 ◽  
Vol 6 (1) ◽  
pp. 42
Author(s):  
Siswanto Agus Wilopo
Keyword(s):  
Cultural Values ◽  
Demographic Variables ◽  
Factors Associated ◽  
Breastfeeding Practices ◽  
Kaplan Meier ◽  
Dependent Variables ◽  
Early Use ◽  
Duration Of Breastfeeding ◽  
Breastfeeding Practice ◽  
Use Of Health Services

Background : A modernization can lead to the adoption of western behavior while cultural values can also prevails, resulting in rejection of certain aspects of modernity. The question is how such conflicting forces affect breastfeeding practices in Indonesian women. Objective : This study examined modern and traditional factors that may affect pattern, trends and differentials of breastfeeding in Indonesia. Methods : The study based on data from Indonesian Demographic Health Survey (IDHS) conducted in 2007. There were 32.895 women or 19.939 children born after January 2002 and contributed to this information. We used duration of breastfeeding as dependent variables which based on information pertained to the last two children of respondent. The variable was calculated as the number of months that the mother reports having breastfed the child. The early use of supplementary food for children and the use of health services were examined to represent cultural values and modernity respectively. Socio-economic and demographic variables were considered important variables for breastfeeding practices. Kaplan Meier graphs were employed for the analysis of pattern, trends, and differentials of breastfeeding.Result : In Indonesia, the duration of breastfeeding varied between provinces. There was a trend of shortening of duration breastfeding about two months during 5 years period. Factors associated with modernity were significant determinant in shortening breastfeeding practice. These included: type of residence (urban or rual), level of education, prenatal care, previous or ever use of contraceptives, delivery at the hospital, and the use of an infant formula. Conclusion : Factors associated with modernity were significant in terms of early termination of breastfeeding. Traditional factors associated with breastfeeding practice did not show significant roles in maintaining the breastfeeding practice. We recommend to use a social enginering to include breastfeeding practice as a part of modern health practices.

scholarly journals EDUKASI TEKNIK MEMERAH, MENYIMPAN DAN MENYIAPKAN ASI YANG BENAR PADA IBU MENYUSUI YANG BEKERJA DI SMAN I PAGELARAN

2021 ◽  
Vol 7 (1) ◽  
pp. 70-72
Author(s):  
Wahyu Widayati Widayati
Keyword(s):  
Breast Milk ◽  
Community Service ◽  
Exclusive Breastfeeding ◽  
Working Mothers ◽  
Maternity Leave ◽  
High Rate ◽  
Formal Sector ◽  
Legal Standards ◽  
Duration Of Breastfeeding ◽  
Keywords Education

ABSTRAK Praktik ASI ekslusif masih jauh dari 90% di sebagian besar Negara berkembang, bahkan durasi menyusui sangat pendek dan data dari SDKI menunjukkan masih cakupan ASI ekslusif tahun 2012 di Indonesia baru mencapai 27%. Tingginya angka kegagalan menyusui pada ibu bekerja terjadi setelah selesai cuti bersalin terutama pada ibu menyusui yang bekerja disektor formal karena status kepegawaiannya mengikuti standar aturan hukum yang jelas bagi perkantoran atau perusahaan yang bersangkutan. Seperti pada SMA N 1 Pagelaran dimana terdapat 50% adalah pekerja ibu – ibu baik guru dan staf yang masih berada pada usia produktif dan menyusui. Pengabdian masyarakt ini bertyujuan untuk menuingkatkan pengetahuan ibu - ibu menyususi   yang berkerja di SMA N 1 Pagelaran dengan tehnik demontrasi pemberian edukasi teknik memerah, menyimpan dan menyiapkan ASI yang benar. Hasil dari pelaksanaan pengabdian masyarakat ini adalah didapatkan bahwa sebagian besar peserta pengabdian masyarakat meningkat pengetahuannya tentang teknik memerah, menyimpan dan memberikan ASI kepada anaknya.   Kata Kunci : Edukasi Memerah, Menyimpan dan Menyiapkan ASI     ABSTRACT The practice of exclusive breastfeeding is still far from 90% in most developing countries, even the duration of breastfeeding is very short and data from the IDHS show that exclusive breastfeeding in 2012 in Indonesia only reached 27%. The high rate of failure to breastfeed in working mothers occurs after maternity leave, especially for breastfeeding mothers who work in the formal sector because their employment status follows clear legal standards for the office or company concerned. As in SMA N 1 Pagelaran where 50% are working mothers, both teachers and staff who are still at the productive and breastfeeding age. This community service aims to increase the knowledge of breastfeeding mothers who work at SMA N 1 Pagelaran with dem,onstration technique, providing education on  how to express, store and prepare correct breast milk. The result of the implementation of this community service participants have increased their knowledge of techniques for expressing, storing and giving breast milk to their children.   Keywords :Education Expressing, Storing and Preparing Breastmilk

scholarly journals Breastfeeding and Overweight in European Preschoolers: The ToyBox Study

