Initiation of Breastfeeding and Factors Associated with Prelacteal Feeds in Central Nepal

Background: Prelacteal feeds and delayed initiation of breastfeeding may lead to undernutrition of the infant but are still prevalent in many countries.Objective: A prospective cohort community-based study was conducted in central Nepal to ascertain the rate of early breastfeeding initiation and fac...

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Main Authors: Karkee, Rajendra, Lee, Andy, Khanal, Vishnu, Binns, Colin
Format: Journal Article
Published: Sage Science Press 2014
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/46709
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author Karkee, Rajendra
Lee, Andy
Khanal, Vishnu
Binns, Colin
author_facet Karkee, Rajendra
Lee, Andy
Khanal, Vishnu
Binns, Colin
author_sort Karkee, Rajendra
building Curtin Institutional Repository
collection Online Access
description Background: Prelacteal feeds and delayed initiation of breastfeeding may lead to undernutrition of the infant but are still prevalent in many countries.Objective: A prospective cohort community-based study was conducted in central Nepal to ascertain the rate of early breastfeeding initiation and factors associated with the introduction of prelacteal feeds.Methods: Breastfeeding information was collected from 639 women who recently gave birth in the Kaski district of central Nepal. Backward stepwise logistic regression analysis was performed to determine factors associated with the use of prelacteal feeds.Results: The incidence of prelacteal feeds was 9.1%, with infant formula being the most common prelacteal food. Approximately 67% and 90% of mothers breastfed within 1 hour and 4 hours of delivery, respectively. Women who reside in urban areas (odds ratio [OR] = 2.68; 95% confidence interval [CI], 1.35-5.39), first-time mothers (OR = 2.15; 95% CI,1.15-4.02), and those who underwent cesarean section (OR = 10.10; 95% CI, 5.47-18.67) were more likely to give prelacteal feeds to their infants.Conclusion: The early initiation of breastfeeding with colostrum as the first feed was common in the study area. The introduction of prelacteal feeds was associated with urban residency, first-time motherhood, and cesarean delivery.
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spelling curtin-20.500.11937-467092017-10-02T02:28:04Z Initiation of Breastfeeding and Factors Associated with Prelacteal Feeds in Central Nepal Karkee, Rajendra Lee, Andy Khanal, Vishnu Binns, Colin initiation prelacteal feeds breastfeeding Nepal Background: Prelacteal feeds and delayed initiation of breastfeeding may lead to undernutrition of the infant but are still prevalent in many countries.Objective: A prospective cohort community-based study was conducted in central Nepal to ascertain the rate of early breastfeeding initiation and factors associated with the introduction of prelacteal feeds.Methods: Breastfeeding information was collected from 639 women who recently gave birth in the Kaski district of central Nepal. Backward stepwise logistic regression analysis was performed to determine factors associated with the use of prelacteal feeds.Results: The incidence of prelacteal feeds was 9.1%, with infant formula being the most common prelacteal food. Approximately 67% and 90% of mothers breastfed within 1 hour and 4 hours of delivery, respectively. Women who reside in urban areas (odds ratio [OR] = 2.68; 95% confidence interval [CI], 1.35-5.39), first-time mothers (OR = 2.15; 95% CI,1.15-4.02), and those who underwent cesarean section (OR = 10.10; 95% CI, 5.47-18.67) were more likely to give prelacteal feeds to their infants.Conclusion: The early initiation of breastfeeding with colostrum as the first feed was common in the study area. The introduction of prelacteal feeds was associated with urban residency, first-time motherhood, and cesarean delivery. 2014 Journal Article http://hdl.handle.net/20.500.11937/46709 10.1177/0890334414529845 Sage Science Press fulltext
spellingShingle initiation
prelacteal feeds
breastfeeding
Nepal
Karkee, Rajendra
Lee, Andy
Khanal, Vishnu
Binns, Colin
Initiation of Breastfeeding and Factors Associated with Prelacteal Feeds in Central Nepal
title Initiation of Breastfeeding and Factors Associated with Prelacteal Feeds in Central Nepal
title_full Initiation of Breastfeeding and Factors Associated with Prelacteal Feeds in Central Nepal
title_fullStr Initiation of Breastfeeding and Factors Associated with Prelacteal Feeds in Central Nepal
title_full_unstemmed Initiation of Breastfeeding and Factors Associated with Prelacteal Feeds in Central Nepal
title_short Initiation of Breastfeeding and Factors Associated with Prelacteal Feeds in Central Nepal
title_sort initiation of breastfeeding and factors associated with prelacteal feeds in central nepal
topic initiation
prelacteal feeds
breastfeeding
Nepal
url http://hdl.handle.net/20.500.11937/46709