Benefits Of Exclusive Breastfeeding Research Articles

Pengaruh Pendidikan Kesehatan Terhadap Pengetahuan dan Sikap Ibu dalam Pemberian ASI Ekslusif di Wilayah Kerja UPT Puskesmas Marina Permai Kota Palangka Raya Tahun 2022

Exclusive breast milk (ASI) is the first and foremost food for babies from 0-6 months of age, in fact there are still many mothers who choose to give formula milk with the assumption that formula milk is better than exclusive breastfeeding. Lack of knowledge from the community and support from families that the benefits of exclusive breastfeeding are very important for babies. To anticipate this, it is necessary to provide health education to increase knowledge and attitudes of mothers. The purpose of this study was to determine the effect of health education on knowledge and attitudes of mothers in exclusive breastfeeding. The design of this study uses an experimental with a one-group pre-posttest design. The population in this study were all breastfeeding mothers, with a total sample of 42 respondents. The sampling method used is purposive sampling. Data for this study were collected twice, once before and once after the intervention, using a questionnaire. The existing data were tabulated and then analyzed using the Mc nemar test analysis test and marginal homogeneity. The results showed that there was an effect of health education on knowledge (p 0.000 a 0.05) and attitudes (p 0.001 a 0.05) of mothers in exclusive breastfeeding. For the puskesmas, they should increase socialization and outreach to the community, especially for mothers to breastfeed their babies immediately after giving birth for 6 months or to give exclusive breastfeeding without other additional food for 6 months.

The Effect of Breastfeeding in the First Hour and Rooming-In of Low-Income, Multi-Ethnic Mothers on In-Hospital, One and Three Month High Breastfeeding Intensity.

Despite the known benefits of exclusive breastfeeding, the value of Baby-Friendly Hospital Interventions in increasing breastfeeding rates has been challenged, particularly the interventions of breastfeeding in the first hour of life and rooming-in. This study aimed to measure the association of breastfeeding in the first hour of life and rooming-in with high breastfeeding intensity of low-income, multi-ethnic mothers intending to breastfeed. A prospective, longitudinal cohort study was performed on 149 postpartum mothers who intended to breastfeed their infants. Structured interviews were performed at birth and one and three months. Breastfeeding intensity was defined as the percentage of all feedings that were breast milk, and high breastfeeding intensity was defined as a breastfeeding intensity >80%. The data were analyzed by chi-square, t-test, binary logistic regression analysis, and multivariate logistic regression analysis. Breastfeeding in the first hour was associated with increased high breastfeeding intensity in the hospital (AOR = 11.6, 95% CI = 4.7-28.6) and at one month (AOR = 3.6, 95% CI = 1.6-7.7), but not at three months. Rooming-in was associated with increased high breastfeeding intensity in the hospital (AOR 9.3, 95% CI = 3.6-23.7) and at one month (AOR = 2.4 (1.1-5.3) and three months (AOR 2.7, 95% CI 1.2-6.3). Breastfeeding in the first hour and rooming-in are associated with increasing breastfeeding and should be incorporated into practice.

A training curriculum for an mHealth supported peer counseling program to promote exclusive breastfeeding in rural India

BackgroundDespite strong evidence about the benefits of exclusive breastfeeding, that is the baby receiving only breast milk, no other foods or liquids, rates have remained relatively unchanged over the past two decades in low- and middle-income countries. One strategy for increasing exclusive breastfeeding is through community-based programs that use peer counselors for education and support. The use of mobile health applications is also gaining increasing applicability in these countries. Minimal information is available about training peer counselors in the use of mobile technologies to support exclusive breastfeeding. The present article describes our curriculum in the state of Karnataka, India for supporting new mothers to exclusively breastfeed using a mobile health application in rural India.MethodsTwenty-five women from the community surrounding the city of Belgavi, Karnataka, India were trained to be peer counselors and to use a mobile health application to conduct a structured curriculum to support new mothers in exclusive breastfeeding. The three-day interactive training, conducted in March 2018, was based on the WHO breastfeeding course, translated, and adapted to the local culture The curriculum, which included information collected during a formative research process, consisted of eight visits, two during the antenatal period and continuing for six months postpartum. Twelve nursing and obstetric experts validated curriculum content. Pre-post-evaluation of the training focused on breastfeeding knowledge, self-efficacy, skills, and app usability.ResultsWe observed a significant increase in the mean scores for knowledge (P < 0.0001) and skills (P = 0.0006) from pre- to post-training. Age of the peer counselors and their own breastfeeding experience correlated significantly with the acquisition of knowledge and skills. The mobile health app showed high usability scores.ConclusionsThe culturally adapted curriculum presented here, combined with an mHealth app, can be an important educational strategy for training rural women in the acquisition of exclusive breastfeeding knowledge and skills.

