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International Breastfeeding Journal
Published in: International Breastfeeding Journal 1/2019

Open Access 01-12-2019 | Research

Determinants of the early initiation of breastfeeding in the Kingdom of Saudi Arabia

Authors: Adam E. Ahmed, Osama A. Salih

Published in: International Breastfeeding Journal | Issue 1/2019

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Abstract

Background

National surveys in the Kingdom of Saudi Arabia continue to show rates of breastfeeding below global recommendations. Delay of timely or early initiation of breastfeeding is common in the community. Current approaches are not addressing the major constraints. Objectives of this study were to study the pattern and determinants associated with the early and delayed initiation of breastfeeding practices among infants aged less than 24 months. Also to assess regional differences to facilitate targeted actions.

Methods

This cross-sectional study was conducted from May to August 2016, based on a sample of 1700 mothers of children aged less than 24 months. The sample was randomly selected from over 165 health centers distributed across the country, at least 33 centers in each of the five geographical regions. World Health Organization standardized questionnaire for infant and young child feeding indicators was used to prepare structured questionnaire (in English translated later to Arabic) to collect the information on breastfeeding along with general sociodemographic data.

Results

The breastfeeding initiation rate was 97.3% (1559/1700 mothers). Only 8.3% (141) of mothers never breastfeed their children. Early initiation of breastfeeding within 1 h of birth was 43.6% (742) among all mothers surveyed while, breastfeeding initiation rates for 1-24 h and that for more than 24 h were 27 and 21% respectively. The overall prevalence of early initiation of breastfeeding (43.6%) is considered ‘fair’. Regional variation showed poor prevalence 26% (79/300 mothers) in Northern region; fair 38.4% (192/500 mothers), 45% (135/300 mothers), 49% (148/300 mothers) in the Central, Western and Eastern regions respectively; and good 63% (188/300 mothers) in the Southern region. Significant associations were indicated between early initiation of breastfeeding and mode of delivery, knowledge of the mother about the right time for early initiation, receipt of breastfeeding information, the region of residence, and educational level of the mother.

