Mekonen Liyew, Seifu Wubareg, Shiferaw Zemenu
1College of Medicine and Health Sciences, Public Health Department, Reproductive Health and Nutrition Unit, Jigjiga University, Jigjiga, Ethiopia.
2College of Medicine and Health Sciences, Public Health Department, Epidemiology and Biostatistics Unit, Jigjiga University, Jigjiga, Ethiopia.
Int Breastfeed J. 2018 May 2;13:17. doi: 10.1186/s13006-018-0160-2. eCollection 2018.
Timely initiation of breastfeeding is defined as putting the newborn to the breast within one hour of birth. Significant benefits in reducing neonatal mortality and morbidity can be attained with effective promotion of timely initiation of breastfeeding and exclusive breastfeeding during the first months of life. Therefore, this study was conducted to assess timely initiation of breastfeeding and associated factors among mothers in South Gondar, Amhara regional state, Northern Ethiopia.
A community based cross-sectional study was employed. A multistage stratified sampling technique was used to select the sample of 845 mothers with 97.4% response rate. Moreover, data were collected by face to face interview using a semi structured questionnaire.
The prevalence of timely initiation of breastfeeding was 48.7% (54.7% in urban and 25.1% in rural areas). The odds of initiation of breastfeeding within one hour was higher for urban mothers (Adjusted Odds Ratio [AOR] 2.1; 95% Confidence Interval [CI] 1.4, 3.3), multiparous mothers (AOR 2.8; 95% CI 2.0, 3.8), mothers who had antenatal care (AOR 3.2; 95% CI 2.0, 5.2), mothers delivered in health institution (AOR 3.1; 95% CI 2.2, 4.6) and mothers delivered vaginally (AOR 4.1; 95% CI 1.7, 9.8) than their respective counterparts.
This study depicts the rate of timely initiation of breastfeeding was low in south Gondar zone. Factors which were positively associated with timely initiation of breastfeeding include urban residence, multiparity, having antenatal care, mother deliver in health institution and vaginal mode of delivery. Therefore, South Gondar health office and healthcare providers have to provide breastfeeding information during antenatal care by giving special emphasis to rural and primiparous mothers in which timely initiation of breastfeeding is poorly practiced. Further study is needed to assess the implementation of policies on timely initiation of breastfeeding.
及时开始母乳喂养的定义是在新生儿出生后一小时内让其吸吮乳房。在生命的头几个月有效促进及时开始母乳喂养和纯母乳喂养可带来降低新生儿死亡率和发病率的显著益处。因此，本研究旨在评估埃塞俄比亚北部阿姆哈拉州南贡德尔地区母亲中及时开始母乳喂养的情况及相关因素。
采用基于社区的横断面研究。使用多阶段分层抽样技术选取845名母亲作为样本，应答率为97.4%。此外，通过面对面访谈使用半结构化问卷收集数据。
及时开始母乳喂养的患病率为48.7%（城市地区为54.7%，农村地区为25.1%）。城市母亲（调整优势比[AOR] 2.1；95%置信区间[CI] 1.4, 3.3）、经产妇（AOR 2.8；95% CI 2.0, 3.8）、接受过产前护理的母亲（AOR 3.2；95% CI 2.0, 5.2）、在医疗机构分娩的母亲（AOR 3.1；95% CI 2.2, 4.6）以及经阴道分娩的母亲（AOR 4.1；95% CI 1.7, 9.8）在一小时内开始母乳喂养的几率高于各自的对照组。
本研究表明南贡德尔地区及时开始母乳喂养的比例较低。与及时开始母乳喂养呈正相关的因素包括城市居住、多胎妊娠、接受产前护理、在医疗机构分娩以及阴道分娩方式。因此，南贡德尔卫生局和医疗服务提供者必须在产前护理期间提供母乳喂养信息，特别关注农村和初产妇，因为她们在及时开始母乳喂养方面做得较差。需要进一步研究来评估及时开始母乳喂养政策的实施情况。
