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Effects of antenatal care and institutional delivery on exclusive breastfeeding practice in northwest Ethiopia: a nested case–control study

Overview of attention for article published in International Breastfeeding Journal, November 2015
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Title
Effects of antenatal care and institutional delivery on exclusive breastfeeding practice in northwest Ethiopia: a nested case–control study
Published in
International Breastfeeding Journal, November 2015
DOI 10.1186/s13006-015-0055-4
Pubmed ID
Authors

Gashaw Andargie Biks, Amare Tariku, Gizachew Assefa Tessema

Abstract

For the first six months of life, breast milk is the ideal food to provide adequate quality and quantity of nutrients. Exclusive breastfeeding has a profound effect to reduce the risk of respiratory and gastrointestinal related morbidities as well as all-cause and infection-related neonatal mortalities. Despite the immense benefits of exclusive breastfeeding, the practice is suboptimal in Ethiopia. The aim of this study was to assess whether antenatal care and institutional delivery contributes to mothers' practice of exclusive breastfeeding in rural communities of northwest Ethiopia. A community-based nested case-control study was conducted in northwest Ethiopia from November 2009 to August 2011. About 1769 mother-infant pairs were included and followed for six months after birth. Interviews with mothers were conducted in the first week, at 1(st), 4(th), and 6(th) month. Bivariate and multivariate logistic regression were carried out to determine associations between independent variables and exclusive breastfeeding practice. Of the total respondents, 30.7 % (95 % CI: 27 %, 35 %) of mothers exclusively breastfed their infants. In multivariate analysis, own business activity (AOR= 3.06; 95 % CI: 1.29, 7.25), being a housewife (AOR= 3.41; 95 % CI: 1.28, 9.11), having antenatal care (AOR= 1.32; 95 % CI: 1.01, 1.73), giving birth in a health institution (AOR= 1.29; 95 % CI: 1.02, 1.62), and possessing a microfinance bank account (AOR= 2.35; 95 % CI: 1.80, 3.07) were positively associated with exclusive breastfeeding practice. Despite underutilization of maternal health services, these services contributed to mothers exclusive breastfeeding practice. Strengthening utilization of antenatal care and institutional delivery would have an added benefit in improving exclusive breastfeeding practice. Moreover involving mothers in business activities is important.

Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 179 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 179 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 29 16%
Student > Bachelor 23 13%
Student > Postgraduate 13 7%
Student > Ph. D. Student 13 7%
Student > Doctoral Student 12 7%
Other 30 17%
Unknown 59 33%
Readers by discipline Count As %
Nursing and Health Professions 51 28%
Medicine and Dentistry 32 18%
Agricultural and Biological Sciences 5 3%
Biochemistry, Genetics and Molecular Biology 4 2%
Social Sciences 4 2%
Other 21 12%
Unknown 62 35%