Department of child health Nursing, College of Medicine and Health science, Bahir Dar University, Bahir Dar, Ethiopia.
Department of Midwifery, College of Medicine and Health science, Arba Minch University, Arba Minch, Ethiopia.
Ital J Pediatr. 2019 Jun 7;45(1):70. doi: 10.1186/s13052-019-0662-6.
World Health Organization recommended timely initiation of breastfeeding within the first hour of delivery. Less than half of newborn babies (43%) receive the benefits of immediate breastfeeding in the world. In East Africa and Ethiopia, the prevalence of early initiation of breastfeeding was 61.82 and 73%, respectively. But, the prevalence of early initiation of breastfeeding was not assessed in relation to the duration of term premature rupture of the membrane in Ethiopia. Therefore, the aim of this study was to assess the effect of the latency period of term premature rupture of the membrane on early initiation of breastfeeding in Southern Ethiopia, 2017.
The study was conducted in Southern Ethiopia public hospitals by using facility based prospective follow up study from 20th February to 20th August 2017. Then, based on the duration of latency period of term premature rupture of the membrane, 98 and 294 mothers with prolonged and short latency period were followed until the initiation of breastfeeding respectively. Logistic regression analysis was performed to see the association between predictor and outcome variables. Adjusted odds ratio, with 95% CI, was calculated for each independent variable to check the adjusted association between independent variables and dependent variable. The statistical significance was set at P < =0.05.
From a total of 91 mothers with prolonged latency period of premature rupture of membrane, 66.0% of them initiated breastfeeding after 1 h of birth. One the other hand, from 289 women with short latency period, 65.7% of them initiated breastfeeding within 1 h of delivery. The odds of initiation of breastfeeding within 1 h of delivery was higher in mothers with a short latency period of term premature rupture of membrane as compared to a prolonged latency period (AOR = 4.169: 95% CI; [1.933, 8.991]). Other variables such as educational status, wealth index, and place of residence were also independent predictors of initiation of breastfeeding.
This study pointed out that women with short latency period of premature rupture of the membrane were more likely to initiate breastfeeding within an hour of delivery than women with prolonged latency period. Therefore, this finding suggested that women with prolonged premature rupture of membrane need special attention to increase early initiation breastfeeding.
世界卫生组织建议在分娩后第一小时内及时开始母乳喂养。全世界只有不到一半的新生儿（43%）能受益于立即进行母乳喂养。在东非和埃塞俄比亚，早期开始母乳喂养的比例分别为 61.82%和 73%。但是，在埃塞俄比亚，没有评估早产胎膜早破持续时间与早期开始母乳喂养之间的关系。因此，本研究旨在评估足月胎膜早破潜伏期对埃塞俄比亚南部早期开始母乳喂养的影响。
本研究于 2017 年在埃塞俄比亚南部的公立医院进行，采用基于设施的前瞻性随访研究，时间为 2 月 20 日至 8 月 20 日。然后，根据早产胎膜早破的潜伏期持续时间，分别对 98 名和 294 名潜伏期较长和较短的母亲进行随访，直到开始母乳喂养。采用逻辑回归分析来观察预测因素和结果变量之间的关系。为了检查独立变量与因变量之间的调整后关联，为每个独立变量计算调整后的优势比（95%置信区间）。统计学显著性设定为 P < =0.05。
在总共 91 名潜伏期较长的早产胎膜早破母亲中，有 66.0%的人在出生后 1 小时内开始母乳喂养。另一方面，在 289 名潜伏期较短的妇女中，有 65.7%的人在分娩后 1 小时内开始母乳喂养。与潜伏期较长的产妇相比，潜伏期较短的产妇在 1 小时内开始母乳喂养的可能性更高（优势比=4.169：95%置信区间[1.933，8.991]）。其他变量，如教育程度、财富指数和居住地，也是开始母乳喂养的独立预测因素。
本研究指出，潜伏期较短的产妇比潜伏期较长的产妇更有可能在分娩后 1 小时内开始母乳喂养。因此，这一发现表明，潜伏期较长的产妇需要特别注意增加早期开始母乳喂养。
