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International Breastfeeding Journal
Published in: International Breastfeeding Journal 1/2016

Open Access 01-12-2016 | Research

Factors associated with prelacteal feeding in the rural population of northwest Ethiopia: a community cross-sectional study

Authors: Amare Tariku, Gashaw Andargie Biks, Molla Mesele Wassie, Abebaw Gebeyehu, Azeb Atinafu Getie

Published in: International Breastfeeding Journal | Issue 1/2016

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Abstract

Background

Prelacteal feeding has continued as a deep-rooted nutritional malpractice in developing countries. Prelacteal feeding is a barrier for implementation of optimal breastfeeding practices, and increases the risk of neonatal illness and mortality. However, its determinants are not well studied, which are essential to design intervention. This study aimed to assess the prevalence and determinants of prelacteal feeding among mothers with children aged 6–24 months in the rural population of northwest Ethiopia.

Methods

A community based cross-sectional study was conducted in Dabat Health and Demographic Surveillance System site, Dabat district, northwest Ethiopia from May 01 to June 29, 2015. Eight hundred and twenty-two mother-child pairs were included in the study. A pretested and structured questionnaire was used to collect data. Multivariable logistic regression analysis was carried out to identify the determinants of prelacteal feeding.

Results

In this community, about 26.8 % of children were given prelacteal feeds. The odds of prelacteal feeding was higher among mothers with a poor knowledge of Infant and Young Child Feeding (IYCF) (Adjusted Odds Ratio [AOR] = 3.82; 95 % Confidence Interval [CI] 2.42, 6.04), who gave birth at home (AOR = 3.74; 95 % CI 2.12, 6.60), and who were in the lowest wealth status (AOR = 2.11; 95 % CI 1.35, 3.31).

