埃塞俄比亚西北部城市初产妇中避免食用初乳的行为。一项横断面研究。

Colostrum avoidance practice among primipara mothers in urban Northwest Ethiopia. A cross-sectional study.

作者信息

Ayalew Tilksew, Asmare Eden

机构信息

Department of Pediatrics and Child Health Nursing, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.

Department of Midwifery, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.

出版信息

BMC Pregnancy Childbirth. 2021 Feb 11;21(1):123. doi: 10.1186/s12884-021-03623-w.

DOI:10.1186/s12884-021-03623-w

PMID:33573612

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7879506/

Abstract

BACKGROUND

Breast milk is the ideal and complete form of nutrition for infants colostrum contains all the necessary nutrients for infants' growth and development and antibodies that can protect from many childhood illnesses. Understanding the extent of and barriers to colostrum avoidance in Ethiopia is important for learning how to best improve optimal breastfeeding. No single study has been conducted on primigavida mothers in the country. Therefore, this study aimed to assess the rate of colostrum avoidance practice and associated factors among primigavida mothers.

METHOD

A community- based cross-sectional study was conducted from March to April 2016 among (n = 398) randomly selected primigavida mothers in Bahir Dar city, northwest Ethiopia. Data were collected using a structured interviewer-administered questionnaire and analyzed using SPSS version25. Bivariate and multivariate logistic regression analyses were carried out. Odds ratio with 95% confidence interval was used to measure the strength of association. Statistical significance was declared at P-value ≤0.05.

RESULTS

Out of 398 primipara mothers, 8.8% discarded colostrum. The most common reasons for discarding colostrum were; yellow and creamy (39.2%), bad for infant (35.2%), traditional/cultural reason (17.1%) and infant unable to feed (8.5%). Married mothers (AOR = 4.52, 95%CI: 1.13, 18.16), unemployed mothers (AOR = 3.46, 95%CI: 1.15, 10.51), mothers underwent normal delivery (AOR = 5.20, 95%CI: 1.87, 20.90) and mothers who initiated breastfeeding within 1 h (AOR = 2.79, 95%CI: 0.96, 8.16) were less likely to discard colostrum.

CONCLUSION

The current study revealed that colostrum was discarded by 8.8% of primipara mothers. Primipara mothers who were married, unemployed, underwent normal delivery and initiated breastfeeding within 1 h were less likely to discard colostrum. These results suggest that multi-sectorial and multi-disciplinary approaches are needed to decrease colostrum avoidance among primipara mothers in Ethiopia.

摘要

背景

母乳是婴儿理想且全面的营养来源。初乳含有婴儿生长发育所需的所有必要营养物质以及能预防多种儿童疾病的抗体。了解埃塞俄比亚初乳回避的程度和障碍对于学习如何最好地促进最佳母乳喂养至关重要。该国尚未对初产妇进行过单一研究。因此，本研究旨在评估初产妇中初乳回避行为的发生率及相关因素。

方法

2016年3月至4月，在埃塞俄比亚西北部巴赫达尔市对398名随机选取的初产妇进行了一项基于社区的横断面研究。使用结构化访谈问卷收集数据，并使用SPSS 25版进行分析。进行了二元和多因素逻辑回归分析。采用95%置信区间的比值比来衡量关联强度。P值≤0.05时具有统计学意义。

结果

在398名初产妇中，8.8%的人丢弃了初乳。丢弃初乳最常见的原因是：颜色发黄且呈奶油状（39.2%）、对婴儿不好（35.2%）、传统/文化原因（17.1%）以及婴儿无法吸吮（8.5%）。已婚母亲（调整后比值比[AOR]=4.52，95%置信区间：1.13，18.16）、失业母亲（AOR=3.46，95%置信区间：1.15，10.51）、顺产的母亲（AOR=5.20，95%置信区间：1.87，20.90）以及在1小时内开始母乳喂养的母亲（AOR=2.79，95%置信区间：0.96，8.16）丢弃初乳的可能性较小。