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  • 标题:Factors associated with delayed initiation of breastfeeding: a survey in Northern Uganda
  • 本地全文:下载
  • 作者:David Mukunya ; James K Tumwine ; Victoria Nankabirwa
  • 期刊名称:Global Health Action
  • 印刷版ISSN:1654-9716
  • 电子版ISSN:1654-9880
  • 出版年度:2017
  • 卷号:10
  • 期号:1
  • DOI:10.1080/16549716.2017.1410975
  • 出版社:Taylor & Francis
  • 摘要:Initiation of breastfeeding later than 1 hour after birth is associated with increased neonatal morbidity and mortality. To determine the prevalence and factors associated with delayed initiation of breastfeeding. We conducted a survey in 2016 of 930 children under the age of 2 years in Lira district, northern Uganda. Mothers of the children were interviewed and data was collected on mobile phones using Open Data Kit software ( https://opendatakit.org ). Multivariable logistic regression was used to determine factors associated with delayed initiation of breastfeeding. Almost half [48.2%, 95% confidence interval (CI) (44.3-52.1)] of the mothers delayed initiation of breastfeeding. Factors significantly associated with delayed initiation of breastfeeding in multivariable analysis included caesarean delivery [Adjusted Odds Ratio (AOR) 11.10 95% CI (3.73-33.04)], discarding initial breast milk [AOR 2.02 95% CI (1.41-2.88)], home delivery [AOR 1.43 95% CI (1.04-1.97)] and mother being responsible for initiating breastfeeding as compared to a health worker or relative [AOR 1.73 95% CI (1.33-2.26)]. Mothers having a secondary education were less likely [AOR 0.54 95% CI (0.30-0.96)] to delay initiation of breastfeeding as compared to those with no education. About half the mothers delayed initiation of breastfeeding until after 1 hour after birth. Programs to promote, protect and support breastfeeding in this post conflict region are urgently needed..
  • 关键词:Nutrition ; infant;feeding ; post;conflict ; breastmilk ; neonatal
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