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Predictors and barriers to breastfeeding in north of Jordan: could we do better?

BACKGROUND: Despite the ongoing recommendations for breastfeeding, we continue to see a decrease in exclusive breastfeeding among Jordanian women during infant follow up visits at the pediatric outpatient clinic. The purpose of our study is to determine the prevalence, predictors and barriers to exc...

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Autores principales: Khasawneh, Wasim, Khasawneh, Ayat Abdelrahman
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5721388/
https://www.ncbi.nlm.nih.gov/pubmed/29234457
http://dx.doi.org/10.1186/s13006-017-0140-y
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author Khasawneh, Wasim
Khasawneh, Ayat Abdelrahman
author_facet Khasawneh, Wasim
Khasawneh, Ayat Abdelrahman
author_sort Khasawneh, Wasim
collection PubMed
description BACKGROUND: Despite the ongoing recommendations for breastfeeding, we continue to see a decrease in exclusive breastfeeding among Jordanian women during infant follow up visits at the pediatric outpatient clinic. The purpose of our study is to determine the prevalence, predictors and barriers to exclusive breastfeeding in north of Jordan. METHODS: We conducted a cross-sectional survey involving mothers with infants six to twelve months old, at two hospitals in Irbid city in north of Jordan, between December 2016 and March 2017. Questions included demographics, feeding pattern, and reasons for non-exclusive breastfeeding. RESULTS: Five hundred women were included. Twenty four percent of women were employed and 87% initiated breastfeeding within three hours of birth. The proportion of women with any breastfeeding and exclusive breastfeeding at six months was 76 and 33%. After multivariate logistic regression analysis, predictors of exclusive breastfeeding at six months include the mother’s previous experience (Adjusted Odds Ratio [AOR] 7.9, 95% CI 4.69, 13.36) and multiparity (AOR 2.26, 95% CI 1.2, 4.28), while barriers include maternal employment (AOR 0.4, 95% CI 0.22,0.72), Cesarean delivery (AOR 0.55, 95% CI 0.35, 0.86) and infant’s hospitalization (AOR 0.44, 95% CI 0.23,0.82). Inadequate breastmilk supply and short maternity leave were the main reported reasons for non-exclusive breastfeeding. CONCLUSIONS: In north of Jordan, the majority of women initiate breastfeeding, half practice exclusive breastfeeding after birth while one third continue for six months, particularly those with previous experience. Cesarean delivery and infant’s hospitalization, together with maternal employment are among the main barriers. Implementing educational programs and lactation consultant counselling together with work environment support, should be helpful to improve the breastfeeding practice among Jordanian women.
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spelling pubmed-57213882017-12-11 Predictors and barriers to breastfeeding in north of Jordan: could we do better? Khasawneh, Wasim Khasawneh, Ayat Abdelrahman Int Breastfeed J Research BACKGROUND: Despite the ongoing recommendations for breastfeeding, we continue to see a decrease in exclusive breastfeeding among Jordanian women during infant follow up visits at the pediatric outpatient clinic. The purpose of our study is to determine the prevalence, predictors and barriers to exclusive breastfeeding in north of Jordan. METHODS: We conducted a cross-sectional survey involving mothers with infants six to twelve months old, at two hospitals in Irbid city in north of Jordan, between December 2016 and March 2017. Questions included demographics, feeding pattern, and reasons for non-exclusive breastfeeding. RESULTS: Five hundred women were included. Twenty four percent of women were employed and 87% initiated breastfeeding within three hours of birth. The proportion of women with any breastfeeding and exclusive breastfeeding at six months was 76 and 33%. After multivariate logistic regression analysis, predictors of exclusive breastfeeding at six months include the mother’s previous experience (Adjusted Odds Ratio [AOR] 7.9, 95% CI 4.69, 13.36) and multiparity (AOR 2.26, 95% CI 1.2, 4.28), while barriers include maternal employment (AOR 0.4, 95% CI 0.22,0.72), Cesarean delivery (AOR 0.55, 95% CI 0.35, 0.86) and infant’s hospitalization (AOR 0.44, 95% CI 0.23,0.82). Inadequate breastmilk supply and short maternity leave were the main reported reasons for non-exclusive breastfeeding. CONCLUSIONS: In north of Jordan, the majority of women initiate breastfeeding, half practice exclusive breastfeeding after birth while one third continue for six months, particularly those with previous experience. Cesarean delivery and infant’s hospitalization, together with maternal employment are among the main barriers. Implementing educational programs and lactation consultant counselling together with work environment support, should be helpful to improve the breastfeeding practice among Jordanian women. BioMed Central 2017-12-08 /pmc/articles/PMC5721388/ /pubmed/29234457 http://dx.doi.org/10.1186/s13006-017-0140-y Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Khasawneh, Wasim
Khasawneh, Ayat Abdelrahman
Predictors and barriers to breastfeeding in north of Jordan: could we do better?
title Predictors and barriers to breastfeeding in north of Jordan: could we do better?
title_full Predictors and barriers to breastfeeding in north of Jordan: could we do better?
title_fullStr Predictors and barriers to breastfeeding in north of Jordan: could we do better?
title_full_unstemmed Predictors and barriers to breastfeeding in north of Jordan: could we do better?
title_short Predictors and barriers to breastfeeding in north of Jordan: could we do better?
title_sort predictors and barriers to breastfeeding in north of jordan: could we do better?
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5721388/
https://www.ncbi.nlm.nih.gov/pubmed/29234457
http://dx.doi.org/10.1186/s13006-017-0140-y
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