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1.
Gac Med Mex ; 157(2): 194-200, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34270527

RESUMO

The coronavirus disease 2019 (COVID-19) pandemic has affected all dimensions of health care, including exclusive breastfeeding assurance and its promotion. The risk of contagion and the consequences of the pandemic have raised concerns among future mothers or in those who are already breastfeeding due to the risk of possible transmission of the virus through breast milk, although active severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has not yet been detected in breast milk. The fear of contagion has favored mother-child isolation policies. So far, there is no evidence of vertical transmission, and the risk of horizontal transmission in the infant is similar to that of the general population. In infants with COVID-19, breastfeeding can even favorably change the clinical course of the disease.


Assuntos
Aleitamento Materno , COVID-19 , Leite Humano , Pandemias , Aleitamento Materno/psicologia , COVID-19/epidemiologia , COVID-19/transmissão , Colostro/química , Colostro/metabolismo , Transmissão de Doença Infecciosa , Feminino , Microbioma Gastrointestinal/fisiologia , Humanos , Recém-Nascido , Transmissão Vertical de Doenças Infecciosas , Leite Humano/química , Leite Humano/citologia , Leite Humano/metabolismo , Leite Humano/virologia , SARS-CoV-2/isolamento & purificação , Fatores de Tempo
2.
Neonatal Netw ; 40(3): 140-145, 2021 May 01.
Artigo em Inglês | MEDLINE | ID: mdl-34088859

RESUMO

The impact of the COVID-19 pandemic upon the health care landscape has prompted many organizations to revise policies in response to ever-changing guidelines and recommendations regarding safe breastfeeding practices. The application of these professional guidelines into clinical practice is fraught with barriers, inconsistencies, and often-minimal evidential support. Key concerns for health care providers and patients include antenatal versus postnatal transmission, milk transmission, and separation care versus rooming-in, including the subsequent impacts upon breastfeeding and bonding. While SARS-CoV-2 is a novel virus, the volume of literature to support best practice for couplet care continues to be developed at a rapid pace. The benefits of breastfeeding are steeped in evidence and outweigh the potential risk of transmission of COVID-19 from mother to newborn. Health care organizations must continue to seek guidance for policy revision within the ever-growing body of evidence for best practice and evaluate current practices for feasibility during and after hospitalization.


Assuntos
Aleitamento Materno/métodos , Aleitamento Materno/psicologia , COVID-19/psicologia , Promoção da Saúde/métodos , Mães/psicologia , Enfermagem Neonatal/normas , Guias de Prática Clínica como Assunto , Adulto , Feminino , Humanos , Recém-Nascido , Pandemias , Gravidez , SARS-CoV-2
3.
Nutrients ; 13(6)2021 May 27.
Artigo em Inglês | MEDLINE | ID: mdl-34072039

RESUMO

During the COVID-19 pandemic, breastfeeding women have experienced restricted access to support, placing them at increased risk of mental health concerns and limited breastfeeding assistance. This study investigated the effect of the pandemic on feeding choices and maternal wellbeing amongst breastfeeding mothers living in Australian and New Zealand. We conducted a cross-sectional online survey that examined feeding methods, maternal mental wellbeing, worries, challenges, and positive experiences during the pandemic. Most women were exclusively breastfeeding (82%). Partial breastfeeding was associated with perceived low milk supply and longer pregnancy duration during the pandemic. Reduced mental health and wellbeing was associated with lower levels of family functioning, increased perceived stress, and perinatal anxiety. Longer pregnancy duration during the pandemic was associated with lower mental health wellbeing scores, while higher perceived stress scores were reported for regions with higher COVID-19 infection rates and women with perceived low milk supply. Women reported that the pandemic resulted in less pressure and more time for family bonding, while worries about the pandemic, family health, and parenting challenges were also cited. Mental health concerns of breastfeeding women appear to be exacerbated by COVID-19, highlighting a critical need for access to mental health and broader family support during the pandemic.