Factors Related To Exclusive Breastfeeding With Nutritional Status Aged 7-23 Months: In the Working Area of Maubara Health Center Liquisa Municipallity Timor Leste

Exclusive breastfeeding is the percentage of infants, less than six months old, who receive only breast milk and no other solids or liquids, including water, with the exception of drops or syrups that comprise vitamin or mineral supplements or medicines.This study was conducted with the aim of determining the factors related to exclusive breastfeeding with nutritional status aged 7-23 months: In the Working Area of Maubara Liquisa Health Center Timor Leste. This type of research is observational analytical research with a cross sectional approach. The study respondents amounted to 85 people according to the specified criteria selected by the simple random sampling method. Data collection was carried out by questionnaires and interviews. Data analysis was performed using chi square and multiple logistic regression. Factors associated with history of exclusive breastfeeding and nutritional status in children 7 – 23 months were education (p = 0.001), occupation (p = 0.002), age (p = 0.001), knowledge (p = 0.001), attitude (p = 0.001), nutritional status (p = 0.001). The most dominant variable was age with an PR of 23,469 (7.392-74,515). Conclusion that age has the greatest influence on exclusive breastfeeding. Factors associated with history of exclusive breastfeeding and nutritional status in children 7 – 23 months were education (p = 0.001), occupation (p = 0.001), age (p = 0.001), knowledge (p = 0.001), attitude (p = 0.001), nutritional status (p = 0.001). The most dominant variable was age with an OR of 23,469 (7,392-75,515). Conclusion that community age has the greatest influence on exclusive breastfeeding. Health workers to provide information about the benefits of exclusive breastfeeding in children

Development of an exclusive breastfeeding intervention based on the theory of planned behavior for mothers with preterm infants: Study protocol for a mixed methods study.

Despite the significance and benefits of exclusive breastfeeding, its rate among infants, especially preterm infants, is not optimal. Based on evidence, the mother's attitude toward breastfeeding, the subjective norm, and the mother's perceived behavioral control play a role in initiation and continuation of breastfeeding; so the interventions that consider these factors may be useful for breastfeeding premature infants. The aim of this study is to design and develop an exclusive breastfeeding intervention based on the theory of planned behavior for mothers with preterm infants. This exploratory, sequential, mixed methods study will be conducted in three phases. In the first phase, a qualitative study will be conducted based on the theory of planed behavior, to describe the exclusive breastfeeding beliefs of the mothers with preterm infants, the barriers to breastfeeding, and to explain the ways to overcome them. Moreover, the items of the Predictors Of Exclusive Breastfeeding Questionnaire are prepared based on the theory of planned behavior. In the second phase, the intervention plan is designed based on the literature review and the findings of the qualitative study, and it is approved by a panel of experts. Additionally, the psychometric properties of the questionnaire are evaluated and confirmed qualitatively and quantitatively. In the third phase, the developed intervention is implemented and evaluated. Implementation of supportive educational interventions based on scientific theories can be a step toward improving the rate of onset and continuation of breastfeeding in mothers with preterm infants. Development of interventions based on evidence, identified beliefs, and perceived barriers of the mothers with preterm infants can provide the foundation for more effective interventions according to cultural, social, and religious contexts.

