Nguyen Tuan T, Cashin Jennifer, Tran Hoang T, Hoang Tuan A, Mathisen Roger, Weissman Amy, Murray John C S
Alive & Thrive East Asia Pacific, FHI 360, Hanoi, Vietnam.
Alive & Thrive East Asia Pacific, FHI 360, Washington, DC, United States.
Front Nutr. 2022 Oct 28;9:1041065. doi: 10.3389/fnut.2022.1041065. eCollection 2022.
The prevalence of early and exclusive breastfeeding in Vietnam remains sub-optimal. The objective of this study was to determine factors associated with early initiation of breastfeeding (EIBF) and exclusive breastfeeding for the first 3 days after birth (EBF3D). We conducted a population-based, cross-sectional survey of 726 mothers with children aged 0-11 months in two provinces and one municipality from May to July 2020. Multinomial logistic regression was used to examine factors associated with EIBF and EBF3D. The prevalence of EIBF was 39.7% and EBF3D 18.0%. The EIBF prevalence is positively associated with immediate and uninterrupted skin-to-skin contact (SSC) for 10-29 min (aOR: 2.55; 95% CI: 1.49, 4.37), 30-59 min (aOR: 4.15; 95% CI: 2.08, 8.27), 60-80 min (aOR: 4.35; 95% CI: 1.50, 12.6), or ≥90 min (aOR: 5.87; 95% CI: 3.14, 10.98). EIBF was negatively associated with cesarean birth (aOR: 0.24; 95% CI: 0.11, 0.51), bringing infant formula to the birth facility (aOR: 0.49; 95% CI: 0.30, 0.78), purchased it after arrival (aOR: 0.37; 95% CI: 0.24, 0.60), or did both (aOR: 0.43; 95% CI: 0.21, 0.89). EBF3D was negatively associated with cesarean section birth (aOR: 0.15; 95% CI: 0.06, 0.39), vaginal birth with episiotomy (aOR: 0.40; 95% CI: 0.18, 0.88), bringing formula to the maternity facility (aOR: 0.03; 95% CI: 0.01, 0.07), purchased it after arrival (aOR: 0.02; 95% CI: 0.01, 0.06) or did both (aOR: 0.04; 95% CI: 0.02, 0.10). Receiving counseling from any source was not significantly associated with early breastfeeding practices. Policy and health service delivery interventions should be directed at eliminating infant formula from birthing environments, reducing unnecessary cesarean sections and episiotomies, providing immediate and uninterrupted SSC for all births, and improving breastfeeding counseling and support.
越南早期纯母乳喂养的普及率仍未达到最佳水平。本研究的目的是确定与早期开始母乳喂养（EIBF）以及出生后前3天纯母乳喂养（EBF3D）相关的因素。我们于2020年5月至7月在两个省和一个直辖市对726名有0至11个月大孩子的母亲进行了一项基于人群的横断面调查。采用多项逻辑回归分析来研究与EIBF和EBF3D相关的因素。EIBF的普及率为39.7%，EBF3D为18.0%。EIBF普及率与10至29分钟（调整后比值比：2.55；95%置信区间：1.49，4.37）、30至59分钟（调整后比值比：4.15；95%置信区间：2.08，8.27）、60至80分钟（调整后比值比：4.35；95%置信区间：1.50，12.6）或≥90分钟（调整后比值比：5.87；95%置信区间：3.14，10.98）的即时且不间断的皮肤接触（SSC）呈正相关。EIBF与剖宫产（调整后比值比：0.24；95%置信区间：0.11，0.51）、将婴儿配方奶粉带到分娩机构（调整后比值比：0.49；95%置信区间：0.30，0.78）、到达后购买（调整后比值比：0.37；95%置信区间：0.24，0.60）或两者都做（调整后比值比：0.43；95%置信区间：0.21，0.89）呈负相关。EBF3D与剖宫产（调整后比值比：0.15；95%置信区间：0.06，0.39）、会阴切开术的阴道分娩（调整后比值比：0.40；95%置信区间：0.18，0.88）、将配方奶粉带到产科机构（调整后比值比：0.03；95%置信区间：0.01，0.07）、到达后购买（调整后比值比：0.02；95%置信区间：0.01，0.06）或两者都做（调整后比值比：0.04；95%置信区间：0.02，0.10）呈负相关。从任何来源接受咨询与早期母乳喂养行为均无显著关联。政策和卫生服务提供干预措施应旨在消除分娩环境中的婴儿配方奶粉，减少不必要的剖宫产和会阴切开术，为所有分娩提供即时且不间断的SSC，并改善母乳喂养咨询和支持。
