Determinants of breastfeeding pattern among nursing mothers in Anambra State, Nigeria.

A U Ukegbu, E U Ebenebe, P O Ukegbu, U U Onyeonoro
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Abstract

Objectives: The practice of optimal breastfeeding including exclusive breastfeeding for the first six months of life is still rare among nursing mothers despite numerous benefits of breastfeeding. This study was aimed at identifying the factors influencing breastfeeding pattern among nursing mothers in Anambra State, Nigeria.

Methods: A cross sectional study was carried out in three comprehensive health centres of Nnamdi Azikiwe University Teaching Hospital (NAUTH) located at Neni, Ukpo and Nnewi communities of Anambra State. A semi structured questionnaire was interviewer administered on 228 nursing mothers consecutively selected by a systematic random sampling method as they visited the maternal and child welfare clinics. In addition, four sessions of focus group discussions (one in each centre) involving 8-10 nursing mothers were held.

Results: Most mothers 190 (83.3%) were aged between 20 and 34 years. About 152 (66.6%) had attended or completed secondary education and were mainly traders 86 (37.7%) and full time house wives 66 (29.0%). Majority 208 (91.2%) had at least good knowledge of breastfeeding. Their main source of breastfeeding education was government health facilities (80.85%). Only 85 (37.3%) breastfed exclusively. Exclusively breastfeeding was significantly associated with maternal older age, parity, delivery at government facility, positive family attitude towards exclusive breastfeeding and breastfeeding education from government health facility (p < 0.05). Focus group discussion showed that mothers believed that adequate nutrition, physical, financial and emotional support to them would increase exclusive breastfeeding practice.

Conclusion: Exclusive breastfeeding rate was low among the mothers and the factors identified to influence its practice have important implications to breastfeeding intervention programmes. Activities to promote exclusive breastfeeding should be focused on the group of women and location in which it was poorly practiced. In addition, support to the mothers would be necessary.

尼日利亚阿南布拉州哺乳母亲母乳喂养模式的决定因素
目的:尽管母乳喂养有许多好处,但在母乳喂养的母亲中,最佳母乳喂养的做法,包括生命最初六个月的纯母乳喂养,仍然很少见。本研究旨在确定影响尼日利亚阿南布拉州哺乳母亲母乳喂养模式的因素。方法:在位于阿南布拉州neeni、Ukpo和Nnewi社区的Nnamdi Azikiwe大学教学医院(NAUTH)的三个综合保健中心进行了横断面研究。采用系统随机抽样的方法,对访问妇幼福利诊所的228名哺乳期母亲进行了半结构化问卷调查。此外,还举行了四次焦点小组讨论(每个中心一次),涉及8-10名哺乳母亲。结果:产妇190例(83.3%),年龄在20 ~ 34岁之间。约152人(66.6%)曾接受或完成中学教育,主要为贸易商86人(37.7%)及全职家庭主妇66人(29.0%)。大多数208人(91.2%)至少对母乳喂养有良好的了解。她们接受母乳喂养教育的主要来源是政府卫生机构(80.85%)。只有85例(37.3%)是纯母乳喂养。纯母乳喂养与产妇年龄、胎次、在政府卫生机构分娩、家庭对纯母乳喂养的积极态度和政府卫生机构的母乳喂养教育显著相关(p < 0.05)。焦点小组讨论表明,母亲们认为充足的营养、身体、经济和情感支持将增加纯母乳喂养的做法。结论:母亲纯母乳喂养率较低,确定影响纯母乳喂养率的因素对母乳喂养干预方案具有重要意义。促进纯母乳喂养的活动应侧重于母乳喂养做法不佳的妇女群体和地区。此外,对母亲的支持也是必要的。
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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