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Exclusive breastfeeding and associated factors among mothers in Debre Markos, Northwest Ethiopia: a cross-sectional study

机译：埃塞俄比亚西北部德布雷马科斯的母亲的纯母乳喂养及相关因素：一项横断面研究

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Background Exclusive breastfeeding is the most widely known and effective intervention for preventing early-childhood deaths. Optimum breastfeeding practices can prevent 1.4 million deaths worldwide among children under five every year. The aim of this study was to assess the prevalence of exclusive breastfeeding and associated factors among mothers who have an infant less than six months old in Debre Markos, Northwest Ethiopia. Methods A community based cross-sectional study was conducted from April 1 to 30, 2013. A simple random sampling technique was used from a list of all mothers who had an infant less than six months old obtained from the health extension workers (HEWs) registration book in all kebeles (neighbourhoods) of the city. A total of 423 mothers with infants less than six months old were included in this study. Data were collected using questionnaires administered at interview. Both bivariate and multivariate logistic regression analyses were carried out to identify factors associated with exclusive breastfeeding. Results The prevalence of exclusive breastfeeding during the seven days before the survey was 60.8% (95% CI: 55.8%, 65.8%). Those mothers who were unemployed [AOR?=?1.98 (1.21, 3.22)], received breastfeeding counseling during antenatal care (ANC) [AOR?=?2.44 (1.53, 3.91)], received infant feeding counseling during postnatal care (PNC) [AOR?=?5.03 (3.04, 8.31)], didn’t give prelacteal feeding [AOR?=?3.44 (1.88, 6.33)] and had adequate knowledge about breastfeeding [AOR?=?2.57 (1.57, 4.19)] were more likely to practice EBF than their counterparts. Conclusions Although the prevalence of exclusive breastfeeding was lower in the study area than international recommendations, rates were higher than found in other studies. Recommendations for improving exclusive breastfeeding include better support for working mothers through extending maternal leave and establishing work-site day care centers for infants, expanding the urban health extension program so that more pregnant women and mothers can be taught about appropriate infant and young child feeding practices and how to express their milk, thereby increasing their breastfeeding knowledge.
机译：背景技术纯母乳喂养是预防幼儿死亡的最广为人知且有效的干预措施。最佳的母乳喂养方式每年可防止全世界五岁以下儿童死亡140万人。这项研究的目的是评估埃塞俄比亚西北部Debre Markos婴儿小于6个月大的母亲中纯母乳喂养的患病率和相关因素。方法2013年4月1日至30日进行了一项基于社区的横断面研究。采用简单的随机抽样技术，从所有来自健康扩展员（HEWs）注册的小于6个月大婴儿的母亲名单中在城市的所有kebeles（社区）中预订。这项研究包括总共423名婴儿小于六个月的母亲。数据是使用面试时使用的问卷收集的。进行了双因素和多因素逻辑回归分析，以确定与纯母乳喂养有关的因素。结果在调查前7天，纯母乳喂养的患病率为60.8％（95％CI：55.8％，65.8％）。那些失业的母亲[AOR？=？1.98（1.21，3.22）]，在产前护理期间接受母乳喂养咨询（ANC）[AOR？=？2.44（1.53，3.91）]，在产后护理期间接受婴儿喂养咨询（PNC） [AOR≥= 5.03（3.04，8.31）]，未进行乳汁前喂养[AOR≥= 3.44（1.88，6.33）]，并且具有足够的母乳喂养知识[AOR≥= 2.57（1.57，4.19）]比起他们的同行，更可能实行EBF。结论尽管纯母乳喂养的患病率比国际建议的要低，但发生率却高于其他研究。改善纯母乳喂养的建议包括通过延长产假和建立婴儿工作现场日托中心，为工作中的母亲提供更好的支持，扩大城市健康推广计划，以便可以向更多的孕妇和母亲传授适当的婴幼儿喂养方法以及如何表达他们的牛奶，从而增加他们的母乳喂养知识。

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