Exploring the challenges and opportunities towards optimal breastfeeding in Ethiopia: a formative qualitative study

Gebremariam, Kidane Tadesse; Zelenko, Оksana; Kahsay, Znabu Hadush; Mulugeta, Afework; Gallegos, Danielle

doi:10.1186/s13006-020-00265-0

Cited by 11 publications

(17 citation statements)

References 52 publications

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“…Previous research on the contribution of grandmothers to child health outcomes has been inconsistent. It is widely understood that grandmothers tend to be influential in this context [72][73][74], but studies differ as to whether they improve or worsen children's outcomes. Several studies have associated grandmaternal advice with healthier feeding practices [10,75], while others have found negative effects [29] or that the effect depends on the adequacy of grandmaternal knowledge [32].…”

Section: Discussionmentioning

confidence: 99%

Does maternal grandmother's support improve maternal and child nutritional health outcomes? Evidence from Merida, Yucatan, Mexico

Vázquez‐Vázquez

Fewtrell

Chan‐García

et al. 2021

Phil. Trans. R. Soc. B

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In humans, high levels of investment are required to raise offspring, because of the prolonged developmental period and short interbirth intervals. The costs borne by individual mothers may be mitigated by obtaining social support from others. This strategy could be particularly valuable for first-time mothers, who lack first-hand experience and whose offspring have higher mortality risk than later-born siblings. As raising children is potentially stressful, mothers may gain from others sharing their experience, providing knowledge/information and emotional support. Being genetically related to both mother and grandchild, maternal grandmothers may be especially well placed to provide such support, while also gaining fitness benefits. We tested the over-arching hypothesis that first-time mothers and their young children supported by the maternal grandmother would have lower levels of stress and better health outcomes, compared to mother–infant dyads lacking such grandmaternal support. A cohort of 90 mother–infant dyads (52 with grandmaternal support, 38 without) was recruited in Merida, Mexico. We assessed anthropometry and body composition in both mother and child, along with maternally perceived stress and child temperament, and documented maternal social relationships. No differences were found in perceived stress/temperament or anthropometry of either mothers or children, according to the presence/absence of grandmaternal support. However, a composite score of whether grandmothers provided advice on infant feeding was positively associated with child nutritional status. Mothers without grandmaternal support reported seeking more informational and emotional support from other female relatives for childcare, potentially compensating for limited/absent grandmaternal support. Our findings may help develop interventions to improve maternal and child health by targeting the dynamics of maternal social networks. This article is part of the theme issue ‘Multidisciplinary perspectives on social support and maternal–child health’.

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Section: Discussionmentioning

confidence: 99%

Does maternal grandmother's support improve maternal and child nutritional health outcomes? Evidence from Merida, Yucatan, Mexico

Vázquez‐Vázquez

Fewtrell

Chan‐García

et al. 2021

Phil. Trans. R. Soc. B

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“…O que fundamenta a percepção paterna sobre o leite ser fraco e insuficiente é o choro ou agitação do bebê, sendo uma indicação primária para este pensamento (Gebremariam et al, 2020).…”

Section: Fatores Desencadeadores Do Desmame Precoce Relacionados à Fa...unclassified

“…Os pais podem contribuir de outra forma na prática da amamentação, com as tarefas domésticas. Dessa forma, ajudará as mães a reporem as energias e ficarem menos sobrecarregadas, dividindo as responsabilidades (Gebremariam et al, 2020).…”

Section: A Participação Paterna No Aleitamento Materno E Seus Benefíc...unclassified

Evidências sobre a percepção e apoio paterno na amamentação

Oliveira

Rocha

Nascimento

et al. 2022

RSD

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O presente estudo objetiva analisar as evidências na literatura acerca da percepção e apoio paterno na amamentação; analisar fatores desencadeadores do desmame precoce relacionados à falta da participação paterna ao processo de aleitamento; a participação paterna no aleitamento materno e seus benefícios à mãe e bebê. Trata-se de uma revisão integrativa da literatura realizada nas bases de dados da Biblioteca Virtual de Saúde, Lilacs, Scielo, Medline e BDENF que incluiu publicações de 2017 a 2021. A amostra final foi constituída por 13 artigos, sendo refinados a partir de uma leitura exaustiva. Conclui-se que a participação ativa do pai no processo de amamentação é de extrema relevância, pois a mulher se torna suscetível à interrupção do aleitamento diante das dificuldades. A literatura pesquisada evidencia que muitos homens têm a percepção de que o seu apoio é fundamental para a continuidade da amamentação, porém o desconhecimento de como ajudar a mulher e participar desse processo é uma barreira que promove sua ausência, além da cultura que afirma que amamentar é um ato exclusivo da mulher. Desta forma, esses homens devem ser incluídos ao pré-natal para que possam ser ensinados a como cuidar da criança e serem incentivadores do aleitamento materno.

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“…12 Mothers noted that while the grandparents had influence, mothers were often guided by their own their personal beliefs on breastfeeding. 12 In a study by Feenstra et al, lower maternal self-efficacy related to breastfeeding was strongly associated with early breastfeeding issues among mothers in Southern Denmark. 14 While this study did not directly explore familial or community level factors, the level of support that mothers receive from family members and health professionals in their communities can influence their level of self-efficacy related to breastfeeding.…”

Section: Practitioner Pointsmentioning

confidence: 99%

“…Azeze et al 11 showed that EBF was more likely when mothers reported no problems or pain associated with their breast in the first 6 months 11 . Maternal barriers to optimal breastfeeding may include maternal perceptions of inadequate milk supply, limited maternal knowledge of breastfeeding, 12 and some medical conditions that make it difficult or impossible to breastfeed 13…”

Section: Introductionmentioning

confidence: 99%

Key correlates of exclusive breastfeeding at three timepoints: Evidence from Ethiopia

Yigletu

Tendulkar

Holmes

et al. 2022

Repro Female Child Health

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To compare factors associated with exclusive breastfeeding (EBF) within 1 h of birth, within 3 days, and within the first 6 months post-birth. Methods: We used multivariate logistic regression models and data from "The Alive and Thrive Phase 2 Amhara Baseline Survey 2015" from Ethiopia (N = 3113). Results: Giving colostrum was strongly associated with EBF at all three time points, controlling for multiple confounders. Putting the baby to the breast before cleaning the baby and before cleaning the mother was significantly associated with EBF within 1 h and for the first 3 days. EBF within an hour of birth was more likely for girl babies than boy babies. Having a healthcare professional check whether the baby was sucking well was significantly associated with EBF 3 days post-birth. Conclusions: The World Health Organization recommends breastfeeding within 1 h of birth and exclusively thereafter for 6 months, which can improve health outcomes for infants and children. In Ethiopia, many factors influence breastfeeding practices, but little is known about how these factors differ at various key timepoints in the 6 months after birth. Our study provides important information on correlates of EBF at three timepoints and shows that factors that are significantly correlated with EBF vary over time. Future research should assess the potential causal links among statistically significant associations between EBF and risk factors at various times between birth and 6 months of age. Ultimately, these findings have the potential to inform areas of intervention related to promoting EBF.

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Exploring the challenges and opportunities towards optimal breastfeeding in Ethiopia: a formative qualitative study

Cited by 11 publications

References 52 publications

Does maternal grandmother's support improve maternal and child nutritional health outcomes? Evidence from Merida, Yucatan, Mexico

Does maternal grandmother's support improve maternal and child nutritional health outcomes? Evidence from Merida, Yucatan, Mexico

Evidências sobre a percepção e apoio paterno na amamentação

Key correlates of exclusive breastfeeding at three timepoints: Evidence from Ethiopia

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