Brown B J, Oladokun R E, Osinusi K
Department of Paediatrics, Faculty of Clinical Sciences, University of Ibadan, Ibadan.
Niger J Clin Pract. 2009 Dec;12(4):421-8.
To evaluate breastfeeding and weaning practices associated socio-demographic factors and knowledge about mother-to-child transmission of HIV among mothers in Ibadan.
A cross sectional survey was conducted among 513 mothers of children aged 6- 24 months, attending infant welfare clinics. Data collection was by a structured questionnaire, which was supplemented by focus group discussions to further explore some of the issues covered in the survey.
Breast-feeding rate was 99.4%, the duration of which ranged from 1-22 months with a median of 14 months among those who had stopped breastfeeding. Only 145 (28.3%) mothers breastfed their babies exclusively for six months and 259(50.8%) initiated breastfeeding within one hour of birth; both were associated with at least secondary level of education. The main obstacle to exclusive breastfeeding was the belief that water is required to quench thirst in babies. Expression of breast milk was not favoured by majority of the mothers (68%) most of whom felt that the milk would get contaminated. Wet nursing was rarely practiced (0.4%). Most of the mothers, 436 (85%) were aware that HIV could be transmitted through breast milk but the attitude towards a mother who did not breast feed was negative in 96.8% ofrespondents.
Adherence to recommended infant feeding options for HIV-exposed infants are likely to be faced with challenges in a culture where breastfeeding is the norm and exclusive breastfeeding rate is low. There is need for counseling and health education on prevention of mother-to-child transmission of HIV.
评估伊巴丹地区母亲们的母乳喂养及断奶习惯、相关社会人口学因素以及对母婴传播艾滋病毒的认知。
对513名年龄在6至24个月孩子的母亲进行了横断面调查，这些母亲均前往婴儿福利诊所就诊。通过结构化问卷收集数据，并辅以焦点小组讨论以进一步探讨调查中涉及的一些问题。
母乳喂养率为99.4%，断奶时间从1至22个月不等，断奶母亲的母乳喂养时间中位数为14个月。只有145名（28.3%）母亲纯母乳喂养婴儿6个月，259名（50.8%）母亲在婴儿出生后1小时内开始母乳喂养；这两者均与至少接受过中等教育相关。纯母乳喂养的主要障碍是认为婴儿需要喝水解渴。大多数母亲（68%）不支持挤奶，其中大多数人认为乳汁会被污染。很少有人采用代哺（0.4%）。大多数母亲，即436名（85%），知晓艾滋病毒可通过母乳传播，但96.8%的受访者对不进行母乳喂养的母亲持负面态度。
在一个以母乳喂养为常态且纯母乳喂养率较低的文化环境中，为感染艾滋病毒的婴儿遵循推荐的婴儿喂养方式可能会面临挑战。需要开展关于预防母婴传播艾滋病毒的咨询和健康教育。
