苏拉威西岛早期开始母乳喂养(eibf)的预测因素:一项基于人群的研究

Rimawati Aulia Insani Sadarang, Bs. Titi Haerana
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引用次数: 0

摘要

背景:早期开始母乳喂养(EIBF)是纯母乳喂养成功的关键,不仅在降低感染相关新生儿死亡率方面发挥着重要作用,而且在为下一个生命周期提供保护方面也发挥着重要意义。目的:本研究旨在确定苏拉威西岛早期母乳喂养做法的预测因素。方法:利用2017年印度尼西亚人口与健康调查(IDHS)的数据,对苏拉威西岛6个省的1040名活产妇女进行了一项基于人口的横断面研究。该分析使用了双变量和多变量逻辑回归以及复杂样本设计的预测模型,并对混杂因素进行了调整,以检验EIBF与自变量的关系。结果:研究表明,苏拉威西岛50.58%的妇女从事EIBF。值得注意的是,在对混杂因素进行调整后,它发现EIBF实践的预测因素是连续的,单胎出生是关联值最高的因素(aOR:1.35,95%CI(0.00-0.07)),皮肤接触(aOR:3.05,95%CI(2.22-4.21)),正常分娩(aOR:2.94,95%CI(1.94–4.45))和有家人陪伴分娩(aOR:1.68,95%CI(1.06–2.67))和产次因子>1(aOR:1.52,95%CI(1.10–2.10))卫生设施中的分娩对于支持EIBF的成功实施至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
PREDICTORS OF EARLY INITIATION OF BREASTFEEDING (EIBF) IN SULAWESI ISLAND: A POPULATION-BASED STUDY
Background: Early initiation of breastfeeding (EIBF) is pivotal to the success of exclusive breastfeeding and plays an important role not only in reducing infection-related neonatal mortality but also in providing protection in the next period of life. Purpose: This study aims to identify predictive factors of early breastfeeding practices on Sulawesi Island. Methods: A cross-sectional study based on population by using data from the Indonesia Demographic and Health Surveys (IDHS) in 2017 was conducted on 1,040 women who had given live birth in 6 provinces on Sulawesi Island. The analysis used bivariate and multivariate logistic regression with predictive models for complex sample design, adjusted for confounders to examine the relationship of EIBF with independent variables. Results: The study showed that 50.58% of women practiced EIBF on Sulawesi Island. Significantly, and adjusted for confounder, it found the predictive factors of EIBF practice consecutively, singleton birth being the factor with the highest association value (aOR:11.35, 95%CI (0.00-0.07)), skin-to-skin contact (aOR:3.05,95%CI (2.22–4.21)), normal delivery (aOR:2.94, 95%CI (1.94–4.45)) and delivery accompanied by family (aOR: 1.68,95%  CI (1.06–2.67)) and parity factor >1 (aOR: 1.52,95% CI (1.10–2.10)). Conclusion: The fulfillment of education related to the urgency of implementing EIBF to pregnant women and their families as a support system as well as the application of standard operating procedure for EIBF for all types of deliveries in health facilities is vital to support the successful implementation of EIBF.
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