Factors Associated with an Inadequate Volume of Expressed Milk Among Mothers of Preterm and Low Birth Weight Neonates Admitted to Neonatal Intensive Care Units of Government Hospitals in Addis Ababa, Ethiopia.

IF 1.7 Q2 PEDIATRICS
Pediatric health, medicine and therapeutics Pub Date : 2023-01-05 eCollection Date: 2023-01-01 DOI:10.2147/PHMT.S380807
Misgana Hirpha Kedida, Hussen Mekonnen Asfaw, Fikirtemariam Abebe
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Abstract

Background: Around 15 million live newborns are born prematurely each year around the world before 37 weeks. One cause of inadequate nursing is prematurity. The goal of this study was to find parameters linked to an insufficient volume of expressed milk among mothers of preterm and low birth weight neonates at government hospitals in Addis Ababa, Ethiopia.

Methods: An nstitution-based cross-sectional study was conducted on a total of 124 mothers who were available in neonatal intensive care units during the study period in government hospitals that provided such units.

Results: One-third of the responders (33.9%) were unable to express the necessary amount of milk. An inadequate volume of expressed breast milk was significantly associated with a baby's stable health status (AOR=0.24; CI=0.07-0.86), the fair (subcritical) health status of the baby (AOR=0.178; CI=0.04-0.76), worry about the volume of milk (AOR=7.50; CI=3.32-16.95), and worry about the baby's health status (AOR=4.63; CI=2.21-9.70).

Conclusion: According to our findings, 33.9% of mothers were unable to express sufficient amounts of milk. To produce an adequate volume of expressed breast milk, health care workers must address mothers' psychological issues in the neonatal intensive care units and give all necessary care to prevent neonatal deterioration.

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埃塞俄比亚亚的斯亚贝巴政府医院新生儿重症监护室收治的早产儿和出生体重不足新生儿的母亲分泌乳汁量不足的相关因素。
背景:全世界每年约有 1500 万活产新生儿在 37 周前早产。早产是导致哺乳不足的原因之一。本研究的目的是找出埃塞俄比亚亚的斯亚贝巴政府医院早产儿和低出生体重新生儿母亲母乳量不足的相关参数:方法: 对提供新生儿重症监护病房的政府医院中在研究期间可入住该病房的 124 名母亲进行了一项基于机构的横断面研究:三分之一的受访者(33.9%)无法挤出所需的母乳量。母乳量不足与婴儿健康状况稳定(AOR=0.24;CI=0.07-0.86)、婴儿健康状况一般(亚临界)(AOR=0.178;CI=0.04-0.76)、对母乳量的担忧(AOR=7.50;CI=3.32-16.95)以及对婴儿健康状况的担忧(AOR=4.63;CI=2.21-9.70)显著相关:根据我们的研究结果,33.9%的母亲无法挤出足够的乳汁。为了挤出足够的母乳,医护人员必须在新生儿重症监护室解决母亲的心理问题,并提供一切必要的护理,以防止新生儿病情恶化。
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