Assuntos
Aleitamento Materno/psicologia , COVID-19 , Saúde Mental/estatística & dados numéricos , Mães/psicologia , Quarentena/psicologia , Adulto , Ansiedade/epidemiologia , Ansiedade/psicologia , Austrália/epidemiologia , Estudos Transversais , Feminino , Humanos , Lactente , Recém-Nascido , Nova Zelândia/epidemiologia , SARS-CoV-2 , Estresse Psicológico/epidemiologia , Estresse Psicológico/psicologia
6.
MMWR Morb Mortal Wkly Rep ; 70(21): 769-774, 2021 May 28.
Artigo em Inglês | MEDLINE | ID: mdl-34043611

RESUMO

Breastfeeding is the optimal source of nutrition for most infants (1). Although breastfeeding rates in the United States have increased during the past decade, racial/ethnic disparities persist (2). Breastfeeding surveillance typically focuses on disparities at the national level, because small sample sizes limit examination of disparities at the state or territorial level. However, birth certificate data allow for assessment of breastfeeding initiation among nearly all newborn infants in the United States both nationally and at the state and territorial levels. To describe breastfeeding initiation by maternal race/ethnicity,* CDC analyzed 2019 National Vital Statistics System (NVSS) birth certificate data for 3,129,646 births from 48 of the 50 states (all except California and Michigan†), the District of Columbia (DC), and three U.S. territories (Guam, Northern Mariana Islands, and Puerto Rico). The prevalence of breastfeeding initiation was 84.1% overall and varied by maternal race/ethnicity, ranging from 90.3% among infants of Asian mothers to 73.6% among infants of Black mothers, a difference of 16.7 percentage points. Across states, the magnitude of disparity between the highest and lowest breastfeeding rates by racial/ethnic groups varied, ranging from 6.6 percentage points in Vermont to 37.6 percentage points in North Dakota, as did the specific racial/ethnic groups with the highest and lowest rates. These state/territory-specific data highlight the variation that exists in breastfeeding disparities across the United States and can help public health practitioners and health departments identify groups on which to focus efforts. Targeting breastfeeding promotion programs on populations with lower breastfeeding rates might help reduce racial/ethnic disparities in breastfeeding initiation and improve infant nutrition and health.


Assuntos
Aleitamento Materno/etnologia , Grupos de Populações Continentais/psicologia , Grupos Étnicos/psicologia , Disparidades nos Níveis de Saúde , Mães/psicologia , Aleitamento Materno/psicologia , Aleitamento Materno/estatística & dados numéricos , Grupos de Populações Continentais/estatística & dados numéricos , Grupos Étnicos/estatística & dados numéricos , Feminino , Humanos , Recém-Nascido , Mães/estatística & dados numéricos , Estados Unidos
7.
Med Sci Monit ; 27: e930214, 2021 May 14.
Artigo em Inglês | MEDLINE | ID: mdl-33986238

RESUMO

BACKGROUND Regulation disorders are already apparent in infancy. The For Healthy Offspring Project was the first Hungarian study aimed at building an effective model for screening and examining the prevalence and complex (medical and psychosocial) background of classic behavior regulation disorders (excessive crying, feeding, and sleep problems) in infancy. MATERIAL AND METHODS Data were collected from families of 0- to 3-year-old children in a pediatric hospital and its neighboring areas through questionnaires, medical examinations, and individual and small-group consultations. RESULTS In the questionnaire study about their children's behavior (n=1133), 15% of mothers reported excessive crying, 16% reported feeding problems, and 10% reported sleep problems. In a subsample (n=619) in which medical examinations were also conducted, the prevalence of medical diagnoses was 15.0% for excessive crying, 15.2% for sleep disorders, 10.3% for breastfeeding difficulties, and 14.8% for feeding disorders. Children who were referred to the screening program (n=183) had significantly more behavior regulation disorders than the other children in our study. Regulation disorders were found to be comorbid with other health conditions in some cases. CONCLUSIONS We developed a complex model to screen for regulatory problems in early childhood. This study adds more information about the relationship between regulation problems and other health conditions. The general incidence (5-15%) of early childhood regulation disorders in other countries is likely similar to that found in Hungary. In order to effectively recognize early regulation disorders, diagnostic instruments widely used in the international field should be adapted in general Hungarian pediatric care.


