Prelacteal feeding and associated factors in Ethiopia: systematic review and meta-analysis

Temesgen, Habtamu; Negesse, Ayenew; Woyraw, Wubetu; Getaneh, Temesgen; Yigizaw, Molla

doi:10.1186/s13006-018-0193-6

Cited by 40 publications

(58 citation statements)

References 47 publications

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“…Despite the recommendations by infant and young child feeding, Government of India and the WHO, delayed initiation of breast feeding was quite high in the study which is comparable to studies in LMICs. [11][12][13][14] The reason for which was found to be that the colostrum was thought to be unworthy of giving to the baby Figure 5. According to a study conducted in western Nepal, a significant number of mothers gave colostrum as the first meal to 86.2% babies, while the remaining 14% babies were given a fluid other than breast milk as their first feed.…”

Section: Discussionmentioning

confidence: 99%

“…15 Various family rituals and myths were found to be responsible as in our study. [11][12][13][14] Another reason for the delay was found to be unpopularity of the early skin to skin contact of mother with newborn as recommended by WHO due to separation of the mother-baby pair for routine post-delivery procedures.…”

Section: Discussionmentioning

confidence: 99%

“…This was found in almost all the studies done in LMICs. [11][12][13] Various myths and family rituals are of great concern and should be discouraged as they cause lactation failure resulting in high neonatal morbidity and mortality ( Figure 5).…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Identification of factors determining the initiation of breastfeeding in postnatal women in a tertiary care centre: an observational study

Gupta¹,

Agarwal

Agrawal

2019

Int J Reprod Contracept Obstet Gynecol

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According to UNICEF, low to middle income countries (LMICs) are disproportionately affected by suboptimal breastfeeding. 7 An analysis of DHS (Demographic Health Survey) data from 57 LMICs published in 2018 revealed that only 39% of children were breastfed within an hour of delivery (range by region of 31-60%). 8 An analysis by NFHS 4 (National Family and Health Survey 4, 2015-16) has shown that early initiation of breastfeeding in India is 41.5%. 9 Given this negative trend, it is important to explore the factors associated with delay in initiation of breast feeding which can help to strategize ways and methods to encourage early initiation of breast feeding. ABSTRACTBackground: The WHO recommends that mothers worldwide to initiate breastfeeding within an hour of delivery to achieve optimal growth, development and health but the breastfeeding rates remain far below the recommended standards. The aim of this study was to find the prevalence of delay in initiation of breast feeding, to identify various factors which determine the initiation of breastfeeding and to correlate their association with delayed onset of breast feeding. Methods: Hundred and thirty six postnatal women, who delivered in Santosh Medical College and Hospital, Ghaziabad, were recruited in the study. They were interviewed after their informed consent using a pretested structured questionnaire. Socio-demographic and obstetric factors were compared between subjects who initiated breast feeding in less than and more than 1 hours. Frequencies were calculated for different variables. Data was statistically analyzed and p value of <0.05 was taken significant. Results: The prevalence of delay in initiation of breast feeding in our study was found to be 74.2% (n=101).The mean time of initiation of breast feeding was 18.43 hours. Significant association (p <0.05) was found in various sociodemographic, obstetrical and social factors. Conclusions: Identifying mothers at risk of delayed breastfeeding initiation should be the target for breastfeeding promotion during prenatal, antenatal as well as postnatal period. Public health officials and health care providers should consider interventions to promote and support early initiation of breast feeding.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Identification of factors determining the initiation of breastfeeding in postnatal women in a tertiary care centre: an observational study

Gupta¹,

Agarwal

Agrawal

2019

Int J Reprod Contracept Obstet Gynecol

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“…In Ethiopia breastfeeding is almost universal across a country, however, it does not always meet WHO/UNICEF recommendations [24]. Studies revealed that more than 25% of the mothers were giving prelacteal feeding instead of colostrum to their newborn [25]. Nearly 40% of the mothers did not initiate colostrum within one hour of birth and only 60% of mothers practiced exclusive breastfeeding in the rst 6 months of life [26,27].…”

Section: Introductionmentioning

confidence: 99%

Colostrum avoidance and associated factors in Ethiopia: A systematic review and meta-analysis

