ArticlePloS one2021
Colostrum avoidance practice and associated factors among mothers of children aged less than six months in Bure District, Amhara Region, North West, Ethiopia: A community-based cross-sectional study.
Article in PloS one, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06236412 (Effects of Breastfeeding Education Interventions During Pregnancy on Breastfeeding Practices in Rural South Ethiopia), which is not on this map. Cited by 12 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Effects of Breastfeeding Education Interventions During Pregnancy on Breastfeeding Practices in Rural South Ethiopia
Who cites it
12 citing papers in PubMed, 24 citations in OpenAlex.
- Effectiveness of breastfeeding educational interventions during pregnancy on breastfeeding practices in rural Central Ethiopia: cluster randomized controlled trial.BMC public health · 2026Trial
- Observational
- A mixed-methods investigation of infant and young child feeding practices in rural Ethiopia: integrating insights from surveys, direct observation, and qualitative research.Frontiers in nutrition · 2026Article
- Effects of breastfeeding education interventions during pregnancy on breastfeeding practices in rural South Ethiopia: a protocol for cluster randomized controlled trial.BMC pregnancy and childbirth · 2025Article
- Colostrum avoidance and associated factors among mothers of children under the age of six months in Sekota Zuria woreda, Waghimra zone, Ethiopia.BMC pregnancy and childbirth · 2025Article
- Colostrum avoidance and associated factors among postnatal mothers in health facilities in Addis Ababa, Ethiopia: a mixed method study.BMC public health · 2025Article
- Factors associated with colostrum feeding practice among mothers who attended child immunization clinic in Dire Dawa City, Eastern Ethiopia.The Pan African medical journal · 2024Article
- Colostrum avoidance and associated factors among mothers of less than 6-month-old children in Dilla town, Southern Ethiopia.Frontiers in pediatrics · 2024Article
- Article
- Article
- Nearly one-in-five mothers avoid colostrum in North Wollo Zone, Ethiopia: an institution-based cross-sectional study.Journal of nutritional science · 2021Article
- Colostrum Avoidance Practices Among Mothers of Infants Under 6 Months in Chiro District, Oromia Region, Eastern Ethiopia.Sage open pediatricsArticle
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe World Health Organization and the United Nations International Children's Emergency Fund jointly recommend colostrum feeding immediately following delivery of the newborn. Colostrum avoidance is the practice of discarding colostrum at least once within the first three days after delivery of the newborn. Colostrum contains antibodies that protect the newborn against disease. Despite this fact, many Ethiopian mothers see colostrum feeding as a cause of neonatal morbidity and mortality, and they believe colostrum should be discarded to alleviate its effects. However, the cause of this misconception about colostrum is not well researched in Ethiopia, particularly in the study area.
objectiveTo assess the prevalence of colostrum avoidance and associated factors among mothers of children aged less than six months in Bure district, Amhara Region, North West, Ethiopia.
methodsA community-based cross-sectional study was conducted from March 1st to 30th, 2019 in Bure district. Structured questionnaires and face to face interviews were used to collect data from 621 study participants. Multistage sampling technique was used to select study participants. Data were entered into Epi Data version 4.2.0 and then exported to Statistical Package for the Social Sciences version 23. Bivariate and multivariate logistic regression analyses were performed to identify predictors of colostrum avoidance practice.
resultsSix hundred twenty-one (621) mothers of children aged less than six months participated. The prevalence of colostrum avoidance was 14.5% (95%CI; 11.5-17.4). The multivariate analysis indicated that home delivery [AOR = 3.350, (95%CI; 2.517-14.847)], giving birth through cesarean section [AOR = 3.368, (95%CI; 1.339-8.471)], no participation in an antenatal care group [AOR = 1.889, (95%CI; 1.144-3.533)], poor knowledge of mothers about colostrum [AOR = 3.44, (95%CI; 2.45-4.977)], and poor attitude of mothers towards colostrum [AOR = 3.053, (95%CI; 1.157-8.054)] were important predictors of colostrum avoidance practice. CONCLUSION AND RECOMMENDATIONS: Home delivery, giving birth through cesarean section, no participation in an antenatal care group, poor knowledge of mothers about colostrum, and poor attitude of mothers towards colostrum were significantly associated with colostrum avoidance practice. Therefore, health care workers in the district should promote institutional delivery, reduce the magnitude of cesarean section, encourage pregnant mothers to participate in an antenatal care group, and enhance maternal awareness about the merits of colostrum feeding. Moreover, health educations for mothers to have a positive attitude towards colostrum are important recommendations to be taken to prevent the further practice of colostrum avoidance.
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