期刊论文详细信息
BMC Public Health
Prelacteal feeding practices in Vietnam: challenges and associated factors
Nemat Hajeebhoy3  Lan M Tran1  Tuan T Nguyen3  Nam T Nguyen2  Sarah C Keithly2  Phuong H Nguyen1 
[1] International Food Policy Research Institute, Hanoi, Vietnam;Institute of Social and Medical Studies, Hanoi, Vietnam;FHI 360, Hanoi, Vietnam
关键词: Vietnam;    Behavioral determinants;    Infant and young child feeding practices;    Breastfeeding;    Prelacteal feeding;   
Others  :  1161690
DOI  :  10.1186/1471-2458-13-932
 received in 2013-02-03, accepted in 2013-10-04,  发布年份 2013
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【 摘 要 】

Background

Despite the importance of early initiation of and exclusive breastfeeding, prelacteal feeds continue to pose a barrier to optimal breastfeeding practices in several countries, including Vietnam. This study examined the factors associated with prelacteal feeding among Vietnamese mothers.

Methods

Data from 6068 mother-child (<6 m) dyads were obtained from a cross-sectional survey conducted in 11 provinces in Vietnam in 2011. Multivariate logistic regression analyses were used to examine factors associated with prelacteal feeding.

Results

During the first three days after birth, 73.3% of the newborns were fed prelacteals, 53.5% were fed infants formula, and 44.1% were fed water. The odds of feeding prelacteals declined with increased breastfeeding knowledge, beliefs about social norms in favor of exclusive breastfeeding, and confidence in one’s own breastfeeding behaviors. Women who harbored misconceptions about breastfeeding had twice the odds of feeding any prelacteals (OR: 2.09, 95% CI: 1.74–2.50). Health care factors increasing the odds of prelacteal feeding included delivery by caesarean section (OR: 2.94, 95% CI: 2.39–3.61) or episiotomy (OR: 1.36, 95% CI: 1.17–1.58) and experiencing breastfeeding problems (OR: 1.31, 95% CI: 1.04–1.66). Health staff support during pregnancy and after birth reduced the odds of feeding formula. However, family support after delivery increased the odds of feeding water to newborns.

Conclusions

The multiple factors contributing to the high prevalence of prelacteal feeding behaviors stress the need for early and appropriate breastfeeding interventions in Vietnam, particularly during routine healthcare contacts. Improving breastfeeding practices during the first days of an infant’s life could be achieved by improving knowledge and confidence of mothers through appropriate perinatal counseling and support. Ensuring that health facilities integrate these practices into routine ante-natal care and post-delivery management is critical.

