Tewabe Tilahun
Peaditrics and Childe Health Nursing, Bahir Dar Univesity, Ethiopia.
Ethiop J Health Sci. 2018 Jul;28(4):393-402. doi: 10.4314/ejhs.v28i4.5.
Optimal breastfeeding is recommended up to two years, i.e, it prevents 1.4 million child deaths per year. Despite this prelacteal feeding is commonly practiced in Ethiopia due to different reasons. The objective of this study was to assess prelacteal feeding and associated factors among mothers who have infants less than six months of age.
A community based quantitative cross sectional study was conducted from April 7, 2015 to May 7, 2015. Using simple random sampling method total of 423 mothers with infant less than six months old were included in this study. The data were collected by using an interviewer admini stered questionnaire. Both simple and multiple logistic regression analyses were computed to identify factors associated with prelacteal feeding.
Prevalence of prelacteal feeding was 20.3% [95% CL: 16.38% - 24.02%]. The most common prelacteal feeding in the study area was butter (62.2%). Mothers with young infant who fed colostrum [AOR=3.540 (1.534, 8.173), initiated breastfeeding on time [AOR=4.4832 (1.823, 11.028)] and supported by husband's [AOR=2.686 (1.037, 6.953)] were less likely to practice prelacteal feeding to their infant than their counterparts.
Prelacteal feeding was common in the study area. Colostrum feeding, timely initiations of breastfeeding and husband support were the independent predictors of prelacteal feeding practices. Recommendation to avoid prelacteal feeding practices were: increasing the habit of mothers to initiate breastfeeding timely and to feed colostrum through education, empowering husbands regarding to breastfeeding and avoiding traditional practices that hinder optimal breastfeeding like colostrum avoidance.
建议最佳母乳喂养持续至两年,即每年可预防140万儿童死亡。尽管如此,由于各种原因,埃塞俄比亚普遍存在开奶前喂养的情况。本研究的目的是评估6个月以下婴儿母亲的开奶前喂养情况及相关因素。
2015年4月7日至2015年5月7日进行了一项基于社区的定量横断面研究。采用简单随机抽样方法,本研究共纳入423名6个月以下婴儿的母亲。数据通过访谈员管理的问卷收集。进行单因素和多因素逻辑回归分析以确定与开奶前喂养相关的因素。
开奶前喂养的患病率为20.3%[95%可信区间:16.38%-24.02%]。研究区域最常见的开奶前喂养食物是黄油(62.2%)。与初乳喂养的婴儿年龄较小、按时开始母乳喂养以及得到丈夫支持的母亲相比,她们给婴儿进行开奶前喂养的可能性较小,其调整后比值比分别为3.540(1.534,8.173)、4.4832(1.823,11.028)和2.686(1.037,6.953)。
开奶前喂养在研究区域很常见。初乳喂养、及时开始母乳喂养和丈夫的支持是开奶前喂养行为的独立预测因素。避免开奶前喂养行为的建议是:通过教育增加母亲及时开始母乳喂养和喂养初乳的习惯,使丈夫在母乳喂养方面获得支持,并避免阻碍最佳母乳喂养的传统做法,如避免初乳喂养。