Cessation of Exclusive Breastfeeding and Determining Factors at the University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia

Rade, Bayew Kelkay; Kindalem, Eshetie; Tagele, Animut; Moges, Yohannes

doi:10.1155/2020/8431953

Cited by 14 publications

(19 citation statements)

References 26 publications

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“…6 Mother's occupation of almost half (46.8%) was housewife where similar results has been noted in a study of 53.5% mothers being a housewife. 7 The normal vaginal delivery mothers' had during this current child in this study was 42.4% whereas higher incidence was found in a study where normal vaginal delivery was 73.38%. This difference is due to increase in the rate of caesarean section deliveries in Nepal over the time.…”

Section: Discussioncontrasting

confidence: 53%

Factors Associated with Discontinuing Exclusive Breastfeeding among Mothers of Infants Aged 0-6 Months

Dhakal

Thapa

2021

J Coll Med Sci-Nepal

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IntroductionKnowing breastfeeding is one of the easiest and cost-effective ways to maintain a good childhealth, majority infants are not exclusively breastfed for the recommended 6 months of age.Thus, the aim of the study was to find out the factors associated with discontinuing exclusivebreastfeeding (EBF) among mothers of infants’ aged 0-6 months. MethodsA analytical study design was used to find out the factors associated with discontinuing EBFamong mothers of infants’ aged 0-6 months in Nepal. A total of 380 mothers of infants whosechild were 0-6 months old were selected using non-probability purposive sampling techniquethrough online survey as people are advised to stay at home during the Covid-19 outbreak. Datawas collected using structured questionnaire with interview technique. ResultsStudy findings revealed that half (50.5%) of the mothers exclusive breastfed their infants withmother’s mean age being 27.39 ± 3.64 years. Discontinuation of EBF varied with mothers age,ethnicity, mother’s educational level, initiation of breastfeeding and sources of informationregarding EBF as newspaper/articles and relatives/friends/neighbors (p=<0.005). The factorsrelated to mother that are associated with discontinuation of EBF were found to be perceivedinsufficient milk, cesarean section delivery, jobholder mother (p= <0.001) respectively. ConclusionsOnly half of respondents exclusively breastfed their infants for the recommended age in whichonly factors related to mother were significant with discontinuation of EBF rather than infants’.Findings of the study emphasizes on counselling the mothers regarding the benefits of EBF toboth child and mother during hospital visits. Keywords: exclusive breastfeeding; factors; under 6 months; EBF.

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Section: Discussioncontrasting

confidence: 53%

Factors Associated with Discontinuing Exclusive Breastfeeding among Mothers of Infants Aged 0-6 Months

Dhakal

Thapa

2021

J Coll Med Sci-Nepal

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“…17 The location of the baby's delivery was not significantly associated with EBF in this study. 17 Tsegaw et al 18 showed that institutional variables such as delivery at a healthcare facility, delivery assistance personnel present at the birth, and consistent antenatal/postnatal care, were significantly associated with an increased likelihood of EBF in Ethiopia. 18 While these maternal health services are greatly underutilized in Ethiopia and need further strengthening, they are still significantly associated with improving EBF practices, 19 but these types of interventions generally require specific timing.…”

Section: Practitioner Pointscontrasting

confidence: 51%

Key correlates of exclusive breastfeeding at three timepoints: Evidence from Ethiopia

