Colostrum avoidance practice among primipara mothers in urban Northwest Ethiopia. A cross-sectional study

Ayalew, Tilksew; Asmare, Eden

doi:10.1186/s12884-021-03623-w

Cited by 9 publications

(9 citation statements)

References 23 publications

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“…In the present study, regarding factors associated with colostrum avoidance, mothers having late initiation of breast-feeding were 6⋅369 times more likely to discard colostrum as compared with their counterparts. This is consistent with studies revealed in Kombolcha district ( 18 ) , pastoralist Afar community ( 27 ) , Bahirdar City ( 25 ) . This might be also indicating the presence of poor nutrition-specific intervention mothers who did not get counselling about timely imitation of breast-feeding ( 18 , 24 , 31 ) .…”

Section: Discussionsupporting

confidence: 93%

“…The finding was almost similar to another study revealed from Bure district 14⋅5 % ( 11 ) , Gozamen district 22⋅1 % ( 24 ) . It was higher than the previous studies revealed from different parts of Ethiopia such as 12 % ( 19 ) , Aksum town 6⋅3 % ( 14 ) , Bahirdar city 8⋅8 % ( 25 ) , Derbretabor 10⋅5 % ( 26 ) and Kombolcha town 11⋅5 % ( 18 ) . Studies conducted in African countries such as Cameroon 11⋅2 % ( 16 ) and Bhutan 13⋅2 % ( 20 ) had lower colostrum avoidance as compared to this finding.…”

Section: Discussioncontrasting

confidence: 60%

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Nearly one-in-five mothers avoid colostrum in North Wollo Zone, Ethiopia: an institution-based cross-sectional study

2021

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Colostrum contains antibodies that protect the newborn against disease. Despite this fact, many Ethiopian mothers see colostrum feeding as a cause of neonatal morbidity and mortality. These mothers believe that colostrum must discard to alleviate this effect. However, the cause of this misconception about colostrum was not well researched, particularly in this study area. The main aim of the present study was to assess colostrum avoidance and associated factors among mothers having children aged 6–59 months in North Wollo Zone, Northeastern Ethiopia. An institution-based cross-sectional study design was used. Descriptive statistics, binary and multivariable logistic regression analyses were used for the statistical analysis. The prevalence of colostrum avoidance was 19 % (95 % CI 15⋅03, 22⋅89 %) among mother–child pair aged 6–59 months. In multivariable logistic regression analysis, the most important predictors were breast-feeding initiation Adjusted Odds Ratio (AOR) 6⋅369; 95 %, Confidence Interval (CI) (3⋅067, 13⋅224), pre-lacteal feeding AOR 3⋅464; 95 % CI (1⋅721, 6⋅973), shared household decision about child feeding AOR 3⋅585; 95 % CI (1⋅563, 7⋅226), Index child sex AOR 2⋅103; 95 % CI (1⋅015, 4⋅358) and health facility delivery AOR 3⋅033; 95 % CI (1⋅293, 7⋅117). The colostrum avoidance in the present study was 19 %. The study recommends the promotion of institutional delivery, timely initiation of breast-feeding, the shared household decisions about child feeding, avoiding sex preferences and stopping pre-lacteal feeding were critically important.

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Section: Discussionsupporting

confidence: 93%

Section: Discussioncontrasting

confidence: 60%

Nearly one-in-five mothers avoid colostrum in North Wollo Zone, Ethiopia: an institution-based cross-sectional study

2021

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“…Colostrum avoidance deprives infants of the essential nutrients and immune protection provided by colostrum, making them more susceptible to infections such as sepsis, pneumonia, and diarrhea [8,24]. However, many mothers in Ethiopia practice colostrum avoidance due to various reasons, such as believing that it is dirty, harmful, or insu cient; following traditional or religious customs; or receiving advice from family members or health workers [25][26][27][28][29][30][31][32][33][34][35].…”

Section: Introductionmentioning

confidence: 99%

“…In addition, studies conducted across different regions of Ethiopia revealed that the magnitude of colostrum avoidance considerably varies across the country, ranging from 6.3% in Axum to 79.8% in Kossaye [25][26][27][28][29][30][31][32][33][34][35].…”

Section: Introductionmentioning

confidence: 99%

“…These studies also identi ed several factors associated with colostrum avoidance, including sociodemographic factors such as educational status; health service utilization-related factors like healthcare utilization, place of delivery, knowledge, and attitudes towards BF, as well as BF initiation time and pre-lacteal feeding. Furthermore, infant factors such as infant sex were also found to in uence colostrum avoidance in Ethiopia [25][26][27][28][29][30][31][32][33][34][35].…”

Section: Introductionmentioning

confidence: 99%

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Colostrum avoidance and its associated factors among mothers of children under the age of six months in Sekota Zuria Woreda, Waghimra Zone, Ethiopia

