Colostrum feeding status in a selected rural area of Bangladesh

Islam, Mohammad Shahinoor; Kaiser, Rubana

doi:10.15406/jnhfe.2019.09.00325

Cited by 4 publications

References 13 publications

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

Ayalew

Asmare

2021

BMC Pregnancy Childbirth

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Background Breast milk is the ideal and complete form of nutrition for infants colostrum contains all the necessary nutrients for infants’ growth and development and antibodies that can protect from many childhood illnesses. Understanding the extent of and barriers to colostrum avoidance in Ethiopia is important for learning how to best improve optimal breastfeeding. No single study has been conducted on primigavida mothers in the country. Therefore, this study aimed to assess the rate of colostrum avoidance practice and associated factors among primigavida mothers. Method A community- based cross-sectional study was conducted from March to April 2016 among (n = 398) randomly selected primigavida mothers in Bahir Dar city, northwest Ethiopia. Data were collected using a structured interviewer-administered questionnaire and analyzed using SPSS version25. Bivariate and multivariate logistic regression analyses were carried out. Odds ratio with 95% confidence interval was used to measure the strength of association. Statistical significance was declared at P-value ≤0.05. Results Out of 398 primipara mothers, 8.8% discarded colostrum. The most common reasons for discarding colostrum were; yellow and creamy (39.2%), bad for infant (35.2%), traditional/cultural reason (17.1%) and infant unable to feed (8.5%). Married mothers (AOR = 4.52, 95%CI: 1.13, 18.16), unemployed mothers (AOR = 3.46, 95%CI: 1.15, 10.51), mothers underwent normal delivery (AOR = 5.20, 95%CI: 1.87, 20.90) and mothers who initiated breastfeeding within 1 h (AOR = 2.79, 95%CI: 0.96, 8.16) were less likely to discard colostrum. Conclusion The current study revealed that colostrum was discarded by 8.8% of primipara mothers. Primipara mothers who were married, unemployed, underwent normal delivery and initiated breastfeeding within 1 h were less likely to discard colostrum. These results suggest that multi-sectorial and multi-disciplinary approaches are needed to decrease colostrum avoidance among primipara mothers in Ethiopia.

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

Ayalew

Asmare

2021

BMC Pregnancy Childbirth

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Colostrum avoidance practice and associated factors among mothers of infants less than six months in Chencha District: cross-sectional study

Asaro¹,

Gutema

Weldehawaryat

2023

BMC Nutr

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Background Colostrum avoidance is failure to feed first breast milk to a newborn baby for the first 2 to 3 days after delivery. The problem of avoiding colostrum is prevalent in Ethiopia. But it is not adequately addressed yet. Therefore, the purpose of this study was to assess prevalence of colostrum avoidance practices and associated factors among mothers of infants aged less than six months; and to explore barriers for colostrum feeding in ChenchaZuria District. Methods A community-based cross-sectional study supplemented with a qualitative study was conducted in August 2020. The quantitative data were collected from 674 mothers selected by systematic sampling using a structured questionnaire. Both bi-variable and multi-variable binary logistic regression analysis was used to identify factors associated with the colostrum avoidance practices. The statistical significance was declared at a p-value < 0.05. The qualitative data were collected using in-depth interviews from breastfeeding mothers and thematic analysis was done manually. Result The prevalence of the colostrum avoidance practice was 15.3% (95% CI: 11.4%- 18.2%). Late initiation of breastfeeding (AOR 4.15 95% CI 2.51–6.84), giving pre-lacteal feeding (AOR 3.16 95% CI 1.93–5.15), not using of postnatal care (PNC) service (AOR 1.79 95% CI 1.05–3.04), and having poor maternal knowledge regarding colostrum. (AOR 1.88 95% CI 1.14–3.08) were factors significantly associated with the colostrum avoidance practices. And in the qualitative part, cultural beliefs and misconceptions, community influence, and complementary feeding practices were found to be facilitators for the colostrum avoidance. Conclusion About one in seven mothers practiced colostrum avoidance. Factors that contributed to the colostrum avoidance practices were breastfeeding initiation, pre-lacteal feeding, PNC utilization, and maternal knowledge regarding colostrum. Thus, efforts to prevent colostrum avoidance practices should focus on strengthening and promoting PNC services utilization, timely initiation of breastfeeding, and improving awareness creation activities on the importance of colostrum feeding and risks of pre-lacteal feeding.

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Colostrum Feeding and Associated Factors Among Mothers Attending Child Immunization Clinic at Public Healthcare Facilities in Dire Dawa City, Eastern Ethiopia

Gemeda

Muse

Yilma

et al. 2023

Preprint

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Introduction Colostrum is yellow to orange colored milk produced during a first few days of lactation and it is rich in nutrients and antibodies that have great role in health of the new born baby. Despite the world health organization recommends that every new born baby has to feed breast milk with colostrum within one hour of delivery; poor colostrum feeding practice is still a common problem in Ethiopia. Objectives The goal of this study was to assess the practice of colostrum feeding and related factors among women attending a child immunization clinic in governmental health facilities in Dire Dawa City, Eastern Ethiopia, in 2022. Method From February 1–30, 2022, in government health facilities in Dire Dawa city, 292 women with infants less than or equal to 12 months participated in this an institution-based cross-sectional study. Data were gathered by a method of systematic random sampling, and SPSS version 25 was used for analysis. The crude and adjusted odds ratios with a 95% confidence interval were calculated using bivariate and multivariate logistic regression models. A variable was deemed statistically significant if its P value was less than 0.05. Result 68.8% [95% CI: 63.4–74.3] of the moms in our study had good colostrum feeding habits. Living in an urban area [AOR = 2.52, 95% CI = 1.08–5.88], having at least a secondary education [AOR = 2.79, 95% CI = 1.12–6.98], having visited an antenatal clinic in the past [AOR = 3.12, 95% CI = 1.12–9.21], receiving counseling on when to start breastfeeding [AOR = 2.59, 95% CI = 1.02–6.59], receiving colostrum feeding counseling [AOR = 2.65, 95% CI = 1.12–6.30], having a professional attend the birth [AOR = 3.20, 95% CI = 1.23–8.31], getting information from a professional [AOR = 3.89, 95% CI = 1.54–9.82], and having good knowledge of colostrum feeding [AOR = 3.53, 95% CI = 1.56–7.96] were found to be associated with practice of colostrum feeding. Conclusion This study found that women who visit immunization clinics had a low degree of good colostrum feeding practice. Living in an urban area, being educated, having a history of antenatal visits, receiving counseling on when to start breastfeeding, having a professional attend the birth, getting information from a professional, and having a good understanding of colostrum feeding were all linked to the practice of colostrum feeding. To promote mothers' good colostrum feeding habits, prenatal care visits and breastfeeding education should be encouraged.

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Colostrum feeding status in a selected rural area of Bangladesh

Cited by 4 publications

References 13 publications

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

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

Colostrum avoidance practice and associated factors among mothers of infants less than six months in Chencha District: cross-sectional study

Colostrum Feeding and Associated Factors Among Mothers Attending Child Immunization Clinic at Public Healthcare Facilities in Dire Dawa City, Eastern Ethiopia

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