Department of Reproductive Health, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia
Department of Reproductive Health, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
BMJ Open. 2022 Jul 20;12(7):e059518. doi: 10.1136/bmjopen-2021-059518.
To assess effective breastfeeding technique (EBT) and associated factors among lactating mothers in Gidan District, North-East Ethiopia.
A community-based cross-sectional study.
Gidan District, North-East Ethiopia.
A total of 786 lactating mothers were included between 30 March and 29 April 2021.
EBT.
A multistage sampling technique was employed to recruit participants. Pretested interviewer-administered questionnaires and an observational checklist were used to collect the data. Individual scores of three variables about breast feeding, namely positioning, attachment and suckling, were computed to generate the outcome variable, that is, breastfeeding technique. Binary logistic regression analyses were carried out to determine the association between independent variables and EBT. Statistical significance was declared at a value of p≤0.05 with a corresponding 95% CI.
Overall, the prevalence of EBT was 42.9% (326/760). Having antenatal care follow-up (adjusted OR (AOR)=1.75; 95% CI 1.10 to 2.77), delivering at health institutions (hospital AOR=2.85; 95% CI 1.22 to 6.66 and health centre AOR=2.15; 95% CI 1.25 to 3.68), and receiving postpartum home visits by the health extension workers (HEWs) (AOR=2.12; 95% CI 1.55 to 2.92) were significantly associated with the practice of EBT.
The study showed that the prevalence of EBT was low. The finding highlights the importance of promoting utilisation of antenatal care follow-up, institutional delivery and postpartum home visits by HEWs, which play a substantial role in promoting EBT.
评估东北埃塞俄比亚吉丹区哺乳期妇女有效母乳喂养技术（EBT）及其相关因素。
基于社区的横断面研究。
东北埃塞俄比亚吉丹区。
2021 年 3 月 30 日至 4 月 29 日期间共纳入 786 名哺乳期母亲。
EBT。
采用多阶段抽样技术招募参与者。使用经过预测试的访谈式问卷调查和观察清单收集数据。母乳喂养的三个变量（即定位、附着和吸吮）的个体得分被计算以产生母乳喂养技术的结果变量。采用二元逻辑回归分析来确定自变量与 EBT 之间的关联。统计显著性定义为 p 值≤0.05，对应的 95%CI。
总体而言，EBT 的流行率为 42.9%（326/760）。有产前保健随访（调整后的比值比（AOR）=1.75；95%CI 1.10 至 2.77）、在医疗机构分娩（医院 AOR=2.85；95%CI 1.22 至 6.66 和卫生中心 AOR=2.15；95%CI 1.25 至 3.68）和接受卫生推广工作者（HEWs）的产后家访（AOR=2.12；95%CI 1.55 至 2.92）与 EBT 的实践显著相关。
该研究表明 EBT 的流行率较低。这一发现强调了促进利用产前保健随访、机构分娩和 HEWs 的产后家访的重要性，这对促进 EBT 起着重要作用。
