Adem Ahmedzekuwan, Assefa Nega, Deresa Merga, Yuya Mohammed, Ayana Galana Mamo, Negash Belay, Beshir Temam, Merga Bedasa Taye
Bisidimo General Hospital, Oromia Regional Health Bureau, Bisidimo, Ethiopia.
School of Nursing and Midwifery, College of Health and Medical Sciences, Haramaya University, Harar, Ethiopia.
Glob Pediatr Health. 2021 May 20;8:2333794X211018321. doi: 10.1177/2333794X211018321. eCollection 2021.
Prelacteal feeding is defined as administration of any substances other than breast milk to newborn babies during the first 3 days after birth. Despite its negative health outcomes, it is commonly practiced in developing countries. Therefore, this study aimed at assessing the prevalence of pre-lacteal feeding practices and associated factors among mothers of children aged less than 2 years of age in Kersa district, Eastern Ethiopia. A community-based cross-sectional study design was conducted among 465 mothers having children aged less than 2 years in Kersa district. A multistage sampling technique was used to select study participants. Binary logistic regression analysis was fitted to identify factors associated with prelacteal feeding practices. Variables with a -value <.05 were identified as statistically significant factors. The prevalence of pre-lacteal feeding in Kersa district was 46.4% (95% CI; 42.0%, 51.5%). Initiating breastfeeding after 1 hour of delivery (AOR = 10.80, 95% CI: (5.79, 20.17)), giving birth at home (AOR = 2.77, 95% CI: (1.41, 5.46)), not knowing risks associated with pre-lacteal feeding (AOR = 3.25, 95% CI: (1.72, 6.15)) and perceiving pre-lacteal feeding as beneficial (AOR = 9.56, 95% CI: (4.45, 20.52)) were factors significantly associated with practice pre-lacteal feeding practices. . Significant proportions of mothers were practicing pre-lacteal feeding in the study area. Late initiation of breastfeeding, home delivery, not knowing risks of prelacteal feeding, and perceiving pre-lacteal feeding as beneficial were contributing factors for practicing of pre-lacteal feeding. Therefore, promoting institutional delivery and timely initiation of breastfeeding would reduce prelacteal feeding in Kersa district.
初乳前喂养被定义为在出生后的头3天内给新生儿喂食母乳以外的任何物质。尽管其对健康有负面影响，但在发展中国家却普遍存在。因此，本研究旨在评估埃塞俄比亚东部克萨区2岁以下儿童的母亲中初乳前喂养行为的发生率及相关因素。在克萨区对465名有2岁以下儿童的母亲进行了一项基于社区的横断面研究设计。采用多阶段抽样技术选择研究参与者。进行二元逻辑回归分析以确定与初乳前喂养行为相关的因素。P值<0.05的变量被确定为具有统计学意义的因素。克萨区初乳前喂养的发生率为46.4%（95%置信区间：42.0%，51.5%）。分娩后1小时后开始母乳喂养（调整后比值比=10.80，95%置信区间：（5.79，20.17））、在家分娩（调整后比值比=2.77，95%置信区间：（1.41，5.46））、不知道初乳前喂养的风险（调整后比值比=3.25，95%置信区间：（1.72，6.15））以及认为初乳前喂养有益（调整后比值比=9.56，95%置信区间：（4.45，20.52））是与初乳前喂养行为显著相关的因素。在研究区域，有相当比例的母亲进行初乳前喂养。母乳喂养开始较晚、在家分娩、不知道初乳前喂养的风险以及认为初乳前喂养有益是初乳前喂养行为的促成因素。因此，促进住院分娩和及时开始母乳喂养将减少克萨区的初乳前喂养。
