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Abstract
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Article Information:
A Cross-Sectional Study of Pre-Lacteal Feeding Practice among Women Attending Kampala International University Teaching Hospital Maternal And Child Health Clinic, Bushenyi, Western Uganda
A.O. Ogah, A.M. Ajayi, S. Akib and S.N. Okolo
Corresponding Author: A.O. Ogah
Submitted: December 22, 2012
Accepted: March 02, 2012
Published: March 02, 2012 |
Abstract:
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WHO/UNICEF strongly discourages the traditional practice of pre-lacteal feeding unless medically indicated.
However, from clinical observation in KIUTH, this practice appeared to be very common. Hence, this study was aimed
at documenting for the first time, the rate of prelacteal feeding practice, associated factors and the effect of this practice
on the breastfeeding behaviour of the mothers attending KIUTH MCH clinic. This cross-sectional study included 403
mother-infant pairs. Mothers with children aged 2 years and below, who consecutively attended the MCH clinic of
KIUTH during the study period of 3 months (January to March, 2010), were enrolled on first-come-first-serve basis.
Ethical clearance was granted by the KIUTH research ethical committee and verbal consent was obtained from the
participants. Data was collected using structured, pretested questionnaires and analysed with SPSS 16 statistical software.
The rate of prelacteal feeding practice was 31.3%. The key proprelacteal factors were, delay in initiating breastfeeding
beyond the day of delivery (LR = 6.1, p<0.0005) and beyond the first hour postdelivery (LR = 0.4, p<0.0005), maternal
low level of information about breastfeeding (LR = 0.6, p<0.0005), the non-catholic Christians religion(LR = 0.8, p =
0.023) and village residence (LR = 0.7, p = 0.038). Prelacteal feeding was done mostly on the day of delivery with plain
water (in 95% of cases) and due to perceived insufficient breastmilk. Giving prelacteal feeds was also common amongst
mothers who attended ANC and those who delivered by caesarean section in the health facility. This traditional practice
however, had no significant effect on the rate and duration of EBF and full breastfeeding. The rate of prelacteal feeding
was high and delay in initiating breastfeeding beyond the day of delivery was the key determinant factor of prelacteal
feeding. Decline in emphasis or possibly prescription of prelacteal feeding by healthworkers could also be contributory.
Key words: Breastfeeding, Bushenyi, factors, KIUTH, prelacteal, prevalence, Uganda
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Abstract
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Cite this Reference:
A.O. Ogah, A.M. Ajayi, S. Akib and S.N. Okolo, . A Cross-Sectional Study of Pre-Lacteal Feeding Practice among Women Attending Kampala International University Teaching Hospital Maternal And Child Health Clinic, Bushenyi, Western Uganda. Asian Journal of Medical Sciences, (3): 79-85.
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ISSN (Online): 2040-8773
ISSN (Print): 2040-8765 |
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