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首页> 外文期刊>International breastfeeding journal >Challenges and predictors of exclusive breastfeeding among mothers attending the child welfare clinic at a regional hospital in Ghana: a descriptive cross-sectional study
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Challenges and predictors of exclusive breastfeeding among mothers attending the child welfare clinic at a regional hospital in Ghana: a descriptive cross-sectional study

机译：描述性横断面研究：在加纳一家地区医院参加儿童福利诊所的母亲中，纯母乳喂养的挑战和预测因素

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BackgroundThe challenges and predictors of exclusive breastfeeding (EBF) have been examined in many parts of the world. Considering the socio-cultural dynamics and the few research studies in Ghana, the factors that hinder and predict EBF practice in other countries may be different in the Ghanaian setting. The study therefore sought to assess the challenges and predictors of EBF among mothers attending a child welfare clinic at a regional hospital in Ghana. MethodsA descriptive cross-sectional study was carried out between January and March, 2015 to elicit information from 240 mothers who were sampled using simple random sampling technique. A validated structured questionnaire was used in collecting data on participants’ socio-demographic characteristics and reported breastfeeding practices. Participants’ breastfeeding challenges were rated on a Likert scale from 1 (not at all), 2 (mild), 3 (moderate), 4 (severe) to 5 (unbearable). In this study, EBF refers to birth of the infants up to six months. ResultsThe top three breastfeeding challenges of mothers were: belief that breast milk alone was not sufficient in meeting their babies’ nutritional needs [mean 3.43 (standard deviation {SD} 1.35)], short maternity leave period [mean 3.41 (SD 1.29)], and socio-cultural pressure to introduce water and artificial feeds [mean 3.39 (SD 1.28)]. Independent predictors of EBF were: infant’s age [Adjusted Odds Ratio (AOR) 0.82 (95% Confidence Interval [CI] 0.71, 0.95)], and self-employment [AOR 2.67 (95% CI 1.11, 6.41)]. ConclusionMothers are confronted with numerous EBF challenges both at the individual and societal levels, and stakeholders need to consider these in order to support breastfeeding mothers to maximize outcomes. Reviewing the labour laws on Ghana’s maternity leave to accommodate an extended maternity leave in addition to the employee’s annual leave could further improve EBF practice rates.
机译：背景技术在世界许多地方，已经研究了纯母乳喂养（EBF）的挑战和预测因素。考虑到加纳的社会文化动态和很少的研究，在加纳地区，阻碍和预测其他国家EBF实践的因素可能有所不同。因此，该研究旨在评估在加纳地区医院参加儿童福利诊所的母亲中，EBF的挑战和预测因素。方法采用描述性横断面研究方法，于2015年1月至3月进行研究，以收集240名采用简单随机抽样技术进行抽样的母亲的信息。使用经过验证的结构化问卷收集参与者的社会人口统计学特征数据并报告母乳喂养习惯。参与者对母乳喂养的挑战以李克特量表进行评分，从1（完全没有），2（轻度），3（中度），4（严重）到5（难以忍受）。在这项研究中，EBF是指不超过六个月的婴儿的出生。结果母亲面临的三大挑战是：仅母乳就不足以满足婴儿的营养需求[平均3.43（标准差{SD} 1.35）]，产假期短[平均3.41（SD 1.29）]，以及引入水和人工饲料的社会文化压力[平均值3.39（SD 1.28）]。 EBF的独立预测因素是：婴儿年龄[调整后的赔率（AOR）0.82（95％的置信区间[CI] 0.71，0.95）]和自营职业[AOR 2.67（95％的CI 1.11，6.41）]。结论母亲在个人和社会层面都面临着众多的EBF挑战，利益相关者需要考虑这些挑战，以支持母乳喂养母亲最大限度地提高结果。复习加纳产假的劳动法，以延长雇员的年假，以延长产假，可以进一步提高EBF的执业率。

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