Maternal and neonatal peripartum factors associated with late initiation of breast feeding in Bangladesh: a secondary analysis

Roy, Abhijeet; Hossain, Md. Mokbul; Ullah, Md Barkat; Mridha, Malay K

doi:10.1136/bmjopen-2021-051004

Cited by 4 publications

(5 citation statements)

References 37 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Elective caesarean section, administration of antibiotics, respiratory distress in babies after birth, and maternal BMI <18 kg/m 2 were signi cant predictors of early initiation of breastfeeding. Findings that women who birthed by elective caesarean section were less likely to initiate early breastfeeding is consistent with studies conducted in Canada (Hobbs et al, 2016) and Bangladesh (Roy et al, 2022). In contrast, Zanardo et al (2010) reported that early initiation of breastfeeding is less likely after emergency caesarean section.…”

Section: Discussionsupporting

confidence: 77%

“…Similar results were observed in babies born in Bangladesh (Roy et al, 2022) who had asphyxia. In these scenarios, mothers and babies may be separated due to medical interventions and breastfeeding may not be recommended until recovery (Roy et al, 2022). We also found that women who were administered antibiotics were less likely to initiate breastfeeding early.…”

Section: Discussionmentioning

confidence: 80%

See 1 more Smart Citation

Predictors of early initiation of breastfeeding in women who birth in government hospitals in Sri Lanka: an assessment across socio-demographic and clinical measures

Lokeesan

Martín

Miller

2023

Preprint

View full text Add to dashboard Cite

Introduction Early initiation of breastfeeding can be predicted by socio-demographic and clinical characteristics of birthing women, and health care support for breastfeeding. However, the relative influence of many of these characteristics on early initiation of breastfeeding has not been established in Sri Lanka. Therefore, we aimed to identify predictors of early initiation of breastfeeding across a wide range of socio-demographic and clinical characteristics. Methods A cross-sectional survey was conducted with women who had a live baby across four government hospitals in Sri Lanka. Women who were 12 hours post-birth and still admitted to the hospital were invited to participate. Data were collected by eliciting quantitative data through participant interviews and extracting additional information from their medical records. Contribution of socio-demographic and clinical characteristics to explaining variations in early initiation of breastfeeding was estimated using binary logistic regression analysis with simultaneous adjustment. Results The response rate was 83.8%, with 302 women participating. The proportion of women who initiated breastfeeding within one hour of birth was 64.5% (n=195). Women were more likely to initiate breastfeeding within one hour of birth if their body mass index was < 18.5 kg/m2 (OR: 4.17; 95% CI: 1.23-14.05), and less likely if they gave birth by elective caesarean section (OR: 0.27; 95% CI: 0.14-0.51), were administered antibiotics (OR: 0.4; 95% CI: 1.05-4.73) and had a baby with respiratory distress (OR: 0.08, 95% CI: 0.01-0.57). Conclusion Current intrapartum care practices associated with elective caesarean and antibiotic administration, and immediate care of babies with respiratory distress, should be critically reviewed for understanding the mechanisms underlying their negative impact on breastfeeding initiation in Sri Lanka.

show abstract

Section: Discussionsupporting

confidence: 77%

Section: Discussionmentioning

confidence: 80%

Predictors of early initiation of breastfeeding in women who birth in government hospitals in Sri Lanka: an assessment across socio-demographic and clinical measures

Lokeesan

Martín

Miller

2023

Preprint

View full text Add to dashboard Cite

show abstract

“…There is a need for Sri Lankan health services to ensure that healthcare staff are competent and compliant in not recommending breastmilk supplements unless medically necessary (BFHI Step 6) and promoting mother-baby skin-to-skin contact (BFHI Step 4). Universal compliance with Step 4 of BFHI may be particularly challenging for healthcare staff, as mother-baby skin-to-skin contact is often delayed due to postoperative care following caesarean section [11,32].…”

Section: Discussionmentioning

confidence: 99%

The effect of Baby-Friendly Hospital Initiative compliance on the association between the mode of birth and breastfeeding initiation in Sri Lanka

