Exclusive Breastfeeding Plan of Pregnant Southeast Asian Women: What Encourages Them?

Idris, Nikmah Salamia; Sastroasmoro, Sudigdo; Hidayati, Fatimah; Sapriani, Irma; Suradi, Rulina; Grobbee, Diederick E.; Uiterwaal, Cuno S.P.M.

doi:10.1089/bfm.2012.0003

Cited by 10 publications

(11 citation statements)

References 9 publications

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“…Similar to other studies [28, 29], the current study did not find association between EBF up to six months and the following mother’s socio-demographic characteristics: age, level of education, marital status, family income, occupation, and parity. Given that the study had sufficient power (1.00), this finding can be explained by the fact that the association between these factors and breastfeeding practice is influenced by others factors.…”

Section: Discussionsupporting

confidence: 88%

Predictors of discontinuing exclusive breastfeeding before six months among mothers in Kinshasa: a prospective study

et al. 2015

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BackgroundAlthough breastfeeding is common in Democratic Republic of the Congo, the proportion of women who exclusively breastfeed their babies up to 6 months remains low. This study aimed at identifying predictors of discontinuing exclusive breastfeeding before six months among mothers in Kinshasa.MethodsA prospective study was carried out from October 2012 to July 2013 among 422 mother-child pairs recruited shortly after discharge from twelve maternities in Kinshasa and followed up to six months. Interviews were conducted at each woman’s house during the first week after birth, and at one, two, three, four, five and six months. Collected data included history of child’s feeding and mother’s socio-demographic and psychosocial characteristics. The Cox Proportional Model was used to identify predictors of discontinuing exclusive breastfeeding before six months.ResultsThe median duration of exclusive breastfeeding was 10.9 weeks (Inter Quartile Range 4.3 to 14.9). At six months, 2.8 % of infants were exclusively breastfed. The factors independently associated with the discontinuation of exclusive breastfeeding before six months were: not confident in the ability to breastfeed [Adjusted hazard ratio (AHR) = 3.90; 95 % CI 1.66, 9.16)], no plan on the duration of EBF (AHR = 2.86; 95 % CI 1.91, 4.28), breastfeeding problems during the first week (AHR = 1.54; 95 % CI 1.13, 2.11), low level of breastfeeding knowledge (AHR = 1.52; 95 % CI 1.08, 2.15), and experienced less than five Baby-friendly practices during the maternity stay (AHR = 1.47; 95 % CI 1.05, 2.06).ConclusionsConfidence in the ability to breastfeed and intention to exclusively breastfeed were the most important predictors of discontinuing exclusive breastfeeding before six months. To have a greater impact on the duration of exclusive breastfeeding, interventions should focus on these factors.Electronic supplementary materialThe online version of this article (doi:10.1186/s13006-015-0044-7) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 88%

Predictors of discontinuing exclusive breastfeeding before six months among mothers in Kinshasa: a prospective study

et al. 2015

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“…Factors like maternal knowledge and attitude, burden of work, receipt of breastfeeding education, and literacy levels significantly impact maternal decision to exclusively breastfeed. [16][17][18][19][20] The cultural practice of giving prelacteal is widely prevalent in India 21 and its neighbouring countries. 22,23 Our study, in consonance with previous studies, also found that use of prelacteal feed was widely prevalent.…”

Section: Discussionmentioning

confidence: 99%

Path to severe acute malnutrition in children below 2 years of age: Findings of qualitative research in Uttar Pradesh, North India

