Barriers in continuing exclusive breastfeeding among working mothers in primary health care in the ministry of health in Al-Ahsa region, Saudi Arabia

Al-Katufi, Batool Ali; Al-Shikh, Maymoona Hussain; Al-Hamad, Rawan Fawzi; Al-Hajri, Abdulmohsin; Al-Hejji, Abdullah

doi:10.4103/jfmpc.jfmpc_844_19

Cited by 21 publications

(17 citation statements)

References 40 publications

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“…This finding is consistent with those of other studies. [ 38 39 ] Regarding provider's related factors, this study reported low breastfeeding advice among doctors compared to nurses/midwives and this may affect mother's satisfaction about breastfeeding counselling practices in the hospital. However, not to forget that this study was conducted during the time of COVID-19 pandemic, in which some of outpatient's breastfeeding educational activities for both staff and pregnant women were interrupted or discontinued.…”

Section: Discussionmentioning

confidence: 95%

Factors associated with early cessation of exclusive breast feeding among Saudi mothers

Shahrani

Hushan

Binjamaan

et al. 2021

Journal of Family Medicine and Primary Care

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Context: World Health Organization recommending initiation of breastfeeding within hour of birth, exclusive breastfeeding for the first 6 months. In Saudi Arabia, there is a paucity of studies on the factors associated with early cessation of exclusive breastfeeding. Aims: We aimed to assess the exclusive breastfeeding rates and to identify the risk factors for early breastfeeding cessation at maternal and institutional levels. Settings and Design: A prospective observational study carried out at King Abdullah bin Abdulaziz University Hospital, Riyadh, Saudi Arabia. Methods and Materials: It included all postpartum women who had given birth to full term, singleton, healthy newborns, and were breastfeeding before discharge. Data were collected before discharge, 2 weeks, and 8 weeks postpartum using an adapted instrument. Statistical Analysis: Using JMP14 software with appropriate statistical tests. Results: The study included 136 mothers, of whom 37.5% were exclusively breastfeeding in the first 2 weeks; this rate dropped to 19% with a statistically significant difference ( P < 0.0001). Early breastfeeding cessation was significantly associated with maternal age, health status, mother's knowledge, and attitude, in addition to other modifiable factors that was encountered during hospital stay such as latching difficulties and introduction of formula feeding. Conclusions: This study reported low exclusive breastfeeding rates in the first 2 months postpartum among Saudi mothers. Multiple factors were associated with breastfeeding, and some are modifiable. Breastfeeding promotion and support for is a critical role required from healthcare workers in all settings, including primary health care. Healthcare professionals play a major role in promoting, protecting, and supporting exclusive breastfeeding.

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Section: Discussionmentioning

confidence: 95%

Factors associated with early cessation of exclusive breast feeding among Saudi mothers

Shahrani

Hushan

Binjamaan

et al. 2021

Journal of Family Medicine and Primary Care

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“…The factors contributing to the continuation of breastfeeding, which varies from country to country [ 5 , 15 , 16 , 17 , 18 ], included mothers with no plans to breastfeed longer than six months, not attending any training sessions, and an infant receiving formula milk in the hospital. As described by some studies [ 15 , 18 , 19 , 20 , 21 ], reasons for the discontinuation of breastfeeding might include maternal age, educational background, socioeconomic status, postpartum depression, maternal confidence, maternal obesity, and being overweight [ 22 ], whereas factors associated with a higher breastfeeding rate and longer duration include increased maternal age, low educational levels, rural residence, low income, multiparity, and avoiding contraceptives [ 23 ].…”

Section: Introductionmentioning

confidence: 99%

“…A published study found that full-time working mothers’ support timing is essential, including acute support, such as establishing a successful latch needed during the first two weeks after delivery and the necessary long-term support to overcome breastfeeding issues [ 29 ]. A study conducted in Saudi Arabia showed that an early return to work, deficient breastfeeding work support, and lack of time were the major barriers to exclusive breastfeeding in primary healthcare working mothers in Al-Ahsa [ 20 ].…”

Section: Introductionmentioning

confidence: 99%

Determinants of Successful Exclusive Breastfeeding for Saudi Mothers: Social Acceptance Is a Unique Predictor

