Journal article
Factors associated with a low prevalence of exclusive breastfeeding during hospital stay in urban and semi-rural areas of southern Vietnam
- Abstract:
- Background There is a paucity of data regarding risk factors associated with suboptimal breastfeeding practices in urbanized areas of low-middle income countries (LMICs). Methods Through a large prospective birth cohort, which enrolled 6706 infants in Vietnam between 2009 and 2013, we investigated the practice of exclusive breastfeeding during hospital stay in urban and semi-rural populations and aimed to identify factors associated with suboptimal breastfeeding practices. Univariate and multivariable logistic regression were performed to determine factors associated with not exclusive breastfeeding during hospital stay. Results Of 6076 mothers, 33% (2187) breastfed their infant exclusively before hospital discharge; 9% (364/4248) in urban and 74% (1823/2458) in semi-rural areas. Exclusive breastfeeding up to 4 months was recorded in 15% (959/6210) of participants; this declined to < 1% (56/6093) at 6 months. Delivery by Caesarean section (Odds Ratio [OR] 0.07; 95% Confidence Interval [CI] 0.04, 0.11 and OR 0.05; 95% CI 0.03, 0.08) and neonatal complications (OR 0.2; 95% CI 0.07, 0.47 and OR 0.25; 95% CI 0.14, 0.46) were common and highly significant risk factors associated with a lack of exclusive breastfeeding during hospital stay in urban and semi-rural settings, respectively. Conclusions To our knowledge, this is the first large-scale investigation aimed at identifying factors associated with exclusive breastfeeding during hospital stay in Vietnam. Breastfeeding promotion strategies should prioritize common risk factors in hospital, such as Caesarean section and neonatal complications, and other location specific factors associated with socioeconomics.
- Publication status:
- Published
- Peer review status:
- Peer reviewed
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(Preview, Version of record, pdf, 836.6KB, Terms of use)
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- Publisher copy:
- 10.1186/s13006-018-0188-3
Authors
+ Wellcome Trust and the Royal Society
More from this funder
- Funding agency for:
- Baker, S
- Grant:
- Sir Henry Dale Fellow
- 100087/Z/12/Z
- Publisher:
- BioMed Central
- Journal:
- International Breastfeeding Journal More from this journal
- Volume:
- 46
- Issue:
- 13
- Publication date:
- 2018-10-19
- Acceptance date:
- 2018-10-07
- DOI:
- EISSN:
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1746-4358
- ISSN:
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1746-4358
- Pmid:
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30364288
- Language:
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English
- Keywords:
- Pubs id:
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pubs:936516
- UUID:
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uuid:443b567f-eaf2-4175-8580-02b1497cdf97
- Local pid:
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pubs:936516
- Source identifiers:
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936516
- Deposit date:
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2018-11-05
- ARK identifier:
Terms of use
- Copyright holder:
- Le et al
- Copyright date:
- 2018
- Notes:
- © The Author(s). 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
- Licence:
- CC Attribution (CC BY)
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