Mansoura, Mısır’da Altı aylık dönemde emzirme performans indeksi

AMAÇ: Emzirmeyi değerlendirmek için çok sayıda gösterge vardır. Emzirme performans indeksi altı aydan küçük çocuklarda tüm performansı tanımlamak için birleşik bir indekstir. Bu çalışma, Emzir me performans indeksi kullanarak emzirme uygulamasını açıklayabilmek ve düşük emzirme uygulamasının birlikte olduğu faktörleri belirleyebilmek için yapılmıştır. YÖNTEM: Çalışma toplam anne-bebek çiftiarasında gerçekleştirildi. Sosyodemografik özellikler, gebelik öyküsü ve Emzir me performans indeksinin y bileşeni hakkında veri toplanmıştır. BULGULAR: Düşük, orta ve yüksek emzir me performans indeksi orantıları sırasıyla %27,1, %41,7 ve %31,3 idi. Regresyon analizi; düşük indeksin anlamlı tahmin ettiricilerinin özel klinikte/hastanede doğum (Adjusted Odds Ratio, AOR=3,6); çalışan anne (AOR=2,0), ve sezaryen ile doğum (AOR=1,7) olduğunu gösterdi. SONUÇ: Ortaya çıkarılan faktörler emzirmeyi arttırma müdahaleleri inci annelere odaklanmada yardımcı olacaktır.

[Breastfeeding performance ındex at age of 6 months in mansoura, egypt]

SUMMARY AIM: There are many indicators for breastfeeding assessment. The breastfeeding performance index (BPI) is a composite index to describe overall breastfeeding performance among infants under six months of age. Objective of this study is to describe the breastfeeding practice using BPI and to identify factors associated with low breastfeeding performance. METHODS: A total of 528 mother-infant dyads were studied. Data was collected about the sociodemographic features, obstetric history, and the seven components of the BPI. RESULTS: The proportions of infants belonging to low, average and high BPI categories were 27.1%, 41.7% and 31.3%, respectively. The regression analysis revealed that significant predictors of low BPI are (in order): private clinic/hospital delivery (Adjusted Odds Ratio, AOR=3.6); working mothers (AOR=2.0), and cesarean section delivery (AOR=1.7). CONCLUSION: Factors identified will help to target mothers for breastfeeding promotion interventions.

