Vivianne Nakayiza, Jonathan Izudi, Esther M Nasuuna, Fiona Atim
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引用次数: 0
Abstract
Background: Breastfeeding initiation within the first hour of birth is beneficial in reducing the risk of maternal and neonatal mortality. However, a significant proportion of mothers delay initiating breastfeeding within an hour of birth, but the association with age has not been rigorously studied. We examined the association between maternal age and delayed initiation of breastfeeding in a large urban referral hospital in central Uganda.
Methods: This analytic cross-sectional study was conducted at the Entebbe Regional Referral Hospital in Central Uganda. Data were collected using a researcher-administered questionnaire between October 1, 2019, and December 20, 2019. Delayed initiation of breastfeeding was the primary outcome, defined as putting the newborn to the breast after one hour of birth. The primary exposure was maternal age categorized as 15-24, 25-34, and 35-45 years. We performed a modified Poisson regression analysis to determine the independent association between maternal age and delayed initiation of breastfeeding, adjusting for other confounders. We stated the findings as an adjusted prevalence ratio (aPR) and 95% confidence interval (CI).
Results: We studied 384 participants with a mean age of 27.5 ± 5.5 years. Of the 384 participants studied, 275 (71.6%) had delayed initiating breastfeeding, with the majority aged 15-24 years. In a multivariable analysis, delayed initiation of breastfeeding was significantly associated with maternal age groups of 15-24 years (aPR 1.28, 95% CI 1.01,1.63) and 25-34 years (aPR 1.28, 95% CI 1.01-1.60) compared to the reference group of 35-45 years. Additionally, delivery through cesarean section compared to spontaneous vaginal delivery was associated with delayed initiation of breastfeeding (aPR 1.93, 95% CI 1.49-2.49).
Conclusion: Delayed initiation of breastfeeding is common and is associated with maternal age (15-24 and 25-34 years) as well as delivery through cesarean section. Routine health education and staff mentoring are needed to enhance early initiation of breastfeeding to prevent maternal and neonatal morbidity and mortality.
背景：在出生后一小时内开始母乳喂养有利于降低孕产妇和新生儿死亡的风险。然而，很大比例的母亲在出生后一小时内延迟开始母乳喂养，但这与年龄的关系尚未得到严格研究。我们在乌干达中部的一家大型城市转诊医院检查了母亲年龄与延迟开始母乳喂养之间的关系。方法：本分析横断面研究在乌干达中部的恩德培地区转诊医院进行。数据是在2019年10月1日至2019年12月20日期间通过研究人员管理的问卷收集的。延迟开始母乳喂养是主要结果，定义为在新生儿出生一小时后将其放入乳房。主要暴露于15-24岁、25-34岁和35-45岁的产妇。我们进行了修正泊松回归分析，以确定母亲年龄与延迟开始母乳喂养之间的独立关联，并对其他混杂因素进行了调整。我们用校正患病率（aPR）和95%置信区间（CI）来陈述研究结果。结果：我们研究了384名参与者，平均年龄为27.5±5.5岁。在384名参与者中，275名（71.6%）推迟了开始母乳喂养，大多数年龄在15-24岁之间。在一项多变量分析中，与35-45岁的参照组相比，延迟开始母乳喂养与15-24岁（aPR 1.28, 95% CI 1.01,1.63）和25-34岁（aPR 1.28, 95% CI 1.01-1.60）的母亲年龄组显著相关。此外，与自然阴道分娩相比，剖宫产分娩与延迟开始母乳喂养相关（aPR 1.93, 95% CI 1.49-2.49）。结论：延迟开始母乳喂养是常见的，并与产妇年龄（15-24岁和25-34岁）以及剖宫产分娩有关。需要进行常规保健教育和工作人员指导，以加强早期开始母乳喂养，防止产妇和新生儿发病率和死亡率。
期刊介绍：
rchives of Public Health is a broad scope public health journal, dedicated to publishing all sound science in the field of public health. The journal aims to better the understanding of the health of populations. The journal contributes to public health knowledge, enhances the interaction between research, policy and practice and stimulates public health monitoring and indicator development. The journal considers submissions on health outcomes and their determinants, with clear statements about the public health and policy implications. Archives of Public Health welcomes methodological papers (e.g., on study design and bias), papers on health services research, health economics, community interventions, and epidemiological studies dealing with international comparisons, the determinants of inequality in health, and the environmental, behavioural, social, demographic and occupational correlates of health and diseases.
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