Factors associated with delayed initiation of breastfeeding: a survey in Northern Uganda

Mukunya, David; Tumwine, James; Nankabirwa, Victoria; Ndeezi, Grace; Odongo, Isaac; Tumuhamye, Josephine; Tongun, Justin Bruno; Kizito, Samuel; Napyo, Agnes; Achora, Vincentina; Odongkara, Beatrice; Tylleskär, Thorkild

doi:10.1080/16549716.2017.1410975

Cited by 39 publications

(55 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There was strong evidence that birth by Caesarean section (CS) was associated with delay in initiation of breastfeeding. This was similar to findings from Uganda [ 30 ], Tanzania [ 31 ], Ethiopia [ 27 ], and Nigeria [ 32 ]. This could be explained by the hospital practice of separating infants from their mothers after CS as reported in studies in Nigeria [ 33 ] and Vietnam [ 34 ].…”

Section: Discussionsupporting

confidence: 90%

Factors associated with delayed initiation of breastfeeding: a cross-sectional study in South Sudan

et al. 2018

Self Cite

View full text Add to dashboard Cite

BackgroundThe global breastfeeding recommendation states that all infants should be put to the breast within one hour of birth, which is defined as timely initiation or early initiation of breastfeeding. Early initiation of breastfeeding is associated with reduced risk in infant illness and death. Understanding the determinants of delay in initiation of breastfeeding might spur health staff and policy makers to foster timely breastfeeding. We assessed the prevalence and determinants of delay in initiation of breastfeeding among mothers in Juba Teaching Hospital.MethodsThe present study enrolled 806 mother-infant pairs within 24 hrs of birth in Juba Teaching Hospital in 2017. The mothers were interviewed about the time of initiation of breastfeeding, sociodemographic and birth characteristics. The independent variables associated with delay in initiation of breastfeeding were identified using multivariable logistic regression analysis.ResultsIn the current study, 52% (418/806) of the mothers initiated breastfeeding later than one hour after birth. Birth by Caesarean section (Adjusted Odds Ratio [AOR] 41; 95% Confidence Interval [CI] 12.21, 138), discarding of colostrum (AOR 9.89; 95% CI 4.14, 23.62), unmarried mothers (AOR 3.76; 95% CI 1.53, 9.24), exposure to infant formula advertisement (AOR 1.82; 95% CI 1.09, 3.02) and no house ownership (AOR 1.52; 95% CI 1.11, 2.09) were independent factors associated with delay in initiation of breastfeeding.ConclusionWe found that more than half of the mothers delayed the initiation of breastfeeding. Therefore, we recommend training on best breastfeeding practices and counselling skills for health staff in Juba Teaching Hospital. Policy dialogue, with the relevant ministries and departments on the promotion and protection of early initiation of breastfeeding is crucial.

show abstract

Section: Discussionsupporting

confidence: 90%

Factors associated with delayed initiation of breastfeeding: a cross-sectional study in South Sudan

et al. 2018

Self Cite

View full text Add to dashboard Cite

show abstract

“…The present study demonstrated that the newborn babies of uneducated parents were less likely to be breastfed within the first hour after birth. Note that several earlier studies [8,[27][28][29][30][31][32][33][34] have also found a similar effect of education; however, only mothers' level of education was considered in those studies, whereas education of both parents was considered in this study. The effect of education may be explained as educated parents have the ability to receive and understand health promotional information easily, and also they can manage the skilled or professional birth assistance or may take decision to go to health facilities during delivery [8].…”

Section: Discussionmentioning

confidence: 56%

“…[28,44,49,52,69]. The negative impact of caesarean delivery on early breastfeeding has also been observed in the several studies [8,28,29,34,[39][40][41][42][43][44][45][46][47][48][49][50][51][52][53][54][55][56][57][58].…”

Section: Discussionmentioning

confidence: 94%

“…Several studies conducted in developing countries have identified a number of socio-economic and demographic factors associated with EIBF such as place of residence [27], education of parents [8,[27][28][29][30][31][32][33][34], birth order [8,27,[35][36][37][38][39], place of delivery [8], mode of delivery [8,28,29,34,[39][40][41][42][43][44][45][46][47][48][49][50][51][52][53][54][55][56][57][58], size of baby [8], use of antenatal care [8,28,42,44,53,[59][60]…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Gender inequality in early initiation of breastfeeding in Bangladesh: a trend analysis