Recommendations For Improving Exclusive Breast Milk For Working Mothers With Health Action Process Approach (Hapa) In Batu Bara District

Mother's Milk (ASI) is the main and best food for babies that have no equal. The benefits of exclusive breastfeeding are enormous, especially for the baby's growth and development, immunity, psychology, and the economy of the baby's parents. Even though the benefits of exclusive breastfeeding are clear for mothers and their babies, the coverage of exclusive breastfeeding for babies is still low. The purpose of this study was to analyze the increase in exclusive breastfeeding for working mothers using the Health Action Process Approach (HAPA) in Batu Bara Regency. The sample of this research is working mothers who have babies 0-6 months in Batu Bara Regency. The sampling technique is Non-Probability Sampling using Total Sampling, where the number of samples is the same as the population of 100 people. The data processing method used Univariate, Bivariate, and Multivariate tests. Theresults showed that self-efficacy, outcome expectations, risk perception, planning, the effect of intention, maintenance, and planning strategies to overcome barriers had a significant effect on breastfeeding practices for working mothers in Batu Bara Regency as evidenced by the p-value of each variable 0.000 &lt;0.05. The multivariate test results show that together the independent variables have a significant effect on the dependent variable, with the most dominant variable being the maintenance variable with an average value of 10.66. The frequency of exclusive breastfeeding and the duration of breastfeeding has no effect on the practice of breastfeeding for working mothers in Batu Bara Regency.

SOSIALISASI KESEHATAN DAN ASI EKSKLUSIF BAGI IBU DI WILAYAH KERJA UPTD PUSKESMAS KEBUN SIKOLOS KECAMATAN PADANG PANJANG BARAT KOTA PADANG PANJANG

Exclusive breastfeeding is given to infants from 0-6 months without additional food. Data from Padang Panjang City Health Office shows that the coverage of exclusive breastfeeding in 2012 was 45%. This amount is not in accordance with RPJMD target (2010-2014) of 65%. Sikolos Garden Health Center is located in West Padang Panjang. One of problems with the Nutrition and MCH program is the low achievement of exclusive breastfeeding, which is 14.9%. There are factors that become obstacles in increasing the achievement of exclusive breastfeeding, such as the lack of knowledge and public awareness about the benefits of exclusive breastfeeding, there are mothers who think that exclusive breastfeeding will change the shape of breast, and socio-cultural factors that say babies do not full if only consume breast milk. Therefore, it is necessary to make efforts to increase the achievement of exclusive breastfeeding coverage in the Working Area of Kebun Sikolos Health Center. The purpose of this activity is to increase mother's knowledge about the importance of exclusive breastfeeding for babies so that they can increase the achievement of exclusive breastfeeding coverage in the Work Area of the Kebun Sikolos Health Center. The activity was carried out using health promotion methods in the form of counseling about exclusive breastfeeding, as well as making health promotion media in the form of posters, leaflets, and lactation corners. After counseling, there was a significant increase in the knowledge of pregnant women and breastfeeding mothers about exclusive breastfeeding. Based on the results of pre-test (60%) and post-test (100%). It is suggested the need for increased counseling in Mother's class forums about exclusive breastfeeding, breast care during pregnancy, and adequate nutrition for breastfeeding mothers so that breast milk production is met

The Relationship between Mother's Knowledge of Exclusive Breastfeeding and Exclusive Breastfeeding

Breastfeeding can reduce child mortality globally by 10% each year. Based on data obtained from the results of a preliminary study on November 16, 2021, the coverage of exclusive breastfeeding in the working area of ​​the Sukorame Community Health Center, Kediri City, consisted of 25 infants aged &lt; 6 months, 17 infants were exclusively breastfed, while 8 infants were not given exclusive breastfeeding. The purpose of this study was to determine the level of knowledge of mothers with exclusive breastfeeding for breastfeeding mothers in the working area of ​​the Sukorame Community Health Center, Kediri City 2021. The research objectives include a correlational analytic research design, and based on data sources including the primary research design. The population in this study were 63 mothers who had babies aged 6-12 months in the working area of ​​the Sukorame Community Health Center, Kediri City. By using purposive sampling technique with a sample of 55 breastfeeding mothers. The statistical test used is Spearman Rho.The results of the study almost half (47.3%) had less knowledge and did not give exclusive breastfeeding. From the results of the Spearman Rho statistical test, it was found that = 0.000 &lt; = 0.05 so that H0 was rejected and H1 was accepted, meaning that there is a relationship between knowledge about exclusive breastfeeding and exclusive breastfeeding for breastfeeding mothers in the work area of ​​the Sukorame Community Health Center, Kediri City in 2022.It is hoped that health workers at the Puskesmas will be able to carry out health promotion and assistance to mothers such as counseling about the benefits of exclusive breastfeeding.

