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Determinants of Exclusive Breastfeeding Practice Among Recent Postpartum Women in a Level 3 Maternity Hospital (Abidjan, Côte d’Ivoire)

Received: 4 September 2023     Accepted: 25 September 2023     Published: 8 October 2023
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Abstract

Objective: To identify the obstacles to exclusive breastfeeding among recent postpartum women. Methods: A descriptive and analytical cohort study was conducted from December 5, 2021, to August 18, 2022, among recent mothers in a level 3 maternity hospital in Abidjan. This study involved 434 mothers and their newborns followed during their delivery period until 6 months postpartum. Results: The rate of exclusive breastfeeding was 18.4%. The rate of mothers with a satisfactory knowledge of exclusive breastfeeding was 27.6%. Protection against diseases and child growth were the most commonly cited benefits (84.6%). Healthcare personnel were the most represented source of information (68.3%), followed by the media (21.1%). The rate of initiating breastfeeding within 30 minutes after delivery was 21%. The reasons given by the mothers for introducing other foods were insufficient milk and the child’s thirst, which accounted for 64.6%. The factors influencing exclusive breastfeeding practice included age, marital status, profession, mode of delivery, and lack of awareness about exclusive breastfeeding. Conclusion: Our study found that the rate of exclusive breastfeeding is low (18.4%). It reflects the 12% national rate in Côte d’Ivoire. A large-scale awareness-raising policy directed toward all social strata and the creation of breastfeeding facilities in the workplace is necessary to improve this rate in our country.

Published in Journal of Gynecology and Obstetrics (Volume 11, Issue 5)
DOI 10.11648/j.jgo.20231105.12
Page(s) 115-119
Creative Commons

This is an Open Access article, 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 or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