Lokeesan,

Martin,

Byrne

et al. 2024

Preprint

View full text Add to dashboard Cite

Background In Sri Lanka, there is some evidence that the likelihood of breastfeeding initiation varies by exposure to Baby-Friendly Hospital Initiative [BFHI]-compliant care and mode of birth. Globally, there is some evidence that exposure to mother-baby skin-to-skin contact (BFHI Step 4) is lower in caesarean section births. Therefore, we aimed to determine how breastfeeding initiation varies by mode of birth in Sri Lanka, and the extent to which women’s exposure to BFHI practices practices explains any associations found. Methods A cross-sectional survey was conducted with women with a live baby across four government hospitals in Sri Lanka. Quantitative data were collected through participant interviews and extraction from medical records. Associations between BFHI practices, breastfeeding initiation, mode of birth, and women’s characteristics were assessed using binary logistic regression analysis applied in mediation and moderated mediation models. Results Women who received care compliant with Steps 4 and 6 of BFHI, regardless of their mode of birth, were more likely to initiate breastfeeding within the first hour after birth. BFHI Step 4 partially and completely mediated the effect of planned caesarean section and emergency caesarean section, respectively, on breastfeeding initiation within one hour of birth. Further, exposure to BFHI Step 6 partially mediated the effect of emergency caesarean section on breastfeeding initiation within one hour of birth. Women's age, pre-pregnancy BMI, parity status, and ethnic group, significantly influenced the relationship between planned or emergency caesarean section, exposure to Step 4 or Step 6 of BFHI, and breastfeeding initiation within one hour of birth. Specifically, being primiparous strengthened the likelihood that having a planned caesarean section decreased women's exposure to BFHI Step 4; and having a pre-pregnancy BMI categorized as overweight weakened the likelihood that planned caesarean section decreased exposure to BFHI Step 4. Conclusions Improving compliance with mother-baby skin-to-skin contact (BFHI Step 4) and no supplementation (BFHI Step 6) is critical for Sri Lankan health services to support all women to establish breastfeeding initiation within one hour of birth, as these practices attenuate the negative effect of caesarean sections on breastfeeding initiation.

show abstract

“…Several studies have reported that the mode of delivery is one of the main determinants of EIBF status in newborns and that cesarean delivery delays the initiation of breastfeeding (21,(31)(32)(33). A Baby-Friendly Hospital in Turkey showed that the rates of initiation of breastfeeding in babies born by cesarean section were significantly lower, up to the 4th hour, compared with babies born vaginally (31,32).…”

Section: Determinants Of Eibfmentioning

confidence: 99%

“…A Baby-Friendly Hospital in Turkey showed that the rates of initiation of breastfeeding in babies born by cesarean section were significantly lower, up to the 4th hour, compared with babies born vaginally (31,32). Generally, delay in SSC, fatigue, and then delay in the start of breastfeeding are seen due to the sedative effects of anesthesia and additional procedures and problems that may occur to the mother and the baby due to cesarean intervention (21,31,33).…”

Section: Determinants Of Eibfmentioning

confidence: 99%

Factors associated with breastfeeding initiation time in a Baby-Friendly Hospital

Yalçın

2023

Rev. salud pública

View full text Add to dashboard Cite

International health authorities recommend skin-to-skin care (SSC) at birth and that breastfeeding should be started as soon as possible, within the first hour after birth. This article aimed to review the benefits of breastfeeding initiation for mothers and newborns, the global status of breastfeeding initiation, the determinants of breastfe- eding initiation and SSC, and interventions to improve breastfeeding initiation. The positive effects of breastfeeding initiation result from the contact between the baby and the mother and the components found in breast milk. Several factors related to the family, mother, child, and health institution affect the time of initiation of breastfeeding. It should be ensured that pregnant women have access to accurate and effective information about the benefits of breastfeeding initiation in healthcare facilities, communities, and different settings, including the media. Taking advantage of opportunities to counsel and support the mother in prenatal care and childbirth, and improving the rate of breastfeeding initiation can be achieved by implementing infant and young child feeding policies and programs with the Baby-Friendly Hospital Initiative.

show abstract

Maternal and neonatal peripartum factors associated with late initiation of breast feeding in Bangladesh: a secondary analysis

Cited by 4 publications

References 37 publications

Predictors of early initiation of breastfeeding in women who birth in government hospitals in Sri Lanka: an assessment across socio-demographic and clinical measures

Predictors of early initiation of breastfeeding in women who birth in government hospitals in Sri Lanka: an assessment across socio-demographic and clinical measures

The effect of Baby-Friendly Hospital Initiative compliance on the association between the mode of birth and breastfeeding initiation in Sri Lanka

Factors associated with breastfeeding initiation time in a Baby-Friendly Hospital

Contact Info

Product

Resources

About