Conclusions

Prelacteal feeding was common in the study area, and significantly associated with a poor household wealth status, poor maternal knowledge of IYCF, and giving birth at home. Thus, emphasis should be given to improve mothers IYCF knowledge and utilization of institutional delivery. Moreover, special attention should be given to mothers with poor socio-economic status to reduce the practice of prelacteal feeding.
Literature
1.
WHO. Global Strategy for Infant and Young Child Feeding: A joint WHO/UNICEF statement. Geneva, Switzerland: World Health Organization; 2003.
2.
Black RE, Morris SS, Bryce J. Bellagio Child Survival Study Group. Where and why are 10 million children dying every year? Lancet. 2003;361:2226–34.CrossRefPubMed
3.
Brownlee A. Breastfeeding, weaning & nutrition: the behavioral issues. Washington D.C.: International Health & Development Associates; 1990.
4.
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–31.PubMed
5.
Duijts L, Jaddoe VW, Hofman A, Moll HA. Prolonged and exclusive breastfeeding reduces the risk of infectious diseases in infancy. Pediatrics. 2010;126(1):e18–25.CrossRefPubMed
6.
Stuebe A. The risks of not breastfeeding for mothers and infants. Rev Obstet Gynecol. 2009;2(4):222-231.
7.
Horta BL, Victora CG. Short-term effects of breastfeeding: A systematic review on the benefits of breastfeeding on diarrhoea and pneumonia mortality. Geneva: World Health Organization; 2013.
8.
Savitha M, Nandeeshwara S, Kumar MP, Raju C. Modifiable risk factors for acute lower respiratory tract infections. Indian J Pediatr. 2007;74(5):477–82.CrossRefPubMed
9.
10.
Oddy W, Holt P, Sly P, Read A, Landau L, Stanley F, Kendall G, Burton P. Association between breastfeeding and asthma in 6 year old children: findings of a prospective birth cohort study. Br Med J. 1999;319(7213):815–9.CrossRef
11.
Verret-Chalifour J, Giguere Y, Forest JC, Croteau J, Zhang P, Marc I. Breastfeeding initiation: impact of obesity in a large Canadian perinatal cohort study. PLoS One. 2015;10(2):e0117512.CrossRefPubMedPubMedCentral
12.
Von Kries R, Koletzko B, Sauerwald T, Von Mutius E, Barnert D, Grunert V, Von Voss H. Breastfeeding and obesity: a cross-sectional study. Br Med J. 1999;319(7203):147–50.CrossRef
13.
Jones ME, Swerdlow AJ, Gill LE, Goldacre MJ. Prenatal and early life risk factors for childhood onset diabetes mellitus: a record linkage study. Int J Epidemiol. 1998;27(3):444–9.CrossRefPubMed
14.
Pettitt DJ, Forman MR, Hanson RL, Knowler WC, Bennett PH. Breastfeeding and incidence of non-insulin-dependent diabetes mellitus in Pima Indians. Lancet. 1997;350(9072):166–8.CrossRefPubMed
15.
Jedrychowski W, Perera F, Jankowski J, Butscher M, Mroz E, Flak E, Kaim I, Lisowska-Miszczyk I, Skarupa A, Sowa A. Effect of exclusive breastfeeding on the development of children’s cognitive function in the Krakow prospective birth cohort study. Eur J Pediatr. 2012;171(1):151–8.CrossRefPubMedPubMedCentral
16.
Quinn P, O’callaghan M, Williams G, Najman J, Andersen M, Bor W. The effect of breastfeeding on child development at 5 years: a cohort study. J Paediatr Child Health. 2001;37(5):465–9.CrossRefPubMed
17.
Himani, Kaur B, Kumar P. Effect of initiation of breastfeeding within one hour of the delivery on “maternal-infant bonding”. Nurs Midwifery Res J. 2011;7(3):99-109.
18.
Begum K, Dewey KG. Impact of early initiation of exclusive breastfeeding on newborn deaths. Alive and Thrive Technical Brief. 2010;1:99-109
19.
Ahmed FU, Rahmani M, Alam M. Prelacteal feeding: influencing factors and relation to establishment of lactation. Bangladesh Med Res Counc Bull. 1996;22(2):60–4.PubMed
20.
Engebretsen IMS, Nankabirwa V, Doherty T, Diallo AH, Nankunda J, Fadnes LT, Ekström E-C, Ramokolo V, Meda N, Sommerfelt H. Early infant feeding practices in three African countries: the PROMISE-EBF trial promoting exclusive breastfeeding by peer counsellors. Int Breastfeed J. 2014;9:1.CrossRef
21.
Khanal V, Adhikari M, Sauer K, Zhao Y, Egata G, Berhane Y, Worku A, Holbrook K, White M, Heyman M. Factors associated with the introduction of prelacteal feeds in Nepal: findings from the Nepal demographic and health survey 2011. Int Breastfeed J. 2013;8:9.CrossRefPubMedPubMedCentral
22.
Legesse M, Demena M, Mesfin F, Haile D. Prelacteal feeding practices and associated factors among mothers of children aged less than 24 months in Raya Kobo district, Northeastern Ethiopia: a cross-sectional study. Int Breastfeed J. 2014;9:1.CrossRef
23.
