Department of Midwifery, College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia.
Department of Public Health, College of Health Sciences, Debre Markos University, Debre Markos, Ethiopia.
PLoS One. 2022 Aug 16;17(8):e0268558. doi: 10.1371/journal.pone.0268558. eCollection 2022.
At birth, continuous flow of nutrients to the fetus in utero interrupted due to cut of the route /umbilical cord/. Instead of the cord, breast-mouth connection will be the next route in the extra uterine life. Nevertheless, limited data in our locality show the duration for how long immediate newborns are fasting.
This study aimed to assess time to initiation of breastfeeding and its predictors among postnatal mothers within 12 hours of birth in Debre Markos Comprehensive Specialized Hospital, North West Ethiopia, 2020.
A Facility based prospective follow-up study was conducted among 475 participants who were selected using systematic random sampling techniques. To collect the data, techniques including interview, chart review and observation were used. Data was entered to Epi-data version 3.1 and analyzed by STATA 14 software. A cox proportional hazards regression model was fitted to identify predictors for survival time. Results of the final model were expressed in terms of adjusted hazard ratio (AHR) with 95% confidence interval, statistical significance was declared with P-value is less than 0.05.
Newborns were fasting breast-milk for the median time of 2 hours. In this study, 25% of participants initiated breastfeeding within 1 hour, pre-lacteal while 75% initiated within 3 hours. Gave birth to multiple babies (AHR 0.37, 95% CI (0.19, 0.69)), operative delivery (AHR 0.77, 95% CI (0.62, 0.96)), got advice on timely initiation of breastfeeding immediately after delivery (AHR 0.79, 95% CI (0.63, 0.97)), pre-lacteal feeding initiation (AHR 10.41, 95% CI (2.82, 38.47)) and neonatal sickness (AHR 0.08, 95% CI (0.03-0.19)) were statistically significant predictors for time to initiation of breastfeeding.
Fifty percent of mothers initiated breastfeeding within 2 hours. Most of them didn't initiate breastfeeding based on world health organization's recommendation, within one hour after delivery. Multiple birth, operative delivery, getting advice on timely initiation of breastfeeding immediately after delivery, giving pre-lacteal feeding and neonatal sickness were found to be predictors of time to initiation of breastfeeding.
在胎儿宫内，连续不断的营养供应会因脐带切断而中断。在子宫外的生活中，取而代之的是乳房与嘴巴的连接。然而，我们当地的数据有限，显示了新生儿需要禁食多久。
本研究旨在评估 2020 年在埃塞俄比亚西北部德布雷马科斯综合专科医院出生后 12 小时内的母婴开始母乳喂养的时间及其预测因素。
采用基于设施的前瞻性随访研究，在使用系统随机抽样技术选择的 475 名参与者中进行。使用访谈、病历回顾和观察等技术收集数据。将数据输入 Epi-data 版本 3.1 并使用 STATA 14 软件进行分析。使用 Cox 比例风险回归模型来确定生存时间的预测因素。最终模型的结果以调整后的危险比（AHR）和 95%置信区间表示，P 值小于 0.05 表示具有统计学意义。
新生儿需要禁食母乳的中位数时间为 2 小时。在这项研究中，25%的参与者在 1 小时内开始母乳喂养，75%的参与者在 3 小时内开始母乳喂养。多胎分娩（AHR 0.37，95%CI（0.19，0.69））、剖宫产（AHR 0.77，95%CI（0.62，0.96））、分娩后立即获得及时开始母乳喂养的建议（AHR 0.79，95%CI（0.63，0.97））、开奶（AHR 10.41，95%CI（2.82，38.47））和新生儿疾病（AHR 0.08，95%CI（0.03-0.19））是开始母乳喂养时间的统计学显著预测因素。
50%的母亲在 2 小时内开始母乳喂养。他们中的大多数人没有按照世界卫生组织的建议，在分娩后 1 小时内开始母乳喂养。多胎分娩、剖宫产、分娩后立即获得及时开始母乳喂养的建议、开奶和新生儿疾病是开始母乳喂养时间的预测因素。