Exclusive Breastfeeding, Attitudes, Practices, Knowledge

References
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[2] Li R, Ware J, Chen A. Breastfeeding and post-perinatal infant deaths in the United States, a national prospective cohort analysis. The Lancet Regional Health-Americas 2022; 5: 100094.
[3] Centers for Disease Control and Prevention, National Center on Birth Defects and Developmental Disabilities. West Nile virus. Available at: https://www.cdc.gov/breastfeeding/breastfeeding-special-circumstances/maternal-or-infant-illnesses/west-nile-virus.html. Accessed January 5, 2022.
[4] American College of Obstetricians and Gynecologist. ACOG Committee Opinion No. 820. Breastfeeding challenges. Obstet Gynecol 2021, 137: e42-e53 Crossref PubMed.
[5] World Health Organization (WHO). Alimentation du nourrisson et du jeune enfant. Aide-mémoire (Infant and young child feeding. Fact sheet) No. 342. July 2017.
[6] Moussaoui E. Prévalence et facteurs déterminants des pratiques exclusives d'allaitement maternel chez les mères de la province de Marrakech, Maroc: une enquête transversale (Prevalence and determinants of exclusive breastfeeding practices among mothers in Marrakech province, Morocco: a cross-sectional survey.") Jan 1, 2021: 265–275.
[7] Côte d’Ivoire. Ministry of Health and the Fight against AIDS; Ministry of State, Ministry of Planning and Development. National Institute of Statistics. Demographic and Health Survey and Multiple Indicator Cluster Survey; 2011-2012.
[8] Berrani H, Mdaghri Alaoui A, Kasouati J, Alaoui K, Thimou Izgua A. Allaitement maternel chez le nouveau-né prématuré à l’âge de six mois au Maroc: prévalence et facteurs associés (Breastfeeding in preterm newborns at six months of age in Morocco: prevalence and associated factors.) Archives de Pédiatrie. Volume 22, Issue 2, 2015, Pages 141-145.
[9] Hassani A, Barkat A, Souilmi F. Z, Lyaghfouri A, Kabiri M, Karboubi L, et all. La conduite de l’allaitement maternel. Étude prospective de 211 cas à la maternité Souissi de Rabat (The conduct of breastfeeding. Prospective study of 211 cases at the Souissi maternity hospital in Rabat), Journal de pédiatrie et de puériculture, 2005; 18: pp 343-348.
[10] Maigret Huet P, Elias-Billon I, Allaert F. A. Identification des déterminants cliniques, sociologiques et économiques de la durée de l’allaitement maternel exclusif (Identification of clinical, sociological and economic determinants of the duration of exclusive breastfeeding.) Journal de Pédiatrie et de Puériculture. Volume 29, Issue 4, 2016, Pages 177-187.
[11] Rigourd V, Nicloux M, Hovanishian S, Giuséppi A, Hachem T, Assaf Z, et all E. Conseils pour l’allaitement maternel (Tips for breastfeeding). Journal de Pédiatrie et de Puériculture. Volume 31, Issue 2, 2018, Pages 53-74.
[12] Mbusa Kambale R, Bwija Kasengi J, Ambari Omari H, Masumbuko Mungo B.. État nutritionnel et facteurs influençant la diversification alimentaire précoce des nourrissons de 6 à 24 mois dans deux unités de PMI de la République démocratique du Congo (Nutritional status and factors influencing early dietary diversification of infants aged 6-24 months in two PMI units in the Democratic Republic of Congo.) Journal de Pédiatrie et de Puériculture, Volume 30, Issue 3, 2017, Pages 107-112.
[13] Bellati S, Sallm G, Martins L, Kuakuvi N. Situation actuelle de l’allaitement maternel dans la région d’Agadir au Maroc à propos d’une enquête chez 220 mères (Current situation of breastfeeding in the region of Agadir in Morocco based on a survey of 220 mothers), Médecine d’Afrique Noire: 1996, 43 (4).
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[15] Triaa benhammadi I. Les déterminants du choix du mode d’allaitement: Étude prospective après de 111 femmes à la maternité de Max Fourestier de Nanterre (Determinants of the choice of breastfeeding mode: A prospective study after 111 women at the Max Fourestier maternity hospital in Nanterre) [Med thesis]. France. University of Paris Diderot - Paris 7. Faculty of Medicine; Year 2009, n°427.
[16] Public Health Agency of Canada. Canadian Perinatal Health Report 2008. Ottawa, 2008, 354 P.
[17] Laadjel R, Taleb S. Facteurs associés à l’âge d’initiation de la diversification alimentaire chez des enfants âgés de 6 à 60 mois dans l’est algérien: corrélation à l’état nutritionnel (Factors associated with the age of initiation of dietary diversification in children aged 6 to 60 months in eastern Algeria: correlation to nutritional status). Nutrition Clinique et Métabolisme. Volume 34, Issue 3, 2020, Pages 238-247.
[18] Coulibaly A, Ake Tano O, Bénie Bi Vroh J, Traoré Y, Dagnan N’cho S. Facteurs socioprofessionnels et pratique de l'allaitement exclusif par les primipares à Abidjan (Socio-professional factors and practice of exclusive breastfeeding by primiparous women in Abidjan, Côte d’Ivoire), S. F. S. P. Santé Publique, 2014 Vol. 26, pages 555-562.
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  • APA Style

    Diallo Sadio, Ouattara Adama, Dia Jean Marc, Yao Ignace, Okon Gerard, et al. (2023). Determinants of Exclusive Breastfeeding Practice Among Recent Postpartum Women in a Level 3 Maternity Hospital (Abidjan, Côte d’Ivoire). Journal of Gynecology and Obstetrics, 11(5), 115-119. https://doi.org/10.11648/j.jgo.20231105.12

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    ACS Style

    Diallo Sadio; Ouattara Adama; Dia Jean Marc; Yao Ignace; Okon Gerard, et al. Determinants of Exclusive Breastfeeding Practice Among Recent Postpartum Women in a Level 3 Maternity Hospital (Abidjan, Côte d’Ivoire). J. Gynecol. Obstet. 2023, 11(5), 115-119. doi: 10.11648/j.jgo.20231105.12

