Exclusive Breastfeeding Rates and Associated Factors in 13 “Economic Community of West African States” (ECOWAS) Countries

Agho, Kingsley; Ezeh, Osita Kingsley; Ghimire, Pramesh Raj; Osuagwu, Uchechukwu L.; Stevens, Garry; Tannous, Kathy; Fleming, Catharine; Ogbo, Felix Akpojene; Maternal, Global

doi:10.3390/nu11123007

Cited by 25 publications

(20 citation statements)

References 52 publications

(83 reference statements)

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“…In our study, adolescent mothers who had two or more children, younger infants, living in Chittagong, Khulna, Sylhet and Rangpur divisions had higher odds of EBF. These findings are consistent with a past cross-sectional study conducted in Bangladesh, and 13 Economic Community of West African States (ECOWAS) countries which found that higher birth order was associated with increased exclusive breastfeeding rates [ 16 , 32 , 51 ]. The finding that adolescent mothers who had older infants reported lower odds of EBF could be attributed to the duration of maternity leave because infant adolescent mothers may be forced to return to full-time work with a shorter breastfeeding span given Bangladesh’s recent impressive economic growth and changes in work practices, such as part-time work which has been reported to increase breastfeeding span [ 52 ].…”

Section: Discussionsupporting

confidence: 92%

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Breastfeeding Practices among Adolescent Mothers and Associated Factors in Bangladesh (2004–2014)

et al. 2021

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Optimal breastfeeding practices among mothers have been proven to have health and economic benefits, but evidence on breastfeeding practices among adolescent mothers in Bangladesh is limited. Hence, this study aims to estimate breastfeeding indicators and factors associated with selected feeding practices. The sample included 2554 children aged 0–23 months of adolescent mothers aged 12–19 years from four Bangladesh Demographic and Health Surveys collected between 2004 and 2014. Breastfeeding indicators were estimated using World Health Organization (WHO) indicators. Selected feeding indicators were examined against potential confounding factors using univariate and multivariate analyses. Only 42.2% of adolescent mothers initiated breastfeeding within the first hour of birth, 53% exclusively breastfed their infants, predominant breastfeeding was 17.3%, and 15.7% bottle-fed their children. Parity (2–3 children), older infants, and adolescent mothers who made postnatal check-up after two days were associated with increased exclusive breastfeeding (EBF) rates. Adolescent mothers aged 12–18 years and who watched television were less likely to delay breastfeeding initiation within the first hour of birth. Adolescent mothers who delivered at home (adjusted OR = 2.63, 95% CI:1.86, 3.74) and made postnatal check-up after two days (adjusted OR = 1.67, 95% CI: 1.21, 2.30) were significantly more likely to delay initiation breastfeeding within the first hour of birth. Adolescent mothers living in the Barisal region and who listened to the radio reported increased odds of predominant breastfeeding, and increased odds for bottle-feeding included male infants, infants aged 0–5 months, adolescent mothers who had eight or more antenatal clinic visits, and the highest wealth quintiles. In order for Bangladesh to meet the Sustainable Development Goals (SDGs) 2 and 3 by 2030, breastfeeding promotion programmes should discourage bottle-feeding among adolescent mothers from the richest households and promote early initiation of breastfeeding especially among adolescent mothers who delivered at home and had a late postnatal check-up after delivery.

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Section: Discussionsupporting

confidence: 92%

“…Confounding factors included in the analysis were guided by previous studies [32][33][34] and were classified into four levels (see Supplementary Table S1 for categorisation details): individual, exposure to media, household and community level. Individual-level factors related directly to the 'mother-infant dyad' described by a previous group [35].…”

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confidence: 99%

Breastfeeding Practices among Adolescent Mothers and Associated Factors in Bangladesh (2004–2014)

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“…For example, studies conducted in Economic Community of West African States (ECOWAS) countries showed that EIBF prevalence ranged from 17% in Guinea to 62% in Togo and Liberia [8]. Similarly, EBF rates among infants 6 months or younger ranged from 13% in Côte d'Ivoire to 58% in Togo among ECOWAS countries [8]. Similar variations in breastfeeding practices have been reported in Australia [9] and European countries [10].…”

