Delayed Initiation of Breastfeeding and Role of Mode and Place of Childbirth: Evidence from Health Surveys in 58 Low- and Middle- Income Countries (2012–2017)

International Journal of Environmental Research and Public Health, Journal Year: 2021, Volume and Issue: 18(11), P. 5976 - 5976

Published: June 2, 2021

Timely initiation of breastfeeding is the first step towards achieving recommended behaviours. Delayed harms neonatal health and survival, including infection associated mortality. Eighty percent deaths occur in low-and middle-income countries (LMICs), where delayed highest. Place mode childbirth are important factors determining time breastfeeding. In this study, we report prevalence from 58 LMICs investigate relationship between place each country.We analysed data most recent Demographic Health Survey (DHS) Multiple Indicator Cluster (MICS) collected 2012 2017 reported by 2019. The study sample comprised all women who had a live birth 24 months preceding survey. 'Delayed' was defined using WHO recommendations as starting after one hour birth. We coded stratifying variable for "vaginal at facility (VBF)", "caesarean section (CSB) ", home (VBH)". used respondent-level sampling weights to account individual surveys de-normalised standard survey ensure appropriate contribution country. population attributable fractions with robust errors. risk identifies proportion that could avert among VBH CSB if everyone same delaying VBF.The overall 53.8% (95% CI 53.3, 54.3), ranging 15.0% 13.8, 16.2) Burundi 83.4% 80.6, 86.0) Guinea. consistently high experienced caesarean births; however, there no direct association country's national rates. VBF Sub-Saharan Africa South Asia, even though rates were low. some countries, give vaginally facilities more likely delay than did not. many places, less initiation. Population ranged -28.5% Ukraine 22.9% Moldova, CSB, 10.3% Guinea 54.8% Burundi. On average, across 24.4% be prevented VBF.In general, experience Programs much amongst VBF. Crucial reforms required early practices create pro-breastfeeding supportive environments intervention packages like Baby-friendly hospital initiative Early essential newborn care. findings will guide program managers identify varying levels preparedness establish maintain breastfeeding-friendly environment facilities. Thus, governments should prioritise strategies improve coverage settings surrounding while considering complex role childbirth.

Language: Английский

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Spatial variation and determinants of delayed breastfeeding initiation in Ethiopia: spatial and multilevel analysis of recent evidence from EDHS 2019

International Breastfeeding Journal, Journal Year: 2024, Volume and Issue: 19(1)

Published: Feb. 7, 2024

Abstract Background Despite the World Health Organization’s firm recommendation to start breastfeeding during first hour after delivery, nearly 54% of children in low- and middle-income countries are unable initiate within recommended time frame. Understanding initiation is essential for optimal child health maternal well-being. Methods This study was conducted using recent Ethiopian Demographic Survey (EDHS) data (2019) on a weighted sample 1982 mothers aged under 24 months. The extraction between August 1 30, 2023. Delayed’ defined as failure one birth. STATA version 17 used non-spatial analysis. ArcGIS Pro Sat Scan 9.6 were map visual presentation delayed initiation. Global Moran’s I computed determine whether randomly distributed, clustered, or dispersed. Getis-Ord Gi* Spatial Statistics done identify significant spatial clusters cold hot spot areas. Multilevel mixed-effect logistic regression analysis determinants Results prevalence 26.4% (95% CI 24.4, 28.3). Significant clustering practice found Somali region. Less identified Northern Amhara, Addis Ababa Dire Dawa. Being young mother (15–24 years) (AOR 1.66; 95% 1.06, 2.62), no antenatal care 1.45; 1.04, 2.02), cesarean section 4.79; 3.19, 7.21) home birth 1.53; 1.14, 2.06) be breastfeeding. Conclusions In Ethiopia, distributed non-randomly. hotspot areas eastern part Ethiopia. Thus, deploying additional resources high regions recommended. Programs should focus promoting facility increasing visits. Further emphasis considered supporting those giving via improve timely

