Effective breastfeeding practices among mothers exclusively breastfeeding infants in Ethiopia

IF 1.7 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Clinical Epidemiology and Global Health Pub Date : 2025-06-14 DOI:10.1016/j.cegh.2025.102089

Yonas Abebe, Beriso Dadi

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引用次数: 0

Abstract

Background

Effective breastfeeding is crucial for infant well-being, yet less than half of infants globally receive recommended practices. Ethiopia faces high infant mortality linked to malnutrition and ineffective breastfeeding. This study aimed to determine the prevalence of effective breastfeeding and identify factors associated with its practice among mothers who exclusively breastfeed.

Methods

A facility-based, cross-sectional study design was employed. This study was conducted among 414 mothers at Dilla University Referral Hospital from July 1 to September 30, 2023. Participants were selected using systematic random sampling. Data were collected using an interviewer-administered questionnaire and an observational checklist. The collected data were entered into Epi-Data version 4.2 and exported to SPSS version 26 for analysis. Bivariate and multivariable binary logistic regression analyses were used to investigate the associations between variables.

Result

The prevalence of effective breastfeeding practice was 23 % (95 % CI: 18.5, 26.8). In the multivariable binary logistic analysis, postpartum counselling (AOR = 2.61; 95 % CI 1.27, 5.39), breastfeeding experience (AOR = 6.08; 95 % CI 1.34, 27.39), postpartum breastfeeding demonstration (AOR = 4.14; 95 % CI 1.13, 15.2) and attending four or more antenatal care visits (AOR = 4.41; 95 % CI 2.3, 8.35) were factors significantly associated with effective breastfeeding practice.

Conclusion

Effective breastfeeding is unacceptably low among study participants. To increase effective breast-feeding practice, counselling during health service utilization visit and demonstrating breastfeeding techniques before discharge from the health facility are recommended measures to be taken.

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埃塞俄比亚纯母乳喂养婴儿的母亲的有效母乳喂养做法

有效的母乳喂养对婴儿健康至关重要，但全球只有不到一半的婴儿接受了推荐的做法。埃塞俄比亚面临着与营养不良和无效母乳喂养有关的高婴儿死亡率。本研究旨在确定有效母乳喂养的流行程度，并确定与纯母乳喂养母亲的做法相关的因素。方法采用以设施为基础的横断面研究设计。该研究于2023年7月1日至9月30日在迪拉大学转诊医院对414名母亲进行了研究。研究对象采用系统随机抽样的方法进行选择。数据收集采用访谈者管理的问卷和观察清单。收集的数据输入Epi-Data 4.2版本，导出到SPSS 26版本进行分析。使用双变量和多变量二元逻辑回归分析来调查变量之间的关联。结果有效母乳喂养率为23% （95% CI: 18.5, 26.8）。在多变量二元logistic分析中，产后咨询(AOR = 2.61；95% CI 1.27, 5.39)，母乳喂养经验(AOR = 6.08；95% CI 1.34, 27.39)，产后母乳喂养示范(AOR = 4.14；95% CI 1.13, 15.2)和参加四次或以上产前保健检查(AOR = 4.41；95% CI 2.3, 8.35)是与有效母乳喂养实践显著相关的因素。结论研究参与者的有效母乳喂养率低得令人无法接受。为了加强有效的母乳喂养做法，建议采取措施，在保健服务利用访问期间提供咨询，并在出院前示范母乳喂养技术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Epidemiology and Global Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

4.60

自引率

7.70%

发文量

218

审稿时长

66 days

期刊介绍： Clinical Epidemiology and Global Health (CEGH) is a multidisciplinary journal and it is published four times (March, June, September, December) a year. The mandate of CEGH is to promote articles on clinical epidemiology with focus on developing countries in the context of global health. We also accept articles from other countries. It publishes original research work across all disciplines of medicine and allied sciences, related to clinical epidemiology and global health. The journal publishes Original articles, Review articles, Evidence Summaries, Letters to the Editor. All articles published in CEGH are peer-reviewed and published online for immediate access and citation.