Assuntos
Transtornos da Alimentação e da Ingestão de Alimentos/fisiopatologia , Transtornos da Alimentação e da Ingestão de Alimentos/psicologia , Transtornos do Sono-Vigília/fisiopatologia , Transtornos do Sono-Vigília/psicologia , Adulto , Aleitamento Materno/psicologia , Pré-Escolar , Choro/fisiologia , Choro/psicologia , Ingestão de Alimentos/fisiologia , Ingestão de Alimentos/psicologia , Feminino , Humanos , Hungria , Lactente , Recém-Nascido , Masculino , Mães/psicologia , Poder Familiar/psicologia , Pediatria , Prevalência , Inquéritos e Questionários
8.
CMAJ Open ; 9(2): E556-E562, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34021013

RESUMO

BACKGROUND: The mental health of postpartum women has worsened during the COVID-19 pandemic; however, the experiences that underlie this remain unexplored. The purpose of this study was to examine how people in Canada who gave birth during the pandemic were affected by policies aimed at limiting interpersonal contact to reduce SARS-CoV-2 transmission in hospital and during the early weeks postpartum. METHODS: We took a social constructionist approach and used a qualitative descriptive methodology. Sampling methods were purposive and involved a mix of convenience and snowball sampling via social media and email. Study inclusion was extended to anyone aged 18 years or more who was located in Canada and was pregnant or had given birth during the COVID-19 pandemic. Data were obtained via semistructured qualitative telephone interviews conducted between June 2020 and January 2021, and were analyzed through thematic analysis. RESULTS: Sixty-five interviews were conducted; data from 57 women who had already delivered were included in our analysis. We identified the following 4 themes: negative postpartum experience in hospital owing to the absence of a support person(s); poor postpartum mental health, especially in women with preexisting mental health conditions and those who had had medically complicated deliveries; asking for help despite public health regulations that prohibited doing so; and problems with breastfeeding owing to limited in-person follow-up care and lack of in-person breastfeeding support. INTERPRETATION: Policies that restrict the presence of support persons in hospital and at home during the postpartum period appear to be causing harm. Measures to mitigate the consequences of these policies could include encouraging pregnant people to plan for additional postpartum support, allowing a support person to remain for the entire hospital stay and offering additional breastfeeding support.


Assuntos
COVID-19/epidemiologia , Saúde Mental , Pandemias , Isolamento de Pacientes/psicologia , Período Pós-Parto/psicologia , Adaptação Psicológica , Adulto , Aleitamento Materno/psicologia , COVID-19/prevenção & controle , Canadá/epidemiologia , Feminino , Política de Saúde , Humanos , Apego ao Objeto , Gravidez , Pesquisa Qualitativa , SARS-CoV-2 , Apoio Social , Adulto Jovem
10.
Int Breastfeed J ; 16(1): 36, 2021 04 17.
Artigo em Inglês | MEDLINE | ID: mdl-33865408

RESUMO

BACKGROUND: The COVID-19 pandemic has posed several challenges to the provision of newborn nutrition and care interventions including maternal support, breastfeeding and family participatory care. Italy was the first country to be exposed to SARS-CoV-2 in Europe. One of the measures adopted by the Italian government during COVID-19 pandemic was the total lockdown of the cities with complete confinement at home. We aimed to examine the impact of the lockdown caused by COVID-19 pandemic on exclusive breastfeeding in non-infected mothers. METHODS: We prospectively enrolled 204 mother-baby dyads during lockdown (9 March to 8 May 2020) that we compared to previously studied 306 mother-baby dyads admitted during the year 2018. To reduce the possible effect of confounding factors on exclusive breastfeeding, a 1:1 matching was performed by using an automatized procedure of stratification that paired 173 mother-baby dyads. Feeding modality was collected at discharge, 30 and 90 days of newborn's life. Exclusive breastfeeding was considered when the infant received only breast milk and no other liquids or solids were given with the exception of vitamins, minerals or medicines. RESULTS: At discharge 69.4% of infants were exclusively breastfed during lockdown versus 97.7% of control group, 54.3% at 30 days vs 76.3 and 31.8% vs 70.5% at 90 days (p < 0.001). The proportion of breastfeeding remaining exclusive from discharge to 30-day was similar between groups (about 80%), but it was lower in lockdown group than in control cohort (58.5% vs 92.4%, p < 0.001) from 30- to 90-days. CONCLUSIONS: Lockdown and home confinement led to a decrease of exclusively breastfeeding in the studied population. Considering the timing to shift from exclusive to non-exclusive breastfeeding, differences between study groups were concentrated during hospital stay and from 30- to 90 days of a newborn's life, confirming that the hospital stay period is crucial in continuing exclusive breastfeeding at least for the first 30 days, but no longer relevant at 90 days of life.


