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Compliance of Mothers to the Breastfeeding Guidelines in Alexandria

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Last updated: 03 Jan 2025

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Abstract

The compliance of mothers to the six items related to their practice of the 10 steps of successful breastfeeding (Immediate breastfeeding initiation, rooming in, breast-feeding on demand, avoiding prelacteal feeding, avoiding use of pacifier, and avoiding use of bottles) are of great importance to achieve better breastfeeding outcomes. The objectives of the study were to estimate the extent of compliance of mothers to these items and to identify some factors associated with this compliance.  The study was fulfilled through a cross-sectional approach. It was conducted at the MCH and FH centers in Alexandria Governorate. The study included 390 mothers accompanying their breast-fed infants aged 0-12 months to well baby clinics at those health centers. A pre-designed structured interview questionnaire was constructed to collect the data required from mothers.  Only 29.8% of mothers started breastfeeding within the 1st hour after labour, 57.2% of them practiced rooming in, and 78.7% of them regulated breastfeeding according to their infants needs. Prelacteal feeding was given to 58.2% of the infants.  22.8% of mothers used pacifiers and 41% used bottles for their infants. Scoring of the overall compliance of mothers to the 6 points related to their breastfeeding practice of the WHO/UNICEF joint statement showed that 24.1% of mothers scored satisfactory level, 41.3% average level while 34.6% scored as low level of compliance. The level of mothers compliance was positively affected by their level of knowledge about breastfeeding and the six items (χ2=267.582, p<0.01) and by the increase in the child order (FET=15.618, p<0.01). It was adversely affected by their social level (χ2=19.853, p<0.01), education (χ2=28.289, p<0.01) and working status (χ2=17.439, p<0.01). It was adversely associated with the history of neonatal asphyxia (FET=17.909, p<0.01), the delivery in health settings (FET=44.278, p<0.01), and the delivery by caesarian section (χ2=40.193, p<0.01).

DOI

10.21608/jhiph.2008.22500

Keywords

Compliance, Mothers, breastfeeding, guidelines, alexandria

Authors

First Name

Nabil

Last Name

Gonaid

MiddleName

M.

Affiliation

Department of Family Health, High Institute of Public Health, Alexandria University, Alexandria, Egypt

Email

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City

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Orcid

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First Name

Sawsan

Last Name

Fahmy

MiddleName

I.

Affiliation

Department of Family Health, High Institute of Public Health, Alexandria University, Alexandria, Egypt

Email

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City

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Orcid

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First Name

Hanan

Last Name

Abd El–Aziz

MiddleName

M.

Affiliation

Department of Family Health, High Institute of Public Health, Alexandria University, Alexandria, Egypt

Email

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City

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Orcid

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Volume

38

Article Issue

Proceedings of the 2nd International Conference of the High Institute of Public Health "AlexHealth 2008"

Related Issue

4253

Issue Date

2008-11-01

Receive Date

2018-12-20

Publish Date

2008-11-01

Page Start

66

Page End

86

Print ISSN

2357-0601

Online ISSN

2357-061X

Link

https://jhiphalexu.journals.ekb.eg/article_22500.html

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https://jhiphalexu.journals.ekb.eg/service?article_code=22500

Order

5

Type

Original Article

Type Code

511

Publication Type

Journal

Publication Title

Journal of High Institute of Public Health

Publication Link

https://jhiphalexu.journals.ekb.eg/

MainTitle

Compliance of Mothers to the Breastfeeding Guidelines in Alexandria

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Article

Created At

22 Jan 2023