Timely Initiation of Breast Feeding and Associated Factors among Caesarian Section Delivered Mothers in Health Facilities of Dessie City Administration, North Eastern Ethiopia

Shiferaw, Roza; Tadesse, Sisay Eshete; Mekonnen, Tefera Chane; Zerga, Aregash Abebayehu

doi:10.3390/pediatric13010001

Cited by 5 publications

(7 citation statements)

References 12 publications

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“…Women who received post-cesarean section counseling about TIBF were 2.93 times more likely to initiate breastfeeding within one hour of delivery than those who didn’t get post-CS counseling. This finding was consistent with a study conducted in Dessie city, Ethiopia [ 16 ], and India [ 31 ]. This might be because of immediate, attentive advice and information from obstetric care providers about the importance of timely initiation of breastfeeding and its role on both maternal and newborn health, mothers are more likely to initiate breastfeeding within one hour of delivery.…”

Section: Discussionsupporting

confidence: 93%

“…The odds of timely initiation of breastfeeding were 4.78 times higher among women who received counseling about TIBF during their ANC follow-up than their counterparts. This finding was in line with a study done in Dessie city, Ethiopia [ 16 ], Brazil [ 30 ], and India [ 31 ]. This might be because counseling about timely initiation of breastfeeding during ANC follow-up provides information about the effect of timely initiation of breastfeeding on mother and newborn health, which motivates the mothers to plan timely initiation of breastfeeding for their newborn baby [ 32 ].…”

Section: Discussionsupporting

confidence: 92%

“…We calculated sample size by using a single population proportion formula with the assumptions; the margin of error (d) = 5%, confidence level = 95% (Zα/ 2 = ±1.96), and the proportion of TIBF (p) among mothers who gave birth by cesarean section was 57% [ 16 ]. So, the final calculated sample size with a 10% non-response rate was 415.…”

Section: Methodsmentioning

confidence: 99%

“…Timely initiation of breastfeeding : is the initiation of breastfeeding for newborn within one hour of birth. It was calculated based on responses to the question “How long after delivery did you start breastfeeding for your newborn?” The responses were recorded in hours and a binary variable of timely initiation of breastfeeding was generated (Yes = 1, if the initiation of breastfeeding was within an hour of birth, No = 0, if the initiation of breastfeeding was after one hour of birth) [ 15 , 16 ].…”

Section: Methodsmentioning

confidence: 99%

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Timely initiation of breastfeeding among women who gave birth by cesarean section in central Ethiopia, 2022: A cross-sectional study

Lonsako,

Mezmur,

Gebreyesus

et al. 2023

PLoS ONE

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Background Timely initiation of breastfeeding reduces the risk of neonatal mortality. However, there was paucity of literature on the timely initiation of breastfeeding among women who gave birth by cesarean section (CS) in Ethiopia. Thus, the aim of this study was to assess the magnitude of timely initiation of breastfeeding and factors associated with it among women who gave birth by CS in central Ethiopia. Methods A facility-based cross-sectional study was conducted among 403 women who gave birth by CS. Data were collected by using an interviewer-administered questionnaire and observation checklist, entered into EpiData 4.6, and exported to statistical package for the social sciences (SPSS) version 26.Descriptive and multivariate logistic regression analyses were performed and statistical significance is declared at p<0.05. Results The magnitude of timely initiation of breastfeeding was 47.4% [95% CI: (42.5, 52.6)]. Attending four or more antenatal care visits [(AOR): 2.27, 95%CI: (1.28, 4.02)], counseling during antenatal care [AOR: 4.78, 95% CI: (2.66, 8.60)], early skin to skin contact with newborn [AOR: 2.83, 95% CI: (1.60, 5.02)], post-delivery counseling [AOR: 2.93, 95% CI: (1.56, 5.50)], and getting assistance from health professionals [AOR: 3.07, 95% CI: (1.64, 5.75)] were factors associated with timely initiation of breastfeeding. Conclusions The magnitude of timely initiation of breastfeeding in the study area was low. Strengthening counseling by health care practitioners during ANC and post-natal period should be prioritized to support women in initiating early skin-to-skin contact within one hour of birth is mandatory.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionsupporting

confidence: 92%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

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Timely initiation of breastfeeding among women who gave birth by cesarean section in central Ethiopia, 2022: A cross-sectional study

Lonsako,

Mezmur,

Gebreyesus

et al. 2023

PLoS ONE

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“…Among the included studies, seven of them were from Amhara region [ 19 , 20 , 24 , 25 , 30 – 32 ], two studies from each of the following; Tigray [ 22 , 33 ], Oromo [ 34 , 35 ], South Nation Nationality and Peoples region (SNNPR) [ 18 , 36 ] and Ethiopian Demographic Health Survey (EDHS) data [ 21 , 26 ] while the remaining two studies were contributed from Addis Ababa [ 37 ] and Afar region [ 38 ] (one study for each). All eligible studies in this review were cross-sectional study design consisting 29,919 mothers as study participant.…”