Alyousefi

2021

IJERPH

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Recent guidelines motivate health care professionals to promote exclusive breastfeeding (EBF). The reported rate of EBF is low in Saudi Arabia. This study aimed to explore the determinants of successful exclusive breastfeeding for Saudi mothers. A cross-sectional, survey-based study was conducted in family medicine clinics. The dependent variable was the actual practice of EBF. Independent variables were the mothers’ demographic information, comfortableness with breastfeeding in public, knowledge and attitudes about breastfeeding, previous experience of successful breastfeeding, and a previous feeding plan. Statistical analysis was carried out using bivariate analysis and multinomial logistic regression. Out of the 322 respondents, only 28% practiced exclusive breastfeeding for the first six months. Perceived insufficient milk (p = 0.011) was associated with a lower EBF rate. Mothers’ degrees of comfort with breastfeeding in front of their relatives (p = 0.024) and in front of friends (p = 0.028) were significantly associated with their infants’ actual feeding practices for the first six months of their infants’ lives. Mothers reported that the absence of a suitable place for breastfeeding caused them to stop breastfeeding (p = 0.043) and was associated with their infant’s actual feeding practices for the first six months of their infant’s lives. An antenatal breastfeeding intention was considered a significant predictor of EBF; OR: 7.31 (95% CI: 2.24—23.84). Mothers who do not stop breastfeeding when they get sick have a 5.054 times higher chance of continuing EBF (95% CI: 1.037—24.627) than the formula-only feeding group. Thus, social acceptance is a unique predictor for their success in exclusive breastfeeding. Mothers have good intentions and a desire to breastfeed. Therefore, they must be guided through their pregnancy and postpartum period to overcome breastfeeding issues.

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“…As a result of the research, it was determined that increased duration of taking breastfeeding leave (number of hours within the first 6 months) positively affected the total breastfeeding duration being ≥24 months. Similarly, Sattari et al 13 observed that the increase in the duration of maternity leave increased the duration of breastfeeding, and Al-Katufi et al 28 reported that breastfeeding-friendly policies were associated with continuing exclusive breastfeeding after returning to work. The variability in the breastfeeding leave hours taken within the first 6 months in our study can be attributed to the regulation that was put into effect in Turkey in 2017, reducing the duration of breastfeeding leave to 1.5 hours a day for the first 6 months after birth among FPs and FHPs, unlike other civil servants.…”

Section: Discussionmentioning

confidence: 97%

“…In a study conducted in Saudi Arabia, despite baby-friendly policies, the frequency of finding a suitable environment was found to be 4% and the frequency of finding sufficient time was 3.5% among primary care professionals. 28 In the study of Sattari et al, 13 these rates were reported as 45% for the availability of time and 59% for the presence of a suitable work environment. TA B L E 3 Data on the participants' exercising their breastfeeding leave rights after delivery and comparison between the groups case, the mother using breastfeeding leave becomes aggrieved.…”

Section: Discussionmentioning

confidence: 97%

Breastfeeding frequency of primary healthcare professionals and effective factors

et al. 2021

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Background: To determine the frequency of breastfeeding of mothers working in primary care, the differences between different employment groups, and the effective factors. Methods: This descriptive research study was conducted with a self-report online survey design. The snowball sampling method was used for the sample selection, and 151 family physicians and 126 family health professionals were included in the study during the research period (June 2019-December 2019). A 35-item survey was used to collect data. The response rate was 44.9% (49.5% family physicians/40.3% family health professionals). Results:The mean duration of exclusive breastfeeding was 3.9 ± 2.0 months, and the mean duration of total breastfeeding was 16.7 ± 8.5 months. There was no significant difference between the family physicians and family health professionals in terms of exclusive breastfeeding (P = .580) and total breastfeeding (P = .325) durations. The most common reasons for weaning were reduced milk supply (25.6%) and How to cite this article: Agadayi E, Nemmezi Karaca S, Ersen G, et al. Breastfeeding frequency of primary healthcare professionals and effective factors. Int J Clin Pract.

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Barriers in continuing exclusive breastfeeding among working mothers in primary health care in the ministry of health in Al-Ahsa region, Saudi Arabia

Cited by 21 publications

References 40 publications

Factors associated with early cessation of exclusive breast feeding among Saudi mothers

Factors associated with early cessation of exclusive breast feeding among Saudi mothers

Determinants of Successful Exclusive Breastfeeding for Saudi Mothers: Social Acceptance Is a Unique Predictor

Breastfeeding frequency of primary healthcare professionals and effective factors

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