Language: Английский

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Setting up the first human milk bank in Uganda: a success story from Nsambya hospital

Frontiers in Nutrition, Journal Year: 2024, Volume and Issue: 10

Published: Jan. 10, 2024

Background The World Health Organization (WHO) strongly recommends the use of donor human milk (DHM) for low birth weight infants when mother’s own is unavailable or insufficient. However, DHM requires availability banks (HMBs), majority which are in middle and high-income countries. Developing countries offer multiple opportunities challenges regarding establishment operationalization HMBs. This study describes experience setting up HMB Uganda at St. Francis Hospital Nsambya. Methods first followed a step-wise approach using PATH’s Resource Toolkit Establishing Integrating Human Milk Banks. steps included: performing facility readiness assessment, implementing quality control measures, forming training committee Baby Friendly Initiative, establishing monitoring evaluation system, developing communication strategy, engaging with Ministry Health, providing staff by Bank consultant, maintaining regular coordination dedicated technical team. Results A total 170 donors have been screened these 140 donated mean age 26 years since bank November 2021. 108 admitted neonates received milk; (88%) preterm gestational 34 weeks. 90 liters collected 76 distributed. lack guidelines on banking, unpasteurized milk, clear model infrastructure lactation training. We addressed challenges: drafting guidelines, set had pasteurized designed messages through videos brochures, visited Pumwani hospital remodeled according to Pumwani, all health workers Lactation. Assessing experiences attitudes mothers, donors, healthcare providers, leaders revealed concerns about safety fear potential attachments acquired traits babies that may receive it. Donors viewed donation as life-saving act, although fears breast cancer lumps arose from misconceptions. To address perspectives, creative media, such messages, were raise awareness, promote behavioral change, create demand services. Conclusion integration services hospitals feasible.

Language: Английский

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How is maternal employment associated with infant and young child feeding in Bangladesh? A systematic literature review and meta-analysis

PLoS ONE, Journal Year: 2025, Volume and Issue: 20(1), P. e0316436 - e0316436

Published: Jan. 24, 2025

Background In the last three decades, increasing trend in female employment Bangladesh has been critically analyzed from a socioeconomic point of view; however, its impact on infant and young child feeding (IYCF) practices yet to be systematically reviewed. The aim this systematic review meta-analysis is investigate association between these variables. Methods A literature search was conducted PubMed, Medline, Web Science, Embase, CINAHL, Google Scholar retrieve relevant records with no restriction publication period. Covidence tool used for screening data extraction. Meta-analysis carried out using random effect models. Newcastle-Ottawa scale quality assessment included articles. Results total 24 articles were included. Of these, 16 focused breastfeeding-related indicators, 6 complementary feeding-related 2 both. Maternal found have both positive (protective) negative (detrimental) associations exclusive breastfeeding, whereas it mainly positively associated practices. showed pooled odds ratio recommended early initiation among employed mothers 0.79 (95% CI: 0.49, 1.27; p = 0.33), 0.32 CI:0.16, 0.67; 0.002), 1.07 0.81, 1.42; 0.63) compared their counterparts, respectively. Conclusions appears not protective factor some important breastfeeding indicators Bangladesh. For example, there statistically significant lower likelihood practice as those who employed. Therefore, issues should taken into consideration when formulating policies interventions, e.g., breastfeeding-friendly workplace.

Language: Английский

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Factors influencing early initiation of breastfeeding in Afghanistan: secondary analysis of the Afghanistan MICS 2022–23

International Breastfeeding Journal, Journal Year: 2025, Volume and Issue: 20(1)

