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Early Infant Feeding Practices Among Mothers of Southeast Nigeria

Received: 12 August 2021    Accepted: 23 August 2021    Published: 31 August 2021
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Abstract

Background: The promotion of optimal infant feeding practices is the most cost-effective of all interventions to reduce infant mortality. In spite of the recommendation of the WHO for optimal breastfeeding practices, several studies in Nigeria on early infant feeding practices have indicated a need for continuous auditing of feeding practices among mothers to make improvements. Objective: This study evaluated the early infant feeding practices of mothers and associated factors. Methods: A cross-sectional, descriptive, multi-centre, questionnaire-based survey was conducted among 2,287 mother-infant pairs in 13 Baby Friendly Hospitals in Southeast Nigeria. Results: The rate of early initiation of breastfeeding [EIBF] within the first one hour of birth was 22.9%, while the exclusive breastfeeding [EBF] rate was 39.3%. The main deterrent to EBF was early introduction of water [94.0%], formula [40.9%] and complementary feeds [85.7%]. There was a statistically significant difference [p<0.001] between the nutritional status of the exclusively breastfed infants and those non-exclusively breastfed, with moderate underweight, and severe underweight malnutrition in the non-exclusively breastfed group. Sociodemographic factors associated with EBF were infant’s birth order [p<0.001], maternal age [p=0.010], mother’s and spouse’s education [p<0.001 and p<0.001], mother’s and spouse’s occupation [p<0.001 and p<0.001]. Conclusion: Policies and measures to promote hospital deliveries targeting all mothers, with special focus on the poor, rural, working, and primiparous mothers, should become a top priority to improve the rate of EIBF. Promotion of EBF with emphasis on the dangers of early introduction of water, formula and complementary feeding should be intensified.

Published in European Journal of Clinical and Biomedical Sciences (Volume 7, Issue 4)
DOI 10.11648/j.ejcbs.20210704.13
Page(s) 65-74
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Early Infant Feeding, Exclusive Breastfeeding, Complementary Feeds

References
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    Ihuoma Kathleen Ukpabi, Ebelechuku Francesca Ugochukwu, Chinyere Ukamaka Onubogu, Uchenna Ekwochi, Chuka Pius Manyike, et al. (2021). Early Infant Feeding Practices Among Mothers of Southeast Nigeria. European Journal of Clinical and Biomedical Sciences, 7(4), 65-74. https://doi.org/10.11648/j.ejcbs.20210704.13

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    ACS Style

    Ihuoma Kathleen Ukpabi; Ebelechuku Francesca Ugochukwu; Chinyere Ukamaka Onubogu; Uchenna Ekwochi; Chuka Pius Manyike, et al. Early Infant Feeding Practices Among Mothers of Southeast Nigeria. Eur. J. Clin. Biomed. Sci. 2021, 7(4), 65-74. doi: 10.11648/j.ejcbs.20210704.13

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    AMA Style

    Ihuoma Kathleen Ukpabi, Ebelechuku Francesca Ugochukwu, Chinyere Ukamaka Onubogu, Uchenna Ekwochi, Chuka Pius Manyike, et al. Early Infant Feeding Practices Among Mothers of Southeast Nigeria. Eur J Clin Biomed Sci. 2021;7(4):65-74. doi: 10.11648/j.ejcbs.20210704.13

