Department of Applied Human Nutrition, Bahir Dar Institute of Technology, Bahir Dar, Ethiopia.
PLoS One. 2022 Apr 27;17(4):e0267269. doi: 10.1371/journal.pone.0267269. eCollection 2022.
Breastfeeding is the process of feeding a newborn with the mother's milk, and it is very important for enhancing child and maternal health. The proportion and duration of breastfeeding may vary by location, and is poorly practiced for cultural, economic, and societal reasons. Thus, this study was conducted to determine breastfeeding practices and determinants of exclusive breastfeeding among mothers of six month aged infants in the Horro district, Ethiopia.
We used a community-based cross-sectional study among 649 mothers of index infants. A multi-stage sampling procedure was used to select the women. Data were collected from March 15 to April 5, 2020. Face-to-face interviews were used to collect data using a semi-structured questionnaire. Bivariable and multivariable logistic regression were performed to examine the factors associated with exclusive breastfeeding.
All women who participated in the study have ever breastfed their children at some point. Exclusive breastfeeding and breastfeeding initiation were found to be good (70.4% and 61.8%, respectively) within 24 hours prior to the survey time. Having had information about breastfeeding during antenatal care (AOR = 4.15, 95% CI = 2.36, 7.30), postnatal care follow-up (AOR = 4.74, 95% CI = 2.92, 7.70), having infant aged 0-1month (AOR = 12.14, 95% CI = 3.83, 38.46) and 2-3 month (AOR = 8.62, 95% CI = 5.00, 14.85), being a single birth (AOR = 12.91, 95% CI = 3.86, 43.21), having monthly income of ≤ 100 Ethiopian Birrs (AOR = 1.96, 95% CI = 1.16, 3.32), and breastfeeding initiation within one hour of birth (AOR = 1.94, 95% CI = 1.13, 3.35) were found to be a significantly associated factors of exclusive breastfeeding.
Despite meeting the global nutrition target of 2025, the practice of exclusive breastfeeding was lower than the WHO recommendations. Providing education about breastfeeding during antenatal care follow-up and increasing access to postnatal care follow-up is recommended to enhance exclusive breastfeeding practices in the study area.
母乳喂养是指用母亲的乳汁喂养新生儿的过程，对于增强儿童和母亲的健康非常重要。母乳喂养的比例和持续时间因地点而异，由于文化、经济和社会原因，母乳喂养的实践情况不佳。因此，本研究旨在确定埃塞俄比亚霍罗地区 6 月龄婴儿母亲的母乳喂养实践情况及其纯母乳喂养的决定因素。
我们采用了一项基于社区的横断面研究，共纳入了 649 名指数婴儿的母亲。采用多阶段抽样程序选择妇女。数据收集时间为 2020 年 3 月 15 日至 4 月 5 日。采用面对面访谈，使用半结构式问卷收集数据。采用单变量和多变量逻辑回归分析考察与纯母乳喂养相关的因素。
所有参与研究的妇女都曾在某个时候母乳喂养过她们的孩子。在调查时间前 24 小时内，纯母乳喂养和母乳喂养起始率分别为 70.4%和 61.8%。在产前保健期间接受过母乳喂养信息（OR = 4.15，95%CI = 2.36，7.30）、产后保健随访（OR = 4.74，95%CI = 2.92，7.70）、婴儿年龄为 0-1 个月（OR = 12.14，95%CI = 3.83，38.46）和 2-3 个月（OR = 8.62，95%CI = 5.00，14.85）、单胎分娩（OR = 12.91，95%CI = 3.86，43.21）、月收入≤100 埃塞俄比亚比尔（OR = 1.96，95%CI = 1.16，3.32）和产后 1 小时内开始母乳喂养（OR = 1.94，95%CI = 1.13，3.35），这些因素与纯母乳喂养显著相关。
尽管符合 2025 年全球营养目标，但纯母乳喂养的实践情况低于世界卫生组织的建议。建议在产前保健随访期间提供母乳喂养教育，并增加产后保健随访，以提高研究地区的纯母乳喂养实践水平。
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