Assuntos
Aleitamento Materno/psicologia , Aleitamento Materno/estatística & dados numéricos , COVID-19/epidemiologia , Comportamento Materno , Pandemias , Quarentena , Adulto , Família , Feminino , Humanos , Itália/epidemiologia , Tempo de Internação , Estudos Prospectivos , SARS-CoV-2 , Apoio Social
11.
Obesity (Silver Spring) ; 29(5): 919-927, 2021 05.
Artigo em Inglês | MEDLINE | ID: mdl-33817987

RESUMO

OBJECTIVE: This study aimed to examine the relationship between internalized weight stigma during pregnancy and breastfeeding outcomes at 1 month post partum among individuals with prepregnancy overweight or obesity. Secondarily, the study explored the temporal stability of internalized weight stigma from the third trimester to 1 month post partum via the Weight Bias Internalization Scale (WBIS). METHODS: A total of 103 pregnant individuals with overweight or obesity were recruited for this study. Participants completed the WBIS during the third trimester and self-reported breastfeeding initiation, continuation, and exclusivity outcomes at 1 month post partum. A paired t test and binomial logistic regression were conducted with covariates hierarchically added to the model. RESULTS: The average prepregnancy BMI was 33.53 (SD 7.17) kg/m2 (range = 25.4-62), and average prenatal WBIS scores were 25.95 (SD 11.83). No difference was found in mean prenatal and postpartum scores (25.95 [SD 11.83]; 26.86 [SD 13.03], respectively; t94 = -0.83, P = 0.41), evidencing temporal stability in WBIS scores from pre to post partum. Prenatal WBIS scores did not predict breastfeeding initiation, continuation, or exclusivity at 1 month post partum in either unadjusted or adjusted models. CONCLUSIONS: Collectively, this sample displayed low weight bias internalization, which was not predictive of breastfeeding initiation, continuation, or exclusivity at 1 month post partum. Future research is needed to develop a pregnancy-specific weight stigma measure.


Assuntos
Peso Corporal/fisiologia , Aleitamento Materno/psicologia , Obesidade/psicologia , Sobrepeso/psicologia , Período Pós-Parto/psicologia , Estigma Social , Adulto , Feminino , Humanos , Estudos Longitudinais , Masculino , Gravidez , Estudos Prospectivos , Autorrelato , Adulto Jovem
12.
Nutrients ; 13(4)2021 Apr 02.
Artigo em Inglês | MEDLINE | ID: mdl-33918430

RESUMO

It is important to clarify how the breastfeeding method affects women's mental health, and how women's mental health affects the breastfeeding method in the early postpartum period when major depression and other psychiatric problems are most likely to occur. This study aimed to examine this bidirectional relationship in the early postpartum period. Participants were 2020 postpartum women who completed the Hospital Anxiety and Depression Scale (HADS) and Mother-to-Infant Bonding Scale (MIBS). We obtained data for participants' breastfeeding method for four weeks after childbirth. We performed a path analysis with factors including breastfeeding method (exclusive breastfeeding or non-exclusive breastfeeding), parity (primipara or multipara), the two HADS subscales (anxiety and depression), and the two MIBS subscales (lack of affection and anger and rejection). The path analysis showed that breastfeeding method did not significantly affect depression, anxiety, and maternal-infant bonding in the early postpartum period. Women with higher anxiety tended to use both formula-feeding and breastfeeding. Our study suggests that exclusive breastfeeding is not associated with maternal-fetal bonding in early postpartum, considering depression, anxiety, and parity.


