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Magalhães Sales N, Almeida de Oliveira AK, Sousa da Silva FM, Nascimento Oliveira L, Maciel Abreu VS, Pires Gadelha I, Reis Ferreira U, Amorim Lessa Soares PR, Ribeiro SG, de Souza Aquino P. Factors associated with infant feeding intention among usual-risk pregnant women. Int J Gynaecol Obstet 2024; 165:1085-1090. [PMID: 38294168 DOI: 10.1002/ijgo.15346] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2023] [Revised: 12/04/2023] [Accepted: 12/18/2023] [Indexed: 02/01/2024]
Abstract
OBJECTIVE To identify the factors associated with infant feeding intention among usual-risk pregnant women. METHODS A quantitative cross-sectional study was conducted in two primary healthcare institutions in Fortaleza, Ceará, Brazil, with usual-risk pregnant women. A non-probabilistic convenience sampling method was used, and 119 pregnant women participated. Data collection took place from May 2022 to February 2023. The data collection process involved using forms and the Infant Feeding Intention Scale. Ethical considerations were strictly adhered to. RESULTS The study revealed statistically significant differences in the infant's means. The majority of pregnant women (96.6%) declared that they would breastfeed after giving birth. The intention to breastfeed exclusively was statistically higher in mothers with younger children and previous experience of breastfeeding or complications in the current pregnancy. CONCLUSION This study clarified that the intention to breastfeed up to 6 months is influenced by variables encompassing the age of the youngest child, previous breastfeeding experience, and pregnancy complications, emphasizing the intricate nature of the determinants of intention to breastfeed.
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Affiliation(s)
| | | | | | | | | | - Ivyna Pires Gadelha
- Department of Nursing, Federal University of Ceará, Fortaleza, Ceará, Brazil
| | - Uly Reis Ferreira
- Department of Nursing, Federal University of Ceará, Fortaleza, Ceará, Brazil
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Singh S, Rajak R. Barriers in utilization and provisioning of obstetric care services (OCS) in India: a mixed-methods systematic review. BMC Pregnancy Childbirth 2024; 24:16. [PMID: 38166775 PMCID: PMC10759396 DOI: 10.1186/s12884-023-06189-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2022] [Accepted: 12/11/2023] [Indexed: 01/05/2024] Open
Abstract
BACKGROUND Despite the reduction in the maternal mortality ratio, barriers in obstetric care services (OCS) remain a significant risk factor for adverse maternal and perinatal outcomes in India. This review covers the 'continuum of care' (ANC, child delivery, and PNC services) and identifies multiple barriers in provisioning as well as utilization of OCS in India. We conducted a systematic review to understand the barriers using a mixed-methods approach. METHODS PubMed, Scopus, Web of Science, Google Scholar, and Science Direct databases were searched from 1 January 2000 to 30 June 2022. The methodological quality of the included studies was assessed using appropriate tools. After a full-text review of 164 studies, total of 56 studies (33 quantitative, 18 qualitative, and 5 mixed-methods studies) were finally included in the review. All the barriers were classified into five major themes: (i) individual and interpersonal barriers, (ii) social and cultural barriers, (iii) structural barriers, (iv) logistical barriers, and (v) organizational barriers. A thematic synthesis approach was used to present the findings of the included studies. RESULTS Lack of knowledge and awareness and less family support in availing the required OCS were key individual and interpersonal barriers. Negative social and cultural practices, such as belief in traditional herbs/healers, dietary restrictions, and discarding colostrum were frequently reported barriers, especially in rural settings. Poor economic status and high health service costs were the most often cited barriers to low institutional delivery and delayed ANC services. Long distances to health facilities and poor road conditions were the most frequently reported logistical barriers. On the provisioning side, poor quality of treatment, shortage of drugs and equipment, and non-cooperative attitude of health professionals were the most significant barriers. CONCLUSION This review identified several important barriers ranging from individual and cultural to structural, logistical, and organizational, which are prevalent in India. To mitigate the barriers, the governments need to develop strategies at the individual and organizational levels. Innovative interventions and program implementation at the community and village levels could also be contributory steps towards improving OCS utilization in India.
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Affiliation(s)
- Sushmita Singh
- Centre of Social Medicine and Community Health, Jawaharlal Nehru University, New Delhi, India
| | - Rahul Rajak
- Institute of Development Studies, Kolkata, India.