Nigussie

Girma

Molla

et al. 2020

Preprint

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Background: Colostrum is the first milk produced by the mammary glands during the second half of pregnancy for a few days (3-4) after birth. However, colostrum is a normative standard for infants’ complete form of nutrition, most mothers' giving prelacteal food such as honey, butter, sugar water, and plain water instead of colostrum to their newborn. In Ethiopia, colostrum was seen as abnormal milk causing abdominal problems, and to mitigate this problem most mothers were discarding the portion of the colostrum. Although studies have been conducted on colostrum avoidance and associated factors in Ethiopia, their report was inconsistent regarding the prevalence and associated factors. The main aim of this systematic review and meta-analysis was to estimate the pooled prevalence of colostrum avoidance and associated factors in Ethiopia.Methods: In this systematic review and meta-analysis databases such as Google, Google Scholar, PubMed/Medline, Science Direct, and Hinari were searched. We found a total of 327 records, of which 292 records were excluded due to duplication and unrelated to our objective. Finally, 35 studies were included in this systematic review and meta-analysis. The data were extracted in Microsoft Excel format and exported to STATA Version 14.0 statistical software for analysis. Heterogeneity was checked by the I2 test. A random-effect meta-analysis model was used to estimate the pooled prevalence of colostrum avoidance and associated factors. Egger’s weighted regression and Begg’s rank correlation test were used to assess publication bias. Result: This review revealed that the pooled prevalence of colostrum avoidance in Ethiopia was 20.5% (95% CI; 16.46, 24.45). Ante-natal care (ANC) visits [OR= 0.274 (95% CI; 0.175, 0.428)], place of delivery [OR= 3.8 (95% CI; 2.9, 4.9)], breastfed counselling [OR= 0.261(95% CI; 0.147 - 0.462), timely initiation of breast feeding [OR = 3.8 (95% CI; 1.9, 7.4)] and prelacteal feeding [OR= 5.77 (95% CI; 4.03- 8.22)] were significant factors for colostrum avoidance. Conclusion: This meta-analysis showed that one of five mothers discarded colostrum in Ethiopia. Colostrum avoidance was higher in rural mothers than in urban mothers. Strengthening ANC visits, institutional delivery, breastfed counseling, early initiation of breastfeeding, and avoidance of prelacteal feeding are recommended interventions to reduce colostrum avoidance in Ethiopia. Furthermore, promoting the health benefit of colostrum and its nutritional value also emphasizes to improving colostrum feeding in the community.

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“…Socio-demographic related predictors of infant feeding practices are relatively well researched. The literature consistently show that maternal age, socio-economic status, level of education, marital status and location are associated with infant feeding practices [18][19][20][21][22][23][24]. However, researches examining psychosocial predictors of IFPs are very limited.…”

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confidence: 99%

The Effect of Maternal Depressive Symptoms on Infant Feeding Practices in Rural Ethiopia: Community Based Birth Cohort Study

Woldetensay

Belachew

Ghosh

et al. 2020

Preprint

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Background: Infant feeding is a multidimensional and multi-risk factor practice with a vital role in ensuring optimal child health, growth and development. Maternal depression and other psychosocial factors have been shown to have adverse consequences on feeding practices. However, most of these findings were based on single infant feeding practice (IFP) dimension; for instance, early initiation of breastfeeding, exclusive breastfeeding or introduction of complementary foods. This study aims to explore the longitudinal relationship of maternal depressive symptoms and other selected psychosocial factors with IFPs in rural Ethiopia using summary IFP index. Methods: This study uses existing data from the ENGINE birth cohort study. The study had an open cohort design, with “rolling recruitment” procedure and follow up of pregnant women for a period of two years. It was conducted from March 2014 to March 2016 in three districts in the southwest of Ethiopia. A total of 4680 pregnant women were recruited between 12 and 32 weeks of gestation. Data were collected once during pregnancy for all women (twice for those in the first trimester), at birth, and then every three months until the child was 12 months old. Standardized questionnaire were used to collect data on IFPs, maternal depressive symptoms, household food insecurity, intimate partner violence, maternal social support, active social participation, and other socio-demographic variables. A composite measure of IFP index was computed using 14 WHO recommended infant and young child feeding (IYCF) practice indicators. Prenatal and postnatal maternal depressive symptoms were assessed using the patient health questionnaire (PHQ-9). Linear multilevel mixed effects model was fitted to assess longitudinal relationship of IFPs with maternal depression and other psychosocial factors. Results: Postnatal depressive symptoms (ß= -1.031, P=0.001) and intimate partner violence (ß= -0.208, P=0.001) were inversely and significantly associated with IFPs. However, prenatal maternal depressive symptoms was not significantly associated with IFPs (ß= -0.024, P=0.953). On the other hand, maternal social support (ß= 0.107, P=0.002) and maternal social participation (ß= 0.552, P<0.001) were positively associated with IFPs. Maternal education and gestational age at birth were other important factors positively associated with IFPs. Moreover, contrary to expected, moderate household food insecurity (ß= 0.836, P=0.003), severe household food insecurity (ß= 1.034, P=0.01) and infant morbidity episodes (ß= 0.625, P=0.013) were positively associated with IFPs. Conclusion: Early postnatal depressive symptoms and intimate partner violence were negative predictors of IFPs. On the other hand, maternal social support, social participation, maternal education and gestational age at birth were positive predictors of IFPs. Overall, we can conclude that multitude of factors are related to IFPs and hence coordinated, multi-sectoral and multi-stakeholder interventions including maternal depressive symptoms screening and management are needed to improve IFPs.

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Prelacteal feeding and associated factors in Ethiopia: systematic review and meta-analysis

Cited by 40 publications

References 47 publications

Identification of factors determining the initiation of breastfeeding in postnatal women in a tertiary care centre: an observational study

Identification of factors determining the initiation of breastfeeding in postnatal women in a tertiary care centre: an observational study

Colostrum avoidance and associated factors in Ethiopia: A systematic review and meta-analysis

The Effect of Maternal Depressive Symptoms on Infant Feeding Practices in Rural Ethiopia: Community Based Birth Cohort Study

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