Assuntos
Ansiedade/psicologia , Aleitamento Materno/psicologia , Depressão Pós-Parto/psicologia , Relações Mãe-Filho/psicologia , Período Pós-Parto/psicologia , Adulto , Feminino , Humanos , Recém-Nascido , Apego ao Objeto , Paridade , Gravidez , Escalas de Graduação Psiquiátrica
13.
Rev Infirm ; 70(269): 31-32, 2021 Mar.
Artigo em Francês | MEDLINE | ID: mdl-33742590

RESUMO

As an individual choice of the mother to feed her newborn and to weave a special bond with him, breastfeeding, whose benefits are multiple, is strongly encouraged by paediatricians and midwives. The return to work at the end of maternity leave is often an obstacle to the continuation of this method of infant feeding. However, adjustments are possible, even for salaried carers who, as one young woman acting as a health executive testifies, wish to combine professional practice with continued breastfeeding in order to remain in line with their choices.


Assuntos
Aleitamento Materno , Comportamento de Escolha , Mães , Mulheres Trabalhadoras , Aleitamento Materno/psicologia , Feminino , Humanos , Recém-Nascido , Mães/psicologia , Retorno ao Trabalho , Mulheres Trabalhadoras/psicologia
14.
South Med J ; 114(4): 223-230, 2021 04.
Artigo em Inglês | MEDLINE | ID: mdl-33787936

RESUMO

OBJECTIVES: The purpose of this study was to investigate and identify which sociodemographic factors may be associated with breastfeeding intention and breastfeeding self-efficacy among pregnant women. METHODS: Pregnant women at a medical center in Alabama completed a cross-sectional survey. The Prenatal Rating of Efficacy in Preparation to Breastfeed Scale (PREP to BF) was used to assess prenatal breastfeeding self-efficacy. A valid 3-item breastfeeding intention scale and the Fetal Health Locus of Control Scale also were used. Nonparametric tests were used to assess differences in breastfeeding intention, locus of control subscales, and PREP to BF scores by history with breastfeeding, planned mode of delivery, and sociodemographic factors. RESULTS: The participants in the final analysis (N = 124) had a mean prenatal breastfeeding self-efficacy score of 299.5 (±92.33), with a range of 0 to 390. Significantly lower scores related to intention and PREP to BF were found among Black women (P ≤ 0.05), those with a high school education or less (P ≤ 0.019), single women (P ≤ 0.028), and those who had no breastfeeding experience (P ≤ 0.035). CONCLUSIONS: Identifying pregnant women with low breastfeeding self-efficacy and intention and recognizing the effects of social and cultural influences on breastfeeding are vital. Healthcare providers can engage in meaningful dialog to address ways to increase social support, communication, goal-setting skills, and overcoming mental and emotional barriers.


Assuntos
Aleitamento Materno/psicologia , Intenção , Gestantes/psicologia , Relações Profissional-Paciente , Autoeficácia , Adolescente , Adulto , Alabama , Aleitamento Materno/etnologia , Estudos Transversais , Feminino , Humanos , Controle Interno-Externo , Gravidez , Gestantes/etnologia , Autorrelato , Fatores Socioeconômicos , Adulto Jovem
15.
BMC Pregnancy Childbirth ; 21(1): 179, 2021 Mar 04.
Artigo em Inglês | MEDLINE | ID: mdl-33663421

RESUMO

BACKGROUND: Breastfeeding plays an important role in the early stages of humans and throughout the development process. Breastfeeding competency is a self-assessment of pregnant women's overall competency to breastfeeding which could predict the breastfeeding behaviours of pregnant women. However, a valid and reliable scale for assessing breastfeeding competency has not yet been developed and validated. This study was conducted to develop and validate an assessment scale designed to assess pregnant women's breastfeeding competency in the third trimester: the Breastfeeding Competency Scale (BCS). METHODS: The BCS was developed and validated over three phases between September 2018 and September 2019, and these phases included item statistical analysis, exploratory factor analysis (EFA), content validation, internal consistency assessment, split-half reliability assessment and confirmatory factor analysis (CFA). RESULTS: The item statistical analysis and EFA resulted in 38 items and 4 factors that explained 66.489% of the total variance. The Cronbach's α coefficients for the total scale and the 4 factors were 0.970, 0.960, 0.940, 0.822 and 0.931. The split-half reliability of the BCS was 0.894 and 0.890. CFA model showed that the 4-factor model fits the data well. CONCLUSIONS: The BCS is a new valid and reliable instrument for assessing the breastfeeding competency of pregnant women in the third trimester.