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Giang HTN, Duy DTT, Vuong NL, Ngoc NTT, Pham TT, Duc NTM, Le TTD, Nga TTT, Hieu LTM, Vi NTT, Triet BM, Thach NT, Truc TTB, Huy NT. Prevalence of exclusive breastfeeding for the first six months of an infant's life and associated factors in a low-middle income country. Int Breastfeed J 2023; 18:47. [PMID: 37653448 PMCID: PMC10472614 DOI: 10.1186/s13006-023-00585-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/17/2022] [Accepted: 08/22/2023] [Indexed: 09/02/2023] Open
Abstract
BACKGROUND Although breastfeeding is practiced by 98% of mothers in Vietnam, infant breastfeeding behaviors remain far from World Health Organization recommendations and continues to decline. This study aims to explore the prevalence and factors associated with exclusive breastfeeding in the first six months of an infant's life. METHODS A cross-sectional study utilized a self-administered maternal questionnaire to collect data on 1072 Vietnamese mothers who brought infants aged between 6 and 30 months to a community health centre (CHC) for routine vaccination. Data collection was conducted from March to May 2021 in two cities in Central and North Vietnam. In order to measure exclusive breastfeeding, we asked mothers to recall (yes / no), if the child had received breast milk, formula, colostrum milk powder, water, vitamin / medicine, fruit juice / honey, and complementary foods aged under six months. RESULTS In the first six months, 14.2% of mothers exclusively breastfed their infants. Multivariable logistic regression analysis demonstrated a significant association between exclusive infant breastfeeding and the highest maternal education level (university or postgraduate) (adjusted odds ratio (aOR) 2.55; 95% confidence interval (CI) 1.10, 5.91); male infants (aOR 1.72; 95% CI 1.11, 2.68); duration of skin-to-skin contact greater than 90 min (aOR 7.69; 95% CI 1.95, 30.38); receiving first breastfeeding during skin-to-skin contact (aOR 2.31; 95% CI 1.30, 4.10); completely feeding infant directly at the breast (aOR 1.65; 95% CI 1.00, 2.71) and exclusive breastfeeding intention during pregnancy (aOR 2.48; 95% CI 1.53, 4.00). When compared with mothers who were prenatally exposed to infant formula advertising classified as "often", the prevalence of exclusive infant breastfeeding was higher in mothers who classified their prenatal exposure to infant formula advertising as "sometimes" (aOR 2.15; 95% CI 1.13, 4.10), and "seldom" (aOR 2.58; 95% CI 1.25, 5.36). CONCLUSION The prevalence of mothers who practiced exclusive infant breastfeeding during the first six months in Vietnam was low. Infants should receive early maternal-infant skin-to-skin contact greater than 90 min and complete first breastfeeding during skin-to-skin contact. Further, mothers should be protected against infant formula advertisements to maximise the likelihood of exclusive breastfeeding during the child's infancy.
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Affiliation(s)
| | - Do Thi Thuy Duy
- School of Medicine and Pharmacy, The University of Danang, Danang, Vietnam
| | - Nguyen Lam Vuong
- University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam
| | | | - Thu Thi Pham
- School of Medicine and Pharmacy, The University of Danang, Danang, Vietnam
| | - Nguyen Tran Minh Duc
- University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam
| | - Trinh Thi Diem Le
- University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam
| | - Tran Thi Tuyet Nga
- University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam
| | - Le Tho Minh Hieu
- School of Medicine and Pharmacy, The University of Danang, Danang, Vietnam
| | | | - Bui Minh Triet
- School of Medicine and Pharmacy, The University of Danang, Danang, Vietnam
| | - Nguyen Tan Thach
- School of Medicine and Pharmacy, The University of Danang, Danang, Vietnam
| | - Tran Thi Bach Truc
- School of Medicine and Pharmacy, The University of Danang, Danang, Vietnam
| | - Nguyen Tien Huy
- School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan
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Mary JJF, Sindhuri R, Kumaran AA, Dongre AR. Early initiation of breastfeeding and factors associated with its delay among mothers at discharge from a single hospital. Clin Exp Pediatr 2022; 65:201-208. [PMID: 34665960 PMCID: PMC8990951 DOI: 10.3345/cep.2021.00129] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/03/2021] [Accepted: 09/28/2021] [Indexed: 11/27/2022] Open
Abstract
BACKGROUND According to the National Family Health Survey- 4, in India, 78.9% of deliveries occur in institutions, although only 42.6% of new mothers initiate breastfeeding within 1 hour of delivery. PURPOSE To estimate the proportion of early initiation of breastfeeding (EIBF) among new mothers at discharge from a tertiary care hospital and identify the determinants of delayed initiation of breastfeeding among them. METHODS This was a hospital-based analytical cross-sectional study of 108 new mothers. After obtaining Institutional Review Board approval and informed consent, we interviewed the new mothers on the day of discharge. Multivariate logistic regression was performed using IBM SPSS Statistics ver. 24. RESULTS The median breastfeeding initiation time was 90 minutes (interquartile range, 30-180 minutes). Overall, 43.5% of the mothers practiced EIBF, 77.4% practiced exclusive breastfeeding, and 43.5% were rooming in at discharge. Reasons for breastfeeding delays included extended recovery time from spinal anesthesia, maternal lassitude, and uncomfortable breastfeeding position due to post-cesarean pain. In the multivariate analysis, a birth weight less than 2,500 g (adjusted odds ratio [aOR], 4.33; 95% confidence interval [CI], 1.12-16.82; P=0.03), cesarean section delivery (aOR, 4.68; 95% CI, 1.57- 13.92; P=0.005), and mother's poor knowledge of breastfeeding (aOR, 4.61; 95% CI, 1.44-14.72; P=0.010) were more likely to delay the initiation of breastfeeding. CONCLUSION EIBF was practiced by less than half of the new mothers as determined by the cesarean section, baby's birth weight, and mothers' awareness of breastfeeding. Thus, it is vital to improve breastfeeding and nutritional counseling among mothers during the antenatal period and improve healthcare professionals' training to facilitate EIBF, even in circumstances such as cesarean section.
