Prevalence and factors associated with exclusive breastfeeding at 6 months of life in Tehran: a population-based
Z S Noughabi1, S Golian Tehrani1, A R Foroushani2
1Department of Maternal and Child Health, Tehran University of Medical Sciences, Tehran, Islamic Republic of Iran.
Insights
Exclusive breastfeeding rates in Tehran are low, with only 46.5% of infants exclusively breastfed. Factors like early breast contact and maternal intention promote exclusive breastfeeding, while hospital formula and conflicting advice hinder it.
Area of Science:
- Public Health
- Pediatrics
- Nutrition Science
Background:
- Exclusive breastfeeding is recognized as the optimal infant nutrition for the first six months.
- Understanding local prevalence and influencing factors is crucial for targeted interventions.
Purpose of the Study:
- To determine the prevalence of exclusive breastfeeding in Tehran, Iran.
- To identify factors associated with exclusive breastfeeding in the first six months of life.
Main Methods:
- A population-based, cross-sectional study was conducted.
- 538 mothers with children aged 6-24 months completed interview questionnaires.
Main Results:
- The prevalence of exclusive breastfeeding was 46.5%.
- Formula supplementation in hospital (OR=0.41) and conflicting feeding advice (OR=0.53) negatively impacted exclusive breastfeeding.
- Maternal intention (OR=5.85) and early infant-mother breast contact (OR=2.35) positively influenced exclusive breastfeeding.
Conclusions:
- Exclusive breastfeeding rates in Tehran are suboptimal.
- Interventions should focus on promoting maternal intention, facilitating early breast contact, and providing consistent infant feeding advice.
- Minimizing hospital formula supplementation is recommended.
Abstract:
Exclusive breastfeeding is the best form of nutrition for infants in the first 6 months of life. The aim of this study was to determine the prevalence of exclusive breastfeeding in Tehran, Islamic Republic of Iran in the first 6 months of life, and the factors that influence it. In a population-based, cross-sectional study 538 mothers with children aged 6-24 months completed an interview questionnaire. Only 46.5% of mothers exclusively breastfed their infant in the first 6 months of life. In multivariate analysis formula supplementation in the hospital (OR = 0.41, 95% CI: 0.17-0.95) and mother receiving conflicting infant feeding advice (OR = 0.53, 95% CI: 0.37-0.78) had a negative effect on exclusive breastfeeding. Mother's intention to exclusively breastfeed (OR = 5.85, 95% CI: 2.88-11.9) and infant having first breast contact 6-30 minutes after delivery (OR = 2.35, 95% CI: 1.17-4.72) had positive effects on exclusive breastfeeding.
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