Determinants of early initiation of breastfeeding in rural Tanzania
Determinants of early initiation of breastfeeding in rural Tanzania
复制标题
DOI：
10.1186/s13006-015-0052-7
复制
发表时间：
2015-09-25
影响因子：
3.5
通讯作者：
Phillips, James F.
中科院分区：
文献类型：
--
作者：
Exavery, Amon;Kante, Almamy Malick;Phillips, James F.
背景：母乳喂养因其在改善孕产妇和新生儿健康结果方面的重要贡献而广为人知。然而，坦桑尼亚关于母乳喂养开始时间的证据有限。本研究探讨的程度和相关因素与早期启动母乳喂养在三个农村districts of Tanzania.Methods：数据收集在2011年的横断面调查随机家庭在坦桑尼亚的Rufiji，Kilombero和Ulanga区。从调查中，889名妇女在调查前2年内生育的分析。进行了描述性和推断性统计分析。使用卡方检验结果变量和每个独立变量之间的关联。Logistic回归进行多因素分析。结果：早期开始母乳喂养（即母乳喂养开始1小时内出生）站在51%。剖腹产分娩后早期开始母乳喂养的几率比阴道分娩低78%（调整后的比值比（OR）= 0.22; 95%置信区间（CI）0.14，0.36）。然而，在卫生机构分娩的妇女的死亡率几乎是在家中分娩的妇女的两倍（OR = 1.75; 95% CI 1.25，2.45）。此外，母亲对新生儿危险体征的了解与早期开始母乳喂养呈负相关（中度与高度：OR = 1.73; 95% CI 1.23，2.42;低与高：OR = 2.06; 95% CI 1.43，2.96）。该研究还发现，与基隆贝罗相比，鲁菲吉较不可能提前开始母乳喂养。（OR = 0.52; 95% CI 0.31，0.89），以及已婚妇女比已婚妇女（OR = 0.46; 95% CI 0.25，0.87）。为了促进尽早开始母乳喂养，必须强调利用保健设施分娩，并为坦桑尼亚农村妇女提供便利。此外，应特别为剖腹产制定促进和强制尽早开始母乳喂养的干预措施。应特别针对居住在农村地区的妇女和目前未婚的妇女采取干预措施，以促进尽早开始母乳喂养，确保新生儿的健康。
Background: Breastfeeding is widely known for its imperative contribution in improving maternal and newborn health outcomes. However, evidence regarding timing of initiation of breastfeeding is limited in Tanzania. This study examines the extent of and factors associated with early initiation of breastfeeding in three rural districts of Tanzania.Methods: Data were collected in 2011 in a cross-sectional survey of random households in Rufiji, Kilombero and Ulanga districts of Tanzania. From the survey, 889 women who had given birth within 2 years preceding the survey were analyzed. Both descriptive and inferential statistical analyses were conducted. Associations between the outcome variable and each of the independent variables were tested using chi-square. Logistic regression was used for multivariate analysis.Results: Early initiation of breastfeeding (i.e. breastfeeding initiation within 1 h of birth) stood at 51 %. The odds of early initiation of breastfeeding was significantly 78 % lower following childbirth by caesarean section than vaginal birth (adjusted odds ratio (OR) = 0.22; 95 % confidence interval (CI) 0.14, 0.36). However, this was almost twice as high for women who gave birth in health facilities as for those who gave birth at home (OR = 1.75; 95 % CI 1.25, 2.45). Furthermore, maternal knowledge of newborn danger signs was negatively associated with early initiation of breastfeeding (moderate vs. high: OR = 1.73; 95 % CI 1.23, 2.42; low vs. high: OR = 2.06; 95 % CI 1.43, 2.96). The study found also that early initiation of breastfeeding was less likely in Rufiji compared to Kilombero (OR = 0.52; 95 % CI 0.31, 0.89), as well as among ever married than currently married women (OR = 0.46; 95 % CI 0.25, 0.87).Conclusions: To enhance early initiation of breastfeeding, using health facilities for childbirth must be emphasized and facilitated among women in rural Tanzania. Further, interventions to promote and enforce early initiation of breastfeeding should be devised especially for caesarean births. Women residing in rural locations and women who are not currently married should be specifically targeted with interventions aimed at enhancing early initiation of breastfeeding to ensure healthy outcomes for newborns.