Nutrients ◽  
2021 ◽  
Vol 13 (8) ◽  
pp. 2880
Author(s):  
Natalya Usheva ◽  
Mina Lateva ◽  
Sonya Galcheva ◽  
Berthold V. Koletzko ◽  
Greet Cardon ◽  
...  
Keyword(s):  
Formal Education ◽  
Total Sample ◽  
Study Data ◽  
Overweight And Obesity ◽  
Preschool Age ◽  
Factors Associated ◽  
Breastfeeding Practices ◽  
Breastfeeding Rate ◽  
Reported Data ◽  
Duration Of Breastfeeding

The benefits of breastfeeding (BF) include risk reduction of later overweight and obesity. We aimed to analyse the association between breastfeeding practices and overweight/obesity among preschool children participating in the ToyBox study. Data from children in the six countries, participating in the ToyBox-study (Belgium, Bulgaria, Germany, Greece, Poland, and Spain) 7554 children/families and their age is 3.5–5.5 years, 51.9% were boys collected cross-sectionally in 2012. The questionnaires included parents’ self-reported data on their weight, height, socio-demographic status, and infant feeding practices. Measurements of preschool children’s weight and height were done by trained researchers using standard protocols and equipment. The ever breastfeeding rate in the total sample was 85.0% (n = 5777). Only 6.3% (n = 428) of the children from the general sample were exclusively breastfed (EBF) for the duration of the first six months. EBF for four to six months was significantly (p < 0.001) less likely among mothers with formal education < 12 years (adjusted Odds Ratio (OR) = 0.61; 95% Confidence interval (CI) 0.44–0.85), smoking throughout pregnancy (adjusted OR = 0.39; 95% CI 0.24–0.62), overweight before pregnancy (adjusted OR = 0.67; 95%CI 0.47–0.95) and ≤25 years old. The median duration of any breastfeeding was five months. The prevalence of exclusive formula feeding during the first five months in the general sample was about 12% (n = 830). The prevalence of overweight and obesity at preschool age was 8.0% (n = 542) and 2.8% (n = 190), respectively. The study did not identify any significant association between breastfeeding practices and obesity in childhood when adjusted for relevant confounding factors (p > 0.05). It is likely that sociodemographic and lifestyle factors associated with breastfeeding practices may have an impact on childhood obesity. The identified lower than desirable rates and duration of breastfeeding practices should prompt enhanced efforts for effective promotion, protection, and support of breastfeeding across Europe, and in particular in regions with low BF rates.

scholarly journals Factors Associated with Stunting in Children Aged 0-24 Months : Studies in Sukaluyu, Karawang, Indonesia (Citarum Project)

2021 ◽  
Vol 1 (1) ◽  
pp. 16
Author(s):  
Silvia Mawarti Perdana ◽  
Afrinia Ekasari
Keyword(s):  
Birth Weight ◽  
Breast Milk ◽  
Early Life ◽  
Growth And Development ◽  
Healthy Lifestyle ◽  
Pearson Correlation ◽  
Noncommunicable Diseases ◽  
Breastfeeding Initiation ◽  
Cross Sectional ◽  
Factors Associated

The period of early life (0-24 months) is a golden period of growth and development that determines the quality of health in the next age. Double malnutrition, including stunting, at the early life will inhibit the growth and development, also increase the risk of noncommunicable diseases (NCDs) in the next stages of life. Methods: This study was aimed to analyze prevalence and factors associated with stunting in children aged 0-24 months in Sukaluyu, Karawang, Indonesia (Citarum Project). A cross sectional study was conducted in 130 childrens aged 0-24 months during oktober-november 2018 in Sukaluyu Village, Karawang District, Indonesia (sector 17 of citarum harum project). The data were collected by questionnaires and anthropometric assessment. Pearson correlation was used to analyze the association between birth weight, early breastfeeding initiation, breast milk, and hygiene and healthy lifestyle. Results: The prevalence of stunting (length/height for age z-scores < -2.0) among children was 20% (male 58%, female 42%). Factor associated with stunting among children was breast milk (p<0.05), meanwhile for birth weight, early breastfeeding initiation, and hygiene and healthy lifestyle are not associated. Conclusions: This study found that stunting can be prevented through exclusive breastfeeding (until 6 months) and continued for up to 2 years with giving complementary feeding.

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.

Breastfeeding Practices Among Resident Physicians

PEDIATRICS ◽  
1996 ◽  
Vol 98 (3) ◽  
pp. 434-437
Author(s):  
Nancy H. Miller ◽  
David J. Miller ◽  
Melissa Chism
Keyword(s):  
Maternity Leave ◽  
Breastfeeding Initiation ◽  
Initiation Rate ◽  
Cross Sectional ◽  
Resident Physicians ◽  
Breastfeeding Practices ◽  
Breastfeeding Rate ◽  
Modifiable Factors ◽  
Insufficient Time ◽  
Attending Physicians

