Formula Feeding and Associated Factors among a Group of Egyptian Mothers
DOI:
https://doi.org/10.3889/oamjms.2019.462Keywords:
Exploratory study, Breastfeeding, Infants, Mixed feeding, Artificial milkAbstract
BACKGROUND: Breastfeeding provides an unequalled way of infant nutrition, despite that, the rate of exclusive breastfeeding for the first 6 months in Egypt is only 13%, and the rates of artificial feeding are rising.
AIM: The current study aimed to explore the reasons for the use of artificial feeding among mothers receiving subsidised milk from formula dispensing centres in Egypt, and to detect the reasons behind the use of a formula only for infant feeding rather than mixed breastfeeding and artificial feeding.
METHODS: This exploratory cross-sectional study involved 197 mothers; who attended centres for dispensing subsidised artificial formula at primary health care facilities (PHC) in El-Fayom and Ismailia governorates via a purposive sampling technique. The study spanned over 6-months duration from June till December 2018.
RESULTS: A statistically significant higher percentage of artificial feeding only was noticed in male infants (47.5% in the AF group only versus 28.7% in the mixed feeding group (p = 0.018), and infants aged 6-12 months (47.5% in the AF group only versus 28.7% in the mixed feeding group, p = 0.032). A statistically significant higher percentage of artificial feeding only was noticed among infants born to mothers who have general anaesthesia during labour (67.2% in the AF group only versus 41.9% in the mixed feeding group, p = 0.004), and among infants born to mothers who think that formula feeding is better (13.1% in the AF group only versus 0.7% in the mixed feeding group, or that formula has a similar quality to breast milk (6.6%% in the AF group only versus 4.4% in the mixed feeding group, p = 0.0004. The most common reasons for formula feeding reported by both groups were perceived breast milk insufficiency (60.9%), weak babies (50.3%), and doctors’ advice (37%). Previous negative breastfeeding experience and the need for own body privacy were the two reasons which differed statistically in both groups p = 0.004 and 0.008, respectively.
CONCLUSION: antenatal care education is essential to improve mothers’ knowledge and practice of breastfeeding. Baby-friendly hospital initiative implementation is essential to ensure early initiation and continuation of breastfeeding.
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Kaar JL, Sauder KA, Shapiro AL, Starling AP, Ringham BM, Johnson SL, Dabelea D. Infant feeding practices in a diverse group of women: The Healthy Start Study. Clinical Medicine Insights: Pediatrics. 2019; 13:1-8. https://doi.org/10.1177/1179556518824362 PMid:30718970 PMCid:PMC6348534
Radzyminski S, Callister LC. Mother's beliefs, attitudes, and decision making related to infant feeding choices. The Journal of perinatal education. 2016; 25(1):18-28. https://doi.org/10.1891/1058-1243.25.1.18 PMid:26848247 PMCid:PMC4719110
Feldmanâ€Winter L, Burnham L, Grossman X, Matlak S, Chen N, Merewood A. Weight gain in the first week of life predicts overweight at 2 years: A prospective cohort study. Maternal & child nutrition. 2018; 14(1):e12472. https://doi.org/10.1111/mcn.12472 PMid:28636245
World Health Organization. Implementation guidance: protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services: the revised baby-friendly hospital initiative.
El-Zanaty F, Way A. Egyptian Demographic and health survey, 2014, Ministry of health and population, National population council, and ORC Macro, Egypt, 2015.
Rollins NC, Bhandari N, Hajeebhoy N, Horton S, Lutter CK, Martines JC, Piwoz EG, Richter LM, Victora CG, Group TL. Why invest, and what it will take to improve breastfeeding practices?. The Lancet. 2016; 387(10017):491-504. https://doi.org/10.1016/S0140-6736(15)01044-2
The Lancet. Breastfeeding. January 29, 2016. http://www.thelancet.com/series/breastfeeding
Zimmerman R. Study: Breastfeeding Even More of a Health issue for Moms Tan for Babies. Common Health, 2016.
