학술논문

Factors Influencing Exclusive Breastfeeding in Early Infancy: A Prospective Study in North Central Nigeria
Document Type
Report
Source
Maternal and Child Health Journal. February 2016, Vol. 20 Issue 2, p363, 13 p.
Subject
United States
Language
English
ISSN
1092-7875
Abstract
Purpose To determine the association between prenatal exclusive breastfeeding intentions and exclusive breastfeeding (EBF) and explore other factors associated with EBF until 3 months postpartum among mothers residing in suburban parts of the Federal Capital Territory, Abuja Nigeria. Description This longitudinal observational study involved the recruitment of 210 pregnant women who were prospectively followed until 3 months postpartum. Participants were recruited from antenatal clinics attached to four separate public secondary health facilities located in the suburban parts of Abuja. Cox regression hazards model was used to determine the risk of EBF cessation at 3 months postpartum. Assessment Over 70.0 % of women had strong intention to exclusively breastfeed. The risk of exclusive breastfeeding cessation was significantly lower in women with strong exclusive breastfeeding intentions (HR 0.87, 95 % CI 0.8-0.95). Other risk factors for cessation of exclusive breastfeeding were pre-lacteal feed administration (HR 2.93 95 % CI 1.49-5.77) and mode of delivery (HR 0.17 95 % CI 0.04-0.67). Higher maternal age ([greater than or equal to]35 years), religion (Muslim) and having an unplanned pregnancy lowered the likelihood of having a strong intention to exclusively breastfeed an infant. Conclusions Prenatal exclusive breastfeeding intention was a strong predictor of exclusive breastfeeding. Intentions to EBF were further explained by maternal characteristics. Effective promotion of exclusive breastfeeding during prenatal period should also target factors influencing breastfeeding intentions. Additional research is warranted into the influence of maternal attitudes and self-efficacy about breastfeeding on breastfeeding intentions and practice.
Author(s): Olukunmi O. Balogun[sup.1] , Satomi Kobayashi[sup.1] [sup.2] , Kola M. Anigo[sup.3] , Erika Ota[sup.4] , Keiko Asakura[sup.5] [sup.6] , Satoshi Sasaki[sup.1] [sup.6] Author Affiliations: (1) Department of Social and [...]