Nguyen PH, Keithly SC, Nguyen NT, Nguyen TT, Tran LM, Hajeebhoy N. Prelacteal feeding practices in Vietnam: challenges and associated factors. BMC Public Health. 2013;13:932.CrossRefPubMedPubMedCentral
24.
Raheem RA, Binns CW, Chih HJ, Sauer K. Determinants of the introduction of prelacteal feeds in the Maldives. Breastfeed Med. 2014;9(9):473–8.CrossRefPubMed
25.
Rogers NL, Abdi J, Moore D, Nd’iangui S, Smith LJ, Carlson AJ, Carlson D. Colostrum avoidance, prelacteal feeding and late breastfeeding initiation in rural Northern Ethiopia. Public Health Nutr. 2011;14(11):2029–36.CrossRefPubMed
26.
Gedefaw M, Berhe R. Determinates of childhood pneumonia and diarrhea with special emphasis to exclusive breastfeeding in north Achefer district, northwest Ethiopia: a case control study. Open J Epidemiol. 2015;5(02):107.CrossRef
27.
Central Statistical Authority [Ethiopia] and ORC Macro. Ethiopia Demographic and Health Survey 2011. Addis Ababa. Maryland: Ethiopia and Calverton; 2011.
28.
Mengistu K, Alemu K, Destaw B. Prevalence of malnutrition and associated factors among children aged 6–59 months at Hidabu Abote District, North Shewa, Oromia Regional State. J Nutr Disorders Ther. 2013;1:1–15.
29.
Perez-Escamilla R, Segura-Millan S, Canahuati J, Allen H. Prelacteal feeds are negatively associated with breastfeeding outcomes in Honduras. J Nutr. 1996;126(11):2765–73.PubMed
30.
31.
Edmond KM, Kirkwood BR, Amenga-Etego S, Owusu-Agyei S, Hurt LS. Effect of early infant feeding practices on infection-specific neonatal mortality: an investigation of the causal links with observational data from rural Ghana. Am J Clin Nutr. 2007;86(4):1126–31.PubMed
32.
Mullany LC, Katz J, Li YM, Khatry SK, Leclerq SC, Darmstadt GL, Tielsch JM. Breastfeeding patterns, time to initiation, and mortality risk among newborns in Southern Nepal. J Nutr. 2008;138(3):599–603.PubMedPubMedCentral
33.
Edmond KM, Zandoh C, Quigley MA, Amenga-Etego S, Owusu-Agyei S, Kirkwood BR. Delayed breastfeeding initiation increases risk of neonatal mortality. Pediatrics. 2006;117(3):e380–6.CrossRefPubMed
34.
Mukuria AG, Kothari MT, Abderrahim N. Infant and Young Child Feeding Update. Maryland, USA: ORC Macro Calverton; 2006.
35.
Ibadin O, Ofili N, Monday P, Nwajei C. Prelacteal feeding practices among lactating mothers in Benin City, Nigeria. Nigerian J Paediatr. 2013;40(2):139–44.
36.
Tessema M, Belachew T, Ersino G. Feeding patterns and stunting during early childhood in rural communities of Sidama, South Ethiopia. Pan African Med J. 2013;14:75.
37.
Federal Ministry of Health. Family Health Department Ethiopia: National strategy for infant and young child feeding. 2004.
38.
Central Statistical Authority [Ethiopia] and ORC Macro. Ethiopia Demographic and Health Survey 2005. Addis Ababa. Maryland: Ethiopia and Calverton; 2005.
39.
Bekele Y, Mengistie B, Mesfine F. Prelacteal feeding practice and associated factors among mothers attending immunization clinic in Harari region public health facilities, Eastern Ethiopia. Open J Prev Med. 2014;4:529–34.CrossRef
40.
WHO. Infant and young child feeding : model chapter for textbooks for medical students and allied health professionals. Geneva, Switzerland: World Health Organization; 2009. ISBN 978 92 4 159749 4.
41.
Akuse RM, Obinya EA. Why healthcare workers give prelacteal feeds. Eur J Clin Nutr. 2002;56(8):729–34.CrossRefPubMed
42.
Aborigo RA, Moyer CA, Rominski S, Adongo P, Williams J, Logonia G, Affah G, Hodgson A, Engmann C. Infant nutrition in the first seven days of life in rural northern Ghana. BMC Pregnancy Childbirth. 2012;12:76.CrossRefPubMedPubMedCentral
43.
Semega-Janneh IJ, Bohler E, Holm H, Matheson I, Holmboe-Ottesen G. Promoting breastfeeding in rural Gambia: combining traditional and modern knowledge. Health Policy Plan. 2001;16(2):199–205.CrossRefPubMed
44.
Katepa-Bwalya M, Mukonka V, Kankasa C, Masaninga F, Babaniyi O, Siziya S. Infants and young children feeding practices and nutritional status in two districts of Zambia. Int Breastfeed J. 2015;10:5.CrossRefPubMedPubMedCentral
45.
El-Gilany AH, Abdel-Hady DM. Newborn first feed and prelacteal feeds in Mansoura, Egypt. BioMed Res Int. 2014;2014:258470.
Metadata
Title
Factors associated with prelacteal feeding in the rural population of northwest Ethiopia: a community cross-sectional study
Authors
Amare Tariku
Gashaw Andargie Biks
Molla Mesele Wassie
Abebaw Gebeyehu
Azeb Atinafu Getie
Publication date
01-12-2016
Publisher
BioMed Central
Published in
International Breastfeeding Journal / Issue 1/2016
Electronic ISSN: 1746-4358
DOI
https://doi.org/10.1186/s13006-016-0074-9

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