Karkee Rajendra, Lee Andy H, Khanal Vishnu, Binns Colin W
School of Public Health and Community Medicine, BP Koirala Institute of Health Sciences, Dharan, Nepal School of Public Health, Curtin University, Perth, Western Australia, Australia.
School of Public Health, Curtin University, Perth, Western Australia, Australia
J Hum Lact. 2014 Aug;30(3):353-357. doi: 10.1177/0890334414529845. Epub 2014 Apr 11.
Prelacteal feeds and delayed initiation of breastfeeding may lead to undernutrition of the infant but are still prevalent in many countries.
A prospective cohort community-based study was conducted in central Nepal to ascertain the rate of early breastfeeding initiation and factors associated with the introduction of prelacteal feeds.
Breastfeeding information was collected from 639 women who recently gave birth in the Kaski district of central Nepal. Backward stepwise logistic regression analysis was performed to determine factors associated with the use of prelacteal feeds.
The incidence of prelacteal feeds was 9.1%, with infant formula being the most common prelacteal food. Approximately 67% and 90% of mothers breastfed within 1 hour and 4 hours of delivery, respectively. Women who reside in urban areas (odds ratio [OR] = 2.68; 95% confidence interval [CI], 1.35-5.39), first-time mothers (OR = 2.15; 95% CI, 1.15-4.02), and those who underwent cesarean section (OR = 10.10; 95% CI, 5.47-18.67) were more likely to give prelacteal feeds to their infants.
The early initiation of breastfeeding with colostrum as the first feed was common in the study area. The introduction of prelacteal feeds was associated with urban residency, first-time motherhood, and cesarean delivery.
初乳前喂养和母乳喂养延迟可能导致婴儿营养不良，但在许多国家仍然普遍存在。
在尼泊尔中部开展了一项基于社区的前瞻性队列研究，以确定早期开始母乳喂养的比例以及与初乳前喂养引入相关的因素。
从尼泊尔中部卡斯凯地区最近分娩的639名妇女中收集母乳喂养信息。进行向后逐步逻辑回归分析以确定与初乳前喂养使用相关的因素。
初乳前喂养的发生率为9.1%，婴儿配方奶粉是最常见的初乳前食物。分别约67%和90%的母亲在分娩后1小时和4小时内进行母乳喂养。居住在城市地区的妇女（比值比[OR]=2.68；95%置信区间[CI]，1.35 - 5.39）、初产妇（OR = 2.15；95% CI，1.15 - 4.02）以及接受剖宫产的妇女（OR = 10.10；95% CI，5.47 - 18.67）更有可能给婴儿喂初乳前食物。
在研究地区，以初乳作为首次喂养尽早开始母乳喂养很常见。初乳前喂养的引入与城市居住、初产妇身份和剖宫产有关。
