Effect of maternal nutrition education on early initiation and exclusive breast-feeding practices in south Ethiopia: a cluster randomised control trial.
Effect of maternal nutrition education on early initiation and exclusive breast-feeding practices in south Ethiopia: a cluster randomised control trial.
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DOI：
10.1017/jns.2022.36
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发表时间：
2022
影响因子：
2.5
通讯作者：
Feleke, Fentaw Wassie
中科院分区：
文献类型：
--
作者：
Admasu, Jatani;Egata, Gudina;Bassore, Dereje Getahun;Feleke, Fentaw Wassie
简介：最佳的母乳喂养做法可大大预防主要造成五岁以下儿童发病和死亡的肠胃炎和呼吸道疾病，从而对促进健康成长和发育作出重大贡献。然而，母乳喂养的做法在埃塞俄比亚仍然是次优的。目的：本研究的目的是确定在Hawela Tulla次城市，母亲营养教育对早期启动和纯母乳喂养实践的影响。方法：采用整群随机、平行组、单盲试验。约310名孕妇（155名为干预组，155名为对照组）被纳入。测试结果：接受母乳喂养教育的妇女较未接受母乳喂养教育的妇女更早开始母乳喂养（104人（72.7%）对85人（59.9%），P = 0.022），接受过母乳喂养教育的妇女的纯母乳喂养行为也显著高于未接受过母乳喂养教育的妇女（106（74.1%）v. 86（60.6%），P = 0.015）。母乳喂养教育[AOR 1·55，95% CI（1·02，2·36）]，住院分娩[AOR 2·29，95% CI（1·21，4·35）]，阴道分娩[AOR 2·85，95% CI（1.61，5.41）]和泌乳前喂养[AOR 0.47，95%CI（0.25，0.85）]是早期开始母乳喂养的预测因素。母乳喂养教育[AOR 1·72，95% CI（1·12，2·64）]和机构分娩[AOR 2·36，95% CI（1·28，4·33）]也是纯母乳喂养的决定因素。结论：母乳喂养教育提高了早期开始母乳喂养和纯母乳喂养的做法。应加强向妇女提供关于早期启蒙和纯母乳喂养做法的持续教育。
Introduction: Optimal breast-feeding practices make a major contribution to the promotion of healthy growth and development through much prevention of diarrheal and respiratory diseases which majorly cause morbidity and mortality in under-five children. However, breast-feeding practices remain suboptimality in Ethiopia. Objective: The study objective was to determine the effect of maternal nutrition education on early initiation and exclusive breast-feeding practice in the Hawela Tulla sub-city. Methods: A cluster randomised, parallel-group, single-blinded trial was used. About 310 pregnant women (155 for the intervention group and 155 for the control group) were included. Result: An early initiation of breast-feeding was significantly higher among women who received breast-feeding education than those who did not receive (104(72·7 %) v. 85(59·9 %), P = 0·022) and exclusive breast-feeding practice was also significantly higher among women who received breast-feeding education than those who did not receive (106(74·1 %) v. 86(60·6 %), P = 0·015). Breast-feeding education [AORs 1·55, 95 % CI (1·02, 2·36)], institutional delivery [AOR 2·29, 95 % CI (1·21, 4·35)], vaginal delivery [AOR 2·85, 95 % CI (1·61, 5·41)] and pre-lacteal feeding [AOR 0·47, 95 % CI (0·25, 0·85)] were predictors of early initiation of breast-feeding. Breast-feeding education [AOR 1·72, 95 % CI (1·12, 2·64)] and institutional delivery [AOR 2·36, 95 % CI (1·28, 4·33)] were also determinants of exclusive breast-feeding practices. Conclusion: Breast-feeding education improved early initiation of breast-feeding and exclusive breast-feeding practices. Providing sustained education to women regarding early initiation and exclusive breast-feeding practice should be strengthened.
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通讯作者：
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