Prelacteal feeding is one of the major harmful newborn feeding practices and is top on the list of global public health concerns. The practice deprives newborns of valuable nutrients and protection of colostrum and exposes them to preventable morbidity and mortality. Studying the prevalence and factors influencing the prelacteal feeding practice of mothers will help program managers and implementers to properly address broad major public health problems. Therefore, this study aims to investigate the prevalence of prelacteal feeding practices and its associated factors among mother-infant dyads in the Debre Berhan district of North Shoa administrative zone, central Ethiopia. A community-based cross-sectional study design was conducted from January through to April 2014 among 634 mother-infant dyads. The data were entered into EPI Info version 3.5.1. (CDC, Atlanta, Georgia). All statistical analysis was conducted using Statistical Package for Social Sciences (SPSS) research IBM version 20.0. The prevalence of prelacteal feeding was determined using the ‘recall since birth’ method. Multi-variable logistic regression analysis was employed to control confounders in determining the association between prelacteal feeding practices and selected independent variables. Adjusted Odds Ratio (AOR), with 95% Confidence Interval (CI) and P < 0.05 was used to claim statistical significance. The prevalence of prelacteal feeding practice was 14.2% (95% CI: 11.00–17.00%). Slightly greater than half, 48 (53.3%) of prelacteal fed newborns were given butter. Home delivery was a major risk factor for practicing prelacteal feeding. Mothers who delivered their indexed infant at home practiced prelacteal feeding over four folds more than mothers who delivered in a health institution (Adjusted Odds Ratio (AOR) 4.70; 95% CI: 2.56–8.60, p-value = 0.001). Mothers who did not initiate breastfeeding within an hour were six times more likely to practice prelacteal feeding (AOR 5.58; 3.21–9.46, p-value = 0.001). Similarly, with regards to the occupation of mothers, farmers practiced prelacteal feedings (AOR 4.33; 95% CI: 1.73–10.81, p-value = 0.002) up to four folds more than their counterpart housewives. Mothers who can read and write are 54% less likely to practice prelacteal feeding than their counterpart, illiterate mothers, with (AOR 0.46; 95% CI: 0.22–0.98, p-value = 0.044). In the Debre Berhan town of North Shoa administrative zone, central Ethiopia, almost one-sixth of mothers practiced prelacteal feeding. Therefore, improving access to information about appropriate newborn feeding practices, encouraging mothers to deliver their babies in health institutions and inspiring them to initiate breastfeeding within an hour of birth is recommended.

中文翻译：

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埃塞俄比亚中部北绍阿德布雷伯汉区与哺乳期前喂养实践相关的因素：一项基于社区的横断面研究

哺乳前喂养是主要有害的新生儿喂养方式之一，在全球公共卫生问题中名列前茅。这种做法剥夺了新生儿宝贵的营养和初乳的保护，并使他们面临可预防的发病率和死亡率。研究影响母亲泌乳前喂养实践的流行率和因素将有助于项目管理者和实施者正确解决广泛的重大公共卫生问题。因此，本研究旨在调查埃塞俄比亚中部北绍阿行政区 Debre Berhan 区母婴二胎母婴哺乳期的流行情况及其相关因素。从 2014 年 1 月到 2014 年 4 月，在 634 名母婴中进行了一项基于社区的横断面研究设计。将数据输入到 EPI Info 3.5.1 版中。（CDC，佐治亚州亚特兰大）。所有统计分析均使用社会科学统计软件包 (SPSS) 研究 IBM 版本 20.0 进行。使用“出生后回忆”方法确定前乳喂养的患病率。采用多变量逻辑回归分析来控制混杂因素，以确定乳前喂养实践与所选自变量之间的关联。95% 置信区间 (CI) 和 P < 0.05 的调整优势比 (AOR) 用于声称具有统计学意义。泌乳前喂养实践的流行率为 14.2%（95% CI：11.00–17.00%）。48 名 (53.3%) 的乳前喂养新生儿获得了黄油，略多于一半。在家分娩是实施泌乳前喂养的主要风险因素。在家分娩索引婴儿的母亲比在卫生机构分娩的母亲多进行四倍的泌乳前喂养（调整优势比 (AOR) 4.70；95% CI：2.56–8.60，p 值 = 0.001）。在一小时内未开始母乳喂养的母亲进行乳前喂养的可能性是其六倍（AOR 5.58；3.21-9.46，p 值 = 0.001）。同样，在母亲的职业方面，农民进行的哺乳期前喂养（AOR 4.33；95% CI：1.73-10.81，p 值 = 0.002）比对应的家庭主妇多四倍。与不识字的母亲相比，具有读写能力的母亲进行乳前喂养的可能性要低 54%（AOR 0.46；95% CI：0.22–0.98，p 值 = 0.044）。在埃塞俄比亚中部北绍阿行政区的德布雷贝尔汉镇，几乎六分之一的母亲进行了泌乳前喂养。因此，建议改善获得有关适当新生儿喂养做法的信息，鼓励母亲在卫生机构分娩并鼓励她们在出生后一小时内开始母乳喂养。