Behavior of Working Mothers in Exclusive Breast Milk in The Work Area of Bulili Public Health Center

This study aimed to determine working mothers' behavior in exclusive breastfeeding in the Bulili Health Center Work Area, South Palu District. The research method applied qualitative with a case study approach. The research informants were 13, determined by the purposive sampling technique. The results showed that the predisposing factors with knowledge and attitude variables were still limited; the informants did not know the exact meaning of exclusive breastfeeding, the importance of exclusive breastfeeding, and the benefits of exclusive breastfeeding. Supporting factors with health facilities infrastructure and facilities at work variable are not yet available optimally. While the family support variable can be said to be lacking, this is influenced by the lack of family knowledge regarding exclusive breastfeeding. The definition of exclusive breastfeeding is still relatively low also about attitudes, even due to the lack of knowledge, facilities, and infrastructure that support exclusive breastfeeding, such as lactation rooms; in this study, the support provided by the family is still relatively low

Is Infant birth weight and mothers perceived birth size associated with the practice of exclusive breastfeeding in Ghana?

IntroductionDespite widespread advocacy for exclusive breastfeeding, and the associated benefits of exclusive breastfeeding for both infants and mothers, there is low prevalence in both developed and developing countries. Additionally, although several studies have been conducted on exclusive breastfeeding, very few of such studies have linked birth weight and birth size to exclusive breastfeeding. This study seeks to examine the influence of birth weight and birth size on exclusive breastfeeding.MethodologyThis study adopted a sequential explanatory mixed method approach using both quantitative and qualitative methods. The quantitative approach used cross-sectional data from the 2014 Ghana Demographic and Health Survey (GDHS) and the qualitative data from interviews with exclusive breastfeeding mothers from two health facilities in La Nkwantanang Municipal Assembly in Accra, Ghana. Logistic regression analysis was used to examine whether infants birth weight and mothers perceived birth size are associated with the practice of exclusive breastfeeding while the qualitative data provided further insights into the findings from the quantitative analysis.ResultsMajority (85%) of the infants in the study were of normal birth weight while 52% of the infants were perceived by their mothers to be of small birth size. The prevalence of exclusive breastfeeding was found to be 54.8%. The birth weight of infants and mothers’ perceived birth size were found to be significant predictors of exclusive breastfeeding. Infants of normal birth weight (OR = 7.532; 95% CI: 2.171–26.132) and high birth weight (OR = 6.654; 95% CI: 1.477–29.978) were more likely to be exclusively breastfed compared to low-birth-weight infants. Similarly, infants perceived to be of normal birth size were more likely (OR = 1.908; 95% CI: 1.058–3.441) to be exclusively breastfed compared to infants perceived to be of small birth size. The findings from the qualitative analysis show that birth weight rather than birth size influence mothers’ decision to practice exclusive breastfeeding.ConclusionThe findings of the study underscore the relevance of infant birth weight and perceived birth size in the practice of exclusive breastfeeding and highlights the need to incorporate both actual measurement of birth weight, and perception of infant’s birth size into policies targeted at exclusive breastfeeding. There is the need for deliberate targeted efforts at women who deliver infants of low birth weight and women who perceive their children to be of small birth size to practice exclusive breastfeeding.

