Prevalence of Exclusive Breast Milk Feeding at Discharge and Associated Factors Among Preterm Neonates Admitted to a Neonatal Intensive Care Unit in Public Hospitals, Addis Ababa, Ethiopia: A Cross-Sectional Study
Gosa Tesfaye Degaga, 1 Endalew Gemechu Sendo, 2 Tewodros Tesfaye 2 1Department of Nursing, Ambo University, Ambo, Ethiopia; 2School of Nursing and Midwifery, College of Health Sciences, Addis Ababa University, Addis Ababa, EthiopiaCorrespondence: Tewodros TesfayeSchool of Nursing and Midwifery, Co...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2020-01-01
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| Series: | Pediatric Health, Medicine and Therapeutics |
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| Online Access: | https://www.dovepress.com/prevalence-of-exclusive-breast-milk-feeding-at-discharge-and-associate-peer-reviewed-article-PHMT |
| _version_ | 1818152944763142144 |
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| author | Degaga GT Sendo EG Tesfaye T |
| author_facet | Degaga GT Sendo EG Tesfaye T |
| author_sort | Degaga GT |
| collection | DOAJ |
| description | Gosa Tesfaye Degaga, 1 Endalew Gemechu Sendo, 2 Tewodros Tesfaye 2 1Department of Nursing, Ambo University, Ambo, Ethiopia; 2School of Nursing and Midwifery, College of Health Sciences, Addis Ababa University, Addis Ababa, EthiopiaCorrespondence: Tewodros TesfayeSchool of Nursing and Midwifery, College of Health Sciences, Addis Ababa University, P.O. Box 9086, Addis Ababa, EthiopiaTel +251913698081Email teddykera@gmail.comBackground: Studies show that rates of breast milk feeding are much lower among preterm infants than term infants, and breast milk feeding at discharge varies widely between countries. However, research examining factors associated with exclusive breast milk feeding at discharge among preterm neonates in Ethiopia is limited. The study aimed to assess the prevalence of exclusive breast milk feeding at discharge and associated factors among preterm neonates at the neonatal intensive care unit (NICU) in public hospitals, Addis Ababa, Ethiopia.Methods: This facility-based cross-sectional study was conducted from February to March 2017 among preterm infants discharged from the NICU of public hospitals. Data were collected using pretested structured questionnaires. Purposive sampling technique was used. Factors associated with exclusive breast milk-fed infants at discharge among preterm neonates were determined using bivariate and multivariate logistic regression models. Statistically significant associations were declared at P< 0.05.Results: The study assessed 263 mother-preterm dyads. The findings from this study revealed that 71.9% of exclusive breast milk-fed infants at discharge at NICU of the selected Public hospitals in Addis Ababa. Factors associated with exclusive breast milk-fed infants at discharge included duration of hospital stay for 7– 14 days (AOR 0.19, 95% CI 0.049– 0.808) and more than 14 days (AOR 0.20, 95% CI 0.046,0.891), Initiation of breast milk expression later than 48 hrs postpartum (AOR 0.10, 95% CI 0.032– 0.365) and receiving hospital support (AOR 39.00, 95% CI 11.676– 130.290).Conclusion: In this study, nearly ¾ of the NICU premature population exclusively breast milk fed at discharge, which designates to establish exclusive breastfeeding in the majority of preterm infants in this cohort. Thus, support for exclusive breast milk fed should be at the forefront of maternity practice in hospital and mothers of preterm infants to be guided to initiation of early breast milk expression as soon after delivery as possible and frequent expression thereafter.Keywords: breast milk feeding, preterm infant, NICU, Addis Ababa |
| first_indexed | 2024-12-11T14:02:46Z |
| format | Article |
| id | doaj.art-eaf163da58b3498fb980d19251aab2ba |
| institution | Directory Open Access Journal |
| issn | 1179-9927 |
| language | English |
| last_indexed | 2024-12-11T14:02:46Z |
| publishDate | 2020-01-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Pediatric Health, Medicine and Therapeutics |
