Department of Nursing, College of Health Science, Woldia University, Woldia, Ethiopia
Department of Nursing, College of Health Science, Woldia University, Woldia, Ethiopia.
BMJ Open. 2024 Apr 10;14(4):e081069. doi: 10.1136/bmjopen-2023-081069.
To identify the predictors of late initiation of breastfeeding practice in Ethiopia.
Cross-sectional study design.
Ethiopia.
A total of 1982 weighted samples of mothers with children aged under 24 months were included.
Late initiation of breastfeeding practice.
The prevalence of late breastfeeding initiation practice is 26.4% (95 CI 24.4 to 28.3). Being a young mother (15-24 years) (adjusted odds ratio (AOR) =1.66; 95 CI 1.06 to 2.62), no antenatal care (ANC) visit (AOR=1.45; 95 CI 1.04 to 2.02), caesarean section (AOR=4.79; 95 CI 3.19 to 7.21) and home delivery (AOR=1.53; 95 CI 1.14 to 2.06) were found to be the determinants of late initiation of breast feeding.
More than one-fourth of newborn children do not start breast feeding within the WHO-recommended time (first hour). Programmes should focus on promoting the health facility birth and increasing the ANC visits. Further emphasis should be placed on young mothers and those who deliver via caesarean section to improve the timely initiation of breast feeding.
确定埃塞俄比亚母乳喂养实践开始较晚的预测因素。
横断面研究设计。
埃塞俄比亚。
共纳入了 1982 名年龄在 24 个月以下儿童的母亲加权样本。
母乳喂养开始较晚。
母乳喂养开始较晚的流行率为 26.4%（95%CI 24.4-28.3）。年轻母亲（15-24 岁）（调整后的优势比（AOR）=1.66；95%CI 1.06-2.62）、未接受产前保健（ANC）检查（AOR=1.45；95%CI 1.04-2.02）、剖宫产（AOR=4.79；95%CI 3.19-7.21）和家庭分娩（AOR=1.53；95%CI 1.14-2.06）被认为是母乳喂养开始较晚的决定因素。
超过四分之一的新生儿没有在世界卫生组织建议的时间（第一小时）内开始母乳喂养。应重点关注促进医疗机构分娩和增加 ANC 检查。应进一步重视年轻母亲和剖宫产分娩的母亲，以提高母乳喂养的及时性。
