Early Initiation of Breastfeeding Among Postpartum Mothers at Two Rwandan Hospitals

Mukashyaka, Joella; Mukarubayiza, Rose; Habumugisha, Emmanuel; Sunday, Francois-Xavier; Muganwa, Kellen; Mbarushimana, Valens; Meharry, Pamela

doi:10.4314/rjmhs.v3i2.8

Cited by 2 publications

(2 citation statements)

References 17 publications

(37 reference statements)

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“…The current study result showed that 73.56% of women having children aged 0–23 months in Ethiopia put their child to breast within the first hour of birth. The prevalence was higher when compared with studies conducted in Ethiopia,11 22–27 other sub-Saharan African countries28–35 and Papua New Guinea 36. The finding was consistent with other study findings done in different parts of Ethiopia13 37 38 and Malawi 39.…”

Section: Discussionsupporting

confidence: 90%

Determinants of early initiation of breast feeding among mothers of children aged less than 24 months in Ethiopia: A community-based cross-sectional study

et al. 2022

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ObjectiveThis study aims to assess the prevalence of early initiation of breast feeding (EIBF) and associated factors among mothers having children less than 2 years of age in Ethiopia.DesignCommunity-based cross-sectional study.SettingIn this analysis, data from 2019 Ethiopia Mini Demographic and Health Survey (EMDHS) was used. The survey included all the nine regional states and two city administrations of Ethiopia.ParticipantsWe extracted data of 2054 mothers who had last-born children and those mothers who ever breast fed or still breast feeding their children during the survey from the 2019 EMDHS datasets.Main outcome measuresWe performed a two-stage multilevel mixed-effects logistic regression to identify individual and community-level determinants of EIBF. In the final model, variables with a p-value less than 5% and an adjusted OR with a 95% CI were reported as statistically significant variables with EIBF.ResultThe prevalence of EIBF among mothers having children aged 0–23 months was 73.56% (95% CI: 71.65% to 75.47%). Women who delivered at a health facility (adjusted OR (AOR)=1.98; 95% CI: 1.39 to 2.79) and have children with birth order second–fourth (AOR=1.76; 95% CI: 1.24 to 2.49) were more likely to initiate early breast feeding than their counterparts. On the other hand, women who gave birth by caesarean section (AOR=0.21; 95% CI: 0.13 to 0.33), had multiple births (AOR=0.35; 95% CI: 0.13 to 0.92) and had postnatal check-up (AOR=0.62; 95% CI: 0.44 to 0.91) were less likely to practise EIBF as compared with their counterparts. Region of residence of women was also significantly associated with EIBF.ConclusionIn this study, the overall prevalence of EIBF was good. Place of delivery, mode of delivery, postnatal check-up, type of birth, birth order and region were factors significantly associated with EIBF. Therefore, government and stakeholders need to show commitment to improve access and utilisation of basic maternal health services to increase the practice of EIBF.

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Section: Discussionsupporting

confidence: 90%

Determinants of early initiation of breast feeding among mothers of children aged less than 24 months in Ethiopia: A community-based cross-sectional study

et al. 2022

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“…A study from Malawi suggested that HIV-positive mothers saw exclusive breastfeeding as very demanding on their bodies and made them prone to develop AIDS faster [ 74 ]. Caesarean section and breast complications were also frequently mentioned challenges [ 34 , 38 , 51 , 52 , 71 , 72 , 78 , 83 ]. A study from Uganda found that caesarean delivery was associated with an over 8-fold rate of delayed initiation to breastfeeding (aOR 8.6, 95% CI: 4.7–16.0) [ 52 ].…”

Section: Resultsmentioning

confidence: 99%

Barriers and facilitators for early and exclusive breastfeeding in health facilities in Sub-Saharan Africa: a systematic review

Kinshella

Prasad

Hiwa

et al. 2021

glob health res policy

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Background Sub-Saharan Africa carries a disproportionate burden of under-five child deaths in the world and appropriate breastfeeding practices can support efforts to reduce child mortality rates. Health facilities are important in the promotion of early and exclusive breastfeeding. The purpose of this review was to examine facility-based barriers and facilitators to early and exclusive breastfeeding in Sub-Saharan Africa. Methods A systematic search was conducted on Medline, Web of Science, CINAHL, African Journals Online and African Index Medicus from database inception to April 29, 2021 and primary research studies on breastfeeding practices in health facilities in Sub-Saharan Africa were included in the review. We assessed qualitative studies with the Critical Appraisal Skills Programme Qualitative Checklist and quantitative studies using the National Heart, Lung, and Blood Institute tool. The review protocol was registered to Prospero prior to conducting the review (CRD42020167414). Results Of the 56 included studies, relatively few described health facility infrastructure and supplies-related issues (5, 11%) while caregiver factors were frequently described (35, 74%). Facility-based breastfeeding policies and guidelines were frequently available but challenged by implementation gaps, especially at lower health service levels. Facilitators included positive caregiver and health worker attitudes, knowledge and support during the postpartum period. Current studies have focused on caregiver factors, particularly around their knowledge and attitudes, while health facility infrastructure and supplies factors appear to be growing concerns, such as overcrowding and lack of privacy during breastfeeding counselling that lowers the openness and comfort of mothers especially those HIV-positive. Conclusion There has been a dramatic rise in rates of facility births in Sub-Saharan Africa, which must be taken into account when considering the capacities of health facilities to support breastfeeding practices. As the number of facility births rise in Sub-Saharan Africa, so does the responsibility of skilled healthcare workers to provide the necessary breastfeeding support and advice to caregivers. Our review highlighted that health facility infrastructure, supplies and staffing appears to be a neglected area in breastfeeding promotion and a need to strengthen respectful maternity care in the delivery of breastfeeding counselling, particularly in supporting HIV-positive mothers within the context of Sub-Saharan Africa.

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Early Initiation of Breastfeeding Among Postpartum Mothers at Two Rwandan Hospitals

Cited by 2 publications

References 17 publications

Determinants of early initiation of breast feeding among mothers of children aged less than 24 months in Ethiopia: A community-based cross-sectional study

Determinants of early initiation of breast feeding among mothers of children aged less than 24 months in Ethiopia: A community-based cross-sectional study

Barriers and facilitators for early and exclusive breastfeeding in health facilities in Sub-Saharan Africa: a systematic review

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