School of Nutrition, Food Science and Technology, Hawassa University, Hawassa, Ethiopia.
Department of Public Health Nutrition and Dietetics, School of Public Health, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
J Nutr Sci. 2022 May 30;11:e37. doi: 10.1017/jns.2022.36. eCollection 2022.
Optimal breast-feeding practices make a major contribution to the promotion of healthy growth and development through much prevention of diarrheal and respiratory diseases which majorly cause morbidity and mortality in under-five children. However, breast-feeding practices remain suboptimality in Ethiopia. The study objective was to determine the effect of maternal nutrition education on early initiation and exclusive breast-feeding practice in the Hawela Tulla sub-city. A cluster randomised, parallel-group, single-blinded trial was used. About 310 pregnant women (155 for the intervention group and 155 for the control group) were included. An early initiation of breast-feeding was significantly higher among women who received breast-feeding education than those who did not receive (104(72·7 %) 85(59·9 %), = 0·022) and exclusive breast-feeding practice was also significantly higher among women who received breast-feeding education than those who did not receive (106(74·1 %) 86(60·6 %), = 0·015). Breast-feeding education [AORs 1·55, 95 % CI (1·02, 2·36)], institutional delivery [AOR 2·29, 95 % CI (1·21, 4·35)], vaginal delivery [AOR 2·85, 95 % CI (1·61, 5·41)] and pre-lacteal feeding [AOR 0·47, 95 % CI (0·25, 0·85)] were predictors of early initiation of breast-feeding. Breast-feeding education [AOR 1·72, 95 % CI (1·12, 2·64)] and institutional delivery [AOR 2·36, 95 % CI (1·28, 4·33)] were also determinants of exclusive breast-feeding practices. Breast-feeding education improved early initiation of breast-feeding and exclusive breast-feeding practices. Providing sustained education to women regarding early initiation and exclusive breast-feeding practice should be strengthened.
最佳母乳喂养实践通过预防腹泻和呼吸道疾病对促进健康生长和发育做出了重大贡献，因为这些疾病是导致 5 岁以下儿童发病和死亡的主要原因。然而，母乳喂养实践在埃塞俄比亚仍然不尽如人意。本研究旨在确定母亲营养教育对 Hawela Tulla 分区内早期母乳喂养启动和纯母乳喂养实践的影响。采用了集群随机、平行组、单盲试验。约 310 名孕妇（干预组 155 名，对照组 155 名）被纳入研究。接受母乳喂养教育的女性中，早期母乳喂养的比例显著高于未接受母乳喂养教育的女性（104（72.7%）比 85（59.9%），= 0.022），接受母乳喂养教育的女性中，纯母乳喂养的比例也显著高于未接受母乳喂养教育的女性（106（74.1%）比 86（60.6%），= 0.015）。母乳喂养教育 [比值比（OR）1.55，95%置信区间（CI）（1.02，2.36）]、机构分娩 [OR 2.29，95%CI（1.21，4.35）]、阴道分娩 [OR 2.85，95%CI（1.61，5.41）]和开奶前喂养 [OR 0.47，95%CI（0.25，0.85）]是早期母乳喂养启动的预测因素。母乳喂养教育 [OR 1.72，95%CI（1.12，2.64）]和机构分娩 [OR 2.36，95%CI（1.28，4.33）]也是纯母乳喂养实践的决定因素。母乳喂养教育提高了早期母乳喂养启动和纯母乳喂养实践的比例。应该加强向妇女提供关于早期母乳喂养启动和纯母乳喂养实践的持续教育。
