Effects of antenatal care and institutional delivery on exclusive breastfeeding practice in northwest Ethiopia: a nested case–control study

Biks, Gashaw Andargie; Tariku, Amare; Tessema, Gizachew Assefa

doi:10.1186/s13006-015-0055-4

Cited by 71 publications

(81 citation statements)

References 28 publications

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“…This study doesn't find any association between education status of mothers, employment and their marital status, as opposed to other previous studies [12,22,27,32]. Similarly, other studies didn't find the influence of marriage [15], employment [15,20] and education status [20,30] to EBF practice.…”

Section: Discussioncontrasting

confidence: 99%

“…Consequently, this will lead to a mixfeeding before 6 months due to the fact that some mothers need to be at their workplaces, while others need to go to their farms (Table 1); this might be a possible reason which accounts for low EBF practice in this study. Additionally, due to that majority of mothers in this study delivered their babies at hospital (Table 1), therefore, health care providers should use this as an opportunity to counsel mothers on different alternatives of breastfeeding their babies; several previous studies have proved that counselling during antenatal and intra-natal visits improved EBF practices [19,22,32]. If possible, government should provide breast-milking machines; however, their use should not be routine as it might reduce the critical importance of breastfeeding and bonding.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Prevalence of Exclusive Breastfeeding and its Predictors among mothers in Micheweni, Chake-Chake and North ‘A’ districts, Zanzibar

Khamis¹,

Omar²,

Suleiman³

et al. 2017

Clinics Mother Child Health

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Objective: Generally, child's feeding practices especially exclusive breastfeeding (EBF) is affected by individual, social, cultural, and health services related factors. Planning, implementation and evaluation of programs to promote Infant and Young child's Feeding (IYCF) require detailed current information about these factors. This study aimed to estimate the prevalence of EBF and identify factors that predicted EBF among mothers in Micheweni, Chake-Chake, and North 'A' districts in Zanzibar.Methods: This is a community based cross-sectional study conducted among 303 mother-infant pairs aged up to 6 months. Standardised questionnaire was used to record infant's characteristics including age, gender, and place of delivery. Mothers were interviewed about their current breastfeeding practices, their knowledge regarding breastfeeding and support they obtained from their husbands, grandmothers and other family members. Both univariate and multivariate analysis were used to identify prevalence and predictors to EBF.Results: The prevalence of EBF in this study was found to be at 20.8% (n=63). Mother's knowledge was good regarding some breastfeeding practices, however; many of them didn't practice EBF. After multiple logistic regressions, variables that predicted EBF were: current age of mother, number of children under five, time when a mother is away from her child, place of delivery, support from madrassa and health centres, and knowledge about breastfeeding. The odds of mothers to EBF their babies were found to be significantly higher for: young mothers aged 21-25 years (AOR=7.4; 95% CI, 1.76-31.9), children who were born at the hospital (AOR=2.66; 95% CI; 1.37-5.17), and mothers who were strongly supported from community classes or madrassa (AOR=10.6; 95% CI, 2.8-39.75).Conclusion: Although majority of mothers have shown a good understanding on the importance of breastfeeding, the prevalence of EBF was still low. Factors affecting EBF are multifaceted; thus, government through its ministries should intensify EBF promotions for reduction of childhood malnutrition.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Prevalence of Exclusive Breastfeeding and its Predictors among mothers in Micheweni, Chake-Chake and North ‘A’ districts, Zanzibar

Khamis¹,

Omar²,

Suleiman³

et al. 2017

Clinics Mother Child Health

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“…On factors associated with the practice of exclusive breastfeeding, attendance of ante natal care was significantly associated with the practice of exclusive breastfeeding. Our finding corroborated the reports by Piro and Ahmed, [22] in Iraq and Biks et al [23] in Ethiopia. This is expectedas ante natal classes could be important opportunities for mother to acquire the necessary information regarding the practice of exclusive breastfeeding.…”

Section: Discussionsupporting

confidence: 93%

Breast Feeding among Mothers Attending Immunization Clinic at Health Centresin Rivers State Nigeria: An Institutional-based Survey

