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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Date
2016-05
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Addis Ababa University
Abstract
Introduction: Breastfeeding is recommended as proper infant and young child feeding
practice that should be initiated within the first hour after birth. Early initiation of
breastfeeding protects newborns from early neonatal mortality. Timely initiation of
breastfeeding also known as early initiation of breastfeeding means babies are put on
breast within one hour following delivery and ensuring that the infant receives the
colostrums or ―
first milk‖. It is one important intervention preventing childhood
morbidities and mortalities. Globally, not more than 35% of infants are initiated with
breastfeeding. In developing countries 39% of infants are initiated with breastfeeding
early. 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 is
the lowest (38%) one compared to other regions of Ethiopia.
Objective: The objective of this study to assess timely initiation of breastfeeding
practices and associated factors among first time mothers who have infants less than
six months of age in Bahir Dar city, Amhara Regional State, North West Ethiopia.
Method: Community based quantitative cross-sectional study was conducted from
March20, 2016 to April, 2016. Systematic random sampling technique was applied. A
total of 400 mothers who have infant less than six month old were included in this
study. The data was collected from all 9 sub cities using interviewer administered
questionnaire. Descriptive and inferential statistics were used to present the data.
Both bivariate and multivariate logistic regression analyses were carried out to identify
factors associated with timely initiation of breastfeeding practice.
Result: prevalence of timely initiation of breast feeding was 65%. On multivariate
logistic regression, gender of infant being male, got breastfeeding counseling during
ANC, place of delivery, mode delivery and supported by religious father of mothers
were found to be associated with TIBF. Male babies were 2 times benefited than
female babies [AOR 2.148(1.232, 3.745)] and mothers who got breastfeeding
counseling 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 health
institution were 8.6 times more to practice timely initiation of breastfeeding [AOR
8.639(2.089, 5.720)] than those of gave birth at home. Similarly mothers who were
delivered by vaginal delivery were 4 times more practice timely initiation of
breastfeeding [AOR 4.094(1.414, 8.728] than those who were delivered by C/s. Finally
mothers who got religious father support were almost 2 times more practice timely
initiation of breastfeeding[AOR 1.962(1.113, 3.458)] than those who were not
supported.
Conclusion and recommendations: prevalence of timely initiation of breastfeeding in
the study area was 65%. Gender of infant, breastfeeding counseling during ANC, Birth
place, mode of delivery and religious father support were independent predictors of
timely initiation of breastfeeding practice. Strengthening timely initiation of
breastfeeding and provision of antenatal care service to mothers specially those
delivered by C/S is recommended. In addition, educating mothers both at community
and institutional levels as well as strengthening health professionals‘ knowledge and
skills on breastfeeding counseling through training could be the most important actions
to be undertaken by concerned stakeholders.
Keywords: Timely initiation Breastfeeding, First time mother.
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Keywords
Timely initiation Breastfeeding, First time mother