Journal of Preventive Medicine and Public Health

The Korean Society for Preventive Medicine (대한예방의학회)
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Birth Patterns and Delayed Breastfeeding Initiation in Indonesia

  • Tama, Tika Dwi (Department of Public Health, Faculty of Sport Science, Universitas Negeri Malang) ;
  • Astutik, Erni (Research Group for Health and Wellbeing of Women and Children, Department of Epidemiology, Faculty of Public Health, Universitas Airlangga) ;
  • Katmawanti, Septa (Department of Public Health, Faculty of Sport Science, Universitas Negeri Malang) ;
  • Reuwpassa, Jauhari Oka (Functional Medical Staff of Surgical Oncology Department, Dharmais Hospital-National Cancer Center)
  • Received : 2020.05.21
  • Accepted : 2020.10.12
  • Published : 2020.11.30
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Abstract

Objectives: This study was conducted to examine the association between birth patterns (defined in terms of birth order and interval) with delayed breastfeeding initiation in Indonesia. Methods: A cross-sectional study was carried out using data from the Indonesian Demographic and Health Survey 2017. The weighted number of respondents was 5693 women aged 15-49 years whose youngest living child was less than 2 years old. Multivariable logistic regression was conducted to evaluate associations between birth patterns and delayed breastfeeding initiation after adjusting for other covariates. Results: This study found that 40.2% of newborns in Indonesia did not receive timely breastfeeding initiation. Birth patterns were significantly associated with delayed breastfeeding initiation. Firstborn children had 77% higher odds of experiencing delayed breastfeeding initiation (adjusted odds ratio, 1.77; 95% confidence interval, 1.02 to 3.04; p<0.05) than children with a birth order of 4 or higher and a birth interval ≤ 2 years after adjusting for other variables. Conclusions: Firstborn children had higher odds of experiencing delayed breastfeeding initiation. Steps to provide a robust support system for mothers, especially first-time mothers, such as sufficient access to breastfeeding information, support from family and healthcare providers, and national policy enforcement, will be effective strategies to ensure better practices regarding breastfeeding initiation.

