Factors associated with a low prevalence of exclusive breastfeeding during hospital stay in urban and semi-rural areas of southern Vietnam |
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Authors: | Quynh-Nhi Thi Le Khanh-Lam Phung Van-Thuy Thi Nguyen Katherine L Anders Minh-Nguyet Nguyen Diem-Tuyet Thi Hoang Thuy-Tien Thi Bui Vinh-Chau Van Nguyen Guy E Thwaites Cameron Simmons Stephen Baker |
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Institution: | 1.The Hospital for Tropical Diseases, Wellcome Trust Major Overseas Programme,Oxford University Clinical Research Unit,Ho Chi Minh City,Vietnam;2.University of Medicine and Pharmacy in Ho Chi Minh City,Ho Chi Minh City,Vietnam;3.School of Biological Sciences,Monash University,Clayton,Australia;4.Hung Vuong Hospital,Ho Chi Minh City,Vietnam;5.The Hospital for Tropical Diseases,Ho Chi Minh City,Vietnam;6.Department of Microbiology and Immunology,University of Melbourne,Parkville,Australia;7.Centre for Tropical Medicine, Nuffield Department of Clinical Medicine,Oxford University,Oxford,UK;8.The Department of Medicine,University of Cambridge,Cambridge,UK |
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Abstract: | BackgroundThere is a paucity of data regarding risk factors associated with suboptimal breastfeeding practices in urbanized areas of low-middle income countries (LMICs).MethodsThrough a large prospective birth cohort, which enrolled 6706 infants in Vietnam between 2009 and 2013, we investigated the practice of exclusive breastfeeding during hospital stay in urban and semi-rural populations and aimed to identify factors associated with suboptimal breastfeeding practices. Univariate and multivariable logistic regression were performed to determine factors associated with not exclusive breastfeeding during hospital stay.ResultsOf 6076 mothers, 33% (2187) breastfed their infant exclusively before hospital discharge; 9% (364/4248) in urban and 74% (1823/2458) in semi-rural areas. Exclusive breastfeeding up to 4 months was recorded in 15% (959/6210) of participants; this declined to <?1% (56/6093) at 6 months. Delivery by Caesarean section (Odds Ratio OR] 0.07; 95% Confidence Interval CI] 0.04, 0.11 and OR 0.05; 95% CI 0.03, 0.08) and neonatal complications (OR 0.2; 95% CI 0.07, 0.47 and OR 0.25; 95% CI 0.14, 0.46) were common and highly significant risk factors associated with a lack of exclusive breastfeeding during hospital stay in urban and semi-rural settings, respectively.ConclusionsTo our knowledge, this is the first large-scale investigation aimed at identifying factors associated with exclusive breastfeeding during hospital stay in Vietnam. Breastfeeding promotion strategies should prioritize common risk factors in hospital, such as Caesarean section and neonatal complications, and other location specific factors associated with socioeconomics. |
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