Failed Breast Feeding among Egyptian Women at One Month Postpartum: A Cross-Sectional Community Based Study (original) (raw)
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Systematic Review- Obstacles for Discontinuation of Breast-Feeding
International Journal of Trend in Scientific Research and Development, 2019
Breastfeeding has benefits for mother and important determinant for infant normal growth and development. This study identified and recommends evidence-based practice intervention aimed at overcoming BF constrain to increase continuation among mothers and to identify the factors that help to develop successful breastfeeding promotion strategies. Aims: This review of article aims is to review existing literature to identify the main obstacles for breastfeeding among mothers to their infants. Method: A search of Pro Quest, MEDLINE, CINAHL, MEDLINEINDEX, Clinically KEY, EBSCO, and Google Scholar was conducted to retrieve studies from January 2010 to December 2017. Using inclusion criteria, we selected both qualitative and quantitative studies that described barriers to breastfeeding. Key words used were Breastfeeding mothers; exclusive breastfeeding; infant breastfeeding; maternal barriers of breastfeeding; challenges, obstacles or problems of breastfeeding. Results: Fifteen articles were included in this review six studies addressing maternal barriers for BF, five studies addressing obstacles for appropriate EBF duration and four studies addressing factors associated with early breastfeeding cessation. Result from the studies reviewed identified 30 constraints or barriers, which may lead to discontinue breastfeeding for infant. The literature is rich in documentation stating that continuation of BF is associated with many obstacles.
Research Title: Factors Associated with Cessation of Exclusive Breastfeeding
Journal of Multidisciplinary Healthcare
The study aimed to determine the prevalence of exclusive breastfeeding (EBF), measure the association between EBF and sociodemographic and obstetric characteristics of lactating mothers, and determine challenges of EBF. Methods: The study was cross-sectional and was conducted in four primary health care centres (PHCCs) at Alehsa region in Saudi Arabia (SA). Lactating mothers coming to vaccinate their babies (0-6 months) were recruited. Sample size totalled 372, where 93 were randomly selected from each centre. Sociodemographic and obstetric characteristics of participants, breastfeeding (BF) status, and challenges of EBF were collected. Basic univariate descriptive statistics were conducted to explore the sociodemographic and obstetric characteristics, BF status and challenges of BF. Bivariate analyses were done to explore the association between the dependent and independent variables. Binary logistic regression models were then executed. A 2-tailed p-value < 0.05 was considered significant. Results: EBF rate was nearly 60%. Cessation of EBF was associated with younger age, inconvenience/fatigue due to BF, sore breasts or nipples/too painful, perceived low milk quantity, BF skills were not effective, maternal choice, and baby-centred factors. Conclusion and Recommendations: EBF was associated with problems/difficulties in BF technique. It is recommended that health care professionals like doctors, nurses, and midwives should train mothers during and after pregnancy regarding BF technique or pumping breast milk in case of BF difficulties, improve mothers' confidence about the ability to breastfeed and enhance mothers' knowledge on the normal process of lactation. Secondly, it is the role of policymakers to ensure implementation of Baby-Friendly Hospital Initiative (BFHI) guidelines in hospitals to meet the WHO's global target of infants being exclusively breastfed until six months of age.
Predictive factors of early cessation of breastfeeding
European Journal of Obstetrics & Gynecology and Reproductive Biology, 2004
Objective: To emphasize the factors involved in early cessation of breastfeeding among patients who have given birth in a high-tech maternity hospital, both during the stay on the maternity ward and before their infants reach the age of 4 months. Study design: Prospective study involving all patients who gave birth during the first 2 months of 2002 in the maternity department of Tours University Hospital, France.