PENYULUHAN ASI EKSKLUSIF DALAM RANGKA MENINGKATKAN PENGETAHUAN IBU DAN PELAKSANAAN ASI EKSKLUSIF DALAM RANGKA MENURUNKAN ANGKA KEJADIAN INFEKSI DAN ANGKA KEMATIAN BAYI DI RUANG BAYI SEHAT RUMAH SAKIT UMUM DAERAH TABANAN

Breast milk (ASI) is a liquid that comes out of a mother’s breast who has just given birth which is specially created for her baby. Exclusive breast milk (ASI) is breastfeeding the baby for 6 months without any additional fluids except drugs. There are some factors that affect the success of exclusive breastfeeding both internal and external factors of the mother, also influenceable and non-influenceable factors. Mother’s internal factors are nutritional status, education level, and age, as for external factors consist of the influence of the mass media, knowledge of exclusive breastfeeding, and whether there is guidance from health workers. the mother's knowledge factor plays a major role in a success breast-feed. Mothers who have sufficient knowledge about the benefits of breastfeeding will feel more convinced and confident to exclusively breastfeed their babies. This PKM activity aims to increase mother's knowledge about breastfeeding and the benefits of exclusive breastfeeding. The activity begins with socialization to mothers who has given birth, and pregnant women who carry out the pregnancy control to the obstetrics poly, implementation and evaluation of activities in the form of pretest and posttest. From the results of PKM activities, it is found that there are 85% increase of mother's knowledge about breastfeeding and the benefits of exclusive breastfeeding. The activity outcome of exclusive breastfeeding is 60% after 6 months evaluation.&#x0D;

Karakteristik Ibu berhubungan dengan Pemberian ASI Eksklusif pada Bayi usia 0-6 bulan di Desa Kamal Kabupaten Seram Bagian Barat

Breast milk is the only food that is best for babies, because it has the most complete nutritional composition, exclusive breastfeeding is highly recommended. Exclusive breastfeeding is breastfeeding for 6 months without other additional food from birth until the baby is 6 months old. Many factors affect exclusive breastfeeding, one of which is the mother's characteristics, such as age, education, occupation and knowledge of the mother. The purpose of this study was to determine the relationship between maternal characteristics and exclusive breastfeeding for infants aged 0-6 months in Kamal Village, West Seram Regency. Methods This research uses descriptive research using a cross sectional design. Sampling with total sampling method. The data were analyzed by using the chi square test. The results showed that the mother's characteristics consisting of age, education and mother's knowledge were not related to exclusive breastfeeding for infants aged 0-6 months in Kamal Village with a value of &gt; 0.05. Occupational variables related to exclusive breastfeeding with p value = 0.020 &lt; 0.05. The conclusion is that the mother's age, education and knowledge are not related, while work is related to exclusive breastfeeding for infants aged 0-6 months in Kamal Village. Suggestions to health workers to increase mother's knowledge about the benefits of exclusive breastfeeding through counseling.Keywords: age, education, occupation, knowledge, exclusive breastfeeding

Knowledge and Practice of Exclusive Breastfeeding among Working-Class Mothers in Rumuigbo Community, Obio Akpo Local Government Area of Rivers State

This study was carried out in Rumuigbo Community, Obio/Akpor Local Government Area in Rivers State on the knowledge and practice of Exclusive Breastfeeding by Working class mothers. Objectives of the study were to determine if the working class mothers in Rumuigbo community know the benefits of exclusive breastfeeding, to ascertain if the nature of their jobs limits the practice of exclusive breastfeeding by working-class mothers, to ascertain the level of practice of exclusive breastfeeding and to ascertain the perception of working-class mothers in Rumuigbo community towards the practice of exclusive breastfeeding. The objectives were translated into research questions. One null hypothesis was formulated, there will be no significant relationship between knowledge and practice of exclusive breastfeeding by working-class mothers in Rumuigbo community. Literature were reviewed in line with the objectives of the study. Purposive random sampling technique was used to select the sample of 100 nursing mothers from the target population of 200. The instrument used for the study was a self-constructed questionnaire which consisted of two (2) different sections. Section “A” contains the personal data of respondents and Section B contained questions constructed to elicit answers on the research variable. Data were obtained from 85 respondents out of the sample size of 100. The research questions and hypothesis formulated revealed the information needed. Percentages, tables and figures were used to present the findings of the research while the chi-square (X2) statistical tool was used to test the hypothesis at alpha level of 0.05% significance. It was discovered that the majority of working-class mothers have a good knowledge of exclusive breastfeeding but do not practice it effectively. Based on the findings, the following recommendations were made: health workers especially nurses and midwives in union with Government and Organizations should map out strategies to support, promote and encourage working-class mothers to practice exclusive breastfeeding in our society. Members of the families of working-class mothers should support and assist in feeding infants with expressed milk when the mothers are away. The need for further studies such as: the effectiveness of exclusive breastfeeding in the reduction of infantile infections was also suggested.

