Factors associated with delayed initiation and non-exclusive breastfeeding among children in India: evidence from national family health survey 2019-21

International Breastfeeding Journal, Journal Year: 2023, Volume and Issue: 18(1)

Published: June 6, 2023

Abstract Background In India, more than half of the newborns experience delayed breastfeeding, and non-exclusive breastfeeding is practiced in 63% babies below age six months. The goal this study to investigate extent which external environment, demographic socioeconomic, pregnancy birthing characteristics, as well utilization maternal care services, are associated with initiation among children India. Methods Data was gathered from fifth round National Family Health Survey (NFHS), conducted 2019-21. This used information on 85,037 singleton infants aged 0–23 months 22,750 0–5 Delayed outcome variables study. Unadjusted adjusted multivariable binary logistic regression performed analyse association selected background characteristics. Results Factors significantly increased risks included central region (OR 2.19; 95% CI 2.09, 2.29), mothers 20 29 years group at time childbirth 1.02; 0.98, 1.05), caesarean deliveries 1.97; 1.90, 2.05). likelihoods for belonging richest household status 1.30; 1.17, 1.45), who had less nine period 1.15; 1.06, 1.25), gave birth non-health facility 1.17; 1.05, 1.31). Conclusions connections between several different categories factors show need comprehensive public health programmes using a multi-sectoral approach promote behaviours

Language: Английский

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Clinical significance and main parameters promoting the breast‑feeding strategy (Review)

Medicine International, Journal Year: 2024, Volume and Issue: 4(2)

Published: Feb. 9, 2024

Breastfeeding provides numerous nutritional and immunological benefits, promotes neurological cognitive development, protects against chronic infectious diseases, rendering it beneficial to the survival well‑being of infants. According international recommendations, infants should be exclusively breastfed for first 6 months. However, despite global health recommendations funding initiatives, exclusive breastfeeding rates remain low worldwide. A number studies attribute factors that can grouped into demographic, psychosocial, economic midwifery factors, outline profile each mother who opts breastfeed her infant. In addition, previous pregnancies, induced labor, use epidurals at birth or possibility newborn being delivered prematurely, need admission an intensive care unit are reduce likelihood breastfeeding. Further research is required understand influencing initiation maintenance breastfeeding, as interventions have been ineffective. The aim present review was provide up‑to‑date summary these various in assist professionals policy makers developing effective with which promote support

Language: Английский

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Early initiation of breastfeeding and factors associated with its delay among mothers at discharge from a single hospital

Clinical and Experimental Pediatrics, Journal Year: 2021, Volume and Issue: 65(4), P. 201 - 208

Published: Oct. 18, 2021

According to the National Family Health Survey- 4, in India, 78.9% of deliveries occur institutions, although only 42.6% new mothers initiate breastfeeding within 1 hour delivery.To estimate proportion early initiation (EIBF) among at discharge from a tertiary care hospital and identify determinants delayed them.This was hospital-based analytical cross-sectional study 108 mothers. After obtaining Institutional Review Board approval informed consent, we interviewed on day discharge. Multivariate logistic regression performed using IBM SPSS Statistics ver. 24.The median time 90 minutes (interquartile range, 30-180 minutes). Overall, 43.5% practiced EIBF, 77.4% exclusive breastfeeding, were rooming Reasons for delays included extended recovery spinal anesthesia, maternal lassitude, uncomfortable position due post-cesarean pain. In multivariate analysis, birth weight less than 2,500 g (adjusted odds ratio [aOR], 4.33; 95% confidence interval [CI], 1.12-16.82; P=0.03), cesarean section delivery (aOR, 4.68; CI, 1.57- 13.92; P=0.005), mother's poor knowledge 4.61; 1.44-14.72; P=0.010) more likely delay breastfeeding.EIBF by half as determined section, baby's weight, mothers' awareness breastfeeding. Thus, it is vital improve nutritional counseling during antenatal period healthcare professionals' training facilitate even circumstances such section.

Language: Английский

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Mother and newborn skin-to-skin contact and timely initiation of breastfeeding in sub-Saharan Africa

PLoS ONE, Journal Year: 2023, Volume and Issue: 18(1), P. e0280053 - e0280053

Published: Jan. 10, 2023

Mother and newborn skin-to-skin contact (SSC) plays a key role in breastfeeding practices of mothers. In this study, we examined the association between mother SSC timely initiation sub-Saharan Africa (SSA).This cross-sectional study utilized nationally representative data from Demographic Health Surveys 17 countries SSA 2015 to 2020. Multilevel binary logistic regression analysis was performed examine breastfeeding. The results are presented using adjusted odds ratios (aOR), with 95% confidence interval (CI).The pooled prevalences were 45.68% (95% CI = 34.12-57.23) 62.89% 55.67-70.11), respectively. Mothers who practiced more likely practice compared those did not [aOR 1.68, 1.58, 1.78] persisted after controlling for all covariates 1.38, 1.29, 1.47]. At country level, increased Angola 1.99, 1.44, 2.76], Cameroon 1.43, 1.02, 1.99], Ethiopia 1.62, 1.16, 2.28], Guinea 1.69, 1.10, 2.60], Liberia 2.03, 1.33, 3.12], Malawi 1.47, 2.12], Mali 1.42, 1.84], Sierra Leone 1.87, 1.23, 2.83], South 2.59, 1.41, 4.76], Tanzania 1.60, 1.27, 2.01], Uganda Zambia 1.86, 1.50, 2.30], Zimbabwe 1.65, 1.24, 2.21].The prevalence SCC relatively low but high. is strong predictor SSA. To enhance birth, recommends that child maternal healthcare interventions focused on improving should be implemented.

