Department of Midwifery, Institute of Health, Bule Hora University, Bule Hora, Ethiopia.
Department of Clinical Midwifery, School of Midwifery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
J Pediatr Nurs. 2024 Jul-Aug;77:e458-e464. doi: 10.1016/j.pedn.2024.05.010. Epub 2024 May 10.
Breastfeeding technique is a combination of positioning, attachment, and breast milk suckling. Breastfeeding problems are caused by incorrect breastfeeding practices, which lead to premature discontinuation of breastfeeding. Therefore, this study aimed to determine the proportion of breastfeeding techniques and associated factors among lactating primiparous mothers during the postpartum period in the Debre Markos town health facility in 2021.
An institutional-based cross-sectional study was conducted from November 1st to December 30, 2021. A systematic sampling technique was utilized to select study participants. An observational checklist developed by WHO and an interviewer-administered questionnaire were used to collect data from 409 mothers. The collected data were entered into Epi-Data version 4.6.0.4 statistical software and then exported to SPSS version 24.0 for cleaning and analysis. Binary and multivariable logistic regression was carried out to identify the factors associated with the practice of effective breastfeeding techniques. A variable that has a p-value of ≤0.2 was transferred to a multivariable for further analysis. The strength of association was identified using an adjusted odds ratio with a 95% confidence interval, and a p-value <0.05 was taken as statistically significant.
The proportion of practicing effective breastfeeding techniques among lactating primipara mothers was 29.1% (CI: 24.7, 33.3). Baby aged ≥29 days, mothers who were living in urban, mothers who attended college or higher education, mothers who have heard about BFT practices, mothers who received counseling on BFT after delivery, and mothers whose breast nipples had everted were variables that were significantly associated with the practice of effective breastfeeding techniques.
The findings of this study revealed that the practice of effective breastfeeding techniques among lactating primipara mothers was lower in the study area. Therefore, healthcare providers should have to counsel mothers on how to position and attach their infants during breastfeeding.
The provision of breast-feeding method counseling to nursing mothers is one way to enhance the practices of breast feeding.
母乳喂养技巧是由体位、衔接和吸吮乳房三部分组成。母乳喂养问题是由于不正确的母乳喂养行为导致的，这会导致母乳喂养过早中断。因此，本研究旨在确定 2021 年在德布雷马科斯镇卫生机构的哺乳期初产妇的母乳喂养技术比例及其相关因素。
这是一项 2021 年 11 月 1 日至 12 月 30 日进行的基于机构的横断面研究。采用系统抽样技术选择研究对象。使用世界卫生组织制定的观察检查表和访谈者管理的问卷从 409 名母亲那里收集数据。收集到的数据输入 Epi-Data 版本 4.6.0.4 统计软件，然后导出到 SPSS 版本 24.0 进行清理和分析。采用二元和多变量逻辑回归来确定与有效母乳喂养技术实践相关的因素。将 p 值≤0.2 的变量转移到多变量中进行进一步分析。使用调整后的优势比和 95%置信区间来确定关联强度，p 值<0.05 被认为具有统计学意义。
哺乳期初产妇中实施有效母乳喂养技术的比例为 29.1%（CI：24.7，33.3）。婴儿年龄≥29 天、居住在城市、接受过大学或更高教育、听说过 BFT 做法、分娩后接受过 BFT 咨询、乳头突出的母亲是与实施有效母乳喂养技术显著相关的变量。
本研究发现，该地区哺乳期初产妇实施有效母乳喂养技术的比例较低。因此，医疗保健提供者应该为母亲提供有关如何在母乳喂养期间为婴儿定位和衔接的咨询。
为哺乳期母亲提供母乳喂养方法咨询是增强母乳喂养实践的一种方式。
