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  • Early initiation of breast feeding and associated factors among mother-baby dyads with immediate skin-to-skin contact: cross-sectional study based on the 2016 Ethiopian Demographic and Health Survey data

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Reproductive medicine
Original research
Early initiation of breast feeding and associated factors among mother-baby dyads with immediate skin-to-skin contact: cross-sectional study based on the 2016 Ethiopian Demographic and Health Survey data
  1. Girma Teferi Mengistu1,
  2. Bizunesh Kefale Mengistu2
  1. 1College of Medicine and Health Science, Department of Nursing, Wolkite University, Welkite, Ethiopia
  2. 2Department of Statistics, Ambo University College of Natural and Computational Sciences, Ambo, Ethiopia
  1. Correspondence to Girma Teferi Mengistu; girmateferi56{at}gmail.com

Abstract

Objective The study aimed to assess the practice of early initiation of breast feeding (EIBF) and associated factors among mother-baby dyads who practiced immediate skin-to-skin contact in Ethiopia.

Design Cross-sectional study.

Setting The study was conducted nationally in nine regional states and two city administrations.

Participants In the study, 1420 mother-baby dyads with last-born children (children born in the 2 years preceding the survey, children <24 months old) and children put on the mother’s bare skin. The data of the study participants were extracted from the Ethiopian Demographic and Health Survey 2016.

Outcome measures The outcome measure of the study was the proportion of EIBF among mother-baby dyads and associations.

Results EIBF among mothers and newborns with skin-to-skin contact was 88.8% (95% CI 87.2 to 90.4). EIBF among mother-baby dyads with immediate skin-to-skin contact was more likely among mothers from wealthy families (adjusted OR (AOR)=2.37, 95% CI 1.38 to 4.08), attended secondary and above education (AOR=1.67, 95% CI 1.12 to 2.57), living in Oromia (AOR=2.87, 95% CI 1.11 to 7.46), Harari (AOR=11.60, 95% CI 2.48 to 24.34) and Dire Dawa (AOR=2.93, 95% CI 1.04 to 8.23) regions, gave birth by non-caesarean section (AOR=3.34, 95% CI 1.33 to 8.39), gave birth at hospital (AOR=2.02, 95% CI 1.02 to 4.00), and health centre (AOR=2.19, 95% CI 1.21 to 3.98), and gave birth by midwifery assistance (AOR=1.62, 95% CI 1.06 to 2.49).

Conclusion Nine in ten mother-baby dyads with immediate skin-to-skin contact early initiate breast feeding. The EIBF was affected by educational status, wealth index, region, mode of delivery, place of delivery and delivery assisted by midwifery. Improving healthcare service, institutional delivery and the competency of maternal healthcare providers may aid the EIBF in Ethiopia.

  • NEONATOLOGY
  • PERINATOLOGY
  • GYNAECOLOGY

Data availability statement

All data relevant to the study are included in the article or uploaded as supplementary information. The survey datasets used in this study were based on a publicly available dataset that is freely available online with no participant’s identity from http://www.dhsprogram.com/data/available-datasets.cfm. Approval was sought from MEASURE DHS/ICF International, and permission was granted for this use.

http://creativecommons.org/licenses/by-nc/4.0/

This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

https://doi.org/10.1136/bmjopen-2022-063258

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    Data availability statement

    All data relevant to the study are included in the article or uploaded as supplementary information. The survey datasets used in this study were based on a publicly available dataset that is freely available online with no participant’s identity from http://www.dhsprogram.com/data/available-datasets.cfm. Approval was sought from MEASURE DHS/ICF International, and permission was granted for this use.

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    Footnotes

    • Contributors GTM and BKM equally participated in the conception, study design, execution, acquisition of data, analysis, interpretation, drafting and reviewing of the article. GTM and BKM have agreed on the journal to which the article will be submitted. GTM and BKM reviewed and agreed on all versions of the article before submission, during revision, the final version accepted for publication and any significant changes introduced at the proofing stage. GTM and BKM agree to take responsibility and be accountable for the contents of the article. GTM is the guarantor for the overall content.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient and public involvement Patients and/or the public were not involved in the design, or conduct, or reporting, or dissemination plans of this research.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • © Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.