Timely initiation of breastfeeding and associated factors among mothers with vaginal and cesarean deliveries in public hospitals of Addis Ababa

Abstract

Background WHO and UNICEF recommend breastfeeding to be initiated within the first hour of birth. It is possible to initiate breastfeeding within an hour of birth regardless of the method of delivery. Despite this, the practice of timely initiation of breastfeeding remains low in Ethiopia with both delivery modalities. Therefore, this study aims to compare timely initiation of breastfeeding and associated factors with cesarean and vaginal deliveries in public hospitals of Addis Ababa, 2021. Methods and materials: Comparative cross-sectional study was conducted from January 2021 to February 2021 in public hospitals of Addis Ababa. 322 mothers within three days of delivery at the postnatal ward of the respective public hospitals were selected. A multi-stage sampling method was employed with the final participants being recruited by systematic random sampling. Data was entered to Epi data Version 4.6 and analysis was performed by SPSS Version 26. A Binary and multivariate logistic regression statistical model was used. Adjusted odds ratio with 95% CI was computed to see the strength of association. Result Timely breastfeeding initiation was 79 (51.2%) and 123 (80%) for cesarean and vaginal deliveries. With a vaginal delivery, pre-lacteal feeding (AOR= 5.50, 95% CI:1.83-16.57) was significantly associated with timely initiation of breastfeeding. Multiparty (AOR= 2.14, 95% CI: 1.02-4.50), support from health care worker (AOR= 2.602, 95% CI: 1.16-5.82), and pre-lacteal feeding (AOR= 2.55, 95% CI: 1.13-5.75) were significantly associated with timely initiation of breastfeeding with cesarean delivery. Conclusion The rate of timely initiation of breastfeeding differs according to the mode of delivery. Cesarean delivery, as compared to vaginal delivery, was associated with a higher mean and median time for initiation of breastfeeding.

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

“…The magnitude of timely initiation of breastfeeding in this study was consistent with the finding of studies conducted in the south Gondar zone, Ethiopia (51.9%) [15], and Addis Ababa, Ethiopia (51.2%) [17]. However, this finding was lower than the result of studies done in Dessie city, Ethiopia (57%) [16], Malaysia (73.7%) [22], and WHO global survey (57.6%) [23].…”

“…In addition, the odds of timely initiation of breastfeeding were 3.07 times higher among women who got assistance from health professionals for timely initiation of breastfeeding when compared with women who didn't get assistance from health professionals. This finding was supported by the study done in the south Gondar zone, Ethiopia [15], Addis Ababa, Ethiopia [17], Bangladesh [35], and Uganda [36]. This might be due to assistance from obstetric care providers for proper attachment and positioning to initiate breastfeeding within one hour of delivery, mothers get emotional well-being and inspiration, which help them to initiate breastfeeding within one hour of delivery [37].…”

“…Despite its importance to reduce risk of neonatal mortality, only 51.9% of mothers in the south Gondar zone [15], 57% in Dessie city [16], and 51.2% in Addis Ababa [17], mothers who gave birth by CS, practiced TIBF in Ethiopia, which was lower than the national target (92%) [18].…”

Factors Associated with Timely Initiation of Breast Feeding among Mothers Attending Maternal and Child Health Clinic at Government Institutions of Biratnagar

“…Likewise, regarding type of delivery, mothers who delivered vaginally were 0.461 times more likely to initiate breastfeeding than mothers who delivered by caesarean section. The findings is supported by a comparative cross-sectional study conducted in a hospital of Ethiopia, Timely breastfeeding initiation was 79 (51.2%) and 123 (80%) for cesarean and vaginal deliveries, with a vaginal delivery (AOR= 5.50, 95% CI: 1.83-16.57) and multiparity (AOR= 2.14, 95% CI: 1.02-4.50), was significantly associated with timely initiation of breastfeeding 19.…”

“…Regarding pre lacteal feeding, only 18.9% of respondents using pre-lacteal feeding to their children which is similar to the study conducted in Ethiopia revealed that 24.2% mothers give prelacteal feed. 19 Findings of the present study revealed that socioeconomic status of the respondents was significantly associated with timely initiation of breast feeding (p=0.029). The finding of the study was supported by study done in North-Central Nigeria the relationships between the timely initiation of breastfeeding and economic status was statistically significant .…”