Determinants and Factors Associated with the Maintenance of Exclusive Breastfeeding after Hospital Discharge after Birth.

The benefits of exclusive breastfeeding are well known for both mother and baby. Despite this, rates of exclusive breastfeeding remain low. The present study aimed to determine the factors associated with the maintenance of this type of feeding after being discharged from the hospital after childbirth. A cross-sectional study was carried out with 1200 postpartum women in Spain. Sociodemographic, obstetric, and neonatal data were collected. Odds ratios (OR) and adjusted odds ratios (aOR) with 95% confidence intervals were calculated. Early breastfeeding initiation was identified as a factor that favors breastfeeding after hospital discharge (aOR: 2.47; 95%CI: 1.77, 3.45). Other factors that favor breastfeeding after discharge included the woman feeling very supported by her partner during pregnancy, childbirth, and the puerperium (aOR: 2.54; 95%CI:1.30, 5.00) and having previously breastfed other children (aOR: 1.97; 95%CI: 1.40, 2.76). Among the factors that hindered exclusive breastfeeding after discharge were multiple or twin pregnancies (aOR: 0.31; 95%CI 0.12, 0.83), induction of labor (aOR: 0.73; 95%CI: 0.53, 0.99), admission of the newborn to the neonatal intensive care unit (NICU) (aOR: 0.31; 95%CI 0.19, 0.52), using epidural pain relief during labor (aOR: 0.41; 95%CI: 0.27, 0.64), or a preterm newborn (aOR: 0.38; 95%CI: 0.21, 0.69). For all these reasons, it is essential to promote certain practices such as the early start of breastfeeding or the induced onset of labor, among others, in order to promote the maintenance of exclusive breastfeeding beyond hospital discharge after childbirth.

Enablers and inhibitors of exclusive breastfeeding: perspectives from mothers and health workers in Accra, Ghana

BackgroundDespite the health and economic benefits of exclusive breastfeeding, there is evidence of a decline globally and in Ghana. Previous studies addressing this problem are mostly quantitative with only a few of such studies using qualitative or mixed methods to examine the predictors, benefits, ways of improving and managing exclusive breastfeeding, and the challenges associated with exclusive breastfeeding from the perspective of exclusive and nonexclusive breastfeeding mothers, and health workers. This study employs the health belief model to examine the experiences of mothers and health workers regarding exclusive breastfeeding to fill this gap in the literature.MethodsA cross-sectional qualitative study involving in-depth interviews was conducted among health workers and mothers attending child welfare clinic at two polyclinics in Madina, Accra-Ghana in 2019. Purposive sampling was used to select health facilities and participants for the study. Twenty participants comprising ten exclusive breastfeeding mothers, six non-exclusive breastfeeding mothers and four health workers were interviewed for the study. The data were analyzed based on emerging themes from inductive and deductive coding.ResultsThe decision to practice exclusive breastfeeding was based on mothers’ work, advertisement on exclusive breastfeeding and education on breastfeeding provided by health workers. Insufficient flow of breast milk, pressure from family and friends, and insufficient breast milk for infants were among the reasons for discontinuing exclusive breastfeeding. The factors that help improve exclusive breastfeeding include eating healthy food and breastfeeding on demand, while counselling and monitoring, restricting advertisement on infant formula and granting maternity leave for breastfeeding mothers were identified as factors that can facilitate the practice of exclusive breastfeeding.ConclusionDifferent levels of experience affect and shape exclusive breastfeeding practice in Ghana. The decision to practice exclusive breastfeeding, as well as the challenges and strategies employed in managing exclusive breastfeeding, emanates from mothers’ personal experiences and interactions with institutional factors. In view of this, there should be counselling on the management of challenges associated with exclusive breastfeeding and provision of accurate information on exclusive breastfeeding to enable mothers practice exclusive breastfeeding.

