Breastfeeding Practices among Poor Women in Mesoamerica

Colombara, Danny V.; Hernández, Bernardo; Gagnier, Marielle C.; Johanns, Casey K.; Desai, Sima S.; Haakenstad, Annie; McNellan, Claire R.; Palmisano, Erin B.; Ríos-Zertuche, Diego; Schaefer, Alexandra; Zúñiga-Brenes, Paola; Zyznieuski, Nicholas; Iriarte, Emma; Mokdad, Ali H.

doi:10.3945/jn.115.213736

Cited by 18 publications

(13 citation statements)

References 23 publications

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“…This finding was similar with cross-sectional study reports [23, 24], but higher than other studies finding in Ethiopia of 52.4–63% [9, 25]. On the other hand, it was lower than the prevalence rate in rural central Ethiopia 92% [25], India 97.5% [26] and Panama 89.8v% [27]. …”

Section: Discussionsupporting

confidence: 89%

Early initiation of breastfeeding among mothers of children under the age of 24 months in Southern Ethiopia

et al. 2016

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BackgroundThe early initiation of breastfeeding (EIBF), or timely initiation of breastfeeding, is the proportion of children put to the breast within one hour of birth. It is an important strategy for reducing perinatal and infant morbidity and mortality, but it remains under practiced in Ethiopia. The aim of the study was to assess the prevalence and the predicting factors associated with EIBF.MethodsA community based cross-sectional study was conducted in 634 mothers in Dale Woreda, South Ethiopia. Multistage cluster sampling was used to select participating mothers. EIBF was outcome variable whereas sociodemographic characteristics and knowledge and practice of maternal health service were explanatory variables. A face-to-face interview using a pretested semi-structured questionnaire was done from September 2012 to March 2013. To investigate predicting factors, bivariate and multivariate logistic regression analysis was done.ResultsA total of 634 mothers of children under 24 months were interviewed. During the time of data collection, 94.3% of the mothers had breastfed. The prevalence of EIBF was 83.7%. Ownership of the house was a significant predicting factor for EIBF. Mothers who lived in rented houses were significantly less likely (60%) to initiate breastfeeding within one hour of birth compared to mothers who owned their own house: Adjusted odds ratio 0.40 (95% Confidence Interval 0.16, 0.97).ConclusionMore than three-fourths of mothers initiated breastfeeding within an hour. Findings from our study suggest that improving the mother's socioeconomic status as reflected by house ownership, being a significant predictor of EIBF, would have a central role in improving EIBF.Electronic supplementary materialThe online version of this article (doi:10.1186/s13006-016-0096-3) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 89%

Early initiation of breastfeeding among mothers of children under the age of 24 months in Southern Ethiopia

et al. 2016

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“…The most common breastfeeding barriers reported in this study were family or friends as well as medical professionals encouraging formula supplementation and mothers having insufficient time to breastfeed. In contrast to other studies in Nicaragua and Latin America no demographic factors nor reporting insufficient time to breastfeed or insufficient breastmilk supply were found to correlate with early cessation of breastfeeding [5,7]. Surprisingly, more mothers who exclusively breastfed reported pain than those who discontinued earlier also in contrast to previous studies [6,17].…”

Section: Discussionmentioning

confidence: 59%

“…In contrast, a lower socioeconomic status, living in the central region, and female sex of the child were significantly correlated with increased rates of exclusive breastfeeding in Nicaragua [5]. A 2015 survey of mothers in Central America demonstrated that initiation of breastfeeding within 1 hour of life and mothers with at least a primary education were associated with increased rates of breastfeeding [7]. These factors have largely been addressed by the Baby Friendly Hospital initiative that has sought to embed a culture within birthing hospitals where early exclusive breastfeeding is both supported and encouraged [8].…”

Section: Introductionmentioning

confidence: 99%

Breastfeeding practices in Masaya, Nicaragua: a facility based cross-sectional study

