Munos M K, Mullany L C, Maïga A, Baya B, Bryce J
Johns Hopkins Bloomberg School of Public Health, Department of International Health, Baltimore, MD, USA.
1] Institut Supérieur des Sciences de la Population, Université de Ouagadougou, Ouagadougou, Burkina Faso [2] Université catholique de Louvain, Centre de Recherche en Demographie et Societés, Louvain-la-Neuve, Belgium.
J Perinatol. 2014 May;34(5):369-74. doi: 10.1038/jp.2014.13. Epub 2014 Feb 13.
Newborn feeding practices are important to neonatal health and survival, but understudied in sub-Saharan Africa. We assessed the prevalence and determinants of newborn feeding practices in Burkina Faso.
An 18 000 household survey was conducted in rural Burkina Faso in 2010 to 2011. Women of reproductive age were asked about antenatal, delivery and newborn care practices for their most recent live birth. Coverage of newborn feeding practices was estimated and multivariate regression was used to assess determinants of these practices.
Seventy-six percent of live births were breastfed within 24 h of birth, 84% were given colostrum and 21% received prelacteals. Facility delivery and antenatal care attendance were associated with positive feeding practices.
Positive newborn feeding practices were common in rural Burkina Faso, relative to other low-income settings. Interventions are needed to improve feeding practices among home-born babies, and to encourage earlier initiation of breastfeeding among facility-born newborns.
新生儿喂养方式对新生儿健康和生存至关重要,但在撒哈拉以南非洲地区却未得到充分研究。我们评估了布基纳法索新生儿喂养方式的患病率及其决定因素。
2010年至2011年在布基纳法索农村地区进行了一项针对18000户家庭的调查。询问育龄妇女其最近一次活产的产前、分娩及新生儿护理情况。估算了新生儿喂养方式的覆盖率,并采用多因素回归分析来评估这些喂养方式的决定因素。
76%的活产儿在出生后24小时内进行了母乳喂养,84%的婴儿喂了初乳,21%的婴儿接受了非初乳喂养。在医疗机构分娩和接受产前护理与积极的喂养方式相关。
相对于其他低收入地区,积极的新生儿喂养方式在布基纳法索农村地区较为普遍。需要采取干预措施来改善在家分娩婴儿的喂养方式,并鼓励在医疗机构出生的新生儿更早开始母乳喂养。