Department of Paediatrics, Enugu State University Teaching Hospital, Parklane, Enugu, Nigeria.
Department of Paediatrics, University of Nigeria Teaching Hospital, Ituku-Ozalla, Enugu, Nigeria.
Ann Afr Med. 2021 Apr-Jun;20(2):98-104. doi: 10.4103/aam.aam_22_20.
Good breastfeeding technique is important in ensuring adequate milk delivery and preventing breastfeeding problems. Exclusive breastfeeding rate is quite low, and requisite skills regarding proper positioning and attachment of an infant while breastfeeding appears lacking among mothers in Nigeria. This study was undertaken to assess breastfeeding techniques of mothers attending the well-child clinics of two tertiary hospitals in southeast Nigeria.
This cross-sectional descriptive study of 396 mother and child pairs who attend the well child clinics of two tertiary hospitals in Enugu (Enugu state University Teaching Hospital and University of Nigeria Teaching Hospital) between September 2018 and February 2019. An interviewer administered, well-structured pro forma was used to collect data while mothers were observed closely as they breastfed and scored using the World Health Organization criteria. Data were analyzed using SPSS version 22.
Most of the mothers studied (357; 90.2%) attended ante-natal care, and 365 (92.2%) of the deliveries were assisted by a health worker. Only 194 (49%) of mothers practiced good breastfeeding techniques. Maternal age (20-30 years) (P < 0.001, odds ratio [OR] 0.464), attendance to antenatal clinic (P < 0.001; OR 8.336), health education and demonstration on breastfeeding techniques before and after delivery (P = 0.001) and maternal level of education (χ2 = 13.173, P = 0.001) but not parity (P = 0.386; OR 1.192) were significantly associated with good breastfeeding techniques.
There are suboptimal breastfeeding techniques among mothers. Increased awareness creation and regular demonstration of breastfeeding techniques are needed.
良好的母乳喂养技巧对于确保充足的乳汁分泌和预防母乳喂养问题非常重要。在尼日利亚，纯母乳喂养率相当低，而且母亲在母乳喂养时正确的婴儿抱姿和衔乳技巧似乎有所欠缺。本研究旨在评估在尼日利亚东南部两家三级医院的儿童保健诊所就诊的母亲的母乳喂养技术。
这是一项横断面描述性研究，共纳入了 2018 年 9 月至 2019 年 2 月期间在恩古（恩古州立大学教学医院和尼日利亚大学教学医院）两所三级医院儿童保健诊所就诊的 396 对母婴。使用访谈者管理的结构化问卷收集数据，同时密切观察母亲的母乳喂养情况，并根据世界卫生组织的标准进行评分。使用 SPSS 版本 22 进行数据分析。
研究中大多数母亲（357 例；90.2%）接受了产前保健，365 例（92.2%）分娩由卫生工作者协助。只有 194 例（49%）母亲采用了良好的母乳喂养技术。母亲年龄（20-30 岁）（P<0.001，优势比 [OR] 0.464）、参加产前检查（P<0.001；OR 8.336）、分娩前后母乳喂养技术的健康教育和示范（P=0.001）和母亲的教育水平（χ2=13.173，P=0.001）与良好的母乳喂养技术显著相关，但与产次（P=0.386；OR 1.192）无关。
母亲的母乳喂养技术存在不足。需要提高认识并定期示范母乳喂养技术。
