20Jan 2018

PREVALENCE OF AND RISK FACTORS FOR DELAYED ONSET OF LACTATION IN SAUDI BREASTFEEDING WOMEN.

  • College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, National Guard Hospital, Jeddah, Saudi Arabia.
  • College of Medicine, Ibn Sina National College for Health Science, National Guard Hospital, Jeddah, Saudi Arabia.
  • Department of Neonatology, King Saud Bin Abdulaziz University for Health Sciences, National Guard Hospital, Jeddah, Saudi Arabia.
  • Department of Pediatric Allergy and Immunology, King Saud Bin Abdulaziz University for Health Sciences, National Guard Hospital, Jeddah, Saudi Arabia.
  • Department of Pediatric Gastroenterology, King Saud Bin Abdulaziz University for Health Sciences, National Guard Hospital, Jeddah, Saudi Arabia.
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Background: Breastfeeding provides valuable benefits for both the mother and the baby. However, it may be delayed in some cases or not continued for the recommended duration. Objectives: The aim of this study was to identify the prevalence of delayed onset of breastfeeding (more than 24 hours) in lactating women in the National Guard Hospital, Jeddah. Methods: A brief, self-designed questionnaire that assessed the onset and duration of breastfeeding was administered via direct communication to 234 participants in the National Guard Hospital - Jeddah, Saudi Arabia. Results: We found that the prevalence of delayed breastfeeding in the studied sample was 73%. Respondents who started breastfeeding after more than 24 hours had a significantly higher percentage of caesarean sections, complicated pregnancies, preterm deliveries, neonatal low birth weight, and difficulties in breastfeeding. Among the studied variables, the following were positively associated with the increased risk of starting breastfeeding after 24 hours in multivariable analyses: caesarean section (OR = 7.8, 95% CI = 2.9-20.9, P < .0001), difficulties in breastfeeding ( OR = 5.7, 95% CI = 1.9-16.8, P = 0.002) and delivery time as in preterm deliveries (OR= 2.3, 95% CI = 0.8-6.3, P = 0.119) and post term deliveries (OR= 0.2, 95 CI = 0.0-1.1, P-value = 0.058) which cumulatively gives a P-value = 0.027. Conclusion: Risk factors that increased significantly the likelihood of delayed initiation of breastfeeding included delivery by caesarean section, prematurity and difficulties in breastfeeding. Health education of women in the reproductive period should focus on the benefits of early breastfeeding to both the mother and the newborn.

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[Faisal Al-Husayni, Mariann Al-Jehani, Afnan Malibari, Raghad Alawfi, Shahad Sarhan, Layan Khushaim, Bariah Drain, Mansour Qurashi, Loie Goronfolah and Mohammed Hasosah. (2018); PREVALENCE OF AND RISK FACTORS FOR DELAYED ONSET OF LACTATION IN SAUDI BREASTFEEDING WOMEN. Int. J. of Adv. Res. 6 (Jan). 1062-1071] (ISSN 2320-5407). www.journalijar.com

Faisal Al-Husayni
King Saud Bin Abdulaziz University for Health Sciences, College of Medicine, National Guard Hospital, Jeddah, Saudi Arabia.

DOI:

Article DOI: 10.21474/IJAR01/6321      
DOI URL: https://dx.doi.org/10.21474/IJAR01/6321

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