当前位置: X-MOL 学术Int. Breastfeed. J. › 论文详情
Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)
Prevalence and predictors of timely initiation of breastfeeding in Ghana: an analysis of 2017–2018 multiple indicator cluster survey
International Breastfeeding Journal ( IF 3.5 ) Pub Date : 2020-11-03 , DOI: 10.1186/s13006-020-00335-3
Paschal Awingura Apanga 1 , Maxwell Tii Kumbeni 2
Affiliation  

Timely initiation of breastfeeding is putting the newborn to the breast within 1 h of birth. Its practice can prevent neonatal and under-5 mortality. This study aims to assess the prevalence and factors associated with timely initiation of breastfeeding among mothers in Ghana. We used data from the 2017–2018 Ghana multiple indicator cluster survey and our analysis was restricted to 15,305 mothers who had a live birth within 2 years. Multivariable logistic regression was used to estimate the factors associated with timely initiation of breastfeeding whilst adjusting for potential confounders, and accounted for clustering, stratification, and sample weights. The prevalence of timely initiation of breastfeeding was 51.3% (95% CI 48.1, 54.6%). Mothers who received antenatal care were twice as likely to timely initiate breastfeeding compared to mothers who did not receive antenatal care (Adjusted prevalence odds ratios [aPOR] 2.01, 95% CI 1.03, 3.95). Mothers who were assisted by a skilled attendant at birth had 90% higher odds of timely initiation of breastfeeding compared to mothers who were not assisted by a skilled attendant (aPOR 1.90, 95% CI 1.41, 2.55). Mothers who delivered by caesarean section had 76% lower odds of timely initiation of breastfeeding compared to mothers who had a vaginal delivery (aPOR 0.24, 95, 95% CI 0.16, 0.36). Mothers who had planned their pregnancy had 45% higher odds of timely initiation of breastfeeding compared to mothers who had an unplanned pregnancy (aPOR 1.45, 95% CI 1.09, 1.92). There were also 84% and 55% higher odds of timely initiation of breastfeeding among mothers who perceived their baby was large (aPOR 1.84, 95% CI 1.32, 2.58), and of average size (aPOR 1.55, 95% CI 1.11, 2.17) at birth respectively, compared to mothers who perceived their baby was small. Interventions to increase timely initiation of breastfeeding should provide breastfeeding support to mothers who have had a caesarean section or small sized babies, prevent unplanned pregnancies, and promote antenatal care attendance among pregnant women.

中文翻译:

加纳及时开始母乳喂养的流行率和预测因素:2017-2018 年多指标类集调查分析

及时开始母乳喂养是指在出生后 1 小时内让新生儿接触乳房。它的做法可以预防新生儿和 5 岁以下儿童的死亡率。本研究旨在评估加纳母亲及时开始母乳喂养的流行率和相关因素。我们使用了 2017-2018 年加纳多指标聚类调查的数据,我们的分析仅限于 2 年内活产的 15,305 名母亲。多变量逻辑回归用于估计与及时开始母乳喂养相关的因素,同时调整潜在的混杂因素,并考虑聚类、分层和样本权重。及时开始母乳喂养的流行率为 51.3% (95% CI 48.1, 54.6%)。与未接受产前护理的母亲相比,接受产前护理的母亲及时开始母乳喂养的可能性是未接受产前护理的母亲的两倍(调整后的患病率优势比 [aPOR] 2.01,95% CI 1.03,3.95)。与没有熟练助产士协助的母亲相比,出生时由熟练助产士协助的母亲及时开始母乳喂养的几率高 90%(aPOR 1.90, 95% CI 1.41, 2.55)。与阴道分娩的母亲相比,剖腹产的母亲及时开始母乳喂养的几率低 76% (aPOR 0.24, 95, 95% CI 0.16, 0.36)。与计划外怀孕的母亲相比,计划怀孕的母亲及时开始母乳喂养的几率高 45% (aPOR 1.45, 95% CI 1.09, 1.92)。认为婴儿大 (aPOR 1.84, 95% CI 1.32, 2.58) 和平均大小 (aPOR 1.55, 95% CI 1.11, 2.17) 的母亲及时开始母乳喂养的几率也分别高出 84% 和 55%分别在出生时,与认为自己婴儿很小的母亲相比。增加及时开始母乳喂养的干预措施应为剖腹产或小婴儿的母亲提供母乳喂养支持,防止意外怀孕,并促进孕妇的产前护理。
更新日期:2020-11-03
down
wechat
bug