Predictors of early breastfeeding initiation among mothers of children under 24 months of age in rural part of West Ethiopia
Predictors of early breastfeeding initiation among mothers of children under 24 months of age in rural part of West Ethiopia
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DOI：
10.1186/s12889-015-2420-z
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发表时间：
2015-10-21
影响因子：
4.5
通讯作者：
Sufa, Alem
中科院分区：
文献类型：
--
作者：
Hailemariam, Tsedeke Wolde;Adeba, Emiru;Sufa, Alem
背景：世界卫生组织建议在分娩后的第一个小时内开始母乳喂养。仅在发展中国家，尽早开始母乳喂养每年就可以减少主要因儿童呼吸道疾病和下呼吸道感染造成的死亡，从而挽救多达145万人的生命。目前的研究旨在确定母乳喂养开始在东Wollega区的西Ethiopia.Methods的速度和预测：一个以社区为基础的，横断面研究进行了从2014年4月至5月之间的594名母亲谁有孩子不到24个月。采用多阶段整群抽样方法选择研究人群。符合条件的母亲被邀请采访使用预先测试的问卷调查，收集有关社会人口，健康相关的变量，母乳喂养的开始，目前的母乳喂养的做法。多变量Logistic回归分析被用来确定独立的预测因素，早期开始母乳喂养后，控制混杂variable.Results：样本的593名母亲被列入研究。83.1%的母亲在分娩后第一个小时内开始母乳喂养。Logistic回归分析显示，家庭主妇（AOR（95%CI）= 2.48（1.54-3.99））和婴儿接受初乳（AOR（95%CI）=2.22（1.08-4.55））是早期开始母乳喂养的显著正预测因素。多因素Logistic回归分析显示，家中无收音机和/或电视机的母亲（AOR（95%CI = 0.55（0.35-0.88）），未暴露于健康信息（AOR（95% CI）= 0.44（0.25-0.75）），并为婴儿提供泌乳前喂养（AOR（95%CI）=0.30（0.14-0.65））。母乳喂养推广计划对于鼓励及时开始母乳喂养的做法，减少在出生后三天内提供母乳喂养的做法至关重要。因此，适当的健康信息对于促进早期开始母乳喂养至关重要。
Background: The World Health Organization recommends initiation of breastfeeding within the first hour after childbirth. In developing countries alone, early initiation of breastfeeding could save as many as 1.45 million lives each year by reducing deaths mainly due to diarrheal disorders and lower respiratory tract infections in children. The current study aimed to determine the rate and the predictors of breastfeeding initiation in East Wollega Zones of West Ethiopia.Methods: A community-based, cross-sectional study was conducted from April to May 2014 among 594 mothers who had children less than 24 months. Multi stage cluster sampling method was used to select the study population. Eligible mothers were invited to interview using pretested questionnaires to gather data regarding sociodemographics, health-related variables, breastfeeding initiation, and current breastfeeding practices. A multivariable logistic regression analysis was used to identify independent predictors of early initiation of breastfeeding after controlling for confounding variables.Results: A sample of 593 mothers was included in the study. Breastfeeding was initiated by 83.1 % of mothers within the first hour of childbirth. Being a housewife (AOR (95 % CI) = 2.48 (1.54-3.99)) and infant received colostrum (AOR (95 % CI) =2.22 (1.08-4.55)) were significant positive predictors for early breastfeeding initiation as revealed by logistic regression. The multivariable logistic regression analysis showed that the mothers who had no radio and/or TV in the household (AOR (95 % CI = 0.55 (0.35-0.88)), were not exposure to health information (AOR (95 % CI) = 0.44 (0.25-0.75)), and infants were provided with prelacteal feeds (AOR (95 % CI)=0.30 (0.14-0.65)) were less likely to initiate breastfeeding.Conclusions: The rate of timely initiation of breastfeeding was high. Breastfeeding promotion program is essential to encourage the practice of timely initiation of breastfeeding, and reduce the practice of providing prelacteal feeds within three days of life. Thus appropriate health information is vital to boost early initiation of breastfeeding.