Published: April 11, 2025

Initiating breastfeeding immediately within the first hour following birth has positive effects on mother's and newborn's health wellbeing. Little is known about early initiation of associated factors in Afghanistan. In this study, we addressed research gap. We used data from Afghanistan Multiple Indicator Cluster Survey (MICS) 2022-23. Data were analysed 11,992 ever-married women, aged 15-49 years, who delivered a live child last 2 years before survey. The outcome was defined as initiating birth. A logistic regression model to identify with breastfeeding. Out 46.9% initiated likelihood greater women secondary or higher education (AOR 1.44 [95% CI 1.26, 1.63]), belonging second wealth quintile 1.17 1.04, 1.31]), had access media 1.15 1.03, 1.29]), mobile phones 1.25 1.15, 1.37]). lower gave at home 0.60 0.55, 0.66]), private hospitals clinics 0.65 0.56, 0.76]), compared public hospitals, living rural areas 0.88 0.78, 0.95]). Women C-section for their latest 0.26 0.21, 0.32]), very small-sized babies 0.89 0.79, 0.99]) less likely report With nearly half Afghan delaying beyond birth, targeted policies interventions are crucial. Addressing key socioeconomic healthcare disparities through education, equitable maternal care, community-based awareness programs can promote practices improve neonatal outcomes

Language: Английский

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Determinants of delayed onset of lactogenesis II among women who delivered via Cesarean section at a tertiary hospital in China: a prospective cohort study

International Breastfeeding Journal, Journal Year: 2022, Volume and Issue: 17(1)

Published: Nov. 30, 2022

Abstract Background Cesarean birth is associated with a higher prevalence of delayed onset lactogenesis II (DOLII) than vaginal birth. DOLII refers to the initiation copious milk production beyond 72 h after This study aimed determine of, and factors with, among women who delivered via section in China. Methods prospective longitudinal cohort recruited 468 at tertiary hospital China from 9 October 2021 17 May 2022. Face-to-face interviews were conducted during their delivery stay obtain information about demographic, medical, breastfeeding factors. We assessed on postpartum day four, based maternal perception changes breast fullness. The Edinburgh Postnatal Depression Scale (EPDS) was used screen for depression. Women interviewed telephone or WeChat daily one week timing II. Univariate multivariable logistic regression analyses identify determinants DOLII. Results experienced by 156 participants (33.3%). After adjusting potential confounders, odds 95% primiparous multiparous (adjusted ratio [aOR] 1.95; confidence interval [CI] 1.29, 2.98), 75% serum albumin concentration < 35 g / L normal concentrations (aOR 1.78; CI 1.09, 2.99), increased 2.03-fold an EPDS score ≥ 10 2.03; 1.35, 3.07), decreased number sessions first 48 0.88; 0.83, 0.93). Conclusions One-third more likely primiparous, had L, lower frequency sessions, 10. these risk deliver may need early support ensure successful lactation.

Language: Английский

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Socioeconomic inequalities in early initiation and exclusive breastfeeding practices in Bangladesh: findings from the 2018 demographic and health survey

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

Published: Sept. 26, 2021

Optimal breastfeeding practices including early initiation of and exclusive (EBF) are associated with positive health outcomes. Socioeconomic inequalities in key indicators may play a role the prevalence practices. The objective this study was to examine socioeconomic EBF Bangladesh based on 2018 Demographic Health Survey (BDHS).This secondary data analysis nationally representative BDHS. Data 4950 women reproductive age who had ever given birth 924 children aged 0-5 months were extracted, for EBF. Early determined from put breast within first hour birth. Exclusive estimated exclusively breastfed.The weighted 60.8% (95% CI; 59.0, 62.6%) 66.8% 63.1, 70.3%), respectively. among poorest, poorer, middle, richer richest households 67.8, 66.3, 58.4, 56.3 54.4%, Similarly, 64.4, 65.0, 61.1 52.3% no formal education, primary, higher 63.0, 65.2, 67.7, 66.7 69.9%, 62.5, 66.0, 66.3 68.9% lower household wealth (Conc. Index = - 0.049; SE 0.006) educational attainment groups 0.035; 0.006).Improving optimal should be utmost priority. A need address also identified.