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1. Ministry of Health Timor-Leste. Timor-Leste breastfeeding promotion policy. 10th April 2009 (Available at: http://www.basics.org/documents/28- Timor-Leste-Breastfeeding-Promotion-Policy.pdf Accessed at: May 20.2010)
2. WHO. Indicators for assessing infant and young child feeding practices. Part 3. Country profiles. Geneva: WHO. 2010 (Available at: http://whqlibdoc.who.int/publications/2010/978924 1599757_eng.pdf Accessed at: October22.2010)
3. UNICEF/WHO. Pneumonia: the forgotten killer of children. Geneva, 2006 (Available at: http://www.unicef.org/publications/files/Pneumonia _The_Forgotten_Killer_of_Children.pdf Accessed at: May 20.2010)
4. WHO. Indicators for assessing infant and young child feeding practices. Part 1. Definitions. Conclusions of s consensus meeting held 6-8 November 2007 in Washington, DC, USA. Geneva: WHO. 2008 (Available at: http://whqlibdoc.who.int/publications/2008/978924 1596664_eng.pdf Accessed at: May 20.2010)
5. WHO. Global strategy for infant and young child feeding. Geneva: WHO. 2003 (Available at: http://www.who.int/nutrition/publications/gs_infant_ feeding_text_eng.pdf Accessed at: May 20.2010)
6. Ruel MT, Menon P. Child feeding practices are associated with child nutritional status in Latin America: innovative uses of the Demographic and Health Surveys. J Nutr 2002;136:1180-7
7. MkNelly B, Dunford C. Impact of credit with education on mothers and their young children’s nutrition: Lower Pra rural bank credit with education program in Ghana. Program in International Nutrition. Davis, CA: University of California, 2005
8. Senarah U, Dibley MJ, Agho KE. Breastfeeding performance index: a composite index to describe overall breastfeeding performance among infants under 6 months of age. Public Health Nutri 2007:10(10):996-1004
9. Arimond M, Ruel MT. Progress in developing an infant and child feeding index: An example using the Ethiopia Demographic and Health Survey 2000. Food Consumption and Nutrition Division of the International Food Policy Research Institute. Discussion Paper 143.Washington, DC: IFPRI, 2002.
10. Srivastava N, Sandhu A. Infant and child feeding index. Indian J Pediatr 2006;73(9):767-770
11. El-Gilany A. Breastfeeding indicators in Dakahlia Governorate. East Mediterr Health J 2003;9(5/6):961-973
12. Hossain MM, Reves RR, Radwan MM, et al. The timing of breastfeeding initiation and its correlates in a cohort of rural Egyptian infants. J Trop Pediatrics 1995;41(6):354-359
13. Abdel-Wahab F, El-Gilany A, Khalil A. Factors affecting breastfeeding initiation. The Egyptian J Community Medicine 1993;11(1):9-17
14. Setty V. Better breastfeeding, healthier lives. Population Reports Series L No. 14, Baltimore, John Hopkins Bloomberg school of Public Health. The Info Project. Feb 2006 (Available at: http://info.k4health.org/pr/l14/published/l14.pdf Accessed at: May 20.2010)
15. International Baby Food Action Network Asia. The state of the world’s breastfeeding: report card. Initiation of breastfeeding within one hour. New Delhi. (http://www.worldbreastfeedingtrends.org Accessed: May 20, 2010)
16. Tana AK. Interventions for promoting the initiation of breastfeeding: RHL Commentary. The World Health Organization Reproductive Health Library; Geneva. Last revised: 2 March 2009.
17. Chandrashehker TS, Joshi HS, Shankar PR, et al. Breastfeeding initiation and determinants of exclusive breastfeeding in an urban population of Western Nepal. 8th Commonwealth Congress on Diarrhea and Malnutrition. ICDDR. Center for Health and Population Research 5th Feb. 2006 (Available at: http://www.researchsea.com/html/article.php/aid/5 31/cid/6 Accessed at: May 20, 2010)
18. Hossain MM, Rawdan MM, Arafa SA, et al. Prelacteal infant feeding practices in rural Egypt. J Trop Pediatr 1992;38(6):317-322
19. Ebrahim GJ. Social and community pediatrics in developing countries, London, MacMillan Co, 1985. P.96
20. Dandash BK. Factors associated with duration of breastfeeding practice. Egyptian J Community Medicine 1993;11(1):19-26
21. Al-Sahab B, Lanes A, Feldman M, Tamim H. Prevalence and predictors of 6-months exclusive breastfeeding among Canadian women: a national survey. BMC Pediatrics 2010;10:20
22. Khassawneh M, Khadery Y, Amarin Z, Alkafajei A. Knowledge, attitude and practice of breastfeeding in the north of Jordan: a cross-sectional study. International Breastfeeding J 2006;1:17
23. Qiu L, Zhao Y, Binns CW, Lee AH, Xie X. Initiation of breastfeeding and prevalence of exclusive breastfeeding at hospital discharge in urban , suburban and rural areas of Zhejiang China. International breastfeeding J 2009;4:1
24. Chandrashekhar TS, Joshi HS, Binu V, Shankar PR, Rona MS, Ramachandran U. Breastfeeding initiation and determinants of exclusive breastfeeding – a questionnaire survey in an urban population of Western Nepal. Public Health Nutr 2007;10(2):192-197
25. Islam Z, Fallah R, Golestan M, Shajaree A. Relationship between delivery type and successful breastfeeding (English Abstract). Iran J Pediatrics 2008;18(suppl.1):37-52
26. Agboado G, Michel E, Jackson E, Verma A. Factors associated with breastfeeding cessation in nursing mothers in a peer support programme in Eastern Lancashire. BMC Pediatrics 2010;10:3 (Online) (Available at: http://www.biomedcentral.com/content/pdf/1471- 2431-10-3.pdf Accessed at: October 22, 2010)
27. Patel RR, Liebling RE, Murphy DJ. Effect of operative delivery in the second stage of labor on breastfeeding success. Birth 2003;30(4):255-260