Challenges of Continuation of Exclusive Breast Feeding up to 6 Months in a Setting with High Exclusive Breast Feeding Rates Reported. Experience from Eastern Province of Sri Lanka.
Background: According to the World Breastfeeding Trends Initiative, Sri Lanka ranked as number one and only country to achieve green status. Exclusive breastfeeding (EBF) for six months is current practice with a rate of 75.5% among 0–5 months. Aim: Identify factors contributing early cessation of b...
| Publicado en: | Maternal & Child Health Journal Vol. 27; no. 11; pp. 1996 - 2002 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Nov2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=172892841&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 172892841 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10927875 N9J jtl: Maternal & Child Health Journal issn: 10927875 maglogo: N pubinfo: dt: Nov2023 vid: 27 iid: 11 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 172892841 164078139 172892841 172892841 10.1007/s10995-023-03724-2 172892841 ppf: 1996 ppct: 6 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Challenges of Continuation of Exclusive Breast Feeding up to 6 Months in a Setting with High Exclusive Breast Feeding Rates Reported. Experience from Eastern Province of Sri Lanka. aug: au: Ranasinghe, J. C. Madushika, D. S. Abeysundara, S. P. Agampodi, S. B. affil: Base Hospital Sammanthurai, 32200, Sammanthurai, Sri Lanka sug: subj: Breast Feeding Trends Attitude to Breast Feeding Sri Lanka Breast Feeding Promotion Sri Lanka Maternal Attitudes Sri Lanka Human Organizational Policies Cross Sectional Studies Sri Lanka Odds Ratio Questionnaires Female Health Promotion Infant Child Young Adult Adult Confidence Intervals Descriptive Statistics Data Analysis Software Infant: 1-23 months Child: 6-12 years Adult: 19-44 years Female ab: Background: According to the World Breastfeeding Trends Initiative, Sri Lanka ranked as number one and only country to achieve green status. Exclusive breastfeeding (EBF) for six months is current practice with a rate of 75.5% among 0–5 months. Aim: Identify factors contributing early cessation of breastfeeding in a single centre of Eastern province Sri Lanka. Methods: A descriptive cross-sectional study conducted in Sammanthurai Medical officer of Health area. Consecutive mother-infant days with the infant ageing < 6 months were included from 25 public health midwife areas using an interviewer administered questionnaire. Missing values imputed using 'missForest' algorithm. Results: The mean age of the sample was 28.4(SD ± 5.6). Of the 257 mothers recruited, 15(5.8%) were teenagers and 42(16.3%) > 35 years. 251(97.6%) had children 1–5 and 86(33.5%) were first born. 140 (54.5%) had tertiary education, 28 (10.9%).31(12.1%) were employed. EBF rates 0–6 months was 79.8% (n = 205). 239(93.0%) started breastfeeding within an hour. EBF was not associated with maternal age, birth order or income. 18 employed mothers and 186 unemployed mothers continued EBF. Regarding the factors associated with EBF, having a tertiary education (p <.001), being employed (p =.004) and having less than 3 children (p =.03) were associated with non-exclusive breastfeeding. Tertiary education was the significant predictor of non-exclusive breastfeeding in this population with an odds ratio of 4.50 (95% CI 1.331–15.215). Conclusion: Employment identified as a risk factor for early cessation of EBF needs well planned further research to overcome this practical issue. Also might need revision of workplace policies, establishment of lactation areas in office premises to overcome some of these issues. Significance: It was noted that early cessation of exclusive breastfeeding is a long term problem in this community. One fifth started complementary food before the recommended 6 months of age. Maternal employment, level of education, and use of pacifiers were identified as clear risk factors for early cessation of breastfeeding. The national policy planning to amalgamate disparities of EBF and duration of maternity leave, changes in newborn care guidelines tailored to specific areas considering local cultural beliefs, breastfeeding at the workplace policies, regulations on breast feeding hour, establishment of lactation areas in office premises, needs to be addressed by the policy makers. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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