Language: Английский

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Triple burden of malnutrition among mother–child pairs in low-income and middle-income countries: a cross-sectional study

BMJ Open, Journal Year: 2023, Volume and Issue: 13(5), P. e070978 - e070978

Published: May 1, 2023

Objective This study aimed to assess the prevalence and determinants of triple burden malnutrition among mother–child pairs in low-income middle-income countries. Design Cross-sectional study. Setting Low-income Participants Women children. Primary outcome Triple (overweight/obese mother with undernourished anaemic under 5 years child). Methods Data for this were drawn from recent 22 countries Demographic Health Surveys. A total weighted sample 116 795 was included STATA V.14.2 used clean, code analyse data. Multilevel logistic regression employed identify factors associated problem. Adjusted OR (AOR) 95% CI a p<0.05 reported indicate statistical association. Model fitness comparison done using intraclass correlation coefficient, median OR, proportional change variance deviance. Result The pooled 11.39%. It showed statistically significant positive associations mothers aged ≥35 (AOR 2.25, 2.08 2.44), family size >10 1.17, 1.08 1.26), delivery by caesarean section 1.93, 1.83 2.03), richest household 1.72, 1.56 1.88), grand multiparous 1.62, 1.46 1.81), age child 36–47 months 1.77, 1.64 1.90), at p<0.05. Whereas breast feeding 0.94, 0.89 0.99), married 0.87, 0.78 0.96), female children 0.88, 0.84 0.92), improved toilet 0.23, 0.17 0.29), source drinking water 0.28, 0.21 0.35), rural residents 0.66, 0.62 0.69) had contrasting relationship malnutrition. Conclusion About 1 out 10 households suffer revealed that several maternal, child, community-level have impact on pairs.

Language: Английский

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Is Early Initiation of Maternal Lactation a Significant Determinant for Continuing Exclusive Breastfeeding up to 6 Months?

International Journal of Environmental Research and Public Health, Journal Year: 2023, Volume and Issue: 20(4), P. 3184 - 3184

Published: Feb. 11, 2023

The World Health Organization (WHO) recommends early initiation of breastfeeding (EIBF) within the first hour after birth. However, certain perinatal factors, namely caesarean section, may prevent this goal from being achieved. aim our study was to examine relationship between EIBF (maternal lactation in hours and degree latching before hospital discharge) maintenance exclusive (MBF) up recommended 6 months age (as advocated by WHO).This observational, retrospective cohort included a random sample all births 2018 2019, characterising moment birth infant's level breast latch (measured LATCH assessment tool) prior discharge. Data were collected electronic medical records follow-up health checks infants postpartum.We 342 women their newborns. occurred most often vaginal (p < 0.001) spontaneous with amniorrhexis = 0.002). score <9 points associated 1.4-fold relative risk abandoning MBF (95%CI: 1.2-1.7) compared 9-10 points.Although we unable find significant association 2 h at postpartum, low scores discharge MBF, indicating importance reinforcing education preparation efforts mothers days delivery, establishment an infant feeding routine upon returning home.

Language: Английский

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Predictors of late initiation of breastfeeding practice in Ethiopia: a multilevel mixed-effects analysis of recent evidence from EDHS 2019

BMJ Open, Journal Year: 2024, Volume and Issue: 14(4), P. e081069 - e081069

Published: April 1, 2024

Objectives To identify the predictors of late initiation breastfeeding practice in Ethiopia. Design Cross-sectional study design. Setting Participants A total 1982 weighted samples mothers with children aged under 24 months were included. Outcome measure Late practice. Results The prevalence is 26.4% (95 CI 24.4 to 28.3). Being a young mother (15–24 years) (adjusted odds ratio (AOR) =1.66; 95 1.06 2.62), no antenatal care (ANC) visit (AOR=1.45; 1.04 2.02), caesarean section (AOR=4.79; 3.19 7.21) and home delivery (AOR=1.53; 1.14 2.06) found be determinants breast feeding. Conclusion More than one-fourth newborn do not start feeding within WHO-recommended time (first hour). Programmes should focus on promoting health facility birth increasing ANC visits. Further emphasis placed those who deliver via improve timely

Language: Английский

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