Prevalence of Timely Initiation of Breastfeeding and Associated Factors in First Time Mothers in Bahirdar,Amhara Regional State , North West,Ethiopia, 2016.
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2016-05
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Addis Ababa University
Abstract
Introduction: Breastfeeding is recommended as proper infant and young child feedingpractice that should be initiated within the first hour after birth. Early initiation ofbreastfeeding protects newborns from early neonatal mortality. Timely initiation ofbreastfeeding also known as early initiation ofbreastfeeding means babies are put onbreast within one hour following delivery and ensuring that the infant receives thecolostrums or ―first milk‖. It is one important intervention preventing childhoodmorbidities and mortalities. Globally, not more than 35% of infants are initiated withbreastfeeding. In developing countries 39% of infants are initiated with breastfeedingearly. In Ethiopia only 52% of the mothers practiced early initiation of breastfeeding.Prevalence of TIBF in Amhara Regional State in which Bahir Dar is the capital city isthe lowest (38%) one compared to other regions of Ethiopia.
Objective: The objective of this study to assess timely initiation of breastfeedingpractices and associated factors among first time mothers who have infants less thansix months of age in Bahir Dar city, Amhara Regional State, North West Ethiopia.
Method: Community based quantitative cross-sectional study was conducted fromMarch20, 2016 to April, 2016. Systematic random sampling technique was applied. Atotal of 400 mothers who have infant less than six month old were included in thisstudy. The data was collected from all 9 sub cities using interviewer administeredquestionnaire. Descriptive and inferential statistics were used to present the data.Both bivariate and multivariate logistic regression analyses were carried out to identifyfactors associated with timely initiation of breastfeeding practice.
Result: prevalence of timely initiation of breast feeding was 65%. On multivariatelogistic regression, gender of infant being male, got breastfeeding counseling duringANC, place of delivery, mode delivery and supported by religious father of motherswere found to be associated with TIBF. Male babies were 2 times benefited thanfemale babies [AOR 2.148(1.232, 3.745)] and mothers who got breastfeedingcounseling during were also 2 times more initiate breastfeeding [AOR 2.163(1.187,3.942) ] than those who didn‘t get. On the other hand mothers who gave birth at healthinstitution were 8.6 times more to practice timely initiation of breastfeeding [AOR8.639(2.089, 5.720)] than those of gave birth at home. Similarly mothers who weredelivered by vaginal delivery were 4 times more practice timely initiation ofbreastfeeding [AOR 4.094(1.414, 8.728] than those who were delivered by C/s. Finallymothers who got religious father support were almost 2 times more practice timelyinitiation of breastfeeding[AOR 1.962(1.113, 3.458)] than those who were notsupported.
Conclusion and recommendations: prevalence of timely initiation of breastfeeding inthe study area was 65%. Gender of infant, breastfeeding counseling during ANC, Birthplace, mode of delivery and religious father support were independent predictors oftimely initiation of breastfeeding practice. Strengthening timely initiation ofbreastfeeding and provision of antenatal care service to mothers specially thosedelivered by C/S is recommended. In addition, educating mothers both at communityand institutional levels as well as strengthening health professionals‘ knowledge andskills on breastfeeding counseling through training could be the most important actionsto be undertaken by concerned stakeholders.
Keywords: Timely initiation Breastfeeding, First time mother.
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Timely initiation Breastfeeding First time mother