Exclusive breastfeeding practice and associated factors among first-time mothers in Bahir Dar city, North West Ethiopia: A community based cross sectional study

Abstract

Background Breastfeeding can offer the ideal food for infants. It contains all the necessary nutrients for the growthand development of infants and antibodies that can protect from many childhood illnesses. Understanding the extent of, and barriers to exclusive breastfeeding in Ethiopia is important for learning how to best improve level of exclusive breastfeeding. No single study has been conducted on first-time mothers in the country. . Therefore, this study aimed to assess prevalence of exclusive breastfeeding practice and associated factors among first-time mothers in Bahir Dar city, North West Ethiopia. Method A community-based cross-sectional study was conducted from March to April, 2016 among (n = 400) randomly selected first-time mothers in Bahir Dar city, northwest Ethiopia. Data were collected using structured interviewer-administered questionnaire and analyzed using SPSS version20., 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 Prevalence of exclusive breastfeeding practice 24 h before the survey was 57.3% (95%CI: 52.3%–62%). Mothers not being married (aOR = 2.79, 95 %CI: 1.08, 7.17), supported by their husband (aOR = 4.15, 95%CI: 2.13, 6.28), with no breast complication (aOR = 3.66, 95% CI: 2.13, 6.28), who had four or more antenatal care (aOR = 2.51, 95%CI: 1.49, 4.23) were more likely to practice exclusive breastfeeding. Conclusion A significant proportion of mothers had a low level of exclusive breastfeeding practice that was lower than the national recommended level. Mothers not being married, supported by their husbands, with no breast problems who had four or more antenatal care visits were more likely to practice exclusive breastfeeding. These results suggest that multi-sectorial and multi-disciplinary approaches are needed to increase exclusive breastfeeding in the first-time mothers.

Factors of Exclusive Breastfeeding Among Mothers of Children Aged 0-6 Months in Brazzaville: The Case of Talangai Health District in 2018

“…Our prevalence of exclusive breastfeeding is also lower than that found by Tilksew A and all in Ethiopia, i.e. 57.3% [12] and 51.4 by Salim and all in Malawi [13] against 47.3% by Bisrat Zeleke and all [14]. This difference could be explained by an improvement over time in the practice of exclusive breastfeeding among mothers of children aged 0 to 6 months in Brazzaville.…”

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

“…The possible explanation might be due to the fact that married mothers could have get social support from their husband during breast feeding practice. Previous studies have confirmed that husband support has a positive impact on breast feeding practices [ 24 , 32 ]. In addition, a study conducted in United Kingdom to explore fathers’ experience of breast feeding promotion also revealed that mothers who have strong social support from their husband are more likely to practice early initiation of breastfeeding and colostrum feeding than who do not have support [ 28 ].…”

Prevalence of Exclusive Breastfeeding Practice and its Association with Maternal Employment in Ethiopia: A Systematic Review and Meta-Analysis, 2020

“…Fifteen of the studies were from Amhara [34][35][36][37][38][39][40][41][42][43]55,68,116,117,119], two from Addis Ababa [52,53], four from Affar [33,58,63,115], four from Oromia [45,64,65,122], twelve from SNNP [46][47][48]51,52,54,57,59,60,61,62,66], one from Tigray [67], two from Somalia [49,121],two from Harari [44,120],one from nationwide [50],one from Diredawa [118] and one from SNNP and Tigray [123]. No studies reported from Benishangul Gumiz and Gagmbela in this review research.…”