Colostrum avoidance, prelacteal feeding and late breast-feeding initiation in rural Northern Ethiopia.
Public Health Nutr
; 14(11): 2029-36, 2011 Nov.
Article
em En
| MEDLINE
| ID: mdl-21557873
ABSTRACT
OBJECTIVE:
To identify specific cultural and behavioural factors that might be influenced to increase colostrum feeding in a rural village in Northern Ethiopia to improve infant health.DESIGN:
Background interviews were conducted with six community health workers and two traditional birth attendants. A semi-structured tape-recorded interview was conducted with twenty mothers, most with children under the age of 5 years. Variables were parental age and education; mother's ethnicity; number of live births and children's age; breast-feeding from birth through to weaning; availability and use of formula; and descriptions of colostrum v. other stages of breast milk. Participant interviews were conducted in Amharic and translated into English.SETTING:
Kossoye, a rural Amhara village with high prevalence rates of stunting inappropriate neonatal feeding is thought to be a factor.SUBJECTS:
Women (20-60 years of age) reporting at least one live birth (range 1-8, mean â¼4).RESULTS:
Colostrum (inger) and breast milk (yetut wotet) were seen as different substances. Colostrum was said to cause abdominal problems, but discarding a portion was sufficient to mitigate this effect. Almost all (nineteen of twenty) women breast-fed and twelve (63 %) reported ritual prelacteal feeding. A majority (fifteen of nineteen, 79 %) reported discarding colostrum and breast-feeding within 24 h of birth. Prelacteal feeding emerged as an additional factor to be targeted through educational intervention.CONCLUSIONS:
To maximize neonatal health and growth, we recommend culturally tailored education delivered by community health advocates and traditional health practitioners that promotes immediate colostrum feeding and discourages prelacteal feeding.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Contexto em Saúde:
5_ODS3_mortalidade_materna
Problema de saúde:
5_maternal_care
Assunto principal:
Aleitamento Materno
/
Colostro
/
Fenômenos Fisiológicos da Nutrição do Lactente
Tipo de estudo:
Prognostic_studies
/
Qualitative_research
/
Risk_factors_studies
Limite:
Adolescent
/
Adult
/
Child
/
Child, preschool
/
Female
/
Humans
/
Infant
/
Middle aged
País/Região como assunto:
Africa
Idioma:
En
Revista:
Public Health Nutr
Assunto da revista:
CIENCIAS DA NUTRICAO
/
SAUDE PUBLICA
Ano de publicação:
2011
Tipo de documento:
Article
País de afiliação:
Estados Unidos