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Affiliation(s)
- J Jenifer Florence Mary
- Department of Community Medicine, Sri Manakula Vinayagar Medical College and Hospital, Puducherry, India
| | - R Sindhuri
- Department of Community Medicine, Sri Manakula Vinayagar Medical College and Hospital, Puducherry, India
| | - A Arul Kumaran
- Department of Pediatrics, Sri Manakula Vinayagar Medical College and Hospital, Puducherry, India
| | - Amol R Dongre
- Department of Extension Programmes, Pramukhswami Medical College, Bhaikaka University, Karamsad, Gujarat, India
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Rushender R, Krishnamoorthy Y, Hussain Siraja AA. Factors associated with the knowledge about breastfeeding among antenatal and postnatal women in selected rural villages of Chengalpattu, Tamil Nadu: A community-based cross-sectional study. J Educ Health Promot 2022; 11:72. [PMID: 35372624 PMCID: PMC8974921 DOI: 10.4103/jehp.jehp_425_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/03/2021] [Accepted: 07/12/2021] [Indexed: 06/14/2023]
Abstract
BACKGROUND Addressing good breastfeeding practices among antenatal and postnatal mothers is important as it helps in bringing about a positive change in the behavior, attitude, and practice with appropriate health education. Hence, this study was done to determine the awareness level of antenatal and postnatal mothers about the breastfeeding practices and benefits and identify the factors associated with it in rural Chengalpattu, Tamil Nadu, India. MATERIALS AND METHODS We conducted this community-based cross-sectional study among 377 antenatal and postnatal mothers in the selected rural villages of Chengalpattu between October 2019 and September 2020. Details regarding the sociodemographic characteristics and awareness/knowledge about the breastfeeding were collected using pretested semistructured questionnaire. Knowledge adequacy was summarized as proportion with 95% confidence interval (CI), and factors associated with knowledge were interpreted as adjusted prevalence ratio (aPR) with 95% CI using log-binomial regression. RESULTS About 19.6% (95% CI: 15.7%-24.0%) mothers had inadequate knowledge about breastfeeding. Women who were unemployed (aPR = 1.60; 95% CI: 1.02-2.51), belonging to the lower socioeconomic status (aPR = 2.62; 95% CI: 1.80-3.82), belonging to Muslim religion (aPR = 1.63; 95% CI: 1.14-2.35), and living in joint family (aPR = 1.58; 95% CI: 1.12-2.21) had significant higher risk of inadequate knowledge about breastfeeding practices compared to those who were employed, belonging to puper socioeconomic status, Hindu religion, and living in nuclear family. CONCLUSION We found that almost one-fifth of the antenatal and/or postnatal mothers had inadequate knowledge about the breastfeeding benefits and practices. Health education sessions are required to promote the awareness about breastfeeding during antenatal and postnatal check-ups.
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Affiliation(s)
- Rajan Rushender
- Department of Community Medicine, SRM Medical College Hospital and Research Centre, SRM Institute of Science and Technology, Srm Nagar, Kattankulathur, Kanchipuram, Chennai, Tn, India
| | - Yuvaraj Krishnamoorthy
- Assistant Professor, Department of Community Medicine, ESIC Medical College and PGIMSR, K.K. Nagar, Chennai, India
| | - Ameenah Anwar Hussain Siraja
- Department of Community Medicine, SRM Medical College Hospital and Research Centre, SRM Institute of Science and Technology, Srm Nagar, Kattankulathur, Kanchipuram, Chennai, Tn, India
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Hechera Y, Dona A. Prevalence of Undernutrition and Its Associated Factors Among Lactating Women in the Shebedino District, Sidama Regional State, Ethiopia. INQUIRY 2022; 59:469580221087883. [PMID: 35377250 PMCID: PMC8984848 DOI: 10.1177/00469580221087883] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Background: Ensuring the nutritional status of lactating women is crucial to
prevent maternal morbidity and mortality in poor countries like Ethiopia. Hence, this
study aimed to assess the prevalence of undernutrition and its associated factors among
lactating women in Shebedino district, Sidama Regional State, Ethiopia. Methods: A community-based cross-sectional study was conducted among
randomly selected 612 lactating women from February to March 2020. Data were collected by
using an interviewer-administered, structured, and pretested questionnaire. Also, physical
measurements (weight, height, and body mass index) were measured by using standardized and
calibrated instruments. Data entered into Epi data version 3.1 and exported to SPSS
version 23 for further analysis. Descriptive statistics, bivariable, and multivariable
logistic regression analysis were done. A P-value of ≤.05 was used to
consider the statistical significance. Result: The prevalence of undernutrition was 25.9% (95% CI: 22.5, 29.5).
