乌干达非母乳喂养实践的决定因素；基于人群的横断面研究，使用乌干达人口与健康调查数据。
Determinants of prelacteal feeding practice in Uganda; a population based cross-sectional study using Uganda demographic and health survey data.
机构信息
Central College Kawaala, Kampala, Uganda.
Vocational School of Health Services, Dokuz Eylul University, Izmir, Turkey.
出版信息
Malawi Med J. 2021 Dec;33(4):269-275. doi: 10.4314/mmj.v33i4.7.
BACKGROUND
Breastfeeding has well-established short-term and long-term health benefits for both the mother and infant. Initiating breastfeeding immediately after birth stimulates breast milk production. Prelacteal feeding (PLF) may result in late initiation of breastfeeding, and thus insufficient production of breast milk. This study aimed to identify the determinants of PLF among children under five years in Uganda.
METHODS
This cross-sectional study was conducted using the data from the database of Uganda Demographic and Health Survey 2011. The data of 4,774 children/mothers were evaluated in this study.
RESULTS
The prevalence of PLF was 40.3%. The rate of PLF practice was found to be 2.15 times higher in women with moderate economic status and 2.02 times higher in women with high economic status compared to those who have low economic status. The rate of PLF practice was found to be 1.73 times higher in newborns delivered by an unskilled birth attendant and 4.35 times higher in newborns delivered with no birth attendant compared to those infants delivered by a skilled birth attendant. The ratio of PLF practice was found to be 2.49 times higher in multiple births. Mothers who initiated breastfeeding in the first 24 hours after birth had higher odds of PLF. No relationship was found between PLF practice with some sociodemographic characteristics of mother's (age, marital status, educational status, religion, residential location), maternal factors (number of children, antenatal and postnatal care attendance, place of delivery), and characteristics of the newborn infants (sex, type of delivery, birth order number) in the multivariate logistic regression analysis.
CONCLUSIONS
All mothers should be informed about the importance of initiation of breastfeeding immediately after delivery, the risks associated with PLF, the optimal practices for breastfeeding, and the presence of a skilled birth attendant at delivery.
背景
母乳喂养对母婴双方都有明确的短期和长期健康益处。产后立即开始母乳喂养可刺激母乳分泌。开奶前喂养（PLF）可能导致母乳喂养开始延迟，从而导致母乳分泌不足。本研究旨在确定乌干达五岁以下儿童 PLF 的决定因素。
方法
本横断面研究使用了 2011 年乌干达人口与健康调查数据库的数据。本研究共评估了 4774 名儿童/母亲的数据。
结果
PLF 的患病率为 40.3%。与经济状况较低的妇女相比，经济状况中等和较高的妇女的 PLF 发生率分别高 2.15 倍和高 2.02 倍。与由熟练接生员接生的新生儿相比，由非熟练接生员接生的新生儿的 PLF 发生率高 1.73 倍，而无接生员接生的新生儿的 PLF 发生率高 4.35 倍。多胎新生儿的 PLF 发生率高 2.49 倍。产后 24 小时内开始母乳喂养的母亲 PLF 发生率更高。PLF 实践与母亲的一些社会人口特征（年龄、婚姻状况、教育程度、宗教、居住地点）、产妇因素（儿童数量、产前和产后护理、分娩地点）和新生儿特征（性别、分娩方式、出生顺序）之间没有关系。在多变量逻辑回归分析中。
结论
所有母亲都应被告知产后立即开始母乳喂养的重要性、PLF 相关风险、母乳喂养的最佳实践以及分娩时有熟练的接生员在场。
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