Maternal factors associated with the duration of breast feeding in Jeddah, Saudi Arabia
Paediatric and Perinatal Epidemiology, 2003
Recently, there has been increasing concern about the decline in breast-feeding pattern in developing countries. The objectives of this study were to document the recent breast-feeding trends in Jeddah during the first year of an infant&amp;amp;amp;amp;amp;#39;s life and identify the probable maternal risk factors implicated in breast-feeding cessation. Data were collected from six randomly selected primary health care centres in Jeddah City. All married women with an infant &amp;amp;amp;amp;amp;lt;/= 12 completed months of age were interviewed, and information on socio-demographic characteristics, breast feeding and contraceptive use were collected. Cox proportional hazard regression model was used to calculate the adjusted odds ratios for the various maternal risk factors related to breast-feeding cessation. A total of 400 women were enrolled in the study. Their mean age at delivery was 28.0 years (SD = 4.1 years). Approximately 40.0% had never attended school, 43.0% had at least five children and 13.8% were smokers. Deliveries by caesarean section were reported by 13.0% of women and contraceptive use by 44.7%, among whom oral contraceptives were the commonest method. Around 94.0% of women ever initially breast fed their infants, and this proportion dropped to 40.0% by the infant&amp;amp;amp;amp;amp;#39;s 12th month. Women who delivered by caesarean section (OR = 1.9 [95% CI 1.3, 2.8]P = 0.001) and those who used oral contraceptives (OR = 1.5 [95% CI 1.1, 2.2]P = 0.031) were at higher risk of stopping breast feeding and lower probability of maintaining breast feeding to the 12th month post partum than those who delivered vaginally and did not use oral contraceptives. Breast-feeding practice seems to decline rapidly during the first year of the infant&amp;amp;amp;amp;amp;#39;s life. Health care professionals should promote breast-feeding practice as early as the antenatal period. They should also take into consideration the impact of caesarean section deliveries and early oral contraceptive use to avoid their negative impact on breast-feeding practice.
International Journal of Advanced Research in Medicine
Background: Breastfeeding counseling is an effective public health intervention to increase rates of any and exclusive breastfeeding. This work aimed to study the effect of breastfeeding education, continued support, and mothers' counseling on initiation and continuation of exclusive breastfeeding. Methods: This quasi-experimental study was carried out on 176 mothers and their infants who were divided into two equal groups (control group): received the routine health education service as regards breastfeeding, and (intervention group): received the routine service in addition to continued support on initiation and continuation of exclusive breastfeeding. Results: There was a significant difference between the two studied groups as regard duration of exclusive breastfeeding, mean of this duration and period of follow-up (P=0.000). There was highly significant difference between the two studied groups as regards method of communication and length of the period of follow-up (p<0.001). There was non-significant difference between the two studied groups as regards socio-demographic characteristics of the infants and progress of the nutritional status by the type of measurement by the period of follow-up. Conclusions: Skilled breastfeeding counseling as part of comprehensive breastfeeding policies and programs in health facilities can increase the duration of exclusive breastfeeding up to six months. In addition, the ongoing individualized support and counseling can solve most of the problems that face mothers during breastfeeding. Exclusive breastfeeding does not significantly affect an infant's weight or length, but without doubt, can improve the nutritional status of malnourished infants.
Reasons given by mothers for discontinuing breastfeeding in Iran
International breastfeeding journal, 2012
We have previously shown that in Iran, only 28% of infants were exclusively breastfed at six months, despite a high prevalence of breastfeeding at two years of age. The primary aim of this study was to investigate the reasons women discontinued exclusive breastfeeding.
Factors Associated with Discotinuation of Exclusive Breast Feeding by First Time Mothers
Iran Journal of Nursing, 2011
Backgrounfd & Aim: Maternal exclusive breast feeding for the first 6 months of newborn's life has been recommended by World Health Organization. Recently, a high incidence of breast feeding discontinuation has been reported in Iran. Accordingly this study was done with the aim of determining the factors associated with discontinuation of exclusive breast feeding by first time mothers. Material & Methods: It was a descriptive and cross-sectional study. The study sample (n=331) was selected by conveniece sampling among first time mothers admitted to Shahid Akbar Abadi hospital. Data was collected by questionnaire and a check list. The condition of exclusive breast feeding was followed by phone after delivery. The data was analyzed using SPSS-PC (v.12). Results: Exclusive breast feeding was observed in 52.6% of the sample. The reasons for discontinuation of exclusive breast feeding included maternal factors (low breast feeding self efficacy, mothers' perception of inadequacy of...
