Prevalence and determinants of exclusive breastfeeding among adolescent mothers from Quito, Ecuador: a cross-sectional study

Abstract

BackgroundExclusive breastfeeding (EBF) is the optimal way to feed children during their first six months of life, having important benefits for them and their mothers. However, the proportion of Ecuadorian mothers who continue to exclusively breastfeed their infants during the recommended six-month period has been reported to remain below the World Health Organization’s goal set of 90 %. Little is known regarding factors influencing adolescent mothers to decide whether to practice EBF or not. Furthermore, there is no data about the EBF rates among adolescent mothers in Quito, Ecuador.MethodsThis cross-sectional study took place from April to November 2013 in the largest maternity ward in Quito, Ecuador (Hospital Gineco Obstétrico Isidro Ayora). Adolescent mothers parenting an infant between 6 and 24 months of age (n = 375) were interviewed using a structured questionnaire about EBF knowledge, beliefs and practices. Bivariate and multivariate analyses were used to identify the independent predictors of EBF.ResultsIn our sample, 62.9 % of adolescent mothers raising infants between 6 to 24 months of age chose EBF. Knowledge about the maternal benefits of breastfeeding and awareness of appropriate time frame for EBF were statistically associated with increasing the likelihood of choosing EBF. Adolescent mothers who were acquainted with the recommended duration of EBF were more likely to practice EBF (adjusted odds ratio (AOR) = 1.73; 95 % confidence interval (CI) 1.003, 2.98) as well as those who knew that breastfeeding is a protective factor against breast cancer (AOR = 5.40; 95 % CI 1.19, 24.56).ConclusionsAlthough adolescent mothers may be more prone to discontinuing EBF before their infants reach six months of age, the prevalence of EBF among adolescent mothers interviewed was higher than the rate reported for Ecuadorian mothers in other age groups. Our data underscores the importance of emphasizing the correct practice of BF and its benefits in breastfeeding education programs provided to Ecuadorian mothers, in order to promote the extension of breastfeeding duration to the recommended levels.

Exclusive breastfeeding cessation and associated factors among employed mothers in Dukem town, Central Ethiopia

“…Also, studies from Angola [24], Brazil [9,10] and Kuwait [37] showed mothers who were employed and living away from their children were more likely to discontinue EBF than non-employed mothers. However, our finding was higher than the reports from Ecuador [11] and Egypt [38]. The possible reason for the difference could be existence of policy to EBF at work place in these countries [11,38] The majority of mothers working in the private sector (86%) had discontinued EBF compared to mothers in the governmental organizations (62%).…”

“…However, our finding was higher than the reports from Ecuador [11] and Egypt [38]. The possible reason for the difference could be existence of policy to EBF at work place in these countries [11,38] The majority of mothers working in the private sector (86%) had discontinued EBF compared to mothers in the governmental organizations (62%). Those private employee mothers were two times more likely to cease EBF than governmental organization ones.…”

“…According to Vanessa M. Oddo and colleagues, particularly in low and middleincome countries (LMICs), maternal employment is the main reason for termination of EBF among employed mothers [8]. Also, studies from Brazil [9,10], Ecuador [11], Ghana [12], Kenya [13], and Democratic Republic of Congo [14] concluded that the short duration of the maternal leave is highly correlated with cessation of EBF among employed women than housewives [6,12]. The identified reason for stopping of EBF was short duration of maternal leave and lack of comfortable place for mothers and children at work place [15,16].…”

Exclusive breastfeeding practice and associated factors among first time mothers in Bahir Dar city, North West Ethiopia, 2016: A cross sectional study.

“…The result was consistent with the national prevalence from 2016 EDHS 58% [14]. It is also relatively consistent with studies conducted in; Motta town, Ethiopia 50.1% [21], Gahanna 64% [26], Debremarkos, Ethiopia 60.8% [27], Ecuador 62.8% [28] and Hawassa, Ethiopia 60.9% [29]. On the other hand, the result was higher than the studies done in; Saudi Arabia 0.8-43.9% [30], Nigeria 33.5% [31], Papua New Guinea 17% [32], Democratic Republic Congo 39% [33], Addis Ababa, Ethiopia 29.3% [34] and North West Ethiopia30.7% [35].However, the result was lower than studies conducted in; Debre Birhan, Ethiopia 68.6% [11],Afar, Ethiopia 81.1% [36], Tigray Ethiopia70.2% [37].The difference could be due to methodological variation between studies and differences in socio-cultural and socio-economic dissimilarities between mother infant dyad and other differences like health care service utilization between the current study population and referenced population.…”

Faktor-Faktor yang Berhubungan dengan Perilaku Pemberian Asi Eksklusif Pada Ibu yang Memiliki Bayi Usia 6-12 Bulan di Wilayah Kerja Puskesmas Andalas

“…Sama dengan hasil penelitian di Quito, Ecuador yang menunjukkan tidak adanya hubungan yang bermakna antara pekerjaan dengan pemberian ASI eksklusif dengan p value 0,915. Persamaan hasil ini penelitian ini disebabkan karena desain penelitian yang sama dan presentase ibu yang tidak bekerja lebih besar dibandingkan ibu yang bekerja dan pada pemberian ASI eksklusif tidak ada perbedaan antara ibu yang bekerja dengan tidak bekerja, hal ini dimungkinkan karena tingkat pengetahuan ibu yang masih rendah tentang manfaat pemberian ASI eksklusif (Jara-Palacios et al, 2015). Penelitian di Cameroon juga menunjukkan hasil yang sama yaitu tidak adanya hubungan pekerjaan dengan pemberian ASI eksklusif dengan p value 0,340, hal ini juga disebabkan ibu yang tidak bekerja lebih banyak dibandingkan ibu yang bekerja, selain itu karena tngkat ibu yang berpendidikan tinggi masih sedikit hal ini dimungkinkan menjadi penyebab gagalnya pemberian ASI eksklusif (Fombong et al, 2016).…”