【 授权许可】

   
2013 Nguyen et al.; licensee BioMed Central Ltd.

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【 参考文献 】
  • [1]NIN, A&T, UNICEF: Nutrition Surveillance 2010. Vietnam Nutrition profile 2010. Hanoi, Vietnam: National Institute of Nutrition; 2011.
  • [2]Thang NM, Popkin BM: In an era of economic growth, is inequity holding back reductions in child malnutrition in Vietnam? Asia Pac J Clin Nutr 2003, 12(4):405-410.
  • [3]ESCAP/ADB/UNDP: Accelerating equitable achievement of the MDGs: Closing gaps in health and nutrition outcomes. Asia Pacific Regional MDG Report 2011/12. Accessed on Jan 5 2013 at http://www.unescap.org/pdd/calendar/CSN-MDG-NewDelhi-Nov-2011/MDG-Report2011-12.pdf webcite. 2012
  • [4]Black RE, Allen LH, Bhutta ZA, Caulfield LE, De Onis M, Ezzati M, Mathers C, Rivera J: Maternal and child undernutrition: global and regional exposures and health consequences. Lancet 2008, 371(9608):243-260.
  • [5]Rogers B: Health and Economic Consequences of Malnutrition. World Bank Nutrition Assessment Workshop. Washington, DC: World Bank; 2000.
  • [6]Bhutta ZA, Ahmed T, Black RE, Cousens S, Dewey K, Giugliani E, Haider BA, Kirkwood B, Morris SS, Sachdev HP, et al.: What works? Interventions for maternal and child undernutrition and survival. Lancet 2008, 371(9610):417-440.
  • [7]Nguyen PH, Menon P, Ruel M, Hajeebhoy N: A situational review of infant and young child feeding practices and interventions in Viet Nam. Asia Pac J Clin Nutr 2011, 20(3):359-374.
  • [8]Qiu L, Xie X, Lee A, Binns CW: Infants' first feeds in Hangzhou, PR China. Asia Pac J Clin Nutr 2007, 16(Suppl 1):458-461.
  • [9]Ogah AO, Ajayi AM, Akib S, Okolo SN: A cross-sectional study of pre-lacteal feeding practice among women attending Kampala International University Teaching Hospital Maternal and Child Health Clinic, Bushenji, Western Uganda. Asian Journal of Medical Sciences 2012, 4(3):79-85.
  • [10]Raina SK, Mengi V, Singh G: Determinants of prelacteal feeding among infants of RS Pura Block of Jammu and Kashmir, India. Journal of Family Medicine and Primary Care 2012, 1(1):27-29.
  • [11]McKenna KM, Shankar RT: The practice of prelacteal feeding to newborns among Hindu and Muslim families. J Midwifery Womens Health 2009, 54(1):78-81.
  • [12]Almroth S, Arts M, Quang ND, Hoa PT, Williams C: Exclusive breastfeeding in Vietnam: an attainable goal. Acta Paediatr 2008, 97(8):1066-1069.
  • [13]Dearden K, Quan N, Do M, Marsh D, Schroeder D, Pachon H, Tran L: What influences health behavior? Using elicitation to learn from parents of young children in Vietnam. Child Survival Connections 2002, 1-8. http://www.grandmotherproject.org/wp-content/uploads/Child-Survival-Connection_Fall2002Download-the-Article.pdf webcite
  • [14]Ludvigsson JF: Breastfeeding intentions, patterns, and determinants in infants visiting hospitals in La Paz, Bolivia. BMC Pediatr 2003, 3:5. BioMed Central Full Text
  • [15]Lakati AS, Makokha OA, Binns CW, Kombe Y: The effect of pre-lacteal feeding on full breastfeeding in Nairobi, Kenya. East Afr J Public Health 2010, 7(3):258-262.
  • [16]Hossain MM, Radwan MM, Arafa SA, Habib M, DuPont HL: Prelacteal infant feeding practices in rural Egypt. J Trop Pediatr 1992, 38(6):317-322.
  • [17]Ahmed FU, Rahman ME, Alam MS: Prelacteal feeding: influencing factors and relation to establishment of lactation. Bangladesh Med Res Counc Bull 1996, 22(2):60-64.
  • [18]Rogers NL, Abdi J, Moore D, Nd'iangui S, Smith LJ, Carlson AJ, Carlson D: Colostrum avoidance, prelacteal feeding and late breast-feeding initiation in rural Northern Ethiopia. Public Health Nutr 2011, 14(11):2029-2036.
  • [19]Torimiro SE, Onayade AA, Olumese I, Makanjuola RO: Health benefits of selected global breastfeeding recommendations among children 0-6 months in Nigeria. Nutr Health 2004, 18(1):49-59.
  • [20]Leach A, McArdle TF, Banya WA, Krubally O, Greenwood AM, Rands C, Adegbola R, De Francisco A, Greenwood BM: Neonatal mortality in a rural area of The Gambia. Ann Trop Paediatr 1999, 19(1):33-43.
  • [21]Zarban A, Taheri F, Chahkandi T, Sharifzadeh G, Khorashadizadeh M: Antioxidant and radical scavenging activity of human colostrum, transitional and mature milk. J Clin Biochem Nutr 2009, 45(2):150-154.
