埃塞俄比亚西北部巴赫达尔市初产妇的纯母乳喂养行为及相关因素：一项基于社区的横断面研究（已删除）
Exclusive breastfeeding practice and associated factors among first-time mothers in Bahir Dar city, North West Ethiopia, removed: A community based cross sectional study.
作者信息
Ayalew Tilksew
机构信息
Department of Child Health Nursing, College of Medicine and Health Science, Bahir Dar University, Bahir Dar, Ethiopia.
出版信息
Heliyon. 2020 Sep 3;6(9):e04732. doi: 10.1016/j.heliyon.2020.e04732. eCollection 2020 Sep.
BACKGROUND
Breastfeeding can offer the ideal food for infants. It contains all the necessary nutrients for the growthand development of infants and antibodies that can protect from many childhood illnesses. Understanding the extent of, and barriers to exclusive breastfeeding in Ethiopia is important for learning how to best improve level of exclusive breastfeeding. No single study has been conducted on first-time mothers in the country. . Therefore, this study aimed to assess prevalence of exclusive breastfeeding practice and associated factors among first-time mothers in Bahir Dar city, North West Ethiopia.
METHOD
A community-based cross-sectional study was conducted from March to April, 2016 among (n = 400) randomly selected first-time mothers in Bahir Dar city, northwest Ethiopia. Data were collected using structured interviewer-administered questionnaire and analyzed using SPSS version20., bivariate and multivariate logistic regression analyses were carried out. Odds ratio with 95% confidence interval was used to measure the strength of association. Statistical significance was declared at P -value <0.05.
RESULTS
Prevalence of exclusive breastfeeding practice 24 h before the survey was 57.3% (95%CI: 52.3%-62%). Mothers not being married (aOR = 2.79, 95 %CI: 1.08, 7.17), supported by their husband (aOR = 4.15, 95%CI: 2.13, 6.28), with no breast complication (aOR = 3.66, 95% CI: 2.13, 6.28), who had four or more antenatal care (aOR = 2.51, 95%CI: 1.49, 4.23) were more likely to practice exclusive breastfeeding.
CONCLUSION
A significant proportion of mothers had a low level of exclusive breastfeeding practice that was lower than the national recommended level. Mothers not being married, supported by their husbands, with no breast problems who had four or more antenatal care visits were more likely to practice exclusive breastfeeding. These results suggest that multi-sectorial and multi-disciplinary approaches are needed to increase exclusive breastfeeding in the first-time mothers.
背景
母乳喂养可为婴儿提供理想的食物。它含有婴儿生长发育所需的所有必要营养物质以及能预防许多儿童疾病的抗体。了解埃塞俄比亚纯母乳喂养的程度和障碍对于学习如何最好地提高纯母乳喂养水平很重要。该国尚未针对初产妇进行过单独研究。因此，本研究旨在评估埃塞俄比亚西北部巴赫达尔市初产妇的纯母乳喂养率及相关因素。
方法
2016年3月至4月，在埃塞俄比亚西北部巴赫达尔市对400名随机选取的初产妇进行了一项基于社区的横断面研究。使用结构化访谈式问卷收集数据，并使用SPSS 20版进行分析。进行了二元和多因素逻辑回归分析。采用95%置信区间的比值比来衡量关联强度。P值<0.05时具有统计学意义。
结果
调查前24小时的纯母乳喂养率为57.3%（95%CI：52.3%-62%）。未婚母亲（调整后比值比[aOR]=2.79，95%CI：1.08，7.17）、得到丈夫支持的母亲（aOR=4.15，95%CI：2.13，6.28）、没有乳房并发症的母亲（aOR=3.66，95%CI：2.13，6.28）以及进行过四次或更多次产前检查的母亲（aOR=2.51，95%CI：1.49，4.23）更有可能进行纯母乳喂养。
结论
很大比例的母亲纯母乳喂养水平较低，低于国家推荐水平。未婚、得到丈夫支持、没有乳房问题且进行过四次或更多次产前检查的母亲更有可能进行纯母乳喂养。这些结果表明，需要采取多部门和多学科方法来提高初产妇的纯母乳喂养率。
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