Timely Initiation of Breast Feeding of Newborns and Associated Factors among Mothers delivered with Caesarean Section in Governmental Hospitals in Addis Ababa, Ethiopia, 2020.
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Date
2020-05
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Addis Abeba University
Abstract
Background: Timely Initiation of breastfeeding is defined as putting the new born to breast
within one hour of birth and skin-to-skin contacts along with suckling at the breast stimulate
the mother‟s production of breast milk, including colostrum. Overall, caesarean section
delivery may be negatively associated with successful implementation of timely initiation of
breast feeding.
Objective: The main aim of this study is to assess timely initiation of breast feeding of
newborn and associated factors among mothers had caesarean section in Governmental
Hospitals in Addis Ababa, Ethiopia, 2020.
Methods: Institution based cross-sectional study was conducted from March 25
among 413 mothers who delivered with caesarean section. Three governmental hospitals and
study participants attended delivery in Addis Ababa. Each study participants were selected by
using consecutive sampling technique was utilized to select individual respondents. The data
was coded, entered and cleaned using EPI Data version 4.6 and then exported into SPSS
statistical software version 26 for analysed. Variables have P-value 0.25 was entered in to
multivariable logistic regression model to control for confounder. The degree of association
between dependent & independent variables was assessed using odds ratio with 95%
confidence interval and statistical significance was declared at p-value 0.05.
Results: All the required 413 study participants were interviewed with the response rate of
100%. From the total respondents 199(48.2%) of them had good practice of timely initiation
of breast feeding. In Multivariable analysis results showed that, there was statistically
significance association between timely initiation of breast feeding and parameters such as
Educational status of the mother (AOR= 0.18, 95% CI: 0.64-0.50), ante natal care follow up
(AOR=0.45, 95% CI: 0.26-0.79), Delivery time (AOR=2.06, 95% CI: 1.28-3.32). Maternal
medical complication (AOR=0.58, 95% CI: 0.35-0.97), mothers feeding for the newborn
rather than breast feeding (AOR= 0.22, 95% CI: 0.13-0.38) and maternal breast problem
(AOR=9.13, 95% CI: 1.92-43.33).
Conclusion and Recommendation: The prevalence timely initiation of breast feeding
mothers delivered by caesarean section was 48.2%. Health care providers, especially those
working in labour and delivery wards, must give high attention to caesarean section delivery
mothers to initiate breast feeding timely after delivery.
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Keywords
Timely Initiation, Breast feeding, Caesarean delivery, Newborns, mothers