Determinants of Exclusive Breastfeeding in a Sample of Egyptian Infants
Open Access Macedonian Journal of Medical Sciences, 2018
BACKGROUND: Breastfeeding is an optimum, healthy, and economical mode of feeding an infant. However, many preventable obstacles hinder exclusive breastfeeding in the first six months of life. AIM: We aimed to assess the social-, maternal-and infant-related factors disturbing exclusive breastfeeding in the first six months of life. METHODS: It is a retrospective study included 827 dyads of mothers and infants older than 6 months (411 exclusively breastfed, 311 artificially-fed and 105 mixed feds). Mothers were interviewed to obtain sociodemographic information, maternal medical history and perinatal history and a detailed history of infant feeding. RSULTS: Many factors were found to support the decision for artificial feeding rather than exclusive breastfeeding, including maternal age < 25 years (OR = 2.252), child birth order > 3rd (OR = 2.436), being a primi-para (OR = 1.878), single marital status (OR = 2.762), preterm infant (OR = 3.287) and complicated labor (OR = 1.841). Factors in favor of mixed feeding included cesarean section (OR = 2.004) and admission to the Neonatal Intensive Care Unit (OR = 1.925). CONCLUSIONS: Although it isn't a community-based study and its results can't be generalised, plans to improve health and development of children are preferable to include the following: health education and awareness programs about the importance of exclusive breastfeeding should be directed for young and first-time mothers. Improved antenatal care to reduce perinatal and neonatal problems; and training, monitoring, and supervising community health care workers to recognise labour complications and provide support and knowledge to lactating mothers.
Clinical significance and main parameters promoting the breast-feeding strategy (Review)
Medicine International, 2024
Breastfeeding provides numerous nutritional and immunological benefits, promotes neurological and cognitive development, and protects against chronic and infectious diseases, rendering it beneficial to the survival and well-being of infants. According to international recommendations, infants should be exclusively breastfed for the first 6 months. However, despite global health recommendations and funding initiatives, exclusive breastfeeding rates remain low worldwide. A number of studies attribute the low rates to factors that can be grouped into demographic, psychosocial, economic and midwifery factors, and outline the profile of each mother who opts to exclusively breastfeed her infant. In addition, the number of previous pregnancies, induced labor, the use of epidurals at birth or the possibility of the newborn being delivered prematurely, and the need for admission to an intensive care unit are the factors that reduce the likelihood of exclusive breastfeeding. Further research is required to understand the factors influencing the initiation and maintenance of exclusive breastfeeding, as international interventions have been ineffective. The aim of the present review was to provide an up-to-date summary of these various factors in an aim to assist health care professionals and policy makers in developing effective interventions with which to promote and support exclusive breastfeeding.
Factors associated to breastfeeding cessation before 6 months
Revista Latino-Americana de Enfermagem, 2010
This research aimed to identify the determinants of full breastfeeding (FBF) and any breastfeeding (ABF) cessation before 6 months, through a six-month follow-up of 248 mothers going a postpartum visit. Data were collected by personal interview during the first month and telephone interviews at four and six months postpartum. Cox’s proportional hazards model was used. Not having previous ABF experience, previous ABF duration ≤4 months and worse evaluation of previous experience were associated with cessation of ABF and FBF. Lower educational level was associated with cessation of ABF and the use of pacifiers or occasional breast-milk substitutes with cessation of FBF. Attending childbirth education was a protective factor against early FBF or ABF cessation. Activities supporting breastfeeding should be intensified for mothers with poorer access to information and with negative or without ABF previous experience. The use of pacifiers and not-medically indicated breast milk substitute...