Having polygamous husband (AOR = 3.47, 95% CI: 1.13, 10.68), belonged to households with
less than 5 members (AOR = 1.81, 95% CI: 1.16, 2.83), abortion history in the last
6 months (AOR = 3.09, 95% CI: 1.73, 5.51), poor household wealth status (AOR = 3.85, 95%
CI: 1.89, 7.81), and medium wealth status (AOR = 2.07, 95% CI: 1.06, 4.03) were factors
positively associated with undernutrition. Conclusion: Undernutrition among lactating women was high in the study area.
Attention should be given to the economic status of the women, family planning services,
abortion prevention, and habits of marrying more than 1 wife (polygamy).
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Affiliation(s)
- Yonas Hechera
- Sidama Regional State Health Bureau, Hawassa, Ethiopia
| | - Aregahegn Dona
- Department of Social and Population Health, Yirgalem Hospital Medical College, Yirgalem, Ethiopia
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Dhami MV, Ogbo FA, Akombi-Inyang BJ, Torome R, Agho KE. Understanding the Enablers and Barriers to Appropriate Infants and Young Child Feeding Practices in India: A Systematic Review. Nutrients 2021; 13:825. [PMID: 33801545 PMCID: PMC7998710 DOI: 10.3390/nu13030825] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2020] [Revised: 01/30/2021] [Accepted: 02/26/2021] [Indexed: 11/16/2022] Open
Abstract
Despite efforts to promote infant and young child feeding (IYCF) practices, there is no collective review of evidence on IYCF enablers and barriers in India. This review was conducted using 2015 Preferred Reporting Items for Systematic reviews and Meta-Analysis (PRISMA) guidelines. Six computerized bibliographic databases, Scopus, PubMed, PsycINFO, CINAHL, Embase, and Ovid MEDLINE, were searched for published studies on factors associated with IYCF practices in India from 1 January 1993, to 30 April 2020. IYCF practices examined were early initiation of breastfeeding, exclusive breastfeeding, continued breastfeeding at one year, introduction to solid semi-solid or soft foods, minimum dietary diversity, minimum meal frequency, minimum acceptable diet, continued breastfeeding at two years, predominant breastfeeding, and bottle feeding. In total, 6968 articles were retrieved, and 46 studies met the inclusion criteria. The common enablers of IYCF were higher maternal socioeconomic status (SES) and more frequent antenatal care visits (ANC) (≥3). Common barriers to IYCF practices were low SES and less frequent ANC. The review showed that the factors associated with IYCF practices in India are largely modifiable and multi-factorial. Improving IYCF practices would require the adoption of both facilities- and community-based policy interventions at the subnational and national levels in India.
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Affiliation(s)
- Mansi Vijaybhai Dhami
- Translational Health Research Institute (THRI), Western Sydney University, Penrith, NSW 2571, Australia; (F.A.O.); (K.E.A.)
| | - Felix Akpojene Ogbo
- Translational Health Research Institute (THRI), Western Sydney University, Penrith, NSW 2571, Australia; (F.A.O.); (K.E.A.)
- Barmera Medical Clinic (Lake Bonney Private Medical Clinic), Barmera, SA 5345, Australia;
| | - Blessing Jaka Akombi-Inyang
- School of Population Health, University of New South Wales, Sydney, NSW 2052, Australia;
- School of Social Sciences, Western Sydney University, Penrith, NSW 2571, Australia
| | - Raphael Torome
- Barmera Medical Clinic (Lake Bonney Private Medical Clinic), Barmera, SA 5345, Australia;
| | - Kingsley Emwinyore Agho
- Translational Health Research Institute (THRI), Western Sydney University, Penrith, NSW 2571, Australia; (F.A.O.); (K.E.A.)
- School of Health Sciences, Western Sydney University, Penrith, NSW 2571, Australia
- African Vision Research Institute (AVRI), University of KwaZulu-Natal, Durban 4041, South Africa
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