Knowledge, Attitude and Practice Regarding Exclusive Breastfeeding Among Mothers Attending Tertiary Care Hospital

OBJECTIVES: To determine knowledge, attitude, and practice regarding exclusive breastfeeding among mothers attending tertiary care hospitals. METHODOLOGY: A descriptive cross-sectional study was conducted at the Department of Pediatrics in Hayatabad Medical Complex, Peshawar. A total of 162 mothers were selected who were practicing breastfeeding of ages between 20 to 35 years, having a full-term baby of age up to 6 months old. The data is collected through a pre-planned questionnaire and then was analyzed using statistics version 24.0. The duration of the study was from 1st June 2020 to 30th October 2020. RESULTS: The results showed that no significant association was found between age groups, socio-economic status regarding knowledge, attitude, and practice (p&gt;0.05). However, there was a significant difference between knowledge, attitude, and practice with respect to educational status (p&lt;0.05). 123 (73.21%) mothers had unsatisfactory; whereas 39 (24.07%) mothers had excellent knowledge regarding breastfeeding. 39 (27.07%) of breast-feeding mothers had a positive attitude towards breastfeeding. 123 (73.21%) women showed a negative response regarding the practice of breastfeeding. CONCLUSION: Most of the mothers didn’t have adequate knowledge of exclusive breastfeeding (EBF) practice. As a result, it is suggested that media can be used as a medium to educate women about the benefits of exclusive breastfeeding (EBF).

Exploring infant feeding practices and associated factors among HIV-positive mothers attending early infant diagnosis clinic in Northern Uganda.

This study assessed the infant feeding practices and their determinants among human immune deficiency virus (HIV)-positive mothers with infants (0-12 months).A cross-sectional study design adopting qualitative and quantitative data collection procedures was used. This study was carried out from Awach Health Center IV in Gulu city, Uganda. We enrolled 108 adult participants who were HIV-positive mothers with an infant from October to December 2021. Semi-structured questionnaire and focused group discussion (FGD) guide were used in data collection. Data were collected, edited, coded and entered into Epi info. The data were analysed using SPSS version 22. Qualitative data were analysed using Atlas.ti software.Of the 108 mothers, 83/108 (77%) practised exclusive breastfeeding (EBF) while 25/108 (23%) practised mixed feeding. Qualitative results also showed that EBF was the preferred choice. Majority of the respondents 104/108 (96.3%) believed HIV can be transmitted to their babies. Factors associated with infant feeding practices at multivariant level analysis at 5% significance were age of the child (OR 0.706, 95% CI 0.210-0.988), income level (OR 1.296, 95% CI 1.150-10.631).Majority of mothers had good knowledge about the prevention of mother-to-child transmission. Mothers should deliver from hospitals, more sensitisations for these mothers to appreciate the benefits of EBF.

Level of exclusive breastfeeding and its enabling factors among lactating women who delivered in health facilities of Asosa town, Ethiopia: a cross sectional study