| spelling | doaj.art-eaf163da58b3498fb980d19251aab2ba2022-12-22T01:03:47ZengDove Medical PressPediatric Health, Medicine and Therapeutics1179-99272020-01-01Volume 11212851256Prevalence of Exclusive Breast Milk Feeding at Discharge and Associated Factors Among Preterm Neonates Admitted to a Neonatal Intensive Care Unit in Public Hospitals, Addis Ababa, Ethiopia: A Cross-Sectional StudyDegaga GTSendo EGTesfaye TGosa Tesfaye Degaga, 1 Endalew Gemechu Sendo, 2 Tewodros Tesfaye 2 1Department of Nursing, Ambo University, Ambo, Ethiopia; 2School of Nursing and Midwifery, College of Health Sciences, Addis Ababa University, Addis Ababa, EthiopiaCorrespondence: Tewodros TesfayeSchool of Nursing and Midwifery, College of Health Sciences, Addis Ababa University, P.O. Box 9086, Addis Ababa, EthiopiaTel +251913698081Email teddykera@gmail.comBackground: Studies show that rates of breast milk feeding are much lower among preterm infants than term infants, and breast milk feeding at discharge varies widely between countries. However, research examining factors associated with exclusive breast milk feeding at discharge among preterm neonates in Ethiopia is limited. The study aimed to assess the prevalence of exclusive breast milk feeding at discharge and associated factors among preterm neonates at the neonatal intensive care unit (NICU) in public hospitals, Addis Ababa, Ethiopia.Methods: This facility-based cross-sectional study was conducted from February to March 2017 among preterm infants discharged from the NICU of public hospitals. Data were collected using pretested structured questionnaires. Purposive sampling technique was used. Factors associated with exclusive breast milk-fed infants at discharge among preterm neonates were determined using bivariate and multivariate logistic regression models. Statistically significant associations were declared at P< 0.05.Results: The study assessed 263 mother-preterm dyads. The findings from this study revealed that 71.9% of exclusive breast milk-fed infants at discharge at NICU of the selected Public hospitals in Addis Ababa. Factors associated with exclusive breast milk-fed infants at discharge included duration of hospital stay for 7– 14 days (AOR 0.19, 95% CI 0.049– 0.808) and more than 14 days (AOR 0.20, 95% CI 0.046,0.891), Initiation of breast milk expression later than 48 hrs postpartum (AOR 0.10, 95% CI 0.032– 0.365) and receiving hospital support (AOR 39.00, 95% CI 11.676– 130.290).Conclusion: In this study, nearly ¾ of the NICU premature population exclusively breast milk fed at discharge, which designates to establish exclusive breastfeeding in the majority of preterm infants in this cohort. Thus, support for exclusive breast milk fed should be at the forefront of maternity practice in hospital and mothers of preterm infants to be guided to initiation of early breast milk expression as soon after delivery as possible and frequent expression thereafter.Keywords: breast milk feeding, preterm infant, NICU, Addis Ababahttps://www.dovepress.com/prevalence-of-exclusive-breast-milk-feeding-at-discharge-and-associate-peer-reviewed-article-PHMTbreast milk feedingpreterm infantnicuaddis ababa |
| spellingShingle | Degaga GT Sendo EG Tesfaye T Prevalence of Exclusive Breast Milk Feeding at Discharge and Associated Factors Among Preterm Neonates Admitted to a Neonatal Intensive Care Unit in Public Hospitals, Addis Ababa, Ethiopia: A Cross-Sectional Study Pediatric Health, Medicine and Therapeutics breast milk feeding preterm infant nicu addis ababa |
| title | Prevalence of Exclusive Breast Milk Feeding at Discharge and Associated Factors Among Preterm Neonates Admitted to a Neonatal Intensive Care Unit in Public Hospitals, Addis Ababa, Ethiopia: A Cross-Sectional Study |
| title_full | Prevalence of Exclusive Breast Milk Feeding at Discharge and Associated Factors Among Preterm Neonates Admitted to a Neonatal Intensive Care Unit in Public Hospitals, Addis Ababa, Ethiopia: A Cross-Sectional Study |
| title_fullStr | Prevalence of Exclusive Breast Milk Feeding at Discharge and Associated Factors Among Preterm Neonates Admitted to a Neonatal Intensive Care Unit in Public Hospitals, Addis Ababa, Ethiopia: A Cross-Sectional Study |
| title_full_unstemmed | Prevalence of Exclusive Breast Milk Feeding at Discharge and Associated Factors Among Preterm Neonates Admitted to a Neonatal Intensive Care Unit in Public Hospitals, Addis Ababa, Ethiopia: A Cross-Sectional Study |
| title_short | Prevalence of Exclusive Breast Milk Feeding at Discharge and Associated Factors Among Preterm Neonates Admitted to a Neonatal Intensive Care Unit in Public Hospitals, Addis Ababa, Ethiopia: A Cross-Sectional Study |
| title_sort | prevalence of exclusive breast milk feeding at discharge and associated factors among preterm neonates admitted to a neonatal intensive care unit in public hospitals addis ababa ethiopia a cross sectional study |
| topic | breast milk feeding preterm infant nicu addis ababa |
| url | https://www.dovepress.com/prevalence-of-exclusive-breast-milk-feeding-at-discharge-and-associate-peer-reviewed-article-PHMT |
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