Background Breastfeeding is widely recognized as the optimal and natural method of feeding infants. However, there are obstacles that can limit exclusive breastfeeding practices during the first 6 months of an infant’s life. This study aimed to determine the prevalence of unsuccessful exclusive breastfeeding and its associated factors among mothers who work as healthcare providers at Universiti Sains Malaysia Hospital.
Methods A cross-sectional study was conducted among 295 medical doctors and staff nurses from June to December 2015. Simple random sampling was applied. The data were collected using a self-administered questionnaire and analyzed using IBM SPSS ver. 22.0 (IBM Corp., Armonk, NY, USA). Descriptive statistics and logistic regression analysis were performed.
Results The prevalence of unsuccessful exclusive breastfeeding among the study participants was 58.3%. Mothers who preferred formula milk (odds ratio [OR], 4.40; 95% confidence interval [CI], 1.45–13.31) delivered via lower segment cesarean section (OR, 2.31; 95% CI, 1.07–4.98) and produced inadequate breast milk (OR, 4.06; 95% CI, 2.40– 6.89) were significantly associated with unsuccessful exclusive breastfeeding.
Conclusion The prevalence of unsuccessful exclusive breastfeeding among the study participants was high. Maternal characteristics such as preference towards formula milk, mode of delivery and adequacy of breast milk must be assessed to prevent unsuccessful exclusive breastfeeding among healthcare providers.
Citations
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Enhancing maternal role achievement and breastfeeding success through health belief model intervention Nurus Safaah, Esti Yunitasari