Conclusion

Whilst some barriers to breastfeeding initiation manifest similarity across the regions some factors were context-specific thus, tailored interventions are imperative. Appropriate behavior change interventions, are needed attain optimal breastfeeding practices.
Literature
1.
2.
3.
The World Breastfeeding Trends Initiative (WBTi). Kingdom of Saudi Arabia report. http://​worldbreastfeedi​ngtrends.​org/​GenerateReports/​report/​WBTi-Saudi-Arabia-2016.​pdf
4.
World Health Organization (WHO). Indicators for assessing infant and young child feeding practices. Part I: definitions. Conclusions of a consensus meeting held 6–8. November 2007 in Washington D.C., USA. Geneva: WHO; 2008.
5.
United Nations Children’s Fund (UNICEF). World Health Organization. Capture the moment, early initiation of breastfeeding: The best start for every newborn. New York: UNICEF; 2018.
6.
Ogbeide DO, Siddiqui S, Al Khalifa IM, Karim A. Breast feeding in a Saudi Arabian community. Profile of parents and influencing factors. Saudi Med J. 2004;25(5):580–4.PubMed
7.
Al-Jawaldeh A, Abul-Fadl A. Assessment of the baby friendly hospital initiative implementation in the eastern Mediterranean region. Children. 2018;5(3):41.PubMedCentralCrossRef
8.
Alzaheb R. A review of the factors associated with the timely initiation of breastfeeding and exclusive breastfeeding in the Middle East. Clin Med Insights: Pediatr. 2017;11:1–15.
9.
Ip S, Chung M, Raman G, Trikalinos T, Lau J. A summary of the agency for healthcare research and quality's evidence report on breastfeeding in developed countries. Breastfeed Med. 2009;4(s1):17–30.CrossRef
10.
11.
12.
Victora CG, Bahl R, Barros AJ, GVA F, Horton S, Krasevec J, et al. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. Lancet. 2016;387(10017):475–90.PubMedCrossRef
13.
Smith ER, Hurt L, Chowdhury R, Sinha B, Fawzi W, Edmond KM. Delayed breastfeeding initiation and infant survival: a systematic review and meta-analysis. PLoSOne. 2017;12(7):e0180722.CrossRef
14.
Khan J, Vesel L, Bahl R, Martines JC. Timing of breastfeeding initiation and exclusivity of breastfeeding during the first month of life: effects on neonatal mortality and morbidity a systematic review and meta-analysis. Matern Child Health J. 2015;19(3):468–79.PubMedCrossRef
15.
Dubois L, Girard M. Social determinants of initiation, duration and exclusivity of breastfeeding at the population level: the results of the longitudinal study of child development in Quebec (ELDEQ 1998-2002). Can J Public Health. 2003;94(4):300–5.PubMed
16.
17.
Perrine CG, Galuska DA, Dohack JL, Shealy KR, Murphy PE, Grummer-Strawn LM, et al. Vital Signs: Improvements in maternity care policies and practices that support breastfeeding. United States, 2007–2013. Morb Mortal Wkly Rep (MMWR). 2015;64(39):1112–7 Report posted as an MMWR early release on the MMWR website (https://​www.​cdc.​gov/​mmwr/​index.​html).CrossRef
18.
Vieira TO, Vieira GO, Giugliani ER, Mendes CM, Martins CC, Silva LR. Determinants of breastfeeding initiation within the first hour of life in a Brazilian population: cross-sectional study. BMC Public Health. 2010;10:760.PubMedPubMedCentralCrossRef
19.
Alyousefi NA, Alharbi AA, Almugheerah BA, Alajmi NA, Alaiyashi SM, Alharbi SS, et al. Factors influencing Saudi mothers’ success in exclusive breastfeeding for the first six months of infant life: a cross-sectional observational study. Int J Med Res Health Sci. 2017;6(2):68–78.
20.
Amin T, Hablas H, Al Qader A. Determinants of initiation and exclusivity of breastfeeding in Al Hassa, Saudi Arabia. Breastfeed Med. 2011;6(2):59–68.PubMedCrossRef
21.
22.
Shawky S, Abalkhail B. Maternal factors associated with the duration of breast feeding in Jeddah, Saudi Arabia. Paediatr Perinat Epidemiol. 2003;17(1):91–6.PubMedCrossRef
23.
Alwelaie YA, Alsuhaibani EA, Al-Harthy AM, Radwan RH, Al-Mohammady RG, Almutairi AM, et al. Breastfeeding knowledge and attitude among Saudi women in Central Saudi Arabia. Saudi Med J. 2010;31(2):193–8.PubMed
24.
Al-Mazrou Y, Aziz K, Khalil M. Breastfeeding and weaning practices in Saudi Arabia. J Trop Pediatr. 1994;40(5):267–71.PubMedCrossRef
25.
El Mouzan M, Al Omar A, Al Salloum A, Al Herbish A, Qurachi M. Trends in infant nutrition in Saudi Arabia: compliance with WHO recommendations. Ann Saudi Med. 2009;29(1):20–3.PubMedPubMedCentralCrossRef
