Abstract:
BACKGROUND:Initiation of breastfeeding later than 1 hour after birth is associated with increased neonatal morbidity and mortality. OBJECTIVE:To determine the prevalence and factors associated with delayed initiation of breastfeeding. METHODS:We conducted a survey in 2016 of 930 children under the age of 2 years in Lira district, northern Uganda. Mothers of the children were interviewed and data was collected on mobile phones using Open Data Kit software ( https://opendatakit.org ). Multivariable logistic regression was used to determine factors associated with delayed initiation of breastfeeding. RESULTS:Almost half [48.2%, 95% confidence interval (CI) (44.3-52.1)] of the mothers delayed initiation of breastfeeding. Factors significantly associated with delayed initiation of breastfeeding in multivariable analysis included caesarean delivery [Adjusted Odds Ratio (AOR) 11.10 95% CI (3.73-33.04)], discarding initial breast milk [AOR 2.02 95% CI (1.41-2.88)], home delivery [AOR 1.43 95% CI (1.04-1.97)] and mother being responsible for initiating breastfeeding as compared to a health worker or relative [AOR 1.73 95% CI (1.33-2.26)]. Mothers having a secondary education were less likely [AOR 0.54 95% CI (0.30-0.96)] to delay initiation of breastfeeding as compared to those with no education. CONCLUSION:About half the mothers delayed initiation of breastfeeding until after 1 hour after birth. Programs to promote, protect and support breastfeeding in this post conflict region are urgently needed.
journal_name
Glob Health Actionjournal_title
Global health actionauthors
Mukunya D,Tumwine JK,Nankabirwa V,Ndeezi G,Odongo I,Tumuhamye J,Tongun JB,Kizito S,Napyo A,Achora V,Odongkara B,Tylleskar Tdoi
10.1080/16549716.2017.1410975subject
Has Abstractpub_date
2017-01-01 00:00:00pages
1410975issue
1eissn
1654-9716issn
1654-9880journal_volume
10pub_type
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