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2020年埃塞俄比亚西北部贡德尔南区医院阴道分娩母亲的母乳喂养早期启动情况及其相关因素

Early Initiation of Breastfeeding and Its Associated Factors Among Mothers Who Delivered Vaginally in South Gondar Zone Hospitals, Northwest Ethiopia, 2020.

作者信息

Getnet Kassa Bekalu

机构信息

Department of Midwifery, College of Health Science, Debre Tabor University, Debre Tabor, Amhara, Ethiopia.

出版信息

Int J Womens Health. 2021 Jan 6;13:9-17. doi: 10.2147/IJWH.S279698. eCollection 2021.

Abstract

PURPOSE

The early onset of skin-to-skin contact encourages the infant to breastfeed within one hour of birth. The aim of this study was to assess the prevalence of early onset breastfeeding and its associated factors among vaginal delivered mothers in hospitals in the South Gondar Zone of Northwest Ethiopia in 2020.

METHODS

From January 12 to February 03, 2020, an institutional-based cross-sectional study was used in South Gondar Zone hospitals. A total of 356 mothers delivered by vaginal were included. Data was collected using a questionnaire administered by the interviewer and entered into version 3.1 of EpiData, and then exported to SPSS version 23.0.0. To classify factors correlated with the outcome variables, logistic regression statistical analyses were used.

RESULTS

In the study area, the prevalence of early breastfeeding initiation among vaginally delivered mothers was 88.2%. Mothers who had unintended pregnancy [adjusted OR=6.00, 95% CI=2.8, 12.5], had professional guidance [adjusted OR=2.75, 95% CI=1.2, 5.6] and experience with breastfeeding [adjusted OR=1.79 95% CI=1.19, 2.68] among vaginal delivered mothers were positively correlated with early breastfeeding initiation.

CONCLUSION

The type of pregnancy and professional guidance among vaginally delivered mothers were significantly associated with early initiation of breastfeeding. Community-based education and counseling on breastfeeding for pregnant mothers and encouraging all mothers to start early breastfeeding.

摘要

目的

尽早开始皮肤接触能促使婴儿在出生后一小时内进行母乳喂养。本研究的目的是评估2020年埃塞俄比亚西北部南贡德尔地区医院中经阴道分娩的母亲早期开始母乳喂养的患病率及其相关因素。

方法

2020年1月12日至2月3日,在南贡德尔地区的医院开展了一项基于机构的横断面研究。共纳入356名经阴道分娩的母亲。数据通过访谈员使用问卷收集,并录入EpiData 3.1版本,然后导出到SPSS 23.0.0版本。为了对与结果变量相关的因素进行分类,采用了逻辑回归统计分析。

结果

在研究区域,经阴道分娩的母亲中早期开始母乳喂养的患病率为88.2%。意外怀孕的母亲[调整后的比值比(OR)=6.00,95%置信区间(CI)=2.8,12.5]、接受过专业指导的母亲[调整后的OR=2.75,95%CI=1.2,5.6]以及有母乳喂养经验的经阴道分娩母亲[调整后的OR=1.79,95%CI=1.19,2.68]与早期开始母乳喂养呈正相关。

结论

经阴道分娩的母亲的怀孕类型和专业指导与早期开始母乳喂养显著相关。应针对孕妇开展基于社区的母乳喂养教育和咨询,并鼓励所有母亲尽早开始母乳喂养。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfea/7797326/f362cd083424/IJWH-13-9-g0001.jpg

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