Language: Английский

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Predictors for timely initiation of breastfeeding after birth in the hospitals of Nepal- a prospective observational study

International Breastfeeding Journal, Journal Year: 2021, Volume and Issue: 16(1)

Published: Oct. 29, 2021

Abstract Background Timely initiation of breastfeeding can reduce neonatal morbidities and mortality. We aimed to study predictors for timely (within 1 h birth) among neonates born in hospitals Nepal. Method A prospective observational was conducted four public between July October 2018. All women admitted the hospital childbirth who consented were included study. An independent researchers observed whether placed skin-to-skin contact, delay cord clamping breastfeeding. Sociodemographic variables, obstetric neonate information extracted from maternity register. analysed with Pearson chi-square test multivariate logistic regression. Results Among 6488 woman-infant pair observed, initiated 49.5% neonates. The found be higher contact (34.9% vs 19.9%, p - value < 0.001). if delayed than early clamped (44.5% 35.3%, In analysis, a mother no complication during admission had 57% odds (aOR 1.57; 95% CI 1.33, 1.86). Multiparity associated less 1.56; 1.35, 1.82). Similarly, there more common practice low birthweight 1.46; 1.21, 1.76). Neonates two-fold 2.52; 2.19, 2.89). Likewise, their intact 3 min 37% 1.37; 1.55). Conclusions rate is health facilities Multiparity, at admission, strong Quality improvement intervention improve

Language: Английский

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Trends of Inequalities in Early Initiation of Breastfeeding in Ethiopia: Evidence from Ethiopian Demographic and Health Surveys, 2000-2016

BioMed Research International, Journal Year: 2022, Volume and Issue: 2022, P. 1 - 8

Published: Feb. 27, 2022

Early initiation of breastfeeding (EIBF) is a costless practice with numerous neonates' survival benefits. Thus, any disparity results in an unacceptably high neonatal death rate but socioeconomic disparities on EIBF have not been well explored Ethiopia. Therefore, this study aimed at assessing the inequalities Ethiopia from 2000 to 2016.The Ethiopian demographic and health survey data World Health Organization's Equity Assessment Toolkit were used investigate across wealth quintile, education, residence, subnational region. Difference, ratio, slope index inequality (SII), relative (RII), population attributable risk (PAR) as equity summary measures.In Ethiopia, was 47.4% 2000, 66.2% 2005, 51.5% 2011, 73.3% 2016. Wealth-related observed 2011 years SII -7.1%, -8.8%, 8.7%, respectively, whereas educational-related 2005 -11.7% 6.5%, respectively. However, significant change wealth-, education-, residence-related detected 2011. Regional all difference 35.7%, 38.0%, 29.1%, 48.5% 2016 years, But regional noted PAR 17.2%.In residence-, increased significantly between persistently Overall, one-sixth national level decreased due The northern regions (Tigray, Afar, Amhara) poorly performed compared peer regions. interventions targeting them would improve EIBF.

Language: Английский

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Prevalence of and factors associated with early initiation of breastfeeding in Bangladesh: a multilevel modelling

International Health, Journal Year: 2022, Volume and Issue: 15(4), P. 403 - 413

Published: Sept. 1, 2022

Abstract Background Early initiation breastfeeding (EIBF) is a sign of good health for both the mother and newborn baby. The objective this study was to estimate prevalence EIBF among mothers in Bangladesh identify its associated factors. Methods used most recent Demographic Health Survey 2017–2018 data. A total 4776 (weighted) respondents were included final analysis. association between outcome independent variables determined using multilevel (mixed effects) logistic regression Results overall weighted Bangladeshi 61.19% (confidence interval [CI] 59.80 62.56). shows that non-poor wealth status (adjusted odds ratio [AOR] 0.81 [95% CI 0.68 0.95]), institutional delivery (AOR 0.77 0.61 0.96]) caesarean 0.31 0.26 0.38]) with lower EIBF. Mother's secondary education 1.34 1.01 1.83]), at least four antenatal care visits 1.36 1.04 1.53]), normal birthweight 1.42 1.09 1.85]) placed on mother's chest bare skin after birth 1.33 1.11 1.60]) higher Conclusion In order enhance Bangladesh, professionals should emphasise skin-to-skin contact delivery.

