Abstract
BackgroundBreastfeeding is recognized as the single most cost-effective intervention to reduce child morbidity and mortality. However, few studies have explored perceived barriers to breastfeeding and factors associated with breastfeeding intent among mothers of newborn babies in Viet Nam. We conducted a study to assess breastfeeding initiation rates, intent to breastfeed exclusively for 6 months or more and perceived barriers to breastfeed among mothers of newborn babies in Da Nang, Viet Nam.MethodsWe conducted a cross-sectional questionnaire survey of mothers in the postnatal wards of Da Nang Hospital for Women and Children in central Viet Nam from 10 February 2017 to 24 February 2017, following implementation of the World Health Organization (WHO) Essential Newborn Care (ENC) package.ResultsOf 286 mothers surveyed, 259 (90.6%) initiated breastfeeding; 203/258 (78.7%) within 1 hour (h) of birth. Most (207, 72.4%) mothers indicated intent to breastfeed exclusively for 6 months or more, but this was lower among mothers of preterm babies (82.2% versus 20.0%, p < 0.001) and those without post-secondary school education (74.8% versus 55.6%, p = 0.02). Amongst mothers struggling to establish breastfeeding, 18/27 (66.7%) had a Cesarean section. Planned non-exclusive breastfeeding was mostly (39, 60.9%) motivated by mothers’ concern that their milk supply would be insufficient for their baby’s growth requirements. Most mothers had good knowledge about the benefits of breastfeeding and indicated strong decision autonomy.ConclusionsWe documented high rates of early breastfeeding establishment and intent to breastfeed exclusively for 6 months or more. This probably reflects high levels of maternal education and successful implementation of the WHO ENC package. Mothers of premature babies may benefit from additional support.
Highlights
Breastfeeding is recognized as the single most cost-effective intervention to reduce child morbidity and mortality
The Essential Newborn Care (ENC) package includes four steps; 1) immediate drying of the newborn baby, 2) establishing skin-to-skin contact with the mother as soon as possible after delivery, 3) delayed cord clamping and 4) breastfeeding within 1 h of delivery-birth [17]
Several breastfeeding promotion initiatives have been launched in Viet Nam including health education programs, the establishment of “baby-friendly” hospitals [18], and the implementation of the ENC package [19]
Summary
Breastfeeding is recognized as the single most cost-effective intervention to reduce child morbidity and mortality. Few studies have explored perceived barriers to breastfeeding and factors associated with breastfeeding intent among mothers of newborn babies in Viet Nam. We conducted a study to assess breastfeeding initiation rates, intent to breastfeed exclusively for 6 months or more and perceived barriers to breastfeed among mothers of newborn babies in Da Nang, Viet Nam. Breastfeeding is recognized as the single most costeffective intervention to reduce child morbidity and mortality [1, 2]. Several breastfeeding promotion initiatives have been launched in Viet Nam including health education programs, the establishment of “baby-friendly” hospitals [18], and the implementation of the ENC package [19]
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