Prelacteal feeding practice and its associated factors among mothers of children age less than 24 months old in Southern Ethiopia

Abstract

BackgroundAlthough Pre-lacteal feeding is a barrier for implementation of optimal breastfeeding practices and increases the risk of neonatal illness and mortality, still it is continued as a deep-rooted nutritional malpractice in developing countries. In Ethiopia pre-lacteal feeding continued as one of the nutritional malpractices in newborns. Therefore the aim of this study was to assess pre-lacteal feeding practice and its determinants among mothers of children less than 24 months of age in Sodo zuria district, Wolaita zone, Southern Ethiopia.MethodsCommunity-based cross-sectional study was conducted from February 15, 2017 to March 12, 2017 in Sodo zuria district, Wolaita zone, Southern Ethiopia. Five hundred five (505) mothers of children aged less than 24 months were selected by multistage randomized sampling technique and the data were collected by using interview based structured questionnaire. Descriptive statistics, binary and multivariable logistic regression analysis were employed to identify the factors associated with pre-lacteal feeding practices. Variables with a p-value < 0.05 were identified as statistically significant factors.ResultsThe prevalence of pre-lacteal feeding practice was 20.6%. The common type of pre-lacteal feeding given was plain water; 38(7.7%) and the major reason was insufficient breast milk 32(6.5%). Mothers living with extended family type (AOR = 10.64, 95% CI: 1.05, 10.71), Lack of breastfeeding counseling (AOR = 5.16, 95% CI: 1.76, 15.13) and mothers who avoid colostrum (AOR = 9.72, 95% CI: 3.46, 27.30) were statistically significant positive predictors of pre-lacteal feeding practice.Conclusion & RecommendationPre-lacteal feeding is commonly practiced in Soddo zuria district. Mothers who live with extended family type, mothers who did not get breastfeeding counseling and mothers who avoid colostrum were statistically significant positive predictors of pre-lacteal feeding practice. Therefore, strengthening breastfeeding counseling about the risks associated with pre-lacteal feeding and colostrum feeding intervention should be integrated. Promotion of intensive nutrition education program, on the benefit of colostrum by giving special emphasis to extended family mothers should be implemented in the community.

Determinants of early days of newborn feeding mal-practice among mothers of children less than one years of age in Mizan-Aman Town, South-west Ethiopia, 2020

“…The magnitude of colostrum-avoidance in this analysis was consistent with studies in Raya Kobo district (13.5%), Tigray district (15%) and Mettu, southwestern Ethiopia (17.5%) [29,20,23]. While colostrum avoidance practice is higher in Mizan-Aman than in Aksum City (6.3%), Wolayta Sodo (8.5%) and Kombolicha City (11.4%) [12,16,30]. This distinction may be attributed to the use of socio-cultural, maternal health care programs and the number of institutional deliveries.…”

“…Prevalence of prelacteal feeding in this study was relatively comparable with studies in Wolayta sodo (20.6%), Tigray (24.7%) and Dabat district (26.8%) [16,20,21]. However, the gure we have obtained are far higher than those found in other studies in Sidama (5.5%), in Mettu (14.2%) and in Debrebirhan (14.2%) [22,23,24].…”

“…Studies conducted in Ethiopia have shown that there are multifactorial determinants of early newborn feeding mal-practices such as: sociodemographic factors, home and caesarean section delivery, low level of breastfeeding information, lack of postnatal care and breast-feeding advice [11,12,15,16].…”

Magnitude and associated factors of prelacteal feeding practices among mothers of under one-year-old children in Rural Pastoralist Communities of Afar, North Eastern Ethiopia: A community based cross-sectional study.

“…Sidama [14], Wolaita zone [15], Mettu district [16], Harari Region [17], Motta Town [18], Bahir Dar City [19], Debre Berhan district [20], Debre Markos town [21], Ethiopia [22] be due to the discrepancies in socio-demographic and economic status, health service availability and utilization. Similarly, this finding is higher than findings from studies conducted in the same regional state (Afar) but the urban area which includes Dubati town 16.8% [23] and Semera city 62.5% [24].…”

Prelacteal Feeding and Associated Factors Among Northwestern Ethiopian Women Having Children Less than Six Months Age: A Community Based Cross- Sectional Study

“…Suboptimal breastfeeding, including PLF has been linked with numerous adverse child health outcomes including increased incidence of diarrhea and pneumonia and it interferes with the establishment of any breastfeeding and a healthy gut micro biome (13). PLF may also delay the initiation of breastfeeding (14) and reduce the bene ts of colostrum (15,16). Globally sub optimal BF responsible for 45% neonatal infectious death, 30% diarrheal death, 18% acute respiratory death in children (17).…”