  • [22]Goldman AS: Modulation of the gastrointestinal tract of infants by human milk. Interfaces and interactions. An evolutionary perspective. J Nutr 2000, 130(2S Suppl):426S-431S.
  • [23]Moore ER, Anderson GC, Bergman N: Early skin-to-skin contact for mothers and their healthy newborn infants. Cochrane Database Syst Rev 2007., 3CD003519
  • [24]Fadnes LT, Engebretsen IM, Wamani H, Semiyaga NB, Tylleskar T, Tumwine JK: Infant feeding among HIV-positive mothers and the general population mothers: comparison of two cross-sectional surveys in Eastern Uganda. BMC Public Health 2009, 9:124. BioMed Central Full Text
  • [25]Neville MC, Morton J: Physiology and endocrine changes underlying human lactogenesis II. J Nutr 2001, 131(11):3005S-3008S.
  • [26]Walker M: Breastfeeding management for the clinician. Using the evidence. Second edition. Ontario, Canada: Jones and Bartlett Publishers, LLC; 2011.
  • [27]Babyak MA: What you see may not be what you get: a brief, nontechnical introduction to overfitting in regression-type models. Psychosom Med 2004, 66(3):411-421.
  • [28]Vyas S, Kumaranayake L: Constructing socio-economic status indices: how to use principal components analysis. Health Policy Plan 2006, 21(6):459-468.
  • [29]Gwatkin D, Rutstein S, Johnson K, Suliman E, Wagstaff A, Amouzou A: Socio-economic differences in health, nutrition, and population within developing countries: an overview. Niger J Clin Pract 2007, 10(4):272-282.
  • [30]StataCorp: Stata Statistical Software: Release 11. College Station, Texas 77845 USA. Copyright 2009 StataCorp LP. 2009.
  • [31]Duong DV, Binns CW, Lee AH: Breast-feeding initiation and exclusive breast-feeding in rural Vietnam. Public Health Nutr 2004, 7(6):795-799.
  • [32]A&T: Formative research on infant and young child feeding in Viet Nam: Phase 1 summary report. Vietnam: Alive &Thrive. Hanoi; 2012. http://www.aliveandthrive.org/resource/formative-research-infant-young-child-feeding-viet-nam-phase-1-summary-report webcite
  • [33]Duong DV, Lee AH, Binns CW: Determinants of breast-feeding within the first 6 months post-partum in rural Vietnam. J Paediatr Child Health 2005, 41(7):338-343.
  • [34]Dearden KA, Le Quan N, Do M, Marsh DR, Schroeder DG, Pachon H, Lang TT: What influences health behavior? Learning from caregivers of young children in Viet Nam. Food Nutr Bull 2002, 23(4 Suppl):119-129.
  • [35]MOH NIN: Plan of action for infant and young child feeding period 2006-2010. Hanoi, Vietnam: Ministry of Health and National Institute of Nutrition; 2006.
  • [36]Banapurmath CR, Selvamuthukumarasamy A: Breastfeeding and the first breastfeeds–correlation of initiation pattern to mode of delivery in 1279 hospital delivered babies. Indian Pediatr 1995, 32(12):1299-1302.
  • [37]A&T: Formative research on infant and young child feeding in Vietnam: Phase 2 summary report: Trials of improved practices. Vietnam: Alive & Thrive. Hanoi; 2012. http://www.aliveandthrive.org/resource/formative-research-infant-young-child-feeding-viet-nam-phase-2-summary-report webcite
  • [38]Morrow M: Breastfeeding in Vietnam: poverty, tradition, and economic transition. J Hum Lact 1996, 12(2):97-103.
  • [39]Green CP: Breastfeeding Behaviors: Evidence From Two Decades of Intervention Research. In. Washington, DC: Published for USAID by the LINKAGES Project; 1999.
  • [40]Hendrickson JL, Dearden K, Pachon H, An NH, Schroeder DG, Marsh DR: Empowerment in rural Viet Nam: exploring changes in mothers and health volunteers in the context of an integrated nutrition project. Food Nutr Bull 2002, 23(4 Suppl):86-94.
  • [41]Mackintosh UA, Marsh DR, Schroeder DG: Sustained positive deviant child care practices and their effects on child growth in Viet Nam. Food Nutr Bull 2002, 23(4 Suppl):18-27.
  • [42]A&T: A Review of the Status of Implementation of Decree 21 and the International Code of Marketing of Breastmilk Substitutes in Vietnam. Vietnam: Alive & Thrive. Hanoi; 2011.
  • [43]Associated Press: Multinationals selling baby formula in Vietnam break milk law meant to promote breastfeeding. 2009. http://www.startribune.com/templates/Print_This_Story?sid=59859962 webcite
  • [44]WHO: Global Strategy for Infant and Young Child Feeding. Geneva, Switzerland: World Health Organization; 2003.
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