Tan KL. Factors associated with exclusive breast-feeding among infants under six months of age in peninsular Malaysia. Int Breast-feed J. 2011; 6:2. https://doi.org/10.1186/1746-4358-6-2 PMid:21284889 PMCid:PMC3039569
Kozhimannil KB, Jou J, Attanasio LB, Joarnt LK, McGovern P. Medically complex pregnancies and early breastfeeding behaviors: a retrospective analysis. PLoS One. 2014; 9(8):e104820. https://doi.org/10.1371/journal.pone.0104820 PMid:25118976 PMCid:PMC4132072
Westmar H, Johansson L. Breastfeeding attitudes and confidence among mothers in a rural area of Thailand.
Kandeel WA, Rabah TM, Zeid DA, El-Din EM, Metwally AM, Shaalan A, El Etreby LA, Shaaban SY. Determinants of Exclusive Breastfeeding in a Sample of Egyptian Infants. Open Access Maced J Medl Sci. 2018; 6(10):1818. https://doi.org/10.3889/oamjms.2018.359 PMid:30455755 PMCid:PMC6236050
Berde AS. Factors associated with bottle feeding in Namibia: findings from Namibia 2013 demographic and health survey. Journal of tropical pediatrics. 2017; 64(6):460-7. https://doi.org/10.1093/tropej/fmx091 PMid:29206941
Kebebe T, Assaye H. Intention, magnitude and factors associated with bottle feeding among mothers of 0-23 months old children in Holeta town, Central Ethiopia: a cross sectional study. BMC Nutrition. 2017; 3(1):53. https://doi.org/10.1186/s40795-017-0174-y
Shosha G. The influence of infants" characteristics on breastfeeding attitudes among Jordanian mothers. Open Journal of Nursing. 2015; 5(04):295. https://doi.org/10.4236/ojn.2015.54032
Al Ghwass M, Ahmed D. Prevalence and Predictors of 6 Month Exclusive Breastfeeding in a Rural Area in Egypt. Breastfeeding Medicine. 2011; 191-196. https://doi.org/10.1089/bfm.2011.0035 PMid:21770735
Pierro J, Abulaimoun B, Roth P, Blau J. Factors Associated with Supplemental Formula Feeding of Breastfeeding Infants During Postpartum Hospital Stay. BREASTFEEDING MEDICINE. 2016; 11(4). https://doi.org/10.1089/bfm.2015.0091 PMid:27027901
Adhikari T, Subedi I. Knowledge and practice on breastfeeding among mothers of infant. Journal of Food Science and Technology Nepal. 2013; 8:71-74. https://doi.org/10.3126/jfstn.v8i0.11754
Hegazy RA, Abdelaziz SB, Fahmy AA, Shaeer EK. Failed Breast Feeding among Egyptian Women at One Month Postpartum: A Cross-Sectional Community Based Study. Clinics Mother Child Health. 2015; 12:170. https://doi.org/10.4172/2090-7214.1000170
Lin SY, Lee JT, Yang CC, et al. Factors related to milk supply perception in women who underwent cesarean section. J Nurs Res. 2011; 19:94-101. https://doi.org/10.1097/JNR.0b013e31821988e9 PMid:21586986
Lou Z, Zeng G, Huang L, et al. Maternal reported indicators and causes of insufficient milk supply. J Hum Lact. 2014; 30:466-473. https://doi.org/10.1177/0890334414542685 PMid:25031029
Rahman A, Akter F. Reasons for formula feeding among rural Bangladeshi mothers: A qualitative exploration. PloS one. 2019; 14(2):23. https://doi.org/10.1371/journal.pone.0211761 PMid:30807588 PMCid:PMC6391007
DaMota K, Bañuelos J, Goldbronn J, Vera-Beccera LE, Heinig MJ. Maternal request for in-hospital supplementation of healthy breastfed infants among low-income women. Journal of Human Lactation. 2012; 28(4):476-82. https://doi.org/10.1177/0890334412445299 PMid:22628291
Smale M, Renfrew MJ, Marshall JL, Spiby H. Turning policy into practice: more difficult than it seems. The case of breastfeeding education. Maternal & child nutrition. 2006; 2(2):103-13. https://doi.org/10.1111/j.1740-8709.2006.00045.x PMid:16881920
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Copyright (c) 2019 Safaa Tawfik, Ola Mostafa, Marwa Salem, Eman Habib, Dina Saied
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