Gabriel-Job

Azubogu

2020

ACRI

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Introduction: Breastfeeding, especially exclusive breastfeeding (EBF), is considered effective for children's survival. The practice and duration of EBF still remain low. The aim of this study was to determine the pattern of breastfeeding and factors preventing EBF practicesamong mothers attending Health Centres for immunization services in Rivers State, Nigeria. Methodology: Participants (n=480) were mothers who delivered their babies 4-18 months before onset of the study and attended immunization clinic (Health Centres in Obio/Akpor, Rivers State, Nigeria). An interviewer administered pre-tested, semi structured questionnaire was used to obtain the following information: their knowledge of EBF, their breast feeding practices, and reasons for not practicing EBF. Results: Majority (86.3%) had heard of EBF, having heard it from a health facility. Only 153 (32.0%) women agreed that colostrum should be fed to a new born. 338 (70.4%) responded that the duration of EBF is 6 months while 302 (62.1%) responded that breast feeding should be stopped immediately after the infant becomes one year old. 149 (31.0%) practiced EBF; EBF was significantly related to antenatal care attendance(p = 0.02),spousal support(p = 0.03) and parity (p = 0.003). Returning to work after childbirth was the main reason for not practicing EBF. Conclusion: Adequate information on the benefits and duration of breastfeeding is needed to enable effective breastfeeding. Support from the family and work place may enhance the practice of EBF in Rivers State.

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“…Mothers who give birth at health institutions have a better opportunity to access appropriate child feeding information, which ultimately improves their capacity to challenge unfavorable attitudes of the community [35, 39]. The previous reports also claimed that institutional delivery was found to increase the likelihood of exclusive breastfeeding for 6 months, indicating timely initiation of complementary feeding [28, 40, 41]. On the other hand, home birthing is associated with inappropriate neonatal feeding practices, such as discarding colostrum and giving prelacteal feeds [42–44].…”

Section: Discussionmentioning

confidence: 99%

Determinants of timely initiation of complementary feeding among mothers with children aged 6–23 months in Lalibela District, Northeast Ethiopia, 2015

2016

Self Cite

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BackgroundOptimal complementary feeding alone prevents six percent of child mortality, but it has continued to be considered as sub-optimal in Ethiopia. Therefore, this study aimed to assess timely initiation of complementary feeding and associated factors among mothers with children aged 6–23 months in Lalibela District.MethodsA community-based cross-sectional study was conducted from March 01 to April 29, 2015. Four hundred twenty-one mother-child pairs were selected by the systematic random sampling technique. An interviewer-administered questionnaire was used to collect data. A multivariable logistic regression analysis was employed to identify factors associated with timely initiation of complementary feeding. The Adjusted Odds Ratio (AOR) with a 95 % Confidence Interval (CI) was computed to assess the strength of association, and variables with a P-value of <0.05 were considered as statistically significant in the multivariable analysis.ResultsThe study demonstrated that, the prevalence of timely initiation of complementary feeding was 63 %. In addition, mother’s education [AOR = 4.33, 95 % CI: 1.99, 9.40], antenatal care follow up [AOR = 5.90, 95 % CI: 2.45, 14.21], and institutional delivery [AOR = 2.54, 95 % CI: 1.33, 4.82] were found key determinants of timely initiation of complementary feeding.ConclusionIn this community, timely initiation of complementary feeding was lower than the World Health Organization cut-off point for good practice of complementary feeding. Therefore, intensifying utilization of antenatal care and institutional delivery helps to improve the coverage of timely initiation of complementary feeding. Furthermore, the focus needs to be on uneducated women.

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Effects of antenatal care and institutional delivery on exclusive breastfeeding practice in northwest Ethiopia: a nested case–control study

Cited by 71 publications

References 28 publications

Prevalence of Exclusive Breastfeeding and its Predictors among mothers in Micheweni, Chake-Chake and North ‘A’ districts, Zanzibar

Prevalence of Exclusive Breastfeeding and its Predictors among mothers in Micheweni, Chake-Chake and North ‘A’ districts, Zanzibar

Breast Feeding among Mothers Attending Immunization Clinic at Health Centresin Rivers State Nigeria: An Institutional-based Survey

Determinants of timely initiation of complementary feeding among mothers with children aged 6–23 months in Lalibela District, Northeast Ethiopia, 2015

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