Determinants of early initiation of breastfeeding among postpartum mothers in the Tamale metropolis, Ghana

Background and objectives: Early initiation of breastfeeding which is breastfeeding within the first hour after birth is highly recommended to promote the establishment of breastfeeding, and consequently survival and proper growth of a child. However, the prevalence of early initiation of breastfeed...

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Veröffentlicht in:Annals of nutrition and metabolism 2023-08, Vol.79, p.620
Hauptverfasser: Abubakari, Abdulai, Alhassan, Ridwan, Agbozo, Faith
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container_title Annals of nutrition and metabolism
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creator Abubakari, Abdulai
Alhassan, Ridwan
Agbozo, Faith
description Background and objectives: Early initiation of breastfeeding which is breastfeeding within the first hour after birth is highly recommended to promote the establishment of breastfeeding, and consequently survival and proper growth of a child. However, the prevalence of early initiation of breastfeeding in Tamale Metropolis keeps declining. Therefore, the aim of this study was to identify the determinants of early initiation of breastfeeding in the Tamale metropolis. Methods: A retrospective cross-sectional study design entailing a consecutive sampling technique was used to select 370 mothers with their infant pairs aged 0-6 months attending child welfare clinics at the Tamale Central and West Hospitals, Tamale Reproductive Child Health Unit and the Tamale Teaching hospital in Ghana. Pearson Chi-square and binary logistic regression analyses in Stata aided to find associations and to establish the adjusted odds ratio (AOR) of delayed breastfeeding initiation. Results: Prevalence of early initiation of breastfeeding was 77.8%. Mothers who had primary and secondary education were 82% (AOR=0.126, 95% CI:0.04-0.38, p=
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However, the prevalence of early initiation of breastfeeding in Tamale Metropolis keeps declining. Therefore, the aim of this study was to identify the determinants of early initiation of breastfeeding in the Tamale metropolis. Methods: A retrospective cross-sectional study design entailing a consecutive sampling technique was used to select 370 mothers with their infant pairs aged 0-6 months attending child welfare clinics at the Tamale Central and West Hospitals, Tamale Reproductive Child Health Unit and the Tamale Teaching hospital in Ghana. Pearson Chi-square and binary logistic regression analyses in Stata aided to find associations and to establish the adjusted odds ratio (AOR) of delayed breastfeeding initiation. Results: Prevalence of early initiation of breastfeeding was 77.8%. Mothers who had primary and secondary education were 82% (AOR=0.126, 95% CI:0.04-0.38, p=&lt;0.0001) and 62% (AOR=0.381, 95% CI:0.19-0.76, p=0.006) less likely to delay breastfeeding initiation when compared to those without formal education. Although regularity of antenatal care visits did not show any significant association, mothers not counseled on breastfeeding initiation during prenatal care (AOR=4.1, 95% CI:2.18-7.69, p&lt;0.0001) nor had knowledge on the benefits of early initiation of breastfeeding (AOR=2.23, 95% CI:1.29-3.86, p=0.004) were more likely to delay breastfeeding initiation. However, women whose spouses had secondary (AOR=5.70, 95% CI:2.05-15.84, p=0.001) and tertiary education (AOR=4.32, 95% CI:1.53-12.21, p=0.006) were 4-6 times more likely to delay breastfeeding initiation. Health-related correlates that significantly delayed breastfeeding initiation included birthing in private facilities (AOR=6.6). Conclusion: Both socio-demographic and health-related drivers such as maternal education, counselling on early initiation and knowledge on the benefits of early initiation were protective of early initiation while delivery facility and spouse education delayed initiation. In order to enhance timely breastfeeding initiation, education on the importance and benefits of early breastfeeding initiation needs strengthening during prenatal care, with spouses actively involved in the process. Private healthcare providers require supervision to implement and promote baby friendly birthing practices.</description><identifier>ISSN: 0250-6807</identifier><identifier>EISSN: 1421-9697</identifier><identifier>DOI: 10.1159/000530786</identifier><language>eng</language><publisher>Basel: S. 