Ranasinghe J C, Madushika D S, Abeysundara S P, Agampodi S B
Base Hospital Sammanthurai, Sammanthurai, 32200, Sri Lanka.
, 7/28, George E de Silva Mawatha, Rosamund Place, Kandy, 20000, Sri Lanka.
Matern Child Health J. 2023 Nov;27(11):1996-2001. doi: 10.1007/s10995-023-03724-2. Epub 2023 Jun 4.
According to the World Breastfeeding Trends Initiative, Sri Lanka ranked as number one and only country to achieve green status. Exclusive breastfeeding (EBF) for six months is current practice with a rate of 75.5% among 0-5 months.
Identify factors contributing early cessation of breastfeeding in a single centre of Eastern province Sri Lanka.
A descriptive cross-sectional study conducted in Sammanthurai Medical officer of Health area. Consecutive mother-infant days with the infant ageing < 6 months were included from 25 public health midwife areas using an interviewer administered questionnaire. Missing values imputed using 'missForest' algorithm.
The mean age of the sample was 28.4(SD ± 5.6). Of the 257 mothers recruited, 15(5.8%) were teenagers and 42(16.3%) > 35 years. 251(97.6%) had children 1-5 and 86(33.5%) were first born. 140 (54.5%) had tertiary education, 28 (10.9%).31(12.1%) were employed. EBF rates 0-6 months was 79.8% (n = 205). 239(93.0%) started breastfeeding within an hour. EBF was not associated with maternal age, birth order or income. 18 employed mothers and 186 unemployed mothers continued EBF. Regarding the factors associated with EBF, having a tertiary education (p < .001), being employed (p = .004) and having less than 3 children (p = .03) were associated with non-exclusive breastfeeding. Tertiary education was the significant predictor of non-exclusive breastfeeding in this population with an odds ratio of 4.50 (95% CI 1.331-15.215).
Employment identified as a risk factor for early cessation of EBF needs well planned further research to overcome this practical issue. Also might need revision of workplace policies, establishment of lactation areas in office premises to overcome some of these issues.
根据世界母乳喂养趋势倡议，斯里兰卡排名第一，是唯一达到绿色地位的国家。目前的做法是纯母乳喂养6个月，0至5个月婴儿的纯母乳喂养率为75.5%。
确定斯里兰卡东部省一个单一中心母乳喂养过早停止的影响因素。
在萨曼图拉伊卫生区进行描述性横断面研究。使用访谈问卷，从25个公共卫生助产士区域纳入婴儿年龄小于6个月的连续母婴对。使用“missForest”算法估算缺失值。
样本的平均年龄为28.4岁（标准差±5.6）。在招募的257名母亲中，15名（5.8%）为青少年，42名（16.3%）年龄超过35岁。251名（97.6%）育有1至5个孩子，86名（33.5%）是头胎。140名（54.5%）接受过高等教育，28名（10.9%）……31名（12.1%）有工作。0至6个月的纯母乳喂养率为79.8%（n = 205）。239名（93.0%）在一小时内开始母乳喂养。纯母乳喂养与母亲年龄、出生顺序或收入无关。18名有工作的母亲和186名无工作的母亲继续进行纯母乳喂养。关于与纯母乳喂养相关的因素，接受高等教育（p <.001）、有工作（p = 0.004）和孩子少于3个（p = 0.03）与非纯母乳喂养有关。高等教育是该人群非纯母乳喂养的重要预测因素，优势比为4.50（95%可信区间1.331 - 15.215）。
就业被确定为纯母乳喂养过早停止的一个风险因素，需要进行精心规划的进一步研究以解决这一实际问题。还可能需要修订工作场所政策，在办公场所设立哺乳区以解决其中一些问题。
