埃塞俄比亚Arba Minch Zuria区24个月以下儿童母亲的乳前喂养患病率及其相关因素:一项横断面研究

Nega Degefa Megersa, Eshetu Zerihun Tariku, G. E. Yesera, Befikadu Tariku Gutema
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A structured and pretested questionnaire uploaded on mobile devices pre-installed with open data kit software was used for data collection. Factors associated with prelacteal feeding practices were explored using multivariable logistic regression analysis. The Hosmer-Lemeshow goodness-of-fit test was used to determine whether the model adequately described the data or not. Results. A total of 400 mothers/caregivers participated in the study, of whom 67 (16.8%) practised prelacteal feeding. Mothers who had poor knowledge of breastfeeding were nearly four times more likely to practise prelacteal feeding than those who had good knowledge (adjusted odds ratio (aOR) 3.95; 95% confidence interval (CI) 1.82 - 8.54). Mothers who did not receive counselling on breastfeeding during antenatal care (ANC) follow-up were 4.1 times more likely to provide prelacteal feeds than those who received counselling (aOR 4.1; 95% CI 1.70 - 9.76). 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引用次数: 0

摘要

背景对新生儿采用母乳喂养否定了世界卫生组织关于母乳喂养应在产后一小时内开始的建议。因此,母乳喂养对婴儿、儿童和母亲的许多已知健康益处被排除在外。因此,为了避免母乳喂养的有害影响,确定母乳喂养的现状及其影响因素仍然是最重要的问题。客观的评估埃塞俄比亚Arba Minch Zuria区24个月以下儿童母亲的乳前喂养率及其相关因素。方法。对400对母子进行了一项基于社区的横断面研究。数据收集使用了一份结构化和预先测试的问卷,该问卷上传到预装有开放数据包软件的移动设备上。使用多变量逻辑回归分析探讨了与乳前喂养实践相关的因素。Hosmer-Lemeshow拟合优度检验用于确定模型是否充分描述了数据。后果共有400名母亲/护理人员参与了这项研究,其中67人(16.8%)进行了产前喂养。母乳喂养知识贫乏的母亲进行母乳喂养的可能性几乎是知识渊博的母亲的四倍(调整后的比值比(aOR)3.95;95%置信区间(CI)1.82-8.54)。在产前护理(ANC)随访期间未接受母乳喂养咨询的母亲提供产前喂养的可能性是接受咨询的母亲的4.1倍(aOR 4.1;95%CI 1.70-9.76)。此外,未立即接受产后护理的母亲给予产前喂养的可能性是立即接受产后照顾的母亲的6.46倍(aOR 6.46;95%CI 2.85-14.63)。结论。在研究区域,六分之一的新生儿接受了母乳喂养。母亲对母乳喂养的了解不足,在ANC访问期间缺乏最佳母乳喂养的咨询,以及缺乏产后即时护理,主要导致了乳前喂养。因此,应注意通过在ANC期间完善熟练的咨询和产后即时护理来提高产妇对母乳喂养的认识
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Prevalence of prelacteal feeding and its associated factors among mothers of under-24-month-old children at Arba Minch Zuria District, Ethiopia: A cross-sectional study
Background. Introduction of prelacteal feeds to newborn babies negates the recommendation of the World Health Organization that breastfeeding should be initiated within an hour after childbirth. As a result, many known health benefits of breastfeeding for infants, children and mothers are precluded. Therefore, to obviate the harmful effects of prelacteal feeding, it remains of paramount concern to identify the current status of prelacteal feeding and its contributing factors. Objective. To assess the prevalence of prelacteal feeding and associated factors among mothers of under-24-month-old children in Arba Minch Zuria District, Ethiopia. Methods. A community-based cross-sectional study was conducted among 400 mother/caregiver-child pairs. A structured and pretested questionnaire uploaded on mobile devices pre-installed with open data kit software was used for data collection. Factors associated with prelacteal feeding practices were explored using multivariable logistic regression analysis. The Hosmer-Lemeshow goodness-of-fit test was used to determine whether the model adequately described the data or not. Results. A total of 400 mothers/caregivers participated in the study, of whom 67 (16.8%) practised prelacteal feeding. Mothers who had poor knowledge of breastfeeding were nearly four times more likely to practise prelacteal feeding than those who had good knowledge (adjusted odds ratio (aOR) 3.95; 95% confidence interval (CI) 1.82 - 8.54). Mothers who did not receive counselling on breastfeeding during antenatal care (ANC) follow-up were 4.1 times more likely to provide prelacteal feeds than those who received counselling (aOR 4.1; 95% CI 1.70 - 9.76). Furthermore, mothers who did not receive immediate postnatal care were 6.46 times more likely to give prelacteal feeding than those who received immediate postnatal care (aOR 6.46; 95% CI 2.85 - 14.63). Conclusions. One out of six neonates was given prelacteal feeds in the study area. Poor knowledge among mothers about breastfeeding, lack of counselling on optimal breastfeeding during ANC visits, and lack of immediate postnatal care mainly led to prelacteal feeding. Therefore, attention should be given to improving maternal knowledge of breastfeeding through the refining of skilled counseling during ANC and immediate postnatal care
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