The Pattern of Breastfeeding among a Group of Neonates in Yaoundé, Cameroon

Georges Pius Kamsu Moyo, Dany Hermann Ngwanou, Suzanne Ngo Um Sap, Félicitée Nguefack, Evelyn Mungyeh Mah

Abstract


Breastfeeding is a physiological process which is necessary for growing neonates. We aimed to describe the process of breastfeeding among a group of Cameroonian neonates and their mothers. A descriptive study was carried out over a six-month period, from December 2018 to May 2019 at the Yaoundé Gynaeco-Obstetric and Paediatric hospital. We enrolled 250 neonates and mothers. The mean gestational age was 38.4 ± 1.6 weeks, with an average birth weight of 3168.6 ± 508.7g. The average time for breastfeeding initiation was 2 hours and 97 (38.8%) neonates were put to the breast within the first hour after birth. All neonates with delayed breastfeeding initiation suffered inadequate breastfeeding practices: 153 (61.2%). Sixty women (39.2%) originated from the Centre region, with 37 (61.6%) having traditional beliefs and practices antagonizing breastfeeding. The rate of caesarean delivery was 31.2% (78 out of 250), and 92.3 % of such women had inadequate breastfeeding practices. Breast pathologies occurred in 85 women (55.5%), and all had inadequate breastfeeding practices. Sixteen (16) mothers out of 18 (88.9%) with HIV infection had poor breastfeeding practices. Among neonates with delayed breastfeeding initiation, 38 (24.8%) were hospitalized within 7 days, of which 21 (55.2%) were related to sepsis and 6 (15.7%) to metabolic disorders. Such neonates with inadequate breastfeeding represented 83.3% (15 out of 18) infants with hypotrophy. In conclusion, the rate of poor breastfeeding practices was high. Improving women education, as well as perinatal counselling on good breastfeeding practices and its advantages may be helpful

Keywords


Breastfeeding, Breastfeeding Pattern, Cameroon

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References


WHO. Breastfeeding. http://www.who.int/topics/breastfeeding/ en/. 2020.

Khan J, Vesel L, Bahl R, Martines J. Timing of breastfeeding initiation and exclusivity of breastfeeding during the first month of life: effects on neonatal mortality and morbidity--a systematic review and meta-analysis. Matern Child Health J. 2015;19(3):468–79.

Hess C, Ofei A, Mincher A. Breastfeeding and childhood obesity among african americans: a systematic review. MCN Am J Matern Child Nurs. 2015;40(5):313–9.

Girard L, Cote S, de Lauzon-Guillain B, Dubois L, Falissard B, Forhan A. Factors Associated with Breastfeeding Initiation: A Comparison between France and French-Speaking Canada. PLoS ONE. 2016;11(11):1–14.

Kelishadi R, Rashidian A, Jari M, Khosravi A, Khabiri R, Elahi E. A national survey on the pattern of breastfeeding in Iranian infants: The IrMIDHS study. Med J Islam Repub Iran. 2016 Oct;30:425.

Bimerew A, Teshome M, Kassa G. Prevalence of timely breastfeeding initiation and associated factors in Dembecha district, North West Ethiopia: a cross-sectional study. Int Breastfeed J. 2016;11:28.

MaJra J, ViJay K. Barriers to Early Initiation and Continuation of Breastfeeding in a Tertiary care Institute of Haryana: A Qualitative Study in Nursing Care Providers. J of Clin and Diagn Res. 2016 Sep;10(9):16–20.

Sharma K, Byrne A. Early initiation of breastfeeding: a systematic literature review of factors and barriers in South Asia. Int Breast J. 2016;11:17.

Setegn T, Gerbaba M, Belachew T. Determinants of timely initiation of breastfeeding among mothers in Goba Woreda, South East Ethiopia: A cross sectional study. BMC Public Health. 2011;11:217.

Kimani-Murage E, Kyobutungi C, Ezeh A, Wekesah F, Wanjohi M, Muriuki P, et al. Effectiveness of personalized, home-based nutritional counselling on infant feeding practices, morbidity and nutritional outcomes among infants in infants in Nairobi slums: study protocol for a cluster randomised controlled trial. Trials. 2013;14:445.

Adugna D. Women’s perception and risk factors for delayed initiation of breastfeeding in Arba Minch Zuria, Southern Ethiopia. Int Breastfeed J. 2014;9(1):8.

Odent M. Césariennes:questions, effets, enjeux. Alerte face à la banalisation. Le Souffle

d’Or. Barret-sur-Méouge: Elsevier Masson; 2005. 200 p.

ORC Macro, Calverton, Maryland, USA. Cameroon 2004, Nutrition of Young Children and Mothers. The DHS Program [Internet]. 2005 [cited 2016 Jul 22]. Available from: http://www.dhsprogram.com/publications/publication-ANC20-Africa-Nutrition-Chartbooks.cfm

Institut National de la Statistique (INS) - Ministère de l’Economie, de la Planification et de l’Aménagement du Territoire. Cameroun- Enquête Démographique et de Santé et l’Enquête par grappe à Indicateurs Multiples (2011) [Internet]. 2011 [cited 2016 Jul 21]. Available from: http://nada.stat.cm/index.php/catalog/34

Cameroun - Cinquième Enquête Démographique et de Santé au Cameroun 2018 [Internet]. [cited 2019 Dec 5]. Available from: http://nada.stat.cm/index.php/catalog/137

Kuyper E, Vitta B, Dewey K. Implications of cesarean delivery for breastfeeding outcomes and strategies to support breastfeeding. Alive Thrive Tech Brief. 2014;8:1-9.

Prior E, Santhakumaran S, Gale C, Philipps LH, Modi N, Hyde MJ. Breastfeeding after cesarean delivery: a systematic review and metaanalysis of world literature. American Journal of Clinical Nutrition.2012;95(5):1113-1135.

Constance A, Gewa M, Monica O, Lauren S. Determinants of Early Child-Feeding Practices Among HIV-Infected and Non infected Mothers in Rural Kenya. J Hum Lact. 2011;27(3):239–49.

Wolde T, Birhanu T, Ejeta I. Prevalence and determinants of timely initiation of breastfeeding among lactating mothers of urban dwellers in western Ethiopia. Food Sci Qual Manag. 2014;31(110):2225–557.

McLachlan H, Forster D. Initial breastfeeding attitudes and practices of women born in Turkey, Vietnam and Australia after giving birth in Australia. Int Breastfeed J. 2016;1:7.

Amin T, Hablasa H, Qader A. Determinants of initiation and exclusivity of breastfeeding in Al Hassa, Saudi Arabia. Int Nurs Rev. 2010;6(2):59–68.

Seid A. Vaginal delivery and maternal knowledge on correct breastfeeding initiation time as predictors of early breastfeeding initiation. ISRN Epidemiology. 2014;20(14):3–5.

Bosi A, Eriksen K, Sobko T, Wijnhoven T, Breda J. Breastfeeding practices and policies in WHO European region member states. Public Health Nutr. 2016;19(4):753–64.

World Health Organization. HIV and Infant Feeding: New Evidence and Programmatic Experience. Geneva, Switzerland: World Health Organization; 2007.

Ateo N, Frank T, Vail E, Sperduto W, Boyd D. Early Initiation of Breastfeeding Among Maya Mothers in the Western Highlands of Guatemala: Practices and Beliefs. J Hum Lact. 2007;33(4):781–9.




DOI: http://dx.doi.org/10.52155/ijpsat.v22.1.2008

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