{"title":"Early initiation of breastfeeding and exclusive breastfeeding practices and associated factors among first-time mothers attending governmental maternal and child health clinics in Gondar town, Northwest Ethiopia: a mixed method study.","authors":"Frieselam Zewdu, Solomon Mekonnen, Azeb Atenafu","doi":"10.1186/s13006-025-00718-4","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Early initiation of breastfeeding and exclusive breastfeeding are among those optimal breastfeeding practices endorsed by World Health Organization to reduce child morbidity and mortality. However, worldwide, less than half of the mothers practiced early initiation and exclusive breastfeeding including first-time mothers who need even more emphasis as their decision to initiate early and exclusively breastfeed their first child raises the likelihood of doing the same for the subsequent. This study aimed to assess early initiation and exclusive breastfeeding practices and associated factors among first-time mothers attending governmental maternal and child health clinics in Gondar town, Northwest Ethiopia.</p><p><strong>Methods: </strong>A facility-based cross-sectional quantitative study on 885 first-time mothers selected by two-stage sampling complemented by a phenomenological qualitative study on 23 purposively chosen participants was conducted from February 24 to May 27, 2021. The quantitative study involved a pre-tested structured questionnaire and binary logistic regression was done for data analysis. The qualitative study involved in-depth interview, and the data was thematically analyzed.</p><p><strong>Result: </strong>In this study, 74.7% (95% CI 71.8, 77.5) of the mothers practiced early initiation while 46.8% (95% CI 43.5, 50.1) of them breastfed exclusively. Vaginal delivery (AOR 5.63, 95% CI 3.64, 8.71), not giving prelacteal feeding (AOR 5.54, 95% CI 3.50, 8.78) and colostrum feeding (AOR 2.89, 95%CI 1.85, 4.52) were predictors of early initiation of breastfeeding. On the other hand; delivery at a health facility (AOR 3.13, CI 1.58, 6.18), number of PNC visits [1 visit (AOR 1.88, CI 1.27, 2.77), 2-3 (AOR 1.97, CI 1.25, 3.12) and ≥ 4 (AOR 3.61, CI 1.53, 8.54)], not giving prelacteal (AOR 2.14, CI 1.32, 3.48), husband's support (AOR 2.34, CI 1.13, 4.83) and health workers' support (AOR 4.34, CI 1.98, 9.53) were found to be determinants for exclusive breastfeeding which were also shown in the qualitative.</p><p><strong>Conclusion: </strong>The magnitudes of early initiation and exclusive breastfeeding practices were lower than the national target and global recommendation for universal coverage plus most of the significant factors were maternal and child health service related factors. So, strengthening the services is crucial and the main focus should be on first-time mothers.</p>","PeriodicalId":54266,"journal":{"name":"International Breastfeeding Journal","volume":"20 1","pages":"27"},"PeriodicalIF":2.9000,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Breastfeeding Journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1186/s13006-025-00718-4","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
引用次数: 0
摘要
背景：尽早开始母乳喂养和纯母乳喂养是世界卫生组织为降低儿童发病率和死亡率而认可的最佳母乳喂养方法之一。然而，在全球范围内，只有不到一半的母亲会采取尽早开始母乳喂养和纯母乳喂养的做法，其中包括初为人母的母亲，她们需要得到更多的重视，因为她们决定尽早开始母乳喂养和纯母乳喂养她们的第一个孩子，这提高了她们以后采取同样做法的可能性。本研究旨在评估在埃塞俄比亚西北部贡德尔镇政府妇幼保健诊所就诊的初产妇的早期开始母乳喂养和纯母乳喂养做法及相关因素：方法：2021 年 2 月 24 日至 5 月 27 日，对通过两阶段抽样选出的 885 名初为人母的母亲进行了一项基于设施的横断面定量研究，并对特意选出的 23 名参与者进行了一项现象学定性研究。定量研究采用了预先测试的结构化问卷，并进行了二元逻辑回归数据分析。定性研究包括深度访谈，并对数据进行了主题分析：在这项研究中，74.7%（95% CI 71.8，77.5）的母亲进行了早期母乳喂养，46.8%（95% CI 43.5，50.1）的母亲进行了纯母乳喂养。阴道分娩（AOR 5.63，95%CI 3.64，8.71）、不进行乳前喂养（AOR 5.54，95%CI 3.50，8.78）和初乳喂养（AOR 2.89，95%CI 1.85，4.52）是预测早期开始母乳喂养的因素。另一方面，在医疗机构分娩（AOR 3.13，CI 1.58，6.18）、产前检查次数[1 次（AOR 1.88，CI 1.27，2.77）、2-3 次（AOR 1.97，CI 1.25，3.12）和≥4 次（AOR 3.61，CI 1.53，8.54）]、不喂母乳（AOR 2.14, CI 1.32, 3.48）、丈夫的支持（AOR 2.34, CI 1.13, 4.83）和卫生工作者的支持（AOR 4.34, CI 1.98, 9.53）被认为是纯母乳喂养的决定因素，这在定性研究中也有所体现：早期开始母乳喂养和纯母乳喂养的比例低于国家目标和全球建议的普及率，而且大多数重要因素都与妇幼保健服务有关。因此，加强服务至关重要，主要重点应放在初为人母者身上。
