Timely Initiation of Breastfeeding and Associated Factors among Mothers of Infant Aged 0- 6 Months Attending Western Regional Hospital, Kaski, Nepal
Asian Journal of Pregnancy and Childbirth,
Page 169-179
Abstract
Introduction: Timely initiation of breastfeeding is the provision of feeding the baby with the breast milk of mother within one hour of birth. It is the part of optimal breastfeeding practices, which continued up to 2 years of age or beyond. With the objective of estimating the prevalence and examining the factors associated with initiation of breastfeeding within one hour of birth among mothers of infant aged 0-6 months.
Methods: A cross- sectional hospital based study was conducted in Maternal and Child Health (MCH) clinics of Western Regional Hospital among mothers with infant younger than or equal to 6 months age. Simple random sampling design was used to select the participants included in this study. Face to face interview was conducted using interviewer-administered questionnaire for data collection. Data collected was entered and analyzed in Statistical Package for Social Sciences (SPSS version 23). Associations were tested using Pearson's Chi-Square test and multivariate logistic regression taking 95% confidence interval.
Results: The prevalence of timely initiation of breastfeeding is 46.3% in this study. The mean age of the respondents was 26.6 years. Majority of mother’s claimed to have ANC visit (96.9%). More than half (57.2%) had no breastfeeding counseling during their ANC visit. Mother who have counseling during the time of ANC visit were more like to initiate the early breastfeeding (AOR=4.17, 95% CI: 1.71, 10.19). Majority (97.5%) of the mother delivered their child at health institution. Among them, 40.5% have Cesarean Section delivery. Mode of delivery was seen to be associated with the early initiation of breastfeeding. Mother having normal delivery had more possibility of early initiation of breastfeeding then cesarean section delivery (AOR=17.90, 95% CI: 6.89, 46.4). Prevalence of timely initiation of breastfeeding in this study is below national average.
Conclusion: Counseling during every health institution visit plays a positive role for increasing in early initiation of breastfeeding. Behavior change communication, minimizing indications of caesarean delivery, training of health professionals, community based breastfeeding education are recommended to be improved.
Keywords:
- Timely initiation
- breastfeeding
- infants
- Kaski
- Nepal
How to Cite
References
[Cited 2019].
Available:https://www.who.int/health-topics/breastfeeding#tab=tab_3
World Health Organization. Global nutrition targets 2025: low birth weight policy brief; 2014.
Setegn T, Gerbaba M, Belachew T. Determinants of timely initiation of breastfeeding among mothers in Goba Woreda, South East Ethiopia: A cross sectional study. BMC Public Health. 2011; 11(1):217.
Tilahun G, Degu G, Azale T, Tigabu A. Prevalence and associated factors of timely initiation of breastfeeding among mothers at Debre Berhan town, Ethiopia: A cross-sectional study. International Breastfeeding Journal. 2016;11(1):1-9.
Tewabe T, Mandesh A, Gualu T, Alem G, Mekuria G, Zeleke H. Exclusive breastfeeding practice and associated factors among mothers in Motta town, East Gojjam zone, Amhara Regional State, Ethiopia, 2015: A cross-sectional study. International Breastfeeding Journal. 2016; 12(1):1-7.
Woldemichael B, Kibie Y. Timely initiation of breastfeeding and its associated factors among mothers in Tiyo Woreda, Arsi Zone, Ethiopia: A community-based cross sectional study. Clinics Mother Child Health. 2016;13(221):2.
Alebel A, Dejenu G, Mullu G, Abebe N, Gualu T, Eshetie S. Timely initiation of breastfeeding and its association with birth place in Ethiopia: a systematic review and meta-analysis. International Breastfeeding Journal. 2017;12(1):1-9.
Prentice A. Constituents of Human Milk. Food and Nutrition Bulletin. 1996;17(4):1-10.
Mosca F, Giannì ML. Human milk: composition and health benefits; 2017.
Byers HL. The benefits of breastfeeding; 2015.
Samad N, Haque M, Sultana S. Pattern of delivery and early initiation of breastfeeding: an urban slum based cross cut study. J Nutr Health Food Engineering. 2017;7:00244.
Pecoraro L, Agostoni C, Pepaj O, Pietrobelli A. Behind human milk and breastfeeding: not only food. International Journal of Food Sciences and Nutrition. 2018;69(6):641-6.
Kim J, Unger S, Society CP, Nutrition, Committee G. Human milk banking. Paediatrics & Child Health. 2010; 15(9):595-8.
Dieterich CM, Felice JP, O’Sullivan E, Rasmussen KM. Breastfeeding and health outcomes for the mother-infant dyad. Pediatric Clinics. 2013;60(1):31-48.
Karim F, Billah SM, Chowdhury MAK, Zaka N, Manu A, Arifeen SE, et al. Initiation of breastfeeding within one hour of birth and its determinants among normal vaginal deliveries at primary and secondary health facilities in Bangladesh: A case-observation study. PloS one. 2018;13(8): e0202508.
