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Factors associated with delayed initiation of breastfeeding: a cross-sectional study in South Sudan
BACKGROUND: The global breastfeeding recommendation states that all infants should be put to the breast within one hour of birth, which is defined as timely initiation or early initiation of breastfeeding. Early initiation of breastfeeding is associated with reduced risk in infant illness and death....
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6034205/ https://www.ncbi.nlm.nih.gov/pubmed/30002722 http://dx.doi.org/10.1186/s13006-018-0170-0 |
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author | Bruno Tongun, Justin Sebit, Mohammed Boy Mukunya, David Ndeezi, Grace Nankabirwa, Victoria Tylleskar, Thorkild Tumwine, James K. |
author_facet | Bruno Tongun, Justin Sebit, Mohammed Boy Mukunya, David Ndeezi, Grace Nankabirwa, Victoria Tylleskar, Thorkild Tumwine, James K. |
author_sort | Bruno Tongun, Justin |
collection | PubMed |
description | BACKGROUND: The global breastfeeding recommendation states that all infants should be put to the breast within one hour of birth, which is defined as timely initiation or early initiation of breastfeeding. Early initiation of breastfeeding is associated with reduced risk in infant illness and death. Understanding the determinants of delay in initiation of breastfeeding might spur health staff and policy makers to foster timely breastfeeding. We assessed the prevalence and determinants of delay in initiation of breastfeeding among mothers in Juba Teaching Hospital. METHODS: The present study enrolled 806 mother-infant pairs within 24 hrs of birth in Juba Teaching Hospital in 2017. The mothers were interviewed about the time of initiation of breastfeeding, sociodemographic and birth characteristics. The independent variables associated with delay in initiation of breastfeeding were identified using multivariable logistic regression analysis. RESULTS: In the current study, 52% (418/806) of the mothers initiated breastfeeding later than one hour after birth. Birth by Caesarean section (Adjusted Odds Ratio [AOR] 41; 95% Confidence Interval [CI] 12.21, 138), discarding of colostrum (AOR 9.89; 95% CI 4.14, 23.62), unmarried mothers (AOR 3.76; 95% CI 1.53, 9.24), exposure to infant formula advertisement (AOR 1.82; 95% CI 1.09, 3.02) and no house ownership (AOR 1.52; 95% CI 1.11, 2.09) were independent factors associated with delay in initiation of breastfeeding. CONCLUSION: We found that more than half of the mothers delayed the initiation of breastfeeding. Therefore, we recommend training on best breastfeeding practices and counselling skills for health staff in Juba Teaching Hospital. Policy dialogue, with the relevant ministries and departments on the promotion and protection of early initiation of breastfeeding is crucial. |
format | Online Article Text |
id | pubmed-6034205 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-60342052018-07-12 Factors associated with delayed initiation of breastfeeding: a cross-sectional study in South Sudan Bruno Tongun, Justin Sebit, Mohammed Boy Mukunya, David Ndeezi, Grace Nankabirwa, Victoria Tylleskar, Thorkild Tumwine, James K. Int Breastfeed J Research BACKGROUND: The global breastfeeding recommendation states that all infants should be put to the breast within one hour of birth, which is defined as timely initiation or early initiation of breastfeeding. Early initiation of breastfeeding is associated with reduced risk in infant illness and death. Understanding the determinants of delay in initiation of breastfeeding might spur health staff and policy makers to foster timely breastfeeding. We assessed the prevalence and determinants of delay in initiation of breastfeeding among mothers in Juba Teaching Hospital. METHODS: The present study enrolled 806 mother-infant pairs within 24 hrs of birth in Juba Teaching Hospital in 2017. The mothers were interviewed about the time of initiation of breastfeeding, sociodemographic and birth characteristics. The independent variables associated with delay in initiation of breastfeeding were identified using multivariable logistic regression analysis. RESULTS: In the current study, 52% (418/806) of the mothers initiated breastfeeding later than one hour after birth. Birth by Caesarean section (Adjusted Odds Ratio [AOR] 41; 95% Confidence Interval [CI] 12.21, 138), discarding of colostrum (AOR 9.89; 95% CI 4.14, 23.62), unmarried mothers (AOR 3.76; 95% CI 1.53, 9.24), exposure to infant formula advertisement (AOR 1.82; 95% CI 1.09, 3.02) and no house ownership (AOR 1.52; 95% CI 1.11, 2.09) were independent factors associated with delay in initiation of breastfeeding. CONCLUSION: We found that more than half of the mothers delayed the initiation of breastfeeding. Therefore, we recommend training on best breastfeeding practices and counselling skills for health staff in Juba Teaching Hospital. Policy dialogue, with the relevant ministries and departments on the promotion and protection of early initiation of breastfeeding is crucial. BioMed Central 2018-07-05 /pmc/articles/PMC6034205/ /pubmed/30002722 http://dx.doi.org/10.1186/s13006-018-0170-0 Text en © The Author(s). 2018 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 Bruno Tongun, Justin Sebit, Mohammed Boy Mukunya, David Ndeezi, Grace Nankabirwa, Victoria Tylleskar, Thorkild Tumwine, James K. Factors associated with delayed initiation of breastfeeding: a cross-sectional study in South Sudan |
title | Factors associated with delayed initiation of breastfeeding: a cross-sectional study in South Sudan |
title_full | Factors associated with delayed initiation of breastfeeding: a cross-sectional study in South Sudan |
title_fullStr | Factors associated with delayed initiation of breastfeeding: a cross-sectional study in South Sudan |
title_full_unstemmed | Factors associated with delayed initiation of breastfeeding: a cross-sectional study in South Sudan |
title_short | Factors associated with delayed initiation of breastfeeding: a cross-sectional study in South Sudan |
title_sort | factors associated with delayed initiation of breastfeeding: a cross-sectional study in south sudan |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6034205/ https://www.ncbi.nlm.nih.gov/pubmed/30002722 http://dx.doi.org/10.1186/s13006-018-0170-0 |
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