BackgroundDespite the enormous benefit of exclusive breastfeeding (EBF) to mothers and infants, the practice of exclusive breastfeeding is globally low. In sub-Saharan Africa and Ethiopia, the prevalence of EBF stands at 35% and 59%, respectively. The low EBF practice in Ethiopia as well as in the studied region calls for further study and thus we studied the EBF practice in the study area since little is known about its current magnitude and factors influencing its practice for some programmatic improvements.MethodsA facility based cross-sectional study linked to a community was conducted from June-July 2019 among 412 mothers who had antenatal follow-up and delivered in health facilities of Asosa town over a period of one year prior to the study. Data on socio demographic characteristics and other important variables were collected through face to face interview while gestational age in weeks was recorded from their medical chart by trained health extension workers in accordance with relevant ethical guidelines and regulations. The collected data were then cleaned and entered into Epi-data software version 3.02. Analysis was done by SPSS version 20. Binary and multivariate logistic regression were performed to identify the contributing factors. P-value of less than 0.05 and 95% confidence interval was considered to determine statistical significance.ResultsOf the 412 respondents, the majority (88.1%) were multi-gravida and above. Slightly higher than a quarter (26.0%) and over half (55.4%) had neither received antenatal nor postnatal care. The proportion of mothers who exclusively breastfed their children was 76.0% and the overall aggregated good practice of EBF score was 64.1%. Mothers who completed primary school [AOR = 4.5; 95% CI = 1.1,18.2], had four or more ANC [AOR = 1.8;95CI = 0.79–0.98], and postnatal follow-up [AOR = 0.21;95% CI = 0.07–0.67], and had male infants [AOR = 2.3; 95% CI = 1.0–4.95] were among the factors influencing the exclusive breastfeeding practice score.ConclusionWhile three in four mothers exclusively breastfed their newborns and about two-thirds had good EBF score, the observed women’s retention on the continuum of the maternal care pathway is low with one in four had no antenatal and over half had no postnatal care which are important derivers for EBF practice. To improve the EBF score and narrow the observed maternal and child health disparities, it is essential to promote maternal education and increase the recomended coverage of antenatal and postnatal care for mothers.

Environmental Variables Influencing Exclusive Breastfeeding Among Mothers Attending Postnatal Clinics in A Tertiary Health Institution

The current WHO/UNICEF feeding recommends that breastfeeding with good nutrition is essential to achieving the UN sustainable development goals. This study was carried out to assess the environmental variables influencing exclusive breastfeeding of infants aged 0–6 months in Nnamdi Azikiwe University Teaching Hospital Nnewi, Anambra State, Nigeria. Three objectives guided the study. Cross sectional descriptive survey design was used for the study. The instrument for data collection was a structured questionnaire which was validated by experts and was administered to four hundred (400) post natal women of child bearing age who were randomly selected. The data collected were analyzed using statistical methods, which included mean, chi square, and t-test which were presented in frequencies and percentages. The result revealed that 44.7% of babies were exclusively breastfed while more than half (55.3%) were not exclusively breastfed. The result of this study also showed that maternal education had a significant effect on their exclusive breastfeeding pattern (P &lt; 0.05) as 65.9% of mothers who breastfed exclusively had up to tertiary education. An association was also found between the parity of mother and breastfeeding practices. This is because 46.3% of mothers who had three or more children breastfed their children exclusively. This study showed a positive association between place of delivery and breastfeeding practices. Place of delivery revealed a significant difference between the two groups as exclusive breastfeeding was observed in 95.5% babies delivered in government health facilities compared with 4.5% delivered at private health facilities. Health workers should educate the mothers about the benefit of exclusive breastfeeding. Some other factors found to prevent mothers from practicing exclusive breastfeeding were finance, 36 (16.3%); personal reasons, 51 (20.1%); lack of time as they have to go back to work, 72 (32.6%); dissatisfaction, 40 (18.0%); stress, 9 (4.0%); baby's refusal, 7 (3.2%); and pains, 6 (2.7%).

Breastfeeding in Cystic Fibrosis: A Systematic Review on Prevalence and Potential Benefits

Breastfeeding (BF) is considered the normative standard of feeding for all infants. However, the impact of BF in patients with cystic fibrosis (CF) is not completely defined. Therefore, we conducted a systematic review to evaluate BF prevalence in the CF population and its impact on anthropometric and pulmonary outcomes. We searched MEDLINE, Embase and the Cochrane Library for original articles published in English up to 4 December 2020 that report the prevalence of BF and/or any measure of association between BF and anthropometric or pulmonary outcomes. Nine observational studies were identified (six retrospective cohort studies, one prospective cohort study, one survey and one case–control study within a retrospective cohort). The BF rate in CF patients is lower than that of the healthy population (approximately 50–60% of infants were breastfed at any time). The benefits in anthropometric outcomes of BF for >2 months in this at-risk population are unclear. A few relatively small studies suggest a potential benefit of BF in reducing lung infections, although data are inconsistent. The currently available data are insufficient to draw definite conclusions on the benefits of exclusive BF in anthropometric and pulmonary outcomes in CF. Clinical trials evaluating well-defined BF promotion interventions are needed.