Awasthi

Verma

Sanghvi

et al. 2019

Clinical Epidemiology and Global Health

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Introduction: Malnutrition in infancy contributes to high mortality and morbidity. In India, government has established nutrition rehabilitation centres for managing children with severe acute malnutrition. The study was conducted with aim to understand how community perceived malnutrition and how child's size at birth, infant and young child feeding related behaviours and child's illness were associated with decline in the child's growth or health. Methods: Qualitative research employing focused ethnographic methodologies was used. From February-December 2016, cases studies and in-depth interviews were conducted with 12 mothers of malnourished children < 24 months of age (cases), purposively recruited from nutrition rehabilitation centre of 3 districts in Uttar Pradesh, North India. Twenty-four mothers of gender and age matched well-nourished controls from village of cases were also interviewed. Focus group discussion was done with community health workers from villages of cases. Data were coded and after analysis and data triangulation, emerging concepts were grouped into core themes linked with malnutrition. Results: Grounded on experience of participants, emerging themes were that importance of exclusive breastfeeding was neither understood nor emphasized, there was no concept of complementary feeding, family food lacked diversity, malnutrition was not recognised as a health hazard, and there was lack of autonomy of females in reproductive and general health issues. Conclusion: Given these paths to malnutrition in infancy, there is an urgent need to create community awareness about malnutrition as a disease as well as about optimal breastfeeding and complementary feeding practices in infancy by using innovative behaviour change communication strategies.

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“…7,34,35 It is not surprising to find in our analysis that returning to work was a significant barrier to exclusive breastfeeding, which was revealed in many previous studies. 5,[35][36][37] Lack of support from workplace or unfavorable working conditions may compel working mothers to consider early termination of breastfeeding exclusivity and introduction of formula during or immediately after the maternity leave. 38,39 Policy initiatives and resources to promote work environments conducive to breastfeeding may effectively increase the rate of exclusive breastfeeding among working mothers.…”

Section: Discussionmentioning

confidence: 99%

Maternal and Hospital Factors Associated with First-Time Mothers' Breastfeeding Practice: A Prospective Study

Tsai¹,

Huang²,

Lee

2015

Breastfeeding Medicine

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Continuity of breastfeeding is infrequent and indeterminate. Evidence is lacking regarding factors associated with breastfeeding at different postpartum time points. This prospective study investigated the change in, and correlates of, breastfeeding practices after delivery at a hospital and at 1, 3, and 6 months postpartum among first-time mothers. We followed a cohort of 300 primiparous mothers of Taiwan who gave birth at two hospitals during 2010-2011. Logistic and Cox regression analyses were performed to determine factors that were correlated with breastfeeding practices. In the study sample, the rate of exclusive breastfeeding during the hospital stay was 66%; it declined to 37.5% at 1 month and 30.2% at 3 months postpartum. Only 17.1% of women reported continuing breastfeeding at 6 months. Early initiation of breastfeeding, rooming-in practice, and self-efficacy were significantly related to exclusive breastfeeding during the hospital stay. After discharge, health literacy, knowledge, intention, and self-efficacy were positively and significantly associated with breastfeeding exclusivity. Later initiation (hazard ratio=1.53; 95% confidence interval, 1.05, 1.97), shorter intention (hazard ratio=1.42; 95% confidence interval, 1.13, 1.68), and self-efficacy (hazard ratio=0.98; 95% confidence interval, 0.96, 0.99) were important predictors of breastfeeding cessation within 6 months of delivery. Continuous breastfeeding practice for 6 months is challenging and difficult for new mothers. Results showed that factors related to breastfeeding varied over time after delivery. Interventions seeking to sustain breastfeeding should consider new mothers' needs and barriers at different times.

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Exclusive Breastfeeding Plan of Pregnant Southeast Asian Women: What Encourages Them?

Cited by 10 publications

References 9 publications

Predictors of discontinuing exclusive breastfeeding before six months among mothers in Kinshasa: a prospective study

Predictors of discontinuing exclusive breastfeeding before six months among mothers in Kinshasa: a prospective study

Path to severe acute malnutrition in children below 2 years of age: Findings of qualitative research in Uttar Pradesh, North India

Maternal and Hospital Factors Associated with First-Time Mothers' Breastfeeding Practice: A Prospective Study

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