Department of Nursing, College of Medicine and Health Sciences, Wolaita Sodo University, Sodo, Ethiopia.
School of Nursing and Midwifery, College of Health Science, Addis Ababa University, Addis Ababa, Ethiopia.
Ital J Pediatr. 2019 Jan 15;45(1):15. doi: 10.1186/s13052-019-0604-3.
Although Pre-lacteal feeding is a barrier for implementation of optimal breastfeeding practices and increases the risk of neonatal illness and mortality, still it is continued as a deep-rooted nutritional malpractice in developing countries. In Ethiopia pre-lacteal feeding continued as one of the nutritional malpractices in newborns. Therefore the aim of this study was to assess pre-lacteal feeding practice and its determinants among mothers of children less than 24 months of age in Sodo zuria district, Wolaita zone, Southern Ethiopia.
Community-based cross-sectional study was conducted from February 15, 2017 to March 12, 2017 in Sodo zuria district, Wolaita zone, Southern Ethiopia. Five hundred five (505) mothers of children aged less than 24 months were selected by multistage randomized sampling technique and the data were collected by using interview based structured questionnaire. Descriptive statistics, binary and multivariable logistic regression analysis were employed to identify the factors associated with pre-lacteal feeding practices. Variables with a p-value < 0.05 were identified as statistically significant factors.
The prevalence of pre-lacteal feeding practice was 20.6%. The common type of pre-lacteal feeding given was plain water; 38(7.7%) and the major reason was insufficient breast milk 32(6.5%). Mothers living with extended family type (AOR = 10.64, 95% CI: 1.05, 10.71), Lack of breastfeeding counseling (AOR = 5.16, 95% CI: 1.76, 15.13) and mothers who avoid colostrum (AOR = 9.72, 95% CI: 3.46, 27.30) were statistically significant positive predictors of pre-lacteal feeding practice.
CONCLUSION & RECOMMENDATION: Pre-lacteal feeding is commonly practiced in Soddo zuria district. Mothers who live with extended family type, mothers who did not get breastfeeding counseling and mothers who avoid colostrum were statistically significant positive predictors of pre-lacteal feeding practice. Therefore, strengthening breastfeeding counseling about the risks associated with pre-lacteal feeding and colostrum feeding intervention should be integrated. Promotion of intensive nutrition education program, on the benefit of colostrum by giving special emphasis to extended family mothers should be implemented in the community.
尽管非母乳喂养是实施最佳母乳喂养实践的障碍，并增加了新生儿患病和死亡的风险，但在发展中国家，它仍然是根深蒂固的营养陋习。在埃塞俄比亚，非母乳喂养仍然是新生儿的营养陋习之一。因此，本研究旨在评估索多祖里亚地区 24 个月以下儿童母亲的非母乳喂养实践及其决定因素，该地区位于埃塞俄比亚南部的沃莱塔区。
2017 年 2 月 15 日至 3 月 12 日在沃莱塔区索多祖里亚地区进行了一项基于社区的横断面研究。采用多阶段随机抽样技术，选择了 505 名 24 个月以下儿童的母亲，并使用基于访谈的结构化问卷收集数据。采用描述性统计、二项和多变量逻辑回归分析来确定与非母乳喂养实践相关的因素。p 值<0.05 的变量被确定为统计学上显著的因素。
非母乳喂养实践的流行率为 20.6%。给予的常见非母乳喂养类型是白开水，有 38 例（7.7%），主要原因是母乳不足 32 例（6.5%）。与大家庭类型生活在一起的母亲（AOR=10.64，95%CI：1.05，10.71）、缺乏母乳喂养咨询（AOR=5.16，95%CI：1.76，15.13）和避免初乳的母亲（AOR=9.72，95%CI：3.46，27.30）是母乳喂养的统计学显著正预测因素。
在索多祖里亚地区，非母乳喂养的做法很常见。与大家庭类型生活在一起的母亲、没有接受母乳喂养咨询的母亲和避免初乳的母亲是非母乳喂养的统计学显著正预测因素。因此，应该加强与非母乳喂养相关风险的母乳喂养咨询，并结合初乳喂养干预措施。应在社区中实施强化营养教育计划，特别强调大家庭母亲的初乳益处。
