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Factors associated with prelacteal feeding in North Eastern Ethiopia: A community based cross-sectional study

Nigus Bililign1, Henok Kumsa1, Mussie Mulugeta1

  • 1Department of Midwifery, Faculty of Health Sciences, Woldia University, Woldia, Ethiopia.

International Breastfeeding Journal
|May 19, 2016
PubMed

Insights

Prelacteal feeding affects child development, with 11.1% of infants in Ethiopia receiving it. Colostrum discarding and lack of breastfeeding counseling are key factors. Interventions should focus on antenatal care and education.

Area of Science:

  • Public Health
  • Pediatrics
  • Maternal and Child Health

Background:

  • Prelacteal feeding, despite its negative impact on child growth and development, is prevalent in Ethiopia.
  • This practice poses significant risks to infant health and well-being.

Purpose of the Study:

  • To assess prelacteal feeding practices among mothers in Ethiopia's North Wello zone.
  • To identify factors associated with prelacteal feeding in children under 24 months.

Main Methods:

  • A quantitative, community-based cross-sectional study was conducted in March 2015.
  • 844 mother-child pairs were selected using multi-stage sampling.
  • Data were collected via face-to-face interviews, analyzed using descriptive and logistic regression.

Main Results:

  • The prevalence of prelacteal feeding was 11.1% (95% CI: 9.0, 13.0).
  • Colostrum discarding (AOR: 8.7) and lack of breastfeeding counseling (AOR: 2.6) were significant predictors.
  • Cultural beliefs and perceived insufficient milk were primary reasons for prelacteal feeding.

Conclusions:

  • Nearly one in ten infants in North Wello zone receive prelacteal feeds.
  • Colostrum removal and inadequate antenatal breastfeeding counseling are critical factors.
  • Interventions should emphasize antenatal counseling on breastfeeding benefits and risks of prelacteal feeding.
Abstract

Keywords:
EthiopiaFactorsPrelacteal

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