Nabower

Lyden

Rodriguez³

et al. 2020

Int Breastfeed J

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Background: The World Health Organization recommends exclusive breastfeeding for 6 months and total breastfeeding for at least 2 years. Despite this and multiple interventions promoting breastfeeding, early breastfeeding cessation remains high with little data as to the ongoing barriers contributing to early cessation. Methods: Two groups of Nicaraguan mothers in an urban hospital were approached to complete a questionnaire to determine what newborn, maternal, and socioeconomic factors contributed to early cessation of breastfeeding. Group 1 participants were mothers of newborns in the newborn units, while group 2 were mothers of children 5 years or younger in the emergency room and pediatric ward. Descriptive statistics summarized the data. Fisher's exact test evaluated factors associated with early breastfeeding cessation. Results: In group 1, 97 participants were enrolled with 81% of mothers planning to fulfill the guideline for exclusive breastfeeding for 6 months. In group 2, there were 139 mothers of which 58% reported they had exclusively breastfed for 6 months. Only 25 and 27% of mothers in group 1 and 2 respectively planned to breastfeed or breastfed for 2 years. In group 1, mothers reported lack of knowledge regarding breastfeeding techniques and older mothers tended to plan for early cessation of exclusive breastfeeding. In group 2, mothers reported feeling uncomfortable with breastfeeding in public or had difficulty with latching. Cessation of any breastfeeding prior to 12 months was associated with being uncomfortable breastfeeding in public and knowing the WHO guidelines. In both groups, social media represented an expanding platform for receiving breastfeeding information. Conclusions: Interventions focusing on reaching younger mothers and addressing breastfeeding knowledge and techniques while leveraging the increasing influence of social media platforms may help improve compliance with breastfeeding recommendations.

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“…In Nicaragua, breastfeeding is highly prevalent (approximately 97%) during the first 6 months of life, therefore breastfed children could be either protected by maternal norovirus IgA or virus decoying human milk oligosaccharides [Colombara et al, 2015; Khodayar-Pardo et al, 2014; Weichert et al, 2016]. After weaning, children might both be more exposed to norovirus infections, and have less protection, factors that might explain the high GII.4 burden in that age group.…”

Section: Discusionmentioning

confidence: 99%

Pediatric norovirus GII.4 infections in Nicaragua, 1999–2015

Bucardo

Reyes

Becker‐Dreps

et al. 2017

Infection, Genetics and Evolution

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Objectives Investigate clinical and epidemiological factors of pediatric GII.4 norovirus infections in children with acute gastroenteritis (AGE) in Nicaragua between 1999 and 2015. Methods We retrospectively analyzed laboratory and epidemiologic data from 1,790 children ≤ 7 years with AGE from 6 hospitals in Nicaragua (n = 538), and 3 community clinics (n = 919) and households (n = 333) in León, between 1999 and 2015. Moreover, asymptomatic children from community clinics (n = 162) and households (n = 105) were enrolled. Norovirus was detected by real-time PCR and genotyped by sequencing the N-terminal and shell region of the capsid gene. Results Norovirus was found in 19% (n = 338) and 12% (n = 32) of children with and without AGE, respectively. In total, 20 genotypes including a tentatively new genotype were detected. Among children with AGE, the most common genotypes were GII.4 (53%), GII.14 (7%), GII.3 (6%) and GI.3 (6%). In contrast, only one (1.4%) GII.4 was found in asymptomatic children. The prevalence of GII.4 infections was significantly higher in children between 7 and 12 months of age. The prevalence of GII.4 was lowest in households (38%), followed by community clinics (50%) and hospitals (75%). Several different GII.4 variants were detected and their emergence followed the global temporal trend. Conclusions Overall our study found the predominance of pediatric GII.4 norovirus infections in Nicaragua mostly occurring in children between 7 and 12 months of age, implicating GII.4 as the main norovirus vaccine target.

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Breastfeeding Practices among Poor Women in Mesoamerica

Cited by 18 publications

References 23 publications

Early initiation of breastfeeding among mothers of children under the age of 24 months in Southern Ethiopia

Early initiation of breastfeeding among mothers of children under the age of 24 months in Southern Ethiopia

Breastfeeding practices in Masaya, Nicaragua: a facility based cross-sectional study

Pediatric norovirus GII.4 infections in Nicaragua, 1999–2015

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