Output of significant others in the promotion and sustainability of exclusive breastfeeding among nursing mothers in Ikeduru LGA, Imo state nigeria: a quasi-experimental study.

IF 3.6 2区医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

BMC Public Health Pub Date : 2025-09-30 DOI:10.1186/s12889-025-24505-2

Mary Ulumma Udeh, Sally Nkechinyere Onyeka, Evangeline Tochi Oparaocha, Chimezie Christian Iwuala, Uchechukwu Madukaku Chukwuocha, Gregory Iwuoha, Ugonma Winnie Dozie, Christopher Chike Anunonwu, Oluchi Goodness Asinobi, Victoria Ngozi Akam

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Abstract

Background: Exclusive Breastfeeding (EBF) practice has remained a challenge globally despite its numerous potential health and economic benefits for both the mother and child.

Methods: This quasi-experimental study determined the output of significant others in the promotion and sustenance of exclusive breastfeeding practice among nursing mothers in Imo State, Nigeria. Purposive multistage sampling was adopted to select the participants, who were 200 pregnant/nursing mothers and 200 significant others selected in 10 primary health care centres in Imo State. 100 significant others and 100 pregnant/nursing mothers were in each arm of the study and control group. The target population was significant others but the outcome of the intervention was assessed on the nursing mothers. Data were analyzed using SPSS version 26.0, the significance was tested using chi-square (ꭓ²), logistic regression and odds ratio were at p-value of 0.05 and 95% confidence interval.

Results: The Results of the study revealed that on the sociodemographic variables of pregnant/ nursing mothers, the average age ± standard deviation is 25.8 ± 4.2 (control group: 26. ± 4.2; intervention group: 25.6 ± 4.2). Promotion of exclusive breastfeeding by significant others had strong significant associations among the intervention against control group; (P = < 0.000, x²=48.57, d.f. =2), initiation of breastfeeding within the first hour of birth (control=37.4%, 58.6% and 4% initiated 1-3 and 4-6 h after birth respectively; intervention = (85.7%) initiated within one hour, 13.3% and 1% respectively initiated 1-3 and 4-6 h after birth ). skin to skin contact (SSC) 92.9% & 46.5%; feeding of colostrums 95(96.9%) & 89(89.9% ) (P = 0.047, x² =3.96, d.f = 1; OR = 0.28, 95% CI = 0.048-1.15), rooming in (98.9%) & (72.7%), no water/infant formula/medicinal herb till after six months 85(86.7%) & 7(7.1%) respectively for both intervention and control groups.

Conclusions: The study concluded that significant others are key stakeholders in matters concerning infant nutrition and feeding choices, including exclusive breastfeeding practice. It is therefore recommended that significant others are used as facilitators in programs concerning infant nutrition and maternal and child health in Sub-Saharan Africa.

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在尼日利亚伊莫州Ikeduru LGA促进和维持哺乳母亲的纯母乳喂养方面的重要他人的产出：一项准实验研究。

背景：尽管纯母乳喂养（EBF）对母亲和儿童都有许多潜在的健康和经济效益，但它在全球范围内仍然是一个挑战。方法：这项准实验研究确定了重要他人在促进和维持尼日利亚伊莫州哺乳母亲的纯母乳喂养实践中的产出。采用有目的的多阶段抽样来选择参与者，这些参与者是在伊莫州的10个初级卫生保健中心选出的200名怀孕/哺乳母亲和200名重要他人。研究和对照组各有100名重要他人和100名怀孕/哺乳母亲。目标人群是显著的其他人，但干预的结果是对哺乳母亲进行评估。数据分析采用SPSS 26.0版本，显著性检验采用卡方（ꭓ2），logistic回归和优势比p值为0.05,95%置信区间。结果：研究结果显示，孕/哺乳母亲的社会人口学变量中，平均年龄±标准差为25.8±4.2（对照组：26）。±4.2;干预组：25.6±4.2)。显著他人促进纯母乳喂养在干预组与对照组之间有很强的显著关联；（P = < 0.000, x2=48.57, df =2），出生后1小时内开始母乳喂养（对照组分别为37.4%、58.6%和4%，分别在出生后1-3和4-6小时开始；干预组分别为（85.7%）在1小时内开始，13.3%和1%分别在出生后1-3和4-6小时开始）。皮肤接触（SSC） 92.9% & 46.5%；初乳喂养分别为95（96.9%）和89(89.9%)(P = 0.047, x2 =3.96, df = 1; OR = 0.28, 95% CI = 0.048-1.15)，分房（98.9%）和（72.7%），6个月前不喝水/婴儿配方奶粉/中草药分别为85（86.7%）和7（7.1%）。结论：该研究得出结论，重要他人是婴儿营养和喂养选择问题的关键利益相关者，包括纯母乳喂养实践。因此，建议在撒哈拉以南非洲的婴儿营养和妇幼保健方案中使用重要的其他人作为促进者。

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来源期刊

BMC Public Health 医学-公共卫生、环境卫生与职业卫生

CiteScore

6.50

自引率

4.40%

发文量

2108

审稿时长

1 months

期刊介绍： BMC Public Health is an open access, peer-reviewed journal that considers articles on the epidemiology of disease and the understanding of all aspects of public health. The journal has a special focus on the social determinants of health, the environmental, behavioral, and occupational correlates of health and disease, and the impact of health policies, practices and interventions on the community.