Prevalence of exclusive breastfeeding for the first six months of an infant’s life and associated factors in a low–middle income country

International Breastfeeding Journal

Research

Do Thi Thuy Duy¹  Thu Thi Pham¹  Hoang Thi Nam Giang¹  Nguyen Thi Tuong Vi¹  Nguyen Tan Thach¹  Le Tho Minh Hieu¹  Tran Thi Bach Truc¹  Bui Minh Triet¹  Nguyen Tien Huy²  Nguyen Thi Tu Ngoc³  Trinh Thi Diem Le⁴  Nguyen Tran Minh Duc⁴  Tran Thi Tuyet Nga⁴  Nguyen Lam Vuong⁴ 

[1] School of Medicine and Pharmacy, The University of Danang, Danang, Vietnam;School of Tropical Medicine and Global Health, Nagasaki University, Nagasaki, Japan;Thai Nguyen University of Medicine and Pharmacy, Thai Nguyen, Vietnam;University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam;

关键词: Breastfeeding;    Exclusive breastfeeding;    Associated factors;    Low–middle income country;    Skin-to-skin contact;    Early initiation of breastfeeding;    Breastfeeding intention;    “dose-response” relationship;   

DOI  :  10.1186/s13006-023-00585-x

 received in 2022-02-17, accepted in 2023-08-22,  发布年份 2023

来源: Springer

【 摘 要 】

BackgroundAlthough breastfeeding is practiced by 98% of mothers in Vietnam, infant breastfeeding behaviors remain far from World Health Organization recommendations and continues to decline. This study aims to explore the prevalence and factors associated with exclusive breastfeeding in the first six months of an infant’s life.MethodsA cross-sectional study utilized a self-administered maternal questionnaire to collect data on 1072 Vietnamese mothers who brought infants aged between 6 and 30 months to a community health centre (CHC) for routine vaccination. Data collection was conducted from March to May 2021 in two cities in Central and North Vietnam. In order to measure exclusive breastfeeding, we asked mothers to recall (yes / no), if the child had received breast milk, formula, colostrum milk powder, water, vitamin / medicine, fruit juice / honey, and complementary foods aged under six months.ResultsIn the first six months, 14.2% of mothers exclusively breastfed their infants. Multivariable logistic regression analysis demonstrated a significant association between exclusive infant breastfeeding and the highest maternal education level (university or postgraduate) (adjusted odds ratio (aOR) 2.55; 95% confidence interval (CI) 1.10, 5.91); male infants (aOR 1.72; 95% CI 1.11, 2.68); duration of skin-to-skin contact greater than 90 min (aOR 7.69; 95% CI 1.95, 30.38); receiving first breastfeeding during skin-to-skin contact (aOR 2.31; 95% CI 1.30, 4.10); completely feeding infant directly at the breast (aOR 1.65; 95% CI 1.00, 2.71) and exclusive breastfeeding intention during pregnancy (aOR 2.48; 95% CI 1.53, 4.00). When compared with mothers who were prenatally exposed to infant formula advertising classified as “often”, the prevalence of exclusive infant breastfeeding was higher in mothers who classified their prenatal exposure to infant formula advertising as “sometimes” (aOR 2.15; 95% CI 1.13, 4.10), and “seldom” (aOR 2.58; 95% CI 1.25, 5.36).ConclusionThe prevalence of mothers who practiced exclusive infant breastfeeding during the first six months in Vietnam was low. Infants should receive early maternal-infant skin-to-skin contact greater than 90 min and complete first breastfeeding during skin-to-skin contact. Further, mothers should be protected against infant formula advertisements to maximise the likelihood of exclusive breastfeeding during the child’s infancy.

【 授权许可】

CC BY   
© BioMed Central Ltd., part of Springer Nature 2023

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