Yigletu

Tendulkar

Holmes

et al. 2022

Repro Female Child Health

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To compare factors associated with exclusive breastfeeding (EBF) within 1 h of birth, within 3 days, and within the first 6 months post-birth. Methods: We used multivariate logistic regression models and data from "The Alive and Thrive Phase 2 Amhara Baseline Survey 2015" from Ethiopia (N = 3113). Results: Giving colostrum was strongly associated with EBF at all three time points, controlling for multiple confounders. Putting the baby to the breast before cleaning the baby and before cleaning the mother was significantly associated with EBF within 1 h and for the first 3 days. EBF within an hour of birth was more likely for girl babies than boy babies. Having a healthcare professional check whether the baby was sucking well was significantly associated with EBF 3 days post-birth. Conclusions: The World Health Organization recommends breastfeeding within 1 h of birth and exclusively thereafter for 6 months, which can improve health outcomes for infants and children. In Ethiopia, many factors influence breastfeeding practices, but little is known about how these factors differ at various key timepoints in the 6 months after birth. Our study provides important information on correlates of EBF at three timepoints and shows that factors that are significantly correlated with EBF vary over time. Future research should assess the potential causal links among statistically significant associations between EBF and risk factors at various times between birth and 6 months of age. Ultimately, these findings have the potential to inform areas of intervention related to promoting EBF.

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“…Particularly, questions relating to aspects of knowledge that scored very low, such as colostrum, breastmilk expression, issues related to breastfeeding problems and breast engorgement, need to be emphasized during breastfeeding promotion. In Ethiopia, although extensive research has been carried out on the knowledge of women on breastfeeding [30,[33][34][35][36], no single study exists which applies a validated instrument, and comparing our findings with these studies is unrealistic.…”

Section: Discussionmentioning

confidence: 85%

“…In Ethiopia, existing studies have attempted to recognize the critical role played by maternal knowledge and attitude as predictors of breastfeeding practices [28][29][30][31][32][33][34][35][36][37]. Maternal knowledge was identified as a predictor in a few of these studies [30,[33][34][35][36][37]. In addition, the attitude towards breastfeeding has been assessed, but a significant association was not found [29,32,33,36].…”

Section: Introductionmentioning

confidence: 99%

Determinants of Knowledge and Attitude towards Breastfeeding in Rural Pregnant Women Using Validated Instruments in Ethiopia

Abdulahi

Fretheim

Argaw

et al. 2021

IJERPH

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Understanding the underlying determinants of maternal knowledge and attitude towards breastfeeding guides the development of context-specific interventions to improve breastfeeding practices. This study aimed to assess the level and determinants of breastfeeding knowledge and attitude using validated instruments in pregnant women in rural Ethiopia. In total, 468 pregnant women were interviewed using the Afan Oromo versions of the Breastfeeding Knowledge Questionnaire (BFKQ-AO) and the Iowa Infant Feeding Attitude Scale (IIFAS-AO). We standardized the breastfeeding knowledge and attitude scores and fitted multiple linear regression models to identify the determinants of knowledge and attitude. 52.4% of the women had adequate knowledge, while 60.9% of the women had a neutral attitude towards breastfeeding. In a multiple linear regression model, maternal occupation was the only predictor of the BFKQ-AO score (0.56SD; 95%CI, 1.28, 4.59SD; p = 0.009). Age (0.57SD; 95%CI, 0.24, 0.90SD; p = 0.001), parity (−0.24SD; 95%CI, −0.47, −0.02SD; p = 0.034), antenatal care visits (0.41SD; 95%CI, 0.07, 0.74SD; p = 0.017) and the BFKQ-AO score (0.08SD; 95% CI, 0.06, 0.09SD; p < 0.000) were predictors of the IIFAS-AO score. Nearly half of the respondents had inadequate knowledge and most women had a neutral attitude towards breastfeeding. Policymakers and managers could address these factors when planning educational interventions to improve breastfeeding practices.

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Cessation of Exclusive Breastfeeding and Determining Factors at the University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia

Cited by 14 publications

References 26 publications

Factors Associated with Discontinuing Exclusive Breastfeeding among Mothers of Infants Aged 0-6 Months

Factors Associated with Discontinuing Exclusive Breastfeeding among Mothers of Infants Aged 0-6 Months

Key correlates of exclusive breastfeeding at three timepoints: Evidence from Ethiopia

Determinants of Knowledge and Attitude towards Breastfeeding in Rural Pregnant Women Using Validated Instruments in Ethiopia

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