Department of Midwifery, School of Health Science, Goba Referral Hospital, Madda Walabu University, Goba, Ethiopia.
Department of Public Health, School of Health Science, Goba Referral Hospital, Madda Walabu University, Goba, Ethiopia.
Midwifery. 2021 Aug;99:103009. doi: 10.1016/j.midw.2021.103009. Epub 2021 Apr 20.
Prelacteal feeding is feeding a newborn ritual foods - solids or fluids - before the baby commence breastfeeding in the first three days of its life. It affects exclusive breastfeeding, exposes infants to infections, and contributes to infant mortality. This study aimed to identify determinants of prelacteal feeding in Ethiopia.
This study used data from the 2016 Ethiopian Demographic and Health Survey. A total of 649 cases and 2596 controls were included in the analysis. Cases were from women who has given prelacteal foods; and controls were from women whom, otherwise, never gave prelacteal foods. Socio-demographics and obstetric characteristics were examined to assess for associations with prelacteal feeding. Bivariate and multivariate logistic regression analyses were employed to check for significant associations. Data were analyzed using Stata version 14. A p-value <0.05 in multivariate logistic regression analysis was used to declare statistical significance.
Primi parous mothers had 1.24 times (AOR = 1.24, 95% CI: 1.00-1.51) higher odds of prelacteal feeding; mothers who gave birth at home had 1.49 times (AOR = 1.49, 95% CI: 1.11-2.00) higher odds; and mothers who gave birth by cesarean section had 2.09 times (AOR = 2.09, 95% CI: 1.27- 3.44) higher odds compared to their counterparts. In another note, small sized children at birth had 27% (AOR = 0.73, 95% CI: 0.57-0.93) less likely to receive prelacteal feedings. The administrative region of the mothers was also significantly associated with prelacteal feeding.
Parity, small size at birth, home delivery, caesarean delivery and administrative region were significantly associated with prelacteal feeding practices. Mothers are encouraged to give birth in the health facilities, and promotion and early exclusive breastfeeding practices in post-operative and postpartum times are greatly encouraged.
早于开奶期喂养是指在新生儿生命的头三天内，给新生儿喂食非母乳的固体或液体食物。这种喂养方式会影响纯母乳喂养的进行，使婴儿暴露于感染之中，并导致婴儿死亡。本研究旨在确定埃塞俄比亚早于开奶期喂养的决定因素。
本研究使用了 2016 年埃塞俄比亚人口与健康调查的数据。共有 649 例病例和 2596 例对照纳入了分析。病例组来自于给新生儿喂食了早于开奶期食物的母亲；对照组来自于从未给新生儿喂食早于开奶期食物的母亲。本研究检查了社会人口统计学和产科特征，以评估与早于开奶期喂养的关联。采用二变量和多变量逻辑回归分析来检查显著关联。数据采用 Stata 版本 14 进行分析。多变量逻辑回归分析中 p 值<0.05 被用于宣布统计学意义。
初产妇的早于开奶期喂养的可能性高 1.24 倍（优势比[AOR] = 1.24，95%置信区间：1.00-1.51）；在家分娩的母亲的可能性高 1.49 倍（AOR = 1.49，95%置信区间：1.11-2.00）；而剖宫产的母亲的可能性高 2.09 倍（AOR = 2.09，95%置信区间：1.27-3.44）。此外，出生时体型较小的儿童接受早于开奶期喂养的可能性低 27%（AOR = 0.73，95%置信区间：0.57-0.93）。母亲所在的行政区域也与早于开奶期喂养显著相关。
胎次、出生时体型小、在家分娩、剖宫产和行政区域与早于开奶期喂养行为显著相关。鼓励母亲在卫生机构分娩，并大力提倡在术后和产后期间促进和早期实行纯母乳喂养。