Keywords

References

  1. Karim F, Khan AN, Tasnim F, Chowdhury MA, Billah SM, Karim T, et al. Prevalence and determinants of initiation of breastfeeding within one hour of birth: an analysis of the Bangladesh Demographic and Health Survey, 2014. PLoS One 2019;14(7):e0220224. https://doi.org/10.1371/journal.pone.0220224
  2. Khan J, Vesel L, Bahl R, Martines JC. 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):468-479. https://doi.org/10.1007/s10995-014-1526-8
  3. Sharma IK, Byrne A. Early initiation of breastfeeding: a systematic literature review of factors and barriers in South Asia. Int Breastfeed J 2016;11:17. https://doi.org/10.1186/s13006-016-0076-7
  4. Smith ER, Hurt L, Chowdhury R, Sinha B, Fawzi W, Edmond KM, et al. Delayed breastfeeding initiation and infant survival: a systematic review and meta-analysis. PLoS One 2017;12(7):e0180722. https://doi.org/10.1371/journal.pone.0180722
  5. UNICEF, World Health Organization. Capture the moment - early initiation of breastfeeding: the best start for every newborn; 2018 [cited 2020 May 1]. Available from: https://www.who.int/nutrition/publications/infantfeeding/capture-momentearly-initiation-bf/en/.
  6. Statistics Indonesia, National Population and Family Planning Board, Ministry of Health, ICF International. Indonesia Demographic and Health Survey 2012; 2013 [cited 2020 May 1]. Available from: https://dhsprogram.com/pubs/pdf/fr275/fr275.pdf.
  7. John JR, Mistry SK, Kebede G, Manohar N, Arora A. Determinants of early initiation of breastfeeding in Ethiopia: a population-based study using the 2016 Demographic and Health Survey data. BMC Pregnancy Childbirth 2019;19(1):69. https://doi.org/10.1186/s12884-019-2211-0
  8. Woldeamanuel BT. Trends and factors associated to early initiation of breastfeeding, exclusive breastfeeding and duration of breastfeeding in Ethiopia: evidence from the Ethiopia Demographic and Health Survey 2016. Int Breastfeed J 2020;15(1):3. https://doi.org/10.1186/s13006-019-0248-3
  9. Ezeh OK, Ogbo FA, Stevens GJ, Tannous WK, Uchechukwu OL, Ghimire PR, et al. Factors associated with the early initiation of breastfeeding in economic community of West African States (ECOWAS). Nutrients 2019;11(11):2765. https://doi.org/10.3390/nu11112765
  10. Liben ML, Yesuf EM. Determinants of early initiation of breastfeeding in Amibara district, Northeastern Ethiopia: a community based cross-sectional study. Int Breastfeed J 2016;11:7. https://doi.org/10.1186/s13006-016-0067-8
  11. Ndirangu MN, Gatimu SM, Mwinyi HM, Kibiwott DC. Trends and factors associated with early initiation of breastfeeding in Namibia: analysis of the Demographic and Health Surveys 2000-2013. BMC Pregnancy Childbirth 2018;18(1):171. https://doi.org/10.1186/s12884-018-1811-4
  12. Kanabar BR, Vagadiya VG, Parmar DV. A cross-sectional study to investigate factors related to the time of initiation of breast-feeding in Jamnagar district of Gujarat, India. Int J Med Sci Public Health 2019;8(8):607-615.
  13. Sutherland T, Pierce CB, Blomquist JL, Handa VL. Breastfeeding practices among first-time mothers and across multiple pregnancies. Matern Child Health J 2012;16(8):1665-1671. https://doi.org/10.1007/s10995-011-0866-x
  14. Adhikari M, Khanal V, Karkee R, Gavidia T. Factors associated with early initiation of breastfeeding among Nepalese mothers: further analysis of Nepal Demographic and Health Survey, 2011. Int Breastfeed J 2014;9(1):21. https://doi.org/10.1186/s13006-014-0021-6
  15. Senanayake P, O'Connor E, Ogbo FA. National and rural-urban prevalence and determinants of early initiation of breastfeeding in India. BMC Public Health 2019;19(1):896. https://doi.org/10.1186/s12889-019-7246-7
  16. National Population and Family Planning Board, Statistics Indonesia, Ministry of Health, ICF. Indonesia Demographic and Health Survey 2017; 2018 [cited 2020 May 1]. Available from: https://dhsprogram.com/pubs/pdf/FR342/FR342.pdf.
  17. ICF. Demographic and health surveys standard recode manual for DHS7; 2018 [cited 2020 May 1]. Available from: https://dhsprogram.com/pubs/pdf/DHSG4/Recode7_DHS_10Sep2018_DHSG4.pdf.
  18. UNICEF, World Health Organization. Global breastfeeding scorecard 2017: tracking progress for breastfeeding policies and programmes; 2017 [cited 2020 May 1]. Available from https://www.who.int/nutrition/publications/infantfeeding/global-bfscorecard-2017.pdf.
  19. Mukora-Mutseyekwa F, Gunguwo H, Mandigo RG, Mundagowa P. Predictors of early initiation of breastfeeding among Zimbabwean women: secondary analysis of ZDHS 2015. Matern Health Neonatol Perinatol 2019;5:2. https://doi.org/10.1186/s40748-018-0097-x