2020

View full text Add to dashboard Cite

Background: Early initiation of breastfeeding within 1 hour after birth is essential for newborns, because it reduces risk of neonatal mortality and hypothermia to a great extent and also helps in preventing the long-term chronic diseases and in increasing energy and immunity to newborn. In order to reach the 'very good state' of timely or early initiation of breastfeeding recommended by WHO, Bangladesh needs to increase the current rate of 51.24 to 100%. An attempt has been made in this study to examine how the early breastfeeding practice changes among male and female children with time controlling the factors associated with this practice. Methods: Data from last four consecutive Bangladesh Demographic and Health Surveys (BDHS) have been used in the study. The participants were included whose child born within the last 5 years preceding the surveys of 2004, 2007 and 2011, and within the last 3 years preceding the survey of 2014 in the study and the respective selected participants were 5145, 4765, 7099 and 4370. To conduct the trend analysis, the descriptive statistics of selected variables along with prevalence of early initiation of breastfeeding have been computed by different years and a multiple logistic regression model has been fitted to the pooled dataset of 2004-2014 considering survey years as time. Results: Rate of early initiation of breastfeeding increased as time progressed and it was faster for female child compared to male child. For example, female children were significantly 10 and 6% less likely to be initiated early than their counterparts in 2004 and 2007, respectively; whereas after 2007 both male and female children were equally treated for breastfeeding practice. It was also found that rate of early initiation significantly increased for one unit increased in survey year and this increasing rate was higher for female child compared to male child. For example, for one unit of increased in survey year, the early initiation of breastfeeding increased by 60% for male child and by 67% for female child. Besides, survey time, gender, education of parents, wanted index child, mode of delivery, antenatal care visits, wealth index, exposure to media and division were found to have potential influence on early initiation of breastfeeding. Conclusion: Demographic and health surveys conducted in Bangladesh since 2011 have shown no evidence of gender discrimination regarding timely initiation of breastfeeding. In order to achieve the target rate of early initiation of breastfeeding recommended by WHO, it requires to take effective intervention regarding maternal and child health education.

show abstract

“… 25 27 34–36 41 Seven studies were conducted in Europe, 27 33–37 43 five in Middle East, 13 14 19 21 22 three in Africa, 20 25 41 one in Asia, 29 one study was conducted in both Asia and Europe 40 and one failed to report. 41 Nine studies reported on refugees, 13 14 19 21 25 32 37 40 43 four on internally displaced persons (IDPs), 20 22 34 36 three on non-displaced residents 27 29 41 and two failed to report on the target population. 35 42 Nine studies were conducted in camps, 13 14 19 21 25 32 37 40 43 seven in community 20 22 27 29 34 36 41 and two did not report.…”

Section: Resultsmentioning

confidence: 99%

Systematic review of infant and young child feeding practices in conflict areas: what the evidence advocates

et al. 2020

View full text Add to dashboard Cite

BackgroundBreast feeding in conflict settings is known to be the safest way to protect infant and young children from malnourishment and increased risk of infections. This systematic review assesses the evidence on infant and young child feeding (IYCF) practices in conflict settings.MethodologyWe conducted a search in PubMed and CENTRAL and also searched for grey literature from the year 1980 to August 2019. We included studies conducted in settings inflicted with armed conflict; which comprised settings undergoing conflict, as well as, those within 5 years of its cessation. Studies were included if they discussed IYCF practices, barriers, programmes and guidelines to promote and improve IYCF practices. Two review authors independently evaluated and screened studies for eligibility and extracted data; followed by a descriptive and thematic analysis.ResultsWe included 56 studies in our review including 11 published articles and 45 reports from grey literature and broadly classified into four predetermined sections: epidemiology (n=24), barriers/enablers (n=18), programmes/interventions (n=15) and implementation guidelines (n=30). Epidemiological evidence shows that IYCF practices were generally poor in conflict settings with median prevalence of exclusive breast feeding at 25%, continued breast feeding at 29%, bottle feeding at 58.3%, introduction to solid, semisolid or soft foods at 71.1% and minimum dietary diversity at 60.3%.IYCF practices were affected by displacement, stress, maternal malnutrition and mental health, family casualties and free distribution of breast milk substitutes. To improve IYCF, several interventions were implemented; including, training of health workers, educating mothers, community networking and mobilisation, lactation-support service, baby friendly hospital initiative, mother–baby friendly spaces and support groups.ConclusionThe evidence suggests that IYCF practices are generally poor in conflict inflicted settings. However, there is potential for improvement by designing effective interventions, responsibly disseminating, monitoring and implementing IYCF guidelines as prescribed by WHO development partners, government and non-government organisations with dedicated funds and investing in capacity development.

show abstract

Factors associated with delayed initiation of breastfeeding: a survey in Northern Uganda

Cited by 39 publications

References 31 publications

Factors associated with delayed initiation of breastfeeding: a cross-sectional study in South Sudan

Factors associated with delayed initiation of breastfeeding: a cross-sectional study in South Sudan

Gender inequality in early initiation of breastfeeding in Bangladesh: a trend analysis

Systematic review of infant and young child feeding practices in conflict areas: what the evidence advocates

Contact Info

Product

Resources

About