Public Health Emergency Management and Health Research Office, Oromia Regional Health Bureau Addis Ababa, Addis Ababa, Ethiopia.
Department of Epidemiology, Institute of Health Sciences, Jimma University, 378, Jireen Street, Jimma, Ethiopia.
Int Breastfeed J. 2020 Feb 4;15(1):6. doi: 10.1186/s13006-019-0250-9.
Employed women tend to exclusively breastfeed less than non-employed women. Early returning to work has been major reason why employed women stop exclusive breastfeeding. The aim of this study was to investigate exclusive breastfeeding (EBF) cessation and associated factors among employed mothers in Dukem town, Central Ethiopia.
A cross-sectional study was conducted from February to March 2015 using total sample of 313 randomly selected permanently employed women. Information regarding participants' work-related factors, health service and sociodemographic factors were collected by face to face interview using structured questionnaire. Data were checked for completeness, entered and analyzed by SPSS version 20. Binary logistic regression was done to identify factors associated with exclusive breastfeeding cessation. The strength of association was measured using odds ratio with 95% confidence intervals.
Prevalence of exclusive breastfeeding cessation was 75.7% (95% CI 71.0, 80.5%). Having a short duration of maternity leave (AOR 9.3; 95% CI 3.8, 23), being a full time employee (AOR 3.5; 95% CI 1.7, 11), being private organization employee (AOR=2.1, 95% CI(1, 4.3)), lack of flexible work time (AOR 3.0; 95% CI 1.2, 7.5), not pumping breast milk (AOR 4.3; 95% CI 1.7, 11), lack of a lactation break (AOR 6.7; 95% CI 3,14.5) and work place far away from her child (AOR 3.1; 95% CI 3.1, 6.3), were significantly associated with cessation of EBF among employed mothers.
Prevalence of exclusive breastfeeding cessation was much higher than the international and national expectation. The concerned governmental bodies should consider improving the legislation of the 3 months postpartum maternity leave to reduce employed mother's exclusive breastfeeding cessation.
与非就业女性相比，就业女性往往完全母乳喂养的时间更短。早回职场是就业女性停止纯母乳喂养的主要原因。本研究旨在调查埃塞俄比亚中部 Dukem 镇就业母亲的纯母乳喂养（EBF）中断情况及其相关因素。
本研究为 2015 年 2 月至 3 月进行的横断面研究，采用 313 名随机抽取的永久性就业女性的总样本。通过面对面访谈使用结构化问卷收集有关参与者工作相关因素、卫生服务和社会人口统计学因素的信息。数据经过完整性检查后，使用 SPSS 版本 20 进行录入和分析。采用二元逻辑回归确定与纯母乳喂养中断相关的因素。采用比值比及其 95%置信区间来衡量关联强度。
纯母乳喂养中断率为 75.7%（95%CI 71.0，80.5%）。产假时间短（AOR 9.3；95%CI 3.8，23）、全职员工（AOR 3.5；95%CI 1.7，11）、私营组织员工（AOR=2.1，95%CI（1，4.3））、缺乏灵活的工作时间（AOR 3.0；95%CI 1.2，7.5）、不挤奶（AOR 4.3；95%CI 1.7，11）、缺乏哺乳休息（AOR 6.7；95%CI 3，14.5）和工作地点远离孩子（AOR 3.1；95%CI 3.1，6.3）与就业母亲 EBF 的中断显著相关。
纯母乳喂养中断率远高于国际和国家预期。有关政府机构应考虑改善 3 个月产后产假的立法，以减少就业母亲的纯母乳喂养中断。