Assuntos
Aleitamento Materno , Comportamento Materno/psicologia , Gestantes/psicologia , Autoavaliação (Psicologia) , Adulto , Atitude Frente a Saúde , Aleitamento Materno/métodos , Aleitamento Materno/psicologia , China/epidemiologia , Feminino , Humanos , Gravidez , Terceiro Trimestre da Gravidez , Psicometria/métodos , Reprodutibilidade dos Testes , Autoimagem
16.
J Perinat Med ; 49(4): 500-505, 2021 May 26.
Artigo em Inglês | MEDLINE | ID: mdl-33554582

RESUMO

OBJECTIVES: To find out if the expressed breast milk delivery rate to neonatal intensive care unit (NICU) for babies who were hospitalized for any reason other than COVID-19, and exclusive breastfeeding (EB) rates between discharge date and 30th day of life of those babies were affected by COVID-19 pandemic. METHODS: Babies who were hospitalized before the date first coronavirus case was detected in our country were included as control group (CG). The study group was divided into two groups; study group 1 (SG1): the mothers whose babies were hospitalized in the period when mother were asked not to bring breast milk to NICU, study group 2 (SG2): the mothers whose babies were hospitalized after the date we started to use the informed consent form for feeding options. The breast milk delivery rates to NICU during hospitalization and EB rates between discharge and 30th day of life were compared between groups. RESULTS: Among 154 mother-baby dyads (CG, n=50; SG1, n=46; SG2, n=58), the percentage of breast milk delivery to NICU was 100%, 79% for CG, SG2, respectively (p<0.001). The EB rate between discharge and 30th day of life did not change between groups (CG:90%, SG1:89%, SG2:75.9; p=0.075). CONCLUSIONS: If the mothers are informed about the importance of breast milk, the EB rates are not affected by the COVID-19 pandemic in short term, even if the mothers are obligatorily separated from their babies. The breast milk intake rate of the babies was lowest while our NICU protocol was uncertain, and after we prepared a protocol this rate increased.


Assuntos
Aleitamento Materno/tendências , COVID-19 , Unidades de Terapia Intensiva Neonatal/tendências , Terapia Intensiva Neonatal/tendências , Adulto , Aleitamento Materno/psicologia , COVID-19/epidemiologia , COVID-19/prevenção & controle , COVID-19/psicologia , Protocolos Clínicos , Estudos Transversais , Feminino , Promoção da Saúde , Hospitalização , Humanos , Recém-Nascido , Unidades de Terapia Intensiva Neonatal/normas , Terapia Intensiva Neonatal/métodos , Terapia Intensiva Neonatal/normas , Masculino , Pandemias , Relações Profissional-Família , Estudos Retrospectivos , Turquia/epidemiologia
17.
BMC Pregnancy Childbirth ; 21(1): 123, 2021 Feb 11.
Artigo em Inglês | MEDLINE | ID: mdl-33573612

RESUMO

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.


Assuntos
Aleitamento Materno/métodos , Colostro , Conhecimentos, Atitudes e Prática em Saúde , Mães , Adolescente , Adulto , Aleitamento Materno/psicologia , Estudos Transversais , Etiópia , Feminino , Humanos , Pessoa de Meia-Idade , Gravidez , Fatores Socioeconômicos , Adulto Jovem
18.
PLoS One ; 16(2): e0246348, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33534830