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    AMA Style

    Diallo Sadio, Ouattara Adama, Dia Jean Marc, Yao Ignace, Okon Gerard, et al. Determinants of Exclusive Breastfeeding Practice Among Recent Postpartum Women in a Level 3 Maternity Hospital (Abidjan, Côte d’Ivoire). J Gynecol Obstet. 2023;11(5):115-119. doi: 10.11648/j.jgo.20231105.12

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  • @article{10.11648/j.jgo.20231105.12,
      author = {Diallo Sadio and Ouattara Adama and Dia Jean Marc and Yao Ignace and Okon Gerard and Kume Stephane and Tijani Fahimat and Kehi Siaka and Guie Privat},
      title = {Determinants of Exclusive Breastfeeding Practice Among Recent Postpartum Women in a Level 3 Maternity Hospital (Abidjan, Côte d’Ivoire)},
      journal = {Journal of Gynecology and Obstetrics},
      volume = {11},
      number = {5},
      pages = {115-119},
      doi = {10.11648/j.jgo.20231105.12},
      url = {https://doi.org/10.11648/j.jgo.20231105.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20231105.12},
      abstract = {Objective: To identify the obstacles to exclusive breastfeeding among recent postpartum women. Methods: A descriptive and analytical cohort study was conducted from December 5, 2021, to August 18, 2022, among recent mothers in a level 3 maternity hospital in Abidjan. This study involved 434 mothers and their newborns followed during their delivery period until 6 months postpartum. Results: The rate of exclusive breastfeeding was 18.4%. The rate of mothers with a satisfactory knowledge of exclusive breastfeeding was 27.6%. Protection against diseases and child growth were the most commonly cited benefits (84.6%). Healthcare personnel were the most represented source of information (68.3%), followed by the media (21.1%). The rate of initiating breastfeeding within 30 minutes after delivery was 21%. The reasons given by the mothers for introducing other foods were insufficient milk and the child’s thirst, which accounted for 64.6%. The factors influencing exclusive breastfeeding practice included age, marital status, profession, mode of delivery, and lack of awareness about exclusive breastfeeding. Conclusion: Our study found that the rate of exclusive breastfeeding is low (18.4%). It reflects the 12% national rate in Côte d’Ivoire. A large-scale awareness-raising policy directed toward all social strata and the creation of breastfeeding facilities in the workplace is necessary to improve this rate in our country.},
     year = {2023}
    }
    

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    T1  - Determinants of Exclusive Breastfeeding Practice Among Recent Postpartum Women in a Level 3 Maternity Hospital (Abidjan, Côte d’Ivoire)
    AU  - Diallo Sadio
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    JF  - Journal of Gynecology and Obstetrics
    JO  - Journal of Gynecology and Obstetrics
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Author Information
  • Department of Gynecology-Obstetrics, Treichville University Hospital, Abidjan, Cote d’Ivoire

  • University Teaching Hospital of Bogodogo, Ouagadougou, Burkina Faso

  • Department of Gynecology-Obstetrics, Treichville University Hospital, Abidjan, Cote d’Ivoire

  • Department of Gynecology-Obstetrics, Treichville University Hospital, Abidjan, Cote d’Ivoire

  • Department of Gynecology-Obstetrics, Treichville University Hospital, Abidjan, Cote d’Ivoire

  • Department of Gynecology-Obstetrics, Treichville University Hospital, Abidjan, Cote d’Ivoire

  • Department of Gynecology-Obstetrics, Treichville University Hospital, Abidjan, Cote d’Ivoire

  • Department of Gynecology-Obstetrics, Treichville University Hospital, Abidjan, Cote d’Ivoire

  • Department of Gynecology-Obstetrics, Treichville University Hospital, Abidjan, Cote d’Ivoire

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