Language: Английский

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Early initiation of breast feeding and associated factors among mother-baby dyads with immediate skin-to-skin contact: cross-sectional study based on the 2016 Ethiopian Demographic and Health Survey data

BMJ Open, Journal Year: 2023, Volume and Issue: 13(3), P. e063258 - e063258

Published: March 1, 2023

The study aimed to assess the practice of early initiation breast feeding (EIBF) and associated factors among mother-baby dyads who practiced immediate skin-to-skin contact in Ethiopia.Cross-sectional study.The was conducted nationally nine regional states two city administrations.In study, 1420 with last-born children (children born 2 years preceding survey, <24 months old) put on mother's bare skin. data participants were extracted from Ethiopian Demographic Health Survey 2016.The outcome measure proportion EIBF associations.EIBF mothers newborns 88.8% (95% CI 87.2 90.4). more likely wealthy families (adjusted OR (AOR)=2.37, 95% 1.38 4.08), attended secondary above education (AOR=1.67, 1.12 2.57), living Oromia (AOR=2.87, 1.11 7.46), Harari (AOR=11.60, 2.48 24.34) Dire Dawa (AOR=2.93, 1.04 8.23) regions, gave birth by non-caesarean section (AOR=3.34, 1.33 8.39), at hospital (AOR=2.02, 1.02 4.00), health centre (AOR=2.19, 1.21 3.98), midwifery assistance (AOR=1.62, 1.06 2.49).Nine ten initiate feeding. affected educational status, wealth index, region, mode delivery, place delivery assisted midwifery. Improving healthcare service, institutional competency maternal providers may aid Ethiopia.

Language: Английский

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Correlates of non-institutional delivery to delayed initiation of breastfeeding in Nigeria: logit-decomposition and subnational analysis of population-based survey

Journal of Health Population and Nutrition, Journal Year: 2023, Volume and Issue: 42(1)

Published: Nov. 6, 2023

Studies have connected newborn delivery settings and modality to optimal breastfeeding, but how it influences untimely initiation, mostly prevalent in sub-Saharan Africa is unknown. Hence, the role of home on delay initiation breastfeeding (DIBF) Nigeria was investigated inform evidence-based strategy for improved practice.This a secondary analysis births (11,469 7632 facility delivery) by 19,101 reproductive age women 2018 NDHS. DIBF outcome, birth exposure, explanatory variables were classified as: socio-demographics, obstetrics economic factors. Descriptive statistics (frequencies percentages) reported, bivariate (chi-square) carried out at 20% (p < 0.20) cutoff point. Multivariable logistic regression assessed probability significance outcome per place birth. Multivariate decomposition further evaluated endowment coefficient effect contribution independent factors outcome. Analysis p 0.05 (95% confidence level) Stata.56.6% mothers DIBF, with 37.1% 19.5% from delivery, respectively. Home (AOR = 1.34, 95% CI 1.17-1.52) increase chance 34%, while reduces 26% 0.74, 0.65-0.85). 5 times more likely caesarian section 5.10, 4.08-6.38) compared virginal delivery. Skilled antenatal provider, parity wealth are negatively associated birth, undesired pregnancy, rural residency, partial/no skin-to-skin contact large child size positively influence both provider (C - 66.3%, 0.01) 60.6%, 0.001) contributed most reducing negative 69% 31% overall characteristics component, Bauchi Sokoto less Bayelsa.High largely due elevated rate DIBF. Caesarian though heightens Strengthening utilization skilled can eliminate two-third adverse improve early rate. Adopting this will bridge home-facility gap achieve practice.

Language: Английский

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Associated Factors of Early Breastfeeding Initiation and Exclusive Breastfeeding in South Africa: Evidence From the South African Demographic and Health Survey

Epidemiology and Health System Journal, Journal Year: 2024, Volume and Issue: 11(1), P. 13 - 21

Published: March 29, 2024

Background and aims: Breastfeeding is the most desirable nutritional source for 0‒6 month-old infants. The initiation of early exclusive breastfeeding essential as a robust primary health prevention strategy many children. This study aimed to examine prediction factors associated with in South Africa. Methods: required data were extracted from African Demographic Health Survey 2016. A total 3548 respondents included analysis. multivariable logistic model was applied analysis practices. Results: About 63.3% imitated within 1 hour birth, 31.2% exclusively breastfed during first 6 months. results demonstrated that maternal age (Odds ratio [OR]=2.49, 95% CI=1.61‒3.86, P<0 .001), antenatal care (OR=0.80, CI=0.67‒0.95, P=0.009), postnatal (AOR=0.82, CI=0.68‒0.99, P=0.036), child’s check before leaving hospital (AOR=0.69, CI=0.56‒0.86, P<0.001) significantly low breastfeeding. Maternal (AOR=0.44, 0.28‒0.69, P=0.001), birth order (AOR=1.71, CI=1.37‒2.14, (AOR=0.63, 0.41‒0.96, P=0.033) non-exclusive Conclusion: proportion women practice delayed initiation. Hence, findings revealed education counselling should be provided mothers before, during, after pregnancy greater changes direction relationship between mothers’ performance.

Language: Английский

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