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International Breastfeeding Journal

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Open Access 01-12-2009 | Research

Social support during childbirth as a catalyst for early breastfeeding initiation for first-time Nigerian mothers

Authors: Imran O Morhason-Bello, Babatunde O Adedokun, Oladosu A Ojengbede

Published in: International Breastfeeding Journal | Issue 1/2009

Abstract

Background

Initiation of breastfeeding can be difficult in a busy maternity centre with inadequate manpower and social support. This study aims to explore the role of psychosocial support offered by companions on breastfeeding initiation among first-time mothers.

Methods

This is a secondary data analysis of a randomised controlled trial conducted among women attending the antenatal clinic of the University College Hospital, Ibadan, Nigeria in 2007. Those in the experimental group were asked to bring someone of their choice to the labour room to act as a companion; the comparison group received standard care. The results of 209 HIV negative women who had vaginal births were analysed. The main outcome measure was time to initiation of breastfeeding after childbirth.

Results

Of the total, 94 had companions during labour while 115 did not have a companion. The median time to breastfeeding initiation was significantly shorter in those with companions compared to controls (16 vs. 54 minutes; p < 0.01). The cumulative survival analysis indicated that all in the treatment group had initiated breastfeeding by 26 minutes, while among the control group none had commenced at 30 minutes post-delivery with some as late as 12 hours. After Cox regression analysis was used to adjust for possible confounders, the outcome still showed a significant hazard ratio of 207.8 (95%CI 49.2, 878.0; p < 0.01) among women who were supported by a companion.

Conclusion

Use of companions during labour is associated with earlier time to breastfeeding initiation among first-time mothers in Nigeria.

Trial Registration

Australian New Zealand Clinical Trials Registry: ACTRN12609000994280.

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Forster DA, McLachlan HL: Breastfeeding initiation and birth setting practices: a review of the literature. J Midwifery Womens Health. 2007, 52 (3): 273-80. 10.1016/j.jmwh.2006.12.016.CrossRefPubMed

Huffman SL, Zehner ER, Victora C: Can improvements in breast-feeding practices reduce neonatal mortality in developing countries?. Midwifery. 2001, 17 (2): 80-92. 10.1054/midw.2001.0253.CrossRefPubMed

Sheehan D, Bridle B, Hillier T, Feightner K, Hayward S, Lee KS, Krueger P, Sword W, James M: Breastfeeding outcomes of women following uncomplicated birth in Hamilton-Wentworth. Can J Public Health. 1999, 90 (6): 408-11.PubMed

Kelly YJ, Watt RG, Nazroo Y: Racial/ethnic differences in breastfeeding initiation and continuation in the United Kingdom and comparison with findings in the United States. Pediatrics. 2006, 118 (5): 1428-35. 10.1542/peds.2006-0714.CrossRef

Scott JA, Binns CW: Factors associated with the initiation and duration of breastfeeding: a review of the literature. Breastfeed Rev. 1999, 7 (1): 5-16.PubMed

National Demographic and Health Survey: Infant feeding and children's and women's nutritional status 2003 [http://www.measuredhs.com/pubs/pdf/FR148/11Chapter11.pdf]. National Population Commision, Federal Republic of Nigeria. ORC Macro Calverton, Maryland, USA

Eregie CO: Observations on water supplementation in breastfed infants. West Afr J Med. 2001, 20 (4): 210-2.PubMed

Feyisetan BJ: Postpartum sexual abstinence, breastfeeding, and childspacing, among Yoruba women in urban Nigeria. Soc Biol. 1990, 37 (1-2): 110-27.PubMed

Nwankwo BO, Brieger WR: Exclusive breastfeeding is undermined by use of other liquids in rural southwestern Nigeria. J Trop Pediatr. 2002, 48 (2): 109-12. 10.1093/tropej/48.2.109.CrossRefPubMed

10.

Davies-Adetugbo AA: Sociocultural factors and the promotion of exclusive breastfeeding in rural Yoruba communities of Osun State, Nigeria. Soc Sci Med. 1997, 45 (1): 113-25. 10.1016/S0277-9536(96)00320-6.CrossRefPubMed

11.

Covington CY: A review of "The National Breastfeeding Policy in Nigeria: the working mother and the law". Health Care Women Int. 2005, 26 (7): 555-60. 10.1080/07399330591004872.CrossRefPubMed

12.

Protecting, Promoting and Supporting Breastfeeding [http://www.unicef.org/newsline/tenstps.htm]. The Special Role of Maternity Services, a joint WHO/UNICEF statement published by the World Health Organization

13.

Aghaji MN: Exclusive breast-feeding practice and associated factors in Enugu, Nigeria. West Afr J Med. 2002, 21 (1): 66-9.PubMed

14.

Earle S: Factors affecting the initiation of breastfeeding: implications for breastfeeding promotion. Health Promot Int. 2002, 17 (3): 205-14. 10.1093/heapro/17.3.205.CrossRefPubMed

15.

Ingram J, Johnson D, Greenwood R: Breastfeeding in Bristol: teaching good positioning, and support from fathers and families. Midwifery. 2002, 18 (2): 87-101. 10.1054/midw.2002.0308.CrossRefPubMed

16.

Hodnett ED, Gates S, Hofmey GJ, Sakala C: Continuous support for women during childbirth. Cochrane Database Sys Rev. 2007, CD003766-3

17.

Hofmeyr GJ, Nikodem VC, Wolman WL, Chalmers BE, Kramer T: Companionship to modify the clinical birth environment: effects on progress and perceptions of labour, and breastfeeding. Br J Obstet Gynaecol. 1991, 98 (8): 756-64.CrossRefPubMed

18.

Morhason-Bello IO, Adedokun BO, Ojengbede AO, Olayemi O, Oladokun A, Fabamwo AO: Assessment of the effect of psycho-social support during childbirth in Ibadan, South-West Nigeria: a randomised controlled trial. Aust N Z J Obstet Gynaecol. 2009, 49 (2): 145-50. 10.1111/j.1479-828X.2009.00983.x.CrossRefPubMed

19.

Morhason-Bello IO, Oladokun A, Adedokun BO, Obisesan KA, Ojengbede OA, Okuyemi OO: Determinants of post-caesarean wound infection at the University College Hospital Ibadan Nigeria. Niger J Clin Pract. 2009, 12: 1-5.PubMed

20.

Baker EJ, Sanei LC, Franklin N: Early initiation of an exclusive breastfeeding in large-scale community-based programmes in Bolivia and Madagascar. J Health Popul Nutr. 2006, 24 (4): 530-9.PubMedCentralPubMed

21.

Rowe-Murray HJ, Fisher JR: Baby friendly hospital practices: cesarean section is a persistent barrier to early initiation of breastfeeding. Birth. 2002, 29 (2): 124-31. 10.1046/j.1523-536X.2002.00172.x.CrossRefPubMed

Title: Social support during childbirth as a catalyst for early breastfeeding initiation for first-time Nigerian mothers
Authors: Imran O Morhason-Bello
Babatunde O Adedokun
Oladosu A Ojengbede
Publication date: 01-12-2009
Publisher: BioMed Central
Published in: International Breastfeeding Journal / Issue 1/2009
Electronic ISSN: 1746-4358
DOI: https://doi.org/10.1186/1746-4358-4-16

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Social support during childbirth as a catalyst for early breastfeeding initiation for first-time Nigerian mothers

Abstract

Background

Methods

Results

Conclusion

Trial Registration

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

Trial Registration

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