Section: Resultsmentioning

confidence: 99%

Impact of cesarean section on timely initiation of breastfeeding in Ethiopia: a systematic review and meta-analysis

et al. 2021

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Background Timely initiation of breastfeeding is feeding of breast milk within one hour of birth, however, three in five babies were not breastfed in the first hour of birth globally. There is evidence that cesarean section is the major constraint for this low prevalence, but the impact of cesarean section on timely initiation of breastfeeding in Ethiopia is limited. Therefore, this meta-analysis aimed to provide evidence for policy makers, health professionals and program implementers. Methods This systematic review followed the Preferred Reporting Items for Systematic reviews and Meta-Analysis guidelines. Electronic bibliographic databases such as PubMed/Medline, EMBASE, PsycINFO, CINHAL, Scopus, Google Scholar, Science Direct and Cochrane Library were used to search relevant studies and was conducted up to February 2021. Random effects model meta-analysis was applied to estimate the pooled impact of cesarean section on timely initiation of breastfeeding with 95% confidence intervals (CI). I2 statistical test and, funnel plot and Egger’s test were used to check heterogeneity and publication bias across included studies respectively. Results According to meta-analysis of 17 studies, the pooled estimate of timely initiation of breastfeeding among women who had cesarean section in Ethiopia was 40.1% (95% CI 33.29, 46.92). The meta-analysis of 29,919 study participants showed that cesarean section was associated with a 79% lower odds of timely initiation of breastfeeding compared with vaginal birth (OR 0.21; 95% CI 0.16, 0.28). Conclusions In Ethiopia, almost only one-third of mothers who gave birth by cesarean section initiate breastfeeding within one hour of birth, much lower than the pooled prevalence among general population. Special health promotion, intervention and healthcare provider support during immediate or early skin to skin contact, and having focused breastfeeding guidelines for post-operative patient and trained health professionals should be considered for mothers who give birth through cesarean section.

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Timely initiation of breastfeeding and its factors among women delivered via cesarean section under spinal anesthesia at the University of Gondar Comprehensive Specialized Hospital, north-west Ethiopia, 2021: a hospital-based cross-sectional study

Alkassoum

Melkie

Filatie

et al. 2023

Annals of Medicine &Amp; Surgery

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Background: The mode of delivery influences breastfeeding practice. Moreover, cesarean deliveries under anesthesia-related risk factors affect the timing of breastfeeding initiation compared to vaginal deliveries. In addition, high rates of cesarean section (CS) deliveries and low breastfeeding rates are important public health concerns for all developing countries. Objective: This study aimed to determine the timely initiation of breastfeeding and its factors among women delivered via CS under spinal anesthesia. Methods: Institutional-based cross-sectional study was employed among 422 systematically selected mothers from April to June 2021. Data were collected by a structured questionnaire. Data entry and analysis were done using Epi Data and Stata version 14.0. Binary logistic regressions were computed to identify factors. An adjusted odds ratio (AOR) with a 95% confidence interval (CI) was used to declare statistical significance. Results: Delayed initiation of breastfeeding (DIBF) was 41.8%. Mothers who had an emergency CS (AOR =2.13, 95% CI [1.21–3.75]), had less than four antenatal care (ANC) follow-ups (AOR=1.77, 95% CI [1.02–3.13]), had moderate to severe pain during the perioperative period (AOR=2.65, 95% CI [1.24–5.54]), primipara (AOR=1.89; 95% CI [1.20–3.25]), used intraoperative opioid medications (AOR=1.86; 95% CI [1.01–3.30]), and had no skin-to-skin contact (AOR=2.1, 95% CI [1.27–3.51]) were associated with DIBF. Conclusion and recommendation: DIBF after cesarean delivery was high. Emergency CS, less than four ANC visits, immediate postoperative pain, and lack of skin-to-skin contact were factors associated with delayed breastfeeding. Health care providers, especially anesthetists, in the operation theater, should implement multimodal analgesics and minimize opioid consumption. Moreover, they should keep the newborn in skin-to-skin contact to initiate breastfeeding in the operation theater soon after birth.

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Timely Initiation of Breast Feeding and Associated Factors among Caesarian Section Delivered Mothers in Health Facilities of Dessie City Administration, North Eastern Ethiopia

Cited by 5 publications

References 12 publications

Timely initiation of breastfeeding among women who gave birth by cesarean section in central Ethiopia, 2022: A cross-sectional study

Timely initiation of breastfeeding among women who gave birth by cesarean section in central Ethiopia, 2022: A cross-sectional study

Impact of cesarean section on timely initiation of breastfeeding in Ethiopia: a systematic review and meta-analysis

Timely initiation of breastfeeding and its factors among women delivered via cesarean section under spinal anesthesia at the University of Gondar Comprehensive Specialized Hospital, north-west Ethiopia, 2021: a hospital-based cross-sectional study

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