RESUMO

BACKGROUND: Closely spaced birth increases the risk of adverse maternal and child health outcomes. In Ethiopia, the prevalence of short birth spacing was highly variable across studies. Besides, contraceptive use, educational status, and duration of breastfeeding were frequently mentioned factors affecting short birth spacing. Therefore, this meta-analysis aimed to estimate the pooled prevalence of short birth spacing and its association with contraceptive use, educational status, and duration of breastfeeding among reproductive-age women in Ethiopia. METHODS: International databases: Google Scholar, PubMed, CINAHL, Cochrane library, HINARI, and Global Health were searched systematically to identify articles reporting the prevalence of short birth spacing and its association with contraceptive use, educational status, and duration of breastfeeding among reproductive-age women in Ethiopia. The data were analyzed by STATA/SE version-14 statistical software. The random-effect model was used to estimate the pooled prevalence of short birth spacing and the log odds ratio was used to determine the association. Moreover, egger's test and I-squared statistics were used to assess publication bias and heterogeneity respectively. RESULTS: After reviewing 511 research articles, a total of nine articles with 5,682 study participants were included in this meta-analysis. The pooled prevalence of short birth spacing in Ethiopia was 46.9% [95% CI: (34.7, 59.1)]. Significant heterogeneity was observed between studies (I2 = 98.4, p <0.001). Not using contraceptives [OR = 3.87, 95% CI: (2.29, 6.53)] and duration of breastfeeding < 24 months [OR = 16.9, 95%CI: (2.69, 106.47)] had a significant association with short birth spacing. CONCLUSIONS: Although a minimum inter-pregnancy interval of two years was recommended by the World Health Organization (WHO), significant numbers of women still practiced short birth spacing in Ethiopia. Duration of breastfeeding and non-use of contraceptives were factors significantly associated with short birth spacing. So, efforts should be made to improve breastfeeding practice and contraceptive utilization among women in Ethiopia.


Assuntos
Intervalo entre Nascimentos , Aleitamento Materno/estatística & dados numéricos , Anticoncepcionais Femininos/uso terapêutico , Escolaridade , Intervalo entre Nascimentos/psicologia , Intervalo entre Nascimentos/estatística & dados numéricos , Aleitamento Materno/psicologia , Etiópia/epidemiologia , Feminino , Humanos , Gravidez
20.
Int J Equity Health ; 20(1): 20, 2021 01 07.
Artigo em Inglês | MEDLINE | ID: mdl-33413445

RESUMO

BACKGROUND: In low- and middle-income countries (LMICs), low levels of formal maternal educational are positively associated with breastfeeding whereas the reverse is true among women with higher levels of formal education. As such, breastfeeding has helped to reduce health equity gaps between rich and poor children. Our paper examines trends in breastfeeding and formula consumption by maternal educational in LMICs over nearly two decades. METHODS: We used 319 nationally representative surveys from 81 countries. We used WHO definitions for breastfeeding indicators and categorized maternal education into three categories: none, primary, and secondary or higher. We grouped countries according to the World Bank income groups and UNICEF regions classifications. The trend analyses were performed through multilevel linear regression to obtain average absolute annual changes in percentage points. RESULTS: Significant increases in prevalence were observed for early initiation and exclusive breastfeeding across all education categories, but more prominently in women with no formal education for early breastfeeding and in higher level educated women for exclusive breastfeeding. Small decreases in prevalence were seen mostly for women with no formal education for continued breastfeeding at 1 and 2 years. Among formula indicators, only formula consumption between 6 and 23 months decreased significantly over the period for women with primary education. Analysis by world regions demonstrated that gains in early and exclusive breastfeeding were almost universally distributed among education categories, except in the Middle East and North Africa where they decreased throughout education categories. Continued breastfeeding at 1 and 2 years increased in South Asia, Latin America and the Caribbean, and Eastern Europe and Central Asia for primary or higher education categories. Declines occurred for the group of no formal education in South Asia and nearly all education categories in the Middle East and North Africa with a decline steeper for continued breastfeeding at 2 years. With a few exceptions, the use of formula is higher among children of women at the highest education level in all regions. CONCLUSIONS: Over the course of our study, women with no formal education have worsening breastfeeding indicators compared to women with primary and secondary or higher education.


Assuntos
Aleitamento Materno/tendências , Países em Desenvolvimento/estatística & dados numéricos , Escolaridade , Mães/estatística & dados numéricos , Adulto , África do Norte/epidemiologia , Ásia/epidemiologia , Aleitamento Materno/psicologia , Região do Caribe/epidemiologia , Europa Oriental/epidemiologia , Feminino , Humanos , Renda/estatística & dados numéricos , América Latina/epidemiologia , Mães/psicologia , Pobreza/estatística & dados numéricos , Prevalência , Classe Social
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