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  • @article{10.11648/j.ejcbs.20210704.13,
      author = {Ihuoma Kathleen Ukpabi and Ebelechuku Francesca Ugochukwu and Chinyere Ukamaka Onubogu and Uchenna Ekwochi and Chuka Pius Manyike and Kenneth Nchekwube Okeke},
      title = {Early Infant Feeding Practices Among Mothers of Southeast Nigeria},
      journal = {European Journal of Clinical and Biomedical Sciences},
      volume = {7},
      number = {4},
      pages = {65-74},
      doi = {10.11648/j.ejcbs.20210704.13},
      url = {https://doi.org/10.11648/j.ejcbs.20210704.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejcbs.20210704.13},
      abstract = {Background: The promotion of optimal infant feeding practices is the most cost-effective of all interventions to reduce infant mortality. In spite of the recommendation of the WHO for optimal breastfeeding practices, several studies in Nigeria on early infant feeding practices have indicated a need for continuous auditing of feeding practices among mothers to make improvements. Objective: This study evaluated the early infant feeding practices of mothers and associated factors. Methods: A cross-sectional, descriptive, multi-centre, questionnaire-based survey was conducted among 2,287 mother-infant pairs in 13 Baby Friendly Hospitals in Southeast Nigeria. Results: The rate of early initiation of breastfeeding [EIBF] within the first one hour of birth was 22.9%, while the exclusive breastfeeding [EBF] rate was 39.3%. The main deterrent to EBF was early introduction of water [94.0%], formula [40.9%] and complementary feeds [85.7%]. There was a statistically significant difference [p<0.001] between the nutritional status of the exclusively breastfed infants and those non-exclusively breastfed, with moderate underweight, and severe underweight malnutrition in the non-exclusively breastfed group. Sociodemographic factors associated with EBF were infant’s birth order [p<0.001], maternal age [p=0.010], mother’s and spouse’s education [p<0.001 and p<0.001], mother’s and spouse’s occupation [p<0.001 and p<0.001]. Conclusion: Policies and measures to promote hospital deliveries targeting all mothers, with special focus on the poor, rural, working, and primiparous mothers, should become a top priority to improve the rate of EIBF. Promotion of EBF with emphasis on the dangers of early introduction of water, formula and complementary feeding should be intensified.},
     year = {2021}
    }
    

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  • TY  - JOUR
    T1  - Early Infant Feeding Practices Among Mothers of Southeast Nigeria
    AU  - Ihuoma Kathleen Ukpabi
    AU  - Ebelechuku Francesca Ugochukwu
    AU  - Chinyere Ukamaka Onubogu
    AU  - Uchenna Ekwochi
    AU  - Chuka Pius Manyike
    AU  - Kenneth Nchekwube Okeke
    Y1  - 2021/08/31
    PY  - 2021
    N1  - https://doi.org/10.11648/j.ejcbs.20210704.13
    DO  - 10.11648/j.ejcbs.20210704.13
    T2  - European Journal of Clinical and Biomedical Sciences
    JF  - European Journal of Clinical and Biomedical Sciences
    JO  - European Journal of Clinical and Biomedical Sciences
    SP  - 65
    EP  - 74
    PB  - Science Publishing Group
    SN  - 2575-5005
    UR  - https://doi.org/10.11648/j.ejcbs.20210704.13
    AB  - Background: The promotion of optimal infant feeding practices is the most cost-effective of all interventions to reduce infant mortality. In spite of the recommendation of the WHO for optimal breastfeeding practices, several studies in Nigeria on early infant feeding practices have indicated a need for continuous auditing of feeding practices among mothers to make improvements. Objective: This study evaluated the early infant feeding practices of mothers and associated factors. Methods: A cross-sectional, descriptive, multi-centre, questionnaire-based survey was conducted among 2,287 mother-infant pairs in 13 Baby Friendly Hospitals in Southeast Nigeria. Results: The rate of early initiation of breastfeeding [EIBF] within the first one hour of birth was 22.9%, while the exclusive breastfeeding [EBF] rate was 39.3%. The main deterrent to EBF was early introduction of water [94.0%], formula [40.9%] and complementary feeds [85.7%]. There was a statistically significant difference [p<0.001] between the nutritional status of the exclusively breastfed infants and those non-exclusively breastfed, with moderate underweight, and severe underweight malnutrition in the non-exclusively breastfed group. Sociodemographic factors associated with EBF were infant’s birth order [p<0.001], maternal age [p=0.010], mother’s and spouse’s education [p<0.001 and p<0.001], mother’s and spouse’s occupation [p<0.001 and p<0.001]. Conclusion: Policies and measures to promote hospital deliveries targeting all mothers, with special focus on the poor, rural, working, and primiparous mothers, should become a top priority to improve the rate of EIBF. Promotion of EBF with emphasis on the dangers of early introduction of water, formula and complementary feeding should be intensified.
    VL  - 7
    IS  - 4
    ER  - 

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Author Information
  • Department of Paediatrics, Federal Medical Centre, Umuahia, Nigeria

  • Department of Paediatrics, Nnamdi Azikiwe University, Awka, Nigeria

  • Department of Paediatrics, Nnamdi Azikiwe University, Awka, Nigeria

  • Department of Paediatrics, Enugu State University of Science and Technology, Enugu, Nigeria

  • Department of Paediatrics, Ebonyi State University Teaching Hospital, Abakaliki, Nigeria

  • Department of Paediatrics, Nnamdi Azikiwe University, Awka, Nigeria

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