Yeshambel Wassie Addisu, Atnafu Gebeyehu Natnael, Abebe Gelaw Kelemu
Department of Midwifery, College of Health Science and Medicine, Wolaita Sodo University, Wolaita Sodo, Ethiopia.
Int J Pediatr. 2020 Jan 21;2020:3453502. doi: 10.1155/2020/3453502. eCollection 2020.
The role of colostrum in promoting the growth and development of the newborn as well as fighting infections is widely acknowledged. In Ethiopia, there are differences in cultures in the acceptability of colostrum and the prevalence of colostrum feeding. Although breastfeeding is a common practice in Ethiopia, there is a difference in the awareness and attitude of pregnant mothers regarding colostrum feeding.
To assess knowledge, attitude, and associated factors towards colostrum feeding among antenatal care attendant mothers in Gununo Health Center, South Ethiopia, 2019.
Facility-based cross-sectional study design was conducted among 342 ANC (antenatal care) attendant mothers in Gununo Health Center from April to May 2019. Data was collected by using structured interviewer questionnaires and the subjects were selected through systematic random sampling. Data template was prepared by Epi data-manger version 4.2 and SPSS version 23 was used for analysis. Bivariate and multivariate analysis with 95% CI was employed. Variables found to have a -value < 0.2 in the binary logistic regression were entered into multivariate analysis and strength of association was declared at -value < 0.2 in the binary logistic regression were entered into multivariate analysis and strength of association was declared at.
Among the study participants 226 (66.1%) were knowledgeable and 39 (11.4%) were not knowledgeable on colostrum feeding. From the respondents, 239 (69.9%) had a positive attitude and the rest 103 (30.1%) mothers had a negative attitude towards colostrum feeding. Respondents who had more than four children (AOR = 1.21, 95% CI [1.31, 2.47], ANC visit (four times and above) (AOR=2.8, 95% CI [2.23, 4.49]), and counseled about colostrum feeding (AOR = 2.29, 95% CI [2.34, 3.74]), were some variables that significantly associated with knowledge of colostrum feeding. Those who had been counseled about breastfeeding (AOR = 1.16, 95% CI [1.59-3.96]), ANC visit (AOR = 11.32, 95% CI [1.14, 112.64]), and multiparas (AOR = 5.68, 95% CI [1.57, 20.53]) were some variables that significantly associated with attitude. Even though the mothers' knowledge and attitude seem higher than from previously conducted articles in Ethiopia, still gaps were seen clearly on colostrum feeding in the area. It is recommended to set strategies to promote colostrum feeding.
初乳在促进新生儿生长发育以及抵抗感染方面的作用已得到广泛认可。在埃塞俄比亚，不同文化对初乳的接受程度以及初乳喂养的普及率存在差异。尽管母乳喂养在埃塞俄比亚是一种常见做法，但孕妇对初乳喂养的认知和态度存在差异。
评估2019年埃塞俄比亚南部古努诺健康中心产前护理产妇对初乳喂养的知识、态度及相关因素。
2019年4月至5月，在古努诺健康中心对342名产前护理（ANC）产妇进行了基于机构的横断面研究设计。通过使用结构化访谈问卷收集数据，研究对象通过系统随机抽样选取。数据模板由Epi data - manger 4.2版本准备，SPSS 23版本用于分析。采用95%置信区间的二元和多变量分析。在二元逻辑回归中p值<0.2的变量进入多变量分析，并在二元逻辑回归中p值<0.2时声明关联强度进入多变量分析并声明关联强度。
在研究参与者中，226人（66.1%）对初乳喂养有了解，39人（11.4%）不了解。在受访者中，239人（69.9%）态度积极，其余103名（30.1%）母亲对初乳喂养态度消极。生育四个以上孩子的受访者（调整后比值比[AOR]=1.21，95%置信区间[1.31, 2.47]）、产前检查（四次及以上）（AOR = 2.8，95%置信区间[2.23, 4.49]）以及接受过初乳喂养咨询的受访者（AOR = 2.29，95%置信区间[2.34, 3.74]）是与初乳喂养知识显著相关的一些变量。那些接受过母乳喂养咨询的受访者（AOR = 1.16，95%置信区间[1.59 - 3.96]）、产前检查（AOR = 11.32，95%置信区间[1.14, 112.64]）以及经产妇（AOR = 5.68，95%置信区间[1.57, 20.53]）是与态度显著相关的一些变量。尽管这些母亲的知识和态度似乎高于埃塞俄比亚此前发表的文章中的水平，但该地区在初乳喂养方面仍存在明显差距。建议制定促进初乳喂养的策略。