Objective. To determine how employment as a resident physician (resident) affects breastfeeding practices and experiences. Design. Cross-sectional questionnaire survey. Setting. US resident physicians in the second half of their postgraduate year three (PGY3). Participants. 1500 questionnaires were mailed at random to female 1990 graduates of American medical schools. After eliminating unusable surveys, an adjusted response rate of 45% produced 450 surveys; 60 delivered a child during residency. Interventions. None. Measurement/Main Results. Forty-eight (80%) of 60 residents who delivered initiated breastfeeding, and continued for the duration of their maternity leave (mean, 7 weeks). With a return to residency half (24) of those who had initiated breastfeeding discontinued breastfeeding. The breastfeeding rate dropped to 15% (9/60) at 6 months. Residency work schedule was the most common reason (80%) for discontinuing breastfeeding. Of the 24 residents who continued breastfeeding while working, 83% pumped breast milk during their work shifts; 79% felt there was insufficient time during work, and 42% reported no appropriate place at work to express milk. Only 54% who continued felt supported by their attending physicians for their efforts to breastfeed; 67% felt colleagues were supportive. Conclusions. The breastfeeding initiation rate for resident mothers was in compliance with the Healthy People 2000 guidelines, but the rate at infant age 6 months fell well below the goal of 50%. Modifiable factors in residents' work sites include both physical and emotional accommodations to encourage resident mothers to breastfeed.

scholarly journals Hubungan Antara Pengetahuan Ibu dan IMD Dengan Praktik ASI Eksklusif

2017 ◽  
Vol 1 (4) ◽  
pp. 406
Author(s):  
Zuhud Nur Rosyid ◽  
Sri Sumarmi
Keyword(s):  
Breast Milk ◽  
Exclusive Breastfeeding ◽  
Random Sampling ◽  
Feeding Practice ◽  
Breastfeeding Initiation ◽  
Chi Square ◽  
Cross Sectional ◽  
Breastfeeding Practices ◽  
Cross Sectional Design ◽  
The Relationship

Background: Breast milk is the most appropriate food given to babies. Breast milk is the only drink or food that a baby needs at the age of 0-6 months first. Breast milk helps growth and development, contains anti-body and other essential nutrients that can protect babies from various diseases. In 2013, the exclusive breast milk presentation at Puskesmas Ayah I is 87.65%, decreasing in 2014 and 2015 become 78.26% and 71.65%. Many factors can influence the behavior of exclusive breastfeeding. Objectives: The purpose of this research was to analyze the relationship between mother knowledge and early breastfeeding initiation practice with exclusive breastfeeding prectices in the working area of Puskesmas Ayah I Kebumen Ditrict.Methods: The type of this research was quantitative using cross sectional design. This study was conducted from June-August of 2017. The population used was all mothers who were breastfeeding and had infants aged 6-11 months in three villages in the working area of Puskesmas Ayah I namely Tlagasari, Ayah and Bulurejo villages. Sampling by proportional random sampling method with sample size were 61 respondents. Data was analised by chi-square test.Results: The result showed that there was a relationship between mothers’s knowledge and exclusive breastfeding practice (p=0.000), and early breastfeeding initiation practice with Exclusive Breast-feeding practice (p=0.025)Conclusion: The mother's knowledge level on exclusive breastfeeding affects the success of exclusive breastfeeding practices. The existence of early initiation of breastfeeding practices by the mother, a greater chance in giving exclusive breastfeeding in infants.ABSTRAK Latar belakang : Air Susu Ibu (ASI) merupakan makanan yang paling tepat diberikan pada bayi. Air susu ibu satu-satunya minuman atau makanan yang diperlukan bayi pada usia 0-6 bulan pertama. ASI membantu pertumbuhan dan perkembangan, mengandung anti bodi dan zat gizi penting lainnya yang mampu melindungi bayi dari berbagai penyakit. Pada tahun 2013, cakupan ASI eksklusif di Puskesmas Ayah I sebesar 87, 65%, terjadi penurunan pada tahun 2014 dan tahun 2015 menjadi 78,26% dan 71,65%. Terdapat beberapa faktor yang berhubungan dengan perilaku pemberian ASI secara Eksklusif.Tujuan: Tujuan dari penelitian ini yaitu menganalisis hubungan antara pengetahuan ibu dan IMD dengan pemberian ASI secara eksklusif pada wilayah kerja Puskesmas Ayah I Kebumen.Metode : penelitian ini bersifat kuantitatif dengan desain cross sectional. Penelitian dilakukan bulan Juni sampai Agutus tahun 2017. Populasi dalam penelitian ini yaitu seluruh ibu yang pernah atau sedang menyusui dan memiliki bayi usia 6-11 bulan di desa Tlagasari, Ayah, dan Bulurejo Puskesmas Ayah I. Sampel diambil melalui metode proportional random sampling dan diperoleh sampel sebesar 61 responden. Analisis data menggunakan uji chi-square.Hasil : Bahwa ada hubungan yang bermakna antara pengetahuan ibu dengan pemberian ASI secara eksklusif (p=0,000), dan IMD dengan pemberian ASI secara eksklusif (p=0,025).Kesimpulan : Tingkat pengetahuan ibu mengenai ASI eksklusif berpengaruh terhadap keberhasilan praktik pemberian ASI eksklusif. Adanya praktik IMD oleh ibu, berpeluang lebih besar dalam memberikan ASI eksklusif pada bayi. 

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.

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