TY - JOUR
T1 - Effects of Early Initiation of Breastfeeding on Exclusive Breastfeeding Practices of Mothers in Rural Haiti
AU - Walsh, Susan M.
AU - Cordes, Leslie
AU - McCreary, Linda
AU - Norr, Kathleen F.
N1 - Publisher Copyright:
© 2019 National Association of Pediatric Nurse Practitioners
PY - 2019/9/1
Y1 - 2019/9/1
N2 - Introduction: Rates and relationships of early initiation of breastfeeding (EIBF) and exclusive breastfeeding (EBF) of mothers in rural Haiti were examined. Prelacteal and complementary feedings were identified. Methods: With a cross-sectional descriptive design, survey data from mothers (N = 195) were collected at three intervals after birth. Data were analyzed for indicators of EIBF, EBF, and complementary feedings. Results: Overall, 148 (75.9%) mothers reported EIBF, and 75 (38.5%) reported EBF. EIBF was associated with EBF, with an adjusted relative risk 1.35 (95% confidence interval = [0.84, 2.18]). Several nutritive and nonnutritive substances interrupted EBF during the first 6 months of life. Discussion: Haiti has an under-five mortality rate of 67.0/1,000 live births, exceeding the mean of 46.5/1,000 live births for developing regions. Both EIBF and EBF are associated with decreased neonatal and early infant mortality. Country-specific data are needed to inform and develop breastfeeding initiatives and community-level campaigns to improve the prevalence of EIBF and EBF in Haiti.
AB - Introduction: Rates and relationships of early initiation of breastfeeding (EIBF) and exclusive breastfeeding (EBF) of mothers in rural Haiti were examined. Prelacteal and complementary feedings were identified. Methods: With a cross-sectional descriptive design, survey data from mothers (N = 195) were collected at three intervals after birth. Data were analyzed for indicators of EIBF, EBF, and complementary feedings. Results: Overall, 148 (75.9%) mothers reported EIBF, and 75 (38.5%) reported EBF. EIBF was associated with EBF, with an adjusted relative risk 1.35 (95% confidence interval = [0.84, 2.18]). Several nutritive and nonnutritive substances interrupted EBF during the first 6 months of life. Discussion: Haiti has an under-five mortality rate of 67.0/1,000 live births, exceeding the mean of 46.5/1,000 live births for developing regions. Both EIBF and EBF are associated with decreased neonatal and early infant mortality. Country-specific data are needed to inform and develop breastfeeding initiatives and community-level campaigns to improve the prevalence of EIBF and EBF in Haiti.
KW - cultural practices
KW - Early initiation breastfeeding
KW - exclusive breastfeeding
KW - Haiti
KW - prelacteal feeds
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U2 - 10.1016/j.pedhc.2019.02.010
DO - 10.1016/j.pedhc.2019.02.010
M3 - Article
C2 - 31153727
AN - SCOPUS:85066291366
VL - 33
SP - 561
EP - 567
JO - Journal of Pediatric Health Care
JF - Journal of Pediatric Health Care
SN - 0891-5245
IS - 5
ER -