  20. Gebremeskel SG, Gebru TT, Gebrehiwot BG, Meles HN, Tafere BB, Gebreslassie GW, et al. Early initiation of breastfeeding and associated factors among mothers of aged less than 12 months children in rural eastern zone, Tigray, Ethiopia: cross-sectional study. BMC Res Notes 2019;12(1):671. https://doi.org/10.1186/s13104-019-4718-x
  21. Astutik E, Efendi F, Sebayang SK, Hadisuyatmana S, Has EM, Kuswanto H. Association between women's empowerment and diarrhea in children under two years in Indonesia. Child Youth Serv Rev 2020:113:105004. https://doi.org/10.1016/j.childyouth.2020.105004
  22. Zhang Z. Model building strategy for logistic regression: purposeful selection. Ann Transl Med 2016;4(6):111. https://doi.org/10.21037/atm.2016.02.15
  23. United Nations Children's Fund. Infant and young child feeding; 2019 [cited 2020 May 1]. Available from: https://data.unicef.org/topic/nutrition/infant-and-young-child-feeding/.
  24. Central Bureau of Statistics, State Ministry of Population/National Family Planning Coordinating Board, Ministry of Health. Indonesia - Demographic and Health Survey 1997; 2017 [cited 2020 May 1]. Available from: https://microdata.worldbank.org/index.php/catalog/1401.
  25. Fikawati S, Syafiq A. Study on policy and implementation of exclusive and early initiation of breastfeeding in Indonesia. Makara J Health Res 2010;14(1):17-24 (Indonesian).
  26. Indonesian Breastfeeding Mothers Association, Geneva Infant Feeding Association. Report on the situation of infant and young child feeding in Indonesia; 2014 [cited 2020 May 1]. Available from: https://tbinternet.ohchr.org/Treaties/CRC/Shared%20Documents/IDN/INT_CRC_NGO_IDN_17348_E.pdf.
  27. Cordero L, Stenger MR, Landon MB, Nankervis CA. Interpregnancy interval, intention to breastfeed and breastfeeding initiation among women with pregestational diabetes mellitus. Int J Womens Health Wellness 2020;6(2):114.
  28. Cato K, Sylven SM, Lindback J, Skalkidou A, Rubertsson C. Risk factors for exclusive breastfeeding lasting less than two monthsidentifying women in need of targeted breastfeeding support. PLoS One 2017;12(6):e0179402. https://doi.org/10.1371/journal.pone.0179402
  29. Intiful F, Osei C, Steele-Dadzie R, Nyarko R, Asante M. Views of first-time expectant mothers on breastfeeding: a study in three health facilities in Accra, Ghana. Adv Public Health 2017;2017:4894026.
  30. Islam M, Sultana N. Risk factors for pregnancy related complications among urban slum and non-slum women in Bangladesh. BMC Pregnancy Childbirth 2019;19(1):235. https://doi.org/10.1186/s12884-019-2392-6
  31. Hobbs AJ, Mannion CA, McDonald SW, Brockway M, Tough SC. The impact of caesarean section on breastfeeding initiation, duration and difficulties in the first four months postpartum. BMC Pregnancy Childbirth 2016;16:90. https://doi.org/10.1186/s12884-016-0876-1
  32. Takahashi K, Ganchimeg T, Ota E, Vogel JP, Souza JP, Laopaiboon M, et al. Prevalence of early initiation of breastfeeding and determinants of delayed initiation of breastfeeding: secondary analysis of the WHO Global Survey. Sci Rep 2017;7:44868. https://doi.org/10.1038/srep44868
  33. Talbert A, Jones C, Mataza C, Berkley JA, Mwangome M. Exclusive breastfeeding in first-time mothers in rural Kenya: a longitudinal observational study of feeding patterns in the first six months of life. Int Breastfeed J 2020;15(1):17. https://doi.org/10.1186/s13006-020-00260-5
  34. Xiao X, Loke AY, Zhu SN, Gong L, Shi HM, Ngai FW. "The sweet and the bitter": mothers' experiences of breastfeeding in the early postpartum period: a qualitative exploratory study in China. Int Breastfeed J 2020;15(1):12. https://doi.org/10.1186/s13006-020-00256-1
  35. Alive & Thrive. Maternal, infant, and young child nutrition and nutrition-sensitive practices in Indonesia; 2018 [cited 2020 May 1]. Available from: https://www.aliveandthrive.org/wpcontent/uploads/2018/10/Indonesia-MIYCN-Desk-Review2018.pdf.
  36. Ahmed AE, Salih OA. Determinants of the early initiation of breastfeeding in the Kingdom of Saudi Arabia. Int Breastfeed J 2019;14:13. https://doi.org/10.1186/s13006-019-0207-z
  37. Li R, Scanlon KS, Serdula MK. The validity and reliability of maternal recall of breastfeeding practice. Nutr Rev 2005;63(4):103-110. https://doi.org/10.1301/nr.2005.apr.103-110
  38. Burgio MA, Laganà AS, Sicilia A, Prosperi Porta R, Porpora MG, Ban Frangez H, et al. Breastfeeding education: where are we going? A systematic review article. Iran J Public Health 2016;45(8):970-977.

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