26.
27.
El-Gilany A, Shady E, Helal R. Exclusive breastfeeding in Al-Hassa, Saudi Arabia. Breastfeed Med. 2011;6(4):209–13.PubMedCrossRef
28.
Azzeh FS, Alazzeh AY, Hijazi HH, Wazzan HY, Jawharji MT, Jazar AS, et al. Factors associated with not breastfeeding and delaying the early initiation of breastfeeding in Mecca region, Saudi Arabia. Children. 2018;5(1):8.PubMedCentralCrossRef
29.
Mack N, Woodsong C, Macqueen K, Guest G, Namey E. Qualitative research methods: A data collector’s field guide. North Carolina: Family Health International, FLI USAID; 2005.
30.
Al-Sakeit MA. A study of the factors influencing breastfeeding patterns in Saudi Arabia. Saudi Med J. 1998;9:596–601.
31.
Al-Mazrou YY, Farid S. Saudi Arabia child health survey. Riyadh: Ministry of Health; 1991.
32.
Madani K, Al-Nowaisser A, Khashoggi R. Breastfeeding patterns in Saudi Arabia. Ecol Food Nutr. 1994;31(3–4):239–45.PubMedCrossRef
33.
Khoja T, Farid S. Gulf family health survey. Riyadh: King Fahad National Library for Council of Health Ministers of GCC States; 2000.
34.
Alzaheb R. Factors associated with the initiation of breastfeeding within the first 48 hours of life in Tabuk, Saudi Arabia. Int Breastfeed J. 2016;11:21.PubMedPubMedCentralCrossRef
35.
Fida NM, Al-Aama JY. Pattern of infant feeding at a University Hospital in Western Saudi Arabia. Saudi Med J. 2003;24(7):725–9.PubMed
36.
Al-Hreashy FA, Tamim HM, Al-Baz N, Al-Kharji NH, Al-Amer A, Al-Ajmi H, et al. Patterns of breastfeeding practice during the first 6 months of life in Saudi Arabia. Saudi Med J. 2008;29(3):427–31.PubMed
37.
United Nations Children’s Fund (UNICEF). State of the World’s Children 2014: Every child counts. New York: United Nations Children’s Fund (UNICEF); 2014.CrossRef
38.
Albokhary AA, James JP. Does cesarean section have an impact on the successful initiation of breastfeeding in Saudi Arabia? Saudi Med J. 2014;35(11):1400–3.PubMedPubMedCentral
39.
Salih M. Why mothers are not exclusively breast feeding their babies till 6 months of age? Knowledge and practices data from two large cities of the Kingdom of Saudi Arabia. Sudanese J Paediatr. 2018;18(1):28–38.CrossRef
40.
Dorgham LS, Hafez SK, Kamhawy HE, Hassan WB. Assessment of initiation of breastfeeding, prevalence of exclusive breast feeding and their predictors in Taif, KSA. Life Sci J. 2014;11(1):1–9.
41.
Badaya N, Jain S, Kumar N. Time of initiation of breastfeeding in various modes of delivery and to observe the effect of low birth weight and period of gestation on initiation of breastfeeding. In J Contemp Pediatr. 2018;5(4):1509–17.CrossRef
42.
Mathur GP, Pandey PK, Mathur S, Mishra VK, Singh K, Bhatt OP, et al. Breastfeeding status and marketing practices of baby food manufactured in nursing homes. Indian Pediatr. 1993;30(11):1333–5.PubMed
43.
Mosher C, Sarkar A, Hashem AA, Hamadah RE, Alhoulan A, AlMakadma YA, et al. Self-reported breastfeeding practices and the baby friendly hospital initiative in Riyadh, Saudi Arabia: prospective cohort study. BMJ Open. 2016;6(12):e012890.PubMedPubMedCentralCrossRef
44.
Daglas M, Petoussi V, Dionysiou G, Athanassakis I. Do maternity hospital practices support Greek mothers’ decision to breastfeed? Clin Exp Obstet Gynecol. 2010;37(1):43–8.PubMed
45.
Piper S, Parks PL. Predicting the duration of lactation: evidence from a national survey. Birth. 2012;23:7–12.CrossRef
46.
Al-Kohji S, Said HA, Selim NA. Breastfeeding practice and determinants among Arab mothers in Qatar. Saudi Med J. 2012;33:436–42.PubMed
47.
Hossain M, Reves R, Radwan M, Habib M, DuPont H. The timing of breastfeeding initiation and its correlates in a cohort of rural Egyptian infants. J Trop Pediatr. 1995;41(6):354–9.PubMedCrossRef
48.
Ebrahim GJ. Social and community paediatrics in developing countries. In. Eastern Mediterranean Health Journal. Edited by El-Gilany A, Sarraf B, Al-Wehady A, 2012; 18(3): 250.
Metadata
Title
Determinants of the early initiation of breastfeeding in the Kingdom of Saudi Arabia
Authors
Adam E. Ahmed
Osama A. Salih
Publication date
01-12-2019
Publisher
BioMed Central
Published in
International Breastfeeding Journal / Issue 1/2019
Electronic ISSN: 1746-4358
DOI
https://doi.org/10.1186/s13006-019-0207-z

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