Mohammed,

Desalegn,

Dagnaw

et al. 2024

Preprint

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Background Colostrum avoidance deprives infants of the essential nutrients and immune protection provided by colostrum, making them more susceptible to deadly infections such as sepsis, pneumonia, and diarrhea. Ethiopia has one of the regional even not so the global highest overall BF rate (95.5%). However, it falls short of meeting the standards set by the World Health Organization (WHO) and the United Nations Children's Fund (UNICEF) for optimal breastfeeding. Objective This study aimed to assess colostrum avoidance and its associated factors among mothers of children under the age of six months in the Sekota Zuria Woreda of Waghimra Zone, Ethiopia, 2022. Method and materials: A community-based cross-sectional study was conducted between June 26th and July 30th of 2022 in the Sekota Zuria Woreda of Waghimra Zone, Ethiopia. The study included four hundred twenty-one mothers of children under the age of six months, selected using a multistage sampling technique. Once written consent was obtained from all of the participants, a pretested and reliability-checked questionnaire was employed to interview and gather data for analysis. During analysis, descriptive statistics and logistic regression models were employed to summarize and explore the statistical association between the dependent and explanatory variables. In the bivariate logistic regression analysis, variables with a P-value of < 0.25 were exported to the multivariate logistic regression model for further analysis. Finally, using a P-value of < 0.05 as an indicator of statistical significance, the Adjusted Odds Ratio (AOR) at 95% Confidence Intervals (CI) was calculated. Result In this study, 19.0% (95% CI: (15.0–22.8)) of mothers avoided colostrum. In addition, mothers who did not receive Antenatal Care (ANC) [AOR = 2.94, (95% CI: 1.1–7.8)], gave birth at home [AOR = 4.64, (95% CI: 2.0-10.75)], lacked participation in the Women’s Health Developmental Army (WHDA) [AOR = 4.71, (95% CI: 1.95–11.4)], gave pre-lacteal feds [AOR = 2.97, (95% CI: 1.23–7.1)], had insufficient knowledge [AOR = 3.02, (95% CI: 1.2–7.6)], and negative attitude toward colostrum feeding [AOR = 6.5, (95% CI: 3.0-14.2)] were more likely to avoid colostrum. Conclusion Contrary to the WHO and UNICEF recommendations, in Sekota Zuria Woreda, a substantial number of mothers avoided colostrum.

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Skin care interventions in infants for preventing eczema and food allergy

Kelleher

Phillips

Brown

et al. 2022

Cochrane Database of Systematic Reviews

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Background Eczema and food allergy are common health conditions that usually begin in early childhood and often occur in the same people. They can be associated with an impaired skin barrier in early infancy. It is unclear whether trying to prevent or reverse an impaired skin barrier soon after birth is effective for preventing eczema or food allergy. Objectives Primary objective To assess the effects of skin care interventions such as emollients for primary prevention of eczema and food allergy in infants. Secondary objective To identify features of study populations such as age, hereditary risk, and adherence to interventions that are associated with the greatest treatment benefit or harm for both eczema and food allergy. Search methods We performed an updated search of the Cochrane Skin Specialised Register, CENTRAL, MEDLINE, and Embase in September 2021. We searched two trials registers in July 2021. We checked the reference lists of included studies and relevant systematic reviews, and scanned conference proceedings to identify further references to relevant randomised controlled trials (RCTs). Selection criteria We included RCTs of skin care interventions that could potentially enhance skin barrier function, reduce dryness, or reduce subclinical inflammation in healthy term (> 37 weeks) infants (≤ 12 months) without pre‐existing eczema, food allergy, or other skin condition. Eligible comparisons were standard care in the locality or no treatment. Types of skin care interventions could include moisturisers/emollients; bathing products; advice regarding reducing soap exposure and bathing frequency; and use of water softeners. No minimum follow‐up was required. Data collection and analysis This is a prospective individual participant data (IPD) meta‐analysis. We used standard Cochrane methodological procedures, and primary analyses used the IPD dataset. Primary outcomes were cumulative incidence of eczema and cumulative incidence of immunoglobulin (Ig)E‐mediated food allergy by one to three years, both measured at the closest available time point to two years. Secondary outcomes included adverse events during the intervention period; eczema severity (clinician‐assessed); parent report of eczema severity; time to onset of eczema; parent report of immediate food allergy; and allergic sensitisation to food or inhalant allergen. Main results We identified 33 RCTs comprising 25,827 participants. Of these, 17 studies randomising 5823 participants reported information on one or more outcomes specified in this review. We included 11 studies, randomising 5217 participants, in one or more meta‐analyses (range 2 to 9 studies per individual meta‐analysis), with 10 of these studies providing IPD; the remaining 6 studies were included in the narrative results only. Most studies were con...

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Colostrum avoidance practice among primipara mothers in urban Northwest Ethiopia. A cross-sectional study

Cited by 9 publications

References 23 publications

Nearly one-in-five mothers avoid colostrum in North Wollo Zone, Ethiopia: an institution-based cross-sectional study

Nearly one-in-five mothers avoid colostrum in North Wollo Zone, Ethiopia: an institution-based cross-sectional study

Colostrum avoidance and its associated factors among mothers of children under the age of six months in Sekota Zuria Woreda, Waghimra Zone, Ethiopia

Skin care interventions in infants for preventing eczema and food allergy

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