Section: Introductionmentioning

confidence: 62%

“…This estimate may vary widely in low-and middle-income countries (LMICs) and in high-income countries [2]. For example, studies conducted in Economic Community of West African States (ECOWAS) countries showed that EIBF prevalence ranged from 17% in Guinea to 62% in Togo and Liberia [8]. Similarly, EBF rates among infants 6 months or younger ranged from 13% in Côte d'Ivoire to 58% in Togo among ECOWAS countries [8].…”

Section: Introductionmentioning

confidence: 99%

Breastfeeding in the Community—How Can Partners/Fathers Help? A Systematic Review

Ogbo

Akombi

Ahmed

et al. 2020

IJERPH

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Support from partners/fathers and families can play a significant role in a mother’s decision to initiate, continue or cease breastfeeding postnatally. This study systematically reviewed published studies to determine the impact of specific types of partner support on breastfeeding initiation, duration and exclusivity. We used the 2015 Preferred Reporting Items for Systematic reviews and Meta-Analysis (PRISMA) guidelines for the review. Seven computerized bibliographic databases (Embase, ProQuest Central, Scopus, PsycINFO, Web of Science, MEDLINE/PubMed and CINAHL) were searched. Of a total of 695 articles retrieved from the databases, seven studies met the inclusion criteria and reported on breastfeeding initiation, duration and exclusivity. Four of the seven studies found that partner support in the form of verbal encouragement to new mothers increased breastfeeding duration and exclusivity. Other types of partner supportive actions that led to improved breastfeeding behavior included sensitivity of the partner to the nursing mother’s needs, assistance in preventing and managing breastfeeding difficulties, and helping with household and child care duties. This review showed that specific supportive actions of partners/fathers in the community positively improved breastfeeding practices. To maximise the impact of breastfeeding policies and interventions among new mothers, breastfeeding programmes should consider the involvement of partners/fathers and their specific roles.

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“…The univariate logistic regression analysis was carried out to examine the independent association between exposure and outcome variables. To account for the complex hierarchical interrelationships between each of the different blocks of health determinants, this study used a five-stage hierarchical technique ( Figure 1 ) similar to those described by Agho et al [ 34 ]. As part of hierarchical technique, we first analyzed variables from the sociodemographic block (maternal SES category, maternal Aboriginal status, and hospital of birth) along with the year of birth to establish a baseline multivariate model (model 1).…”

Section: Methodsmentioning

confidence: 99%

Smoking Cessation during the Second Half of Pregnancy Prevents Low Birth Weight among Australian Born Babies in Regional New South Wales

Ghimire

Mooney

Fox

et al. 2021

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Smoking during pregnancy is a modifiable risk behavior of adverse health outcomes including low birth weight (LBW), and LBW is a key marker of newborns immediate and future health. This study aimed to examine the association between smoking cessation during the second half of pregnancy and LBW among babies born in Southern New South Wales Local Health District (SNSWLHD). Routinely collected perinatal data on singleton live births for the period 2011–2019 in five public hospitals of SNSWLHD were utilized. Multivariate logistic regression models were fitted to examine the association between smoking cessation during the second half of pregnancy and LBW. Analyses showed that mothers who ceased smoking during the second half of pregnancy were 44% less likely to have LBW babies (adjusted odds ratio (aOR) = 0.56; 95% confidence interval (CI): 0.34, 0.94) compared to those who continued smoking throughout pregnancy. Mothers who reported an average daily dose of 1–10 or >10 cigarettes during the second half of pregnancy were significantly more likely to have babies with LBW than those who ceased smoking during the second half of pregnancy. Early identification of smoking behavior and promotion of smoking-cessation intervention for risk populations including pregnant women within the older age bracket (35–49 years) is imperative to reduce LBW.

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Exclusive Breastfeeding Rates and Associated Factors in 13 “Economic Community of West African States” (ECOWAS) Countries

Cited by 25 publications

References 52 publications

Breastfeeding Practices among Adolescent Mothers and Associated Factors in Bangladesh (2004–2014)

Breastfeeding Practices among Adolescent Mothers and Associated Factors in Bangladesh (2004–2014)

Breastfeeding in the Community—How Can Partners/Fathers Help? A Systematic Review

Smoking Cessation during the Second Half of Pregnancy Prevents Low Birth Weight among Australian Born Babies in Regional New South Wales

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