Kambale Richard Mbusa, Buliga Jérémie Bisimwa, Isia Nancy Francisca, Muhimuzi Adolphe Nyakasane, Battisti Oreste, Mungo Bruno Masumbuko
1Faculty of Medicine, Catholic University of Bukavu, Bukavu, South-Kivu Province Democratic Republic of the Congo.
Department of Pediatrics, Reference Provincial General Hospital of Bukavu, Bukavu, South-Kivu Province Democratic Republic of the Congo.
Int Breastfeed J. 2018 Feb 13;13:6. doi: 10.1186/s13006-018-0150-4. eCollection 2018.
Timely initiation of breastfeeding can decrease neonatal mortality. However, about 50% of newborns are not breastfeed within 1 h of birth in the Democratic Republic of Congo. The aim of this study was to identify factors associated with delayed initiation of breastfeeding in an urban and rural area of Bukavu, South Kivu province, Democratic Republic of Congo.
We interviewed 396 mother-newborn pairs (185 in the urban area and 211 in the rural area) between 20 July and 10 October 2016. We used descriptive statistics to demonstrate the prevalence of early initiation of breastfeeding. Variables that showed association with delayed initiation of breastfeeding in the bivariate models were entered in a multivariable logistic model.
Overall, the rate of early initiation of breastfeeding was 65.9% (69.7% in the rural area, 61.6% in the rural area). Two hundred and seventy-four (62.9%) mothers (159 in rural area and 115 in urban area) were counselled on early initiation of breastfeeding during prenatal care. Most mothers, 65.2% received counselling by a health professional. On multivariable regression analyses after adjusting for other variables in the model, unmarried mothers [Odds Ratio (OR): 1.5 (95% Confidence Interval (CI): 1.13, 1.95)], cesarean delivery [OR: 2.24 (95% CI: 1.74, 2.88)], no counselling on timely initiation of breastfeeding [OR: 1.71 (95% CI: 1.29, 2.20)] and counselling by a non-health professional [OR: 1.84 (95% CI: 1.08, 3.12)] were associated with delayed initiation of breastfeeding.
Systemic changes are needed for women having caesarean births to experience skin-to-skin and early initiation. In addition, information, education and communication on the importance of timely initiation of breastfeeding must be supported to improve maternal and infant wellbeing.
及时开始母乳喂养可降低新生儿死亡率。然而，在刚果民主共和国，约50%的新生儿在出生后1小时内未进行母乳喂养。本研究的目的是确定刚果民主共和国南基伍省布卡武城乡地区母乳喂养开始延迟的相关因素。
2016年7月20日至10月10日期间，我们对396对母婴（城市地区185对，农村地区211对）进行了访谈。我们使用描述性统计来展示早期开始母乳喂养的患病率。在双变量模型中显示与母乳喂养开始延迟相关的变量被纳入多变量逻辑模型。
总体而言，早期开始母乳喂养的比例为65.9%（农村地区为69.7%，城市地区为61.6%）。274名（62.9%）母亲（农村地区159名，城市地区115名）在产前护理期间接受了关于早期开始母乳喂养的咨询。大多数母亲（65.2%）接受了卫生专业人员的咨询。在对模型中的其他变量进行调整后的多变量回归分析中，未婚母亲[比值比（OR）：1.5（95%置信区间（CI）：1.13，1.95）]、剖宫产[OR：2.24（95%CI：1.74，2.88）]、未接受关于及时开始母乳喂养的咨询[OR：1.71（95%CI：1.29，2.20）]以及接受非卫生专业人员的咨询[OR：1.84（95%CI：1.08，3.12）]与母乳喂养开始延迟有关。
需要进行系统性变革，以使剖宫产的妇女能够进行皮肤接触和早期开始母乳喂养。此外，必须支持关于及时开始母乳喂养重要性的信息、教育和宣传，以改善母婴健康。
