Determinants of Breastfeeding Initiation Among Newly Delivered Women in Yaounde, Cameroon: a Cross-Sectional Survey.

Hermann Ngwanou Dany, Georges Pius Kamsu Moyo, Louise Ejake, Félicitée Nguefack, Evelyn Mah, Linda Maguip, Guy Wafeu, Andreas Chiabi

Abstract


ABSTRACT
Background. Exclusive breastfeeding is essential for the mother’s wellbeing, fundamental for the newborn’s development and indispensable for the reinforcement of bonding. According to the WHO, breastfeeding after childbirth should be initiated within the first 30 minutes following delivery. Early breastfeeding contributes to the reduction of neonatal morbidity and mortality but is oftentimes not respected. The objective of this survey was to determine the factors associated with breastfeeding initiation. Methods. We conducted a cross-sectional study at the Yaoundé Gynaeco-Obstetric and Paediatric Hospital from December 2018 to May 2019. We included women with livebirth infants > 2000g, without breastfeeding contraindications during the first hour of immediate postpartum. Results. We enrolled 250 mothers, mostly from the Centre region (40%), with a secondary school education level in 43%. The vaginal route was the main mode of delivery (70%). The newborns had a mean gestational age of 38.4±1.6 weeks with a male predominance. The average time of breastfeeding initiation was 120 minutes and only 40% of mothers had put the baby to breast within the first hour after birth. The factors associated with delayed breastfeeding initiation were delivery by caesarean section and the Centre region as origin or place of residence. Conclusion. The delay in the early initiation of breastfeeding was long, and influenced by a number of risk factors related to maternal, neonatal and interventional determinants. This may be reduced by the reinforcement of education and antenatal care in order to prevent complications and hence the delay of breastfeeding initiation.
RÉSUMÉ
Introduction. L’allaitement exclusif est fondamental pour l’état de santé et le bon développement de la mère et de l’enfant. Selon l’OMS, la mise au sein après l’accouchement doit se faire dans les 30 minutes suivant la naissance. La mise au sein précoce contribue à la réduction de la morbi-mortalité néonatale et n’est pas toujours respectée. Objectifs. L’objectif était de déterminer les facteurs influençant la mise au sein précoce. Moyens et méthodes : Nous avons mené une étude transversale dans les services de gynécologie et obstétrique et de néonatologie, allant du 1er décembre 2018 au 31 mai 2019. Nous avons incluse toutes les mères vivantes ayant donné naissance à un nouveau-né à terme ou prématuré > 2000g, sans contre-indication à la mise au sein, après la première heure post partum. Résultats. Nous avons enrôlé 250 mères, originaires de la région du centre dans 44,40% et d’un niveau d’éducation secondaire dans 43%. La voie basse était la principale voie d’accouchement (70% des cas). Les nouveau-nés avaient un âge gestationnel moyen de 38,4 ± 1,6 SA et un poids de naissance moyen de 3168,6 ± 508,7g ; une prédominance masculine (sex ratio de 1,29). Le délai médian de mise au sein était de 120 minutes et seulement 40% des mères avaient mis le bébé au sein dans l’heure suivant la naissance. Les facteurs associés au retard à la mise au sein étaient l’accouchement par césarienne et l’appartenance à la région du Centre. Conclusion. Le délai de mise au sein dans notre série était très long après la naissance, et il était influencé par l’appartenance à la région du Centre et l’accouchement par césarienne.     

Keywords


Early breastfeeding, Newborn, Yaoundé.

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