Wolde Tarekegn Fekede, Ayele Amare Demsie, Takele Wubet Worku
Department of Nursing, Faculty of Public Health and Medical Sciences, Mettu University, Metu, Oromia Region, Ethiopia.
Department of Pediatrics and Child Health Nursing, School of Nursing, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
BMC Res Notes. 2019 Jan 7;12(1):9. doi: 10.1186/s13104-019-4044-3.
Despite prelacteal feeding contravenes with exclusive breastfeeding, it is a prevailing problem in Ethiopia. However, its burden and factors were not investigated in Mettu district. Therefore, the objective of our study was to conduct the burden of prelacteal feeding and its associated factors. Community-based cross-sectional study was conducted among 730 mother-child pairs. Stratified cluster sampling was used. Data were collected by face- to- face interview. Logistic regression model was fitted.
A total of 719 mother-child pairs with a response rate of 98.5% were participated. The overall proportion of prelacteal feeding among mothers was 14.2% [95% CI (12.0, 17.0)]. No maternal education [AOR: 3.54 (95% CI 1.7, 6.98)], single ANC visits [AOR: 6.87 (95% CI 3.21, 14.73)], didn't know risks of prelacteal feeding [AOR: 2.73 (95% CI 1.47, 5.05)], colostrums avoidance [AOR: 6.030 (95% CI 3.48, 10.46)], home delivery [AOR: 3.04 (95% Cl 1.60, 5.75] and cesarean delivery [AOR: 4.27 (95% CI 2.28, 7.99)] were significantly associated factors. Prelacteal feeding among mother-child pairs was high. Hence, increasing maternal education and institutional delivery are vital for prompt infant feeding.
尽管开奶前喂养与纯母乳喂养相悖，但在埃塞俄比亚这却是一个普遍存在的问题。然而，梅图地区尚未对其负担及影响因素进行调查。因此，我们研究的目的是探究开奶前喂养的负担及其相关因素。我们对730对母婴进行了基于社区的横断面研究。采用分层整群抽样法。通过面对面访谈收集数据，并拟合逻辑回归模型。
共有719对母婴参与，应答率为98.5%。母亲中开奶前喂养的总体比例为14.2% [95%可信区间(12.0, 17.0)]。未接受过母亲教育[AOR: 3.54 (95%可信区间1.7, 6.98)]、产前检查次数少[AOR: 6.87 (95%可信区间3.21, 14.73)]、不了解开奶前喂养的风险[AOR: 2.73 (95%可信区间1.47, 5.05)]、避免初乳喂养[AOR: 6.030 (95%可信区间3.48, 10.46)]、在家分娩[AOR: 3.04 (95%可信区间1.60, 5.75)]以及剖宫产分娩[AOR: 4.27 (95%可信区间2.28, 7.99)]均为显著相关因素。母婴对中开奶前喂养的比例较高。因此，提高母亲教育水平和住院分娩对促进婴儿喂养至关重要。