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Karger AG Aug 2023</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids></links><search><creatorcontrib>Abubakari, Abdulai</creatorcontrib><creatorcontrib>Alhassan, Ridwan</creatorcontrib><creatorcontrib>Agbozo, Faith</creatorcontrib><title>Determinants of early initiation of breastfeeding among postpartum mothers in the Tamale metropolis, Ghana</title><title>Annals of nutrition and metabolism</title><description>Background and objectives: Early initiation of breastfeeding which is breastfeeding within the first hour after birth is highly recommended to promote the establishment of breastfeeding, and consequently survival and proper growth of a child. However, the prevalence of early initiation of breastfeeding in Tamale Metropolis keeps declining. Therefore, the aim of this study was to identify the determinants of early initiation of breastfeeding in the Tamale metropolis. Methods: A retrospective cross-sectional study design entailing a consecutive sampling technique was used to select 370 mothers with their infant pairs aged 0-6 months attending child welfare clinics at the Tamale Central and West Hospitals, Tamale Reproductive Child Health Unit and the Tamale Teaching hospital in Ghana. Pearson Chi-square and binary logistic regression analyses in Stata aided to find associations and to establish the adjusted odds ratio (AOR) of delayed breastfeeding initiation. Results: Prevalence of early initiation of breastfeeding was 77.8%. Mothers who had primary and secondary education were 82% (AOR=0.126, 95% CI:0.04-0.38, p=&lt;0.0001) and 62% (AOR=0.381, 95% CI:0.19-0.76, p=0.006) less likely to delay breastfeeding initiation when compared to those without formal education. Although regularity of antenatal care visits did not show any significant association, mothers not counseled on breastfeeding initiation during prenatal care (AOR=4.1, 95% CI:2.18-7.69, p&lt;0.0001) nor had knowledge on the benefits of early initiation of breastfeeding (AOR=2.23, 95% CI:1.29-3.86, p=0.004) were more likely to delay breastfeeding initiation. However, women whose spouses had secondary (AOR=5.70, 95% CI:2.05-15.84, p=0.001) and tertiary education (AOR=4.32, 95% CI:1.53-12.21, p=0.006) were 4-6 times more likely to delay breastfeeding initiation. Health-related correlates that significantly delayed breastfeeding initiation included birthing in private facilities (AOR=6.6). Conclusion: Both socio-demographic and health-related drivers such as maternal education, counselling on early initiation and knowledge on the benefits of early initiation were protective of early initiation while delivery facility and spouse education delayed initiation. In order to enhance timely breastfeeding initiation, education on the importance and benefits of early breastfeeding initiation needs strengthening during prenatal care, with spouses actively involved in the process. 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However, the prevalence of early initiation of breastfeeding in Tamale Metropolis keeps declining. Therefore, the aim of this study was to identify the determinants of early initiation of breastfeeding in the Tamale metropolis. Methods: A retrospective cross-sectional study design entailing a consecutive sampling technique was used to select 370 mothers with their infant pairs aged 0-6 months attending child welfare clinics at the Tamale Central and West Hospitals, Tamale Reproductive Child Health Unit and the Tamale Teaching hospital in Ghana. Pearson Chi-square and binary logistic regression analyses in Stata aided to find associations and to establish the adjusted odds ratio (AOR) of delayed breastfeeding initiation. Results: Prevalence of early initiation of breastfeeding was 77.8%. Mothers who had primary and secondary education were 82% (AOR=0.126, 95% CI:0.04-0.38, p=&lt;0.0001) and 62% (AOR=0.381, 95% CI:0.19-0.76, p=0.006) less likely to delay breastfeeding initiation when compared to those without formal education. Although regularity of antenatal care visits did not show any significant association, mothers not counseled on breastfeeding initiation during prenatal care (AOR=4.1, 95% CI:2.18-7.69, p&lt;0.0001) nor had knowledge on the benefits of early initiation of breastfeeding (AOR=2.23, 95% CI:1.29-3.86, p=0.004) were more likely to delay breastfeeding initiation. However, women whose spouses had secondary (AOR=5.70, 95% CI:2.05-15.84, p=0.001) and tertiary education (AOR=4.32, 95% CI:1.53-12.21, p=0.006) were 4-6 times more likely to delay breastfeeding initiation. Health-related correlates that significantly delayed breastfeeding initiation included birthing in private facilities (AOR=6.6). Conclusion: Both socio-demographic and health-related drivers such as maternal education, counselling on early initiation and knowledge on the benefits of early initiation were protective of early initiation while delivery facility and spouse education delayed initiation. In order to enhance timely breastfeeding initiation, education on the importance and benefits of early breastfeeding initiation needs strengthening during prenatal care, with spouses actively involved in the process. Private healthcare providers require supervision to implement and promote baby friendly birthing practices.</abstract><cop>Basel</cop><pub>S. Karger AG</pub><doi>10.1159/000530786</doi></addata></record>
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source Karger Journals; Alma/SFX Local Collection
subjects Babies
Breast feeding
Breastfeeding & lactation
Delay
Education
Hospitals
Maternal & child health
Mothers
Prenatal care
Regression analysis
title Determinants of early initiation of breastfeeding among postpartum mothers in the Tamale metropolis, Ghana
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