Khanal Vishnu
Nepal Development Society Bharatpur Nepal.
Health Sci Rep. 2023 Sep 5;6(9):e1548. doi: 10.1002/hsr2.1548. eCollection 2023 Sep.
Breastfeeding education and support have the potential to improve breastfeeding outcomes. However, there is a lack of research on the impact of breastfeeding education on predominant breastfeeding in Nepal and other South Asian countries. This study aimed to report the rate of predominant breastfeeding at the first, fourth, and sixth months of birth and examine the influence of breastfeeding promotion on predominant breastfeeding.
A community-based prospective cohort study was conducted in western Nepal. A total of 735 mother-infant pairs were recruited within 30 days of childbirth and followed up at the fourth and sixth months to collect data on infant feeding practices.
The rate of predominant breastfeeding at first, fourth, and sixth months were 88.6% ( = 735), 78.2% ( = 715), and 26.3% ( = 711), respectively, showing a significant decline with infant age. Mothers who received support on breastfeeding skills (Adjusted Odds Ratio [AOR]: 2.55; 95% confidence interval [CI]: 1.73-3.75), those who received advice on keeping mother-infant together (AOR: 2.19; 95% CI: 1.14-4.22) and who had initiated breastfeeding within 1 h of childbirth (AOR: 2.55; 95% CI: 1.73-3.75), and who were educated, had higher likelihood of predominant breastfeeding at sixth month.
This study asserts a need for continuous and focused breastfeeding promotion programs to educate and support lactating mothers.
母乳喂养教育与支持有改善母乳喂养结局的潜力。然而，关于尼泊尔及其他南亚国家母乳喂养教育对纯母乳喂养的影响，研究尚缺。本研究旨在报告出生后第1、4和6个月时纯母乳喂养的比例，并探讨母乳喂养促进措施对纯母乳喂养的影响。
在尼泊尔西部开展了一项基于社区的前瞻性队列研究。共招募了735对母婴，在分娩后30天内入组，并在第4和6个月进行随访，以收集婴儿喂养方式的数据。
第1、4和6个月时的纯母乳喂养率分别为88.6%（n = 735）、78.2%（n = 715）和26.3%（n = 711），随婴儿年龄增长显著下降。接受过母乳喂养技能支持的母亲（调整优势比[AOR]：2.55；95%置信区间[CI]：1.73 - 3.75）、接受过母婴同室建议的母亲（AOR：2.19；95% CI：1.14 - 4.22）、在分娩后1小时内开始母乳喂养的母亲（AOR：2.55；95% CI：1.73 - 3.75）以及受过教育的母亲，在第6个月时纯母乳喂养的可能性更高。
本研究表明需要持续且有针对性的母乳喂养促进项目，以教育和支持哺乳期母亲。