Early initiation of breastfeeding and exclusive breastfeeding practices and associated factors among first-time mothers attending governmental maternal and child health clinics in Gondar town, Northwest Ethiopia: a mixed method study.
Background: Early initiation of breastfeeding and exclusive breastfeeding are among those optimal breastfeeding practices endorsed by World Health Organization to reduce child morbidity and mortality. However, worldwide, less than half of the mothers practiced early initiation and exclusive breastfeeding including first-time mothers who need even more emphasis as their decision to initiate early and exclusively breastfeed their first child raises the likelihood of doing the same for the subsequent. This study aimed to assess early initiation and exclusive breastfeeding practices and associated factors among first-time mothers attending governmental maternal and child health clinics in Gondar town, Northwest Ethiopia.
Methods: A facility-based cross-sectional quantitative study on 885 first-time mothers selected by two-stage sampling complemented by a phenomenological qualitative study on 23 purposively chosen participants was conducted from February 24 to May 27, 2021. The quantitative study involved a pre-tested structured questionnaire and binary logistic regression was done for data analysis. The qualitative study involved in-depth interview, and the data was thematically analyzed.
Result: In this study, 74.7% (95% CI 71.8, 77.5) of the mothers practiced early initiation while 46.8% (95% CI 43.5, 50.1) of them breastfed exclusively. Vaginal delivery (AOR 5.63, 95% CI 3.64, 8.71), not giving prelacteal feeding (AOR 5.54, 95% CI 3.50, 8.78) and colostrum feeding (AOR 2.89, 95%CI 1.85, 4.52) were predictors of early initiation of breastfeeding. On the other hand; delivery at a health facility (AOR 3.13, CI 1.58, 6.18), number of PNC visits [1 visit (AOR 1.88, CI 1.27, 2.77), 2-3 (AOR 1.97, CI 1.25, 3.12) and ≥ 4 (AOR 3.61, CI 1.53, 8.54)], not giving prelacteal (AOR 2.14, CI 1.32, 3.48), husband's support (AOR 2.34, CI 1.13, 4.83) and health workers' support (AOR 4.34, CI 1.98, 9.53) were found to be determinants for exclusive breastfeeding which were also shown in the qualitative.
Conclusion: The magnitudes of early initiation and exclusive breastfeeding practices were lower than the national target and global recommendation for universal coverage plus most of the significant factors were maternal and child health service related factors. So, strengthening the services is crucial and the main focus should be on first-time mothers.
期刊介绍：
Breastfeeding is recognized as an important public health issue with enormous social and economic implications. Infants who do not receive breast milk are likely to experience poorer health outcomes than breastfed infants; mothers who do not breastfeed increase their own health risks.
Publications on the topic of breastfeeding are wide ranging. Articles about breastfeeding are currently published journals focused on nursing, midwifery, paediatric, obstetric, family medicine, public health, immunology, physiology, sociology and many other topics. In addition, electronic publishing allows fast publication time for authors and Open Access ensures the journal is easily accessible to readers.
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