UNICEF, WHO. Capture the Moment – Early initiation of breastfeeding: The best start for every newborn. Newwork: UNICEF; 2018.
Gautam KP, Adhikari M, Khatri RB, Devkota MD. Determinants of infant and young child feeding practices in Rupandehi, Nepal. BMC research notes. 2016;9(1):1-7.
Ministry of Health, New ERA, ICF. Nepal Demographic and Health Survey 2016. Kathmandu, Nepal; 2017.
Sanjel K, Amatya A. Determinants of timely initiation of breastfeeding among disadvantaged ethnic groups in midwest Nepal. Journal of Nepal Health Research Council. 2018;16(41):385-91.
Le CT, Eberly LE. Introductory biostatistics: John Wiley & Sons; 2016.
Khanal V, Scott JA, Lee AH, Karkee R, Binns CW. Factors associated with early initiation of breastfeeding in Western Nepal. International Journal of Environmental Research and Public health. 2015;12(8):9562-74.
Mullany LC, Katz J, Li YM, Khatry SK, LeClerq SC, Darmstadt GL, et al. Breast-feeding patterns, time to initiation, and mortality risk among newborns in southern Nepal. The Journal of nutrition. 2008; 138(3):599-603.
Islam MA, Mamun A, Hossain MM, Bharati P, Saw A, Lestrel PE, et al. Prevalence and factors associated with early initiation of breastfeeding among Bangladeshi mothers: A nationwide cross-sectional study. PloS one. 2019;14(4):e0215733.
Ndirangu M, Gatimu S, Mwinyi H, Kibiwott D. Trends and factors associated with early initiation of breastfeeding in Namibia: Analysis of the Demographic and Health Surveys 2000–2013. BMC pregnancy and childbirth. 2018;18(1):1-10.
Exavery A, Kanté AM, Hingora A, Phillips JF. Determinants of early initiation of breastfeeding in rural Tanzania. International breastfeeding journal. 2015; 10(1):1-9.
Ekubay M, Berhe A, Yisma E. Initiation of breastfeeding within one hour of birth among mothers with infants younger than or equal to 6 months of age attending public health institutions in Addis Ababa, Ethiopia. International Breastfeeding Journal. 2018;13(1):1-7.
Aguayo VM, Gupta G, Singh G, Kumar R. Early initiation of breast feeding on the rise in India. BMJ Global Health. 2016;1(2): e000043.
Sharma IK, Byrne A. Early initiation of breastfeeding: a systematic literature review of factors and barriers in South Asia. International breastfeeding journal. 2016;11(1):1-12.
Beyene MG, Geda NR, Habtewold TD, Assen ZM. Early initiation of breastfeeding among mothers of children under the age of 24 months in Southern Ethiopia. International breastfeeding journal. 2016; 12(1):1-9.
Ali BB, Naseeb S, Korejo R. Factors Associated With Timely Initiation Of Breastfeeding Among Mothers In JPMC. Journal of Bahria University Medical and Dental College. 2018;8(2):92-6.
Tadesse H. Addis Ababa University College of Health Science School of Allied Health Science Department of Nursing and Midwifery; 2015.
Mekonen L, Seifu W, Shiferaw Z. Timely initiation of breastfeeding and associated factors among mothers of infants under 12 months in South Gondar zone, Amhara regional state, Ethiopia; 2013. International Breastfeeding Journal. 2018;13(1):1-8.
Kalisa R, Malande O, Nankunda J, Tumwine JK. Magnitude and factors associated with delayed initiation of breastfeeding among mothers who deliver in Mulago hospital, Uganda. African Health Sciences. 2015;15(4):1130-5.
Karim F, Khan ANS, Tasnim F, Chowdhury MAK, Billah SM, Karim T, et al. Prevalence and determinants of initiation of breastfeeding within one hour of birth: An analysis of the Bangladesh Demographic and Health Survey, 2014. PloS one. 2019; 14(7):e0220224.
Mukunya D, Tumwine JK, Nankabirwa V, Ndeezi G, Odongo I, Tumuhamye J, et al. Factors associated with delayed initiation of breastfeeding: a survey in northern Uganda. Global health action. 2017;10(1): 1410975.
Dhakal Rai S, Regmi P, Van Teijlingen E, Wood J, Dangal G, Dhakal K. Rising rate of caesarean section in Urban Nepal. Journal of Nepal Health Research Council. 2019;16(41):479-80.
El Gilany A, Sarraf B, Al Wehady A. Factors associated with timely initiation of breastfeeding in AI-Hassa province, Saudi Arabia. EMHJ-Eastern Mediterranean Health Journal. 2012;18(3): 250-254.
Alzaheb RA. Factors associated with the initiation of breastfeeding within the first 48 hours of life in Tabuk, Saudi Arabia. International breastfeeding journal. 2016; 11(1):1-6.
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