ArticleAfrican health sciences2015
Magnitude and factors associated with delayed initiation of breastfeeding among mothers who deliver in Mulago hospital, Uganda.
Article in African health sciences, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 2 of them syntheses that pooled it.
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Who cites it
38 citing papers in PubMed, 2 syntheses or guidelines pooled it, 63 citations in OpenAlex.
- Barriers and facilitators for early and exclusive breastfeeding in health facilities in Sub-Saharan Africa: a systematic review.Global health research and policy · 2021Pooled it
- Impact of cesarean section on timely initiation of breastfeeding in Ethiopia: a systematic review and meta-analysis.International breastfeeding journal · 2021Pooled it
- Effect of maternal nutrition education on early initiation and exclusive breast-feeding practices in south Ethiopia: a cluster randomised control trial.Journal of nutritional science · 2022Trial
- Initiation of breastfeeding among mothers attending a regional referral hospital in central uganda: a cross-sectional study.Archives of public health = Archives belges de sante publique · 2025Article
- Barriers to Early Initiation of Breastfeeding: A Hospital-Based Qualitative Study.The East African health research journal · 2025Article
- Prevalence of Delayed Initiation of Breastfeeding and Its Associated Factors Among Mothers Who Gave Birth by Cesarean Section in Gamo and Gofa Zones, Southern Ethiopia: A Multicenter Cross-Sectional Study.Journal of nutrition and metabolism · 2025Article
- Article
- "It's just like a blood transfusion": perceptions on the use of donated breast milk in selected hospitals in central Uganda: a qualitative study.BMC public health · 2023Article
- Current findings and gaps in early initiation of breastfeeding practices in sub-Saharan African countries: A scoping review.Journal of global health · 2023Article
- Prevalence and predictors of delayed initiation of breastfeeding among postnatal women at a tertiary hospital in Eastern Uganda: a cross-sectional study.Archives of public health = Archives belges de sante publique · 2023Article
- Timely initiation of breastfeeding among women who gave birth by cesarean section in central Ethiopia, 2022: A cross-sectional study.PloS one · 2023Article
- Article
- Maternal and child factors associated with early initiation of breastfeeding in Chad: evidence from nationally representative cross-sectional data.International health · 2022Article
- Early initiation of breastfeeding and factors associated with its delay among mothers at discharge from a single hospital.Clinical and experimental pediatrics · 2022Article
- Timely Initiation of Breastfeeding and Its Associated Factors at the Public Health Facilities of Dire Dawa City, Eastern Ethiopia, 2021.BioMed research international · 2022Article
- Modeling spatial determinants of initiation of breastfeeding in Ethiopia: A geographically weighted regression analysis.PloS one · 2022Article
- A prospective follow-up study on how long newborns are fasting in Debre Markos Comprehensive Specialized Hospital, Ethiopia, 2020.PloS one · 2022Article
- Adherence to Optimal Breastfeeding Practices Among HIV-Positive Mothers in Kilimanjaro, Tanzania.Patient preference and adherence · 2022Article
- Factors Associated With Pre-Lacteal Feeding Practices Among Mothers Having Children Aged 0-36 Months in Bangladesh: Evidence From Bangladesh Demographic and Health Survey 2017-18.Global pediatric health · 2022Article
- Article
Corrections and comments
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Authors and funding
4 authors at 3 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBreastfeeding as a determinant of infant health and nutrition saves up to 1.5 million infant lives annually. Though breastfeeding is mostly universal in sub-Saharan Africa, early initiation of breastfeeding is rarely practiced.
objectiveTo determine magnitude and factors associated with delayed initiation of breastfeeding among mother-infant pairs who deliver in Mulago hospital.
methodsWe carried out a descriptive cross sectional study, where 665 mother-infant pairs were interviewed within 24 hours following delivery; with additional qualitative data collected using focus group discussions to understand reasons for delaying initiation. The data was analysed by identification and coding of themes.
resultsIn this study, 31.4% mothers delayed initiation of breastfeeding. This was associated with maternal HIV positive status (AOR 2.3; 95% CI 1.3-4.2), inadequate prenatal guidance, (AOR 3.6; 95% CI 1.9-6.8), inadequate professional assistance to initiate breastfeeding (AOR 1.8; 95% CI 1.2-2.8) and caesarean section delivery (AOR 8.6; 95% CI 4.7-16.0). Other reasons were perceived lack of breast milk, need of rest for both mother and baby after labor, and negative cultural beliefs.
conclusionIn Mulago Hospital 1:3 mothers delayed initiation of breastfeeding. The reasons for delayed initiation include; inadequate information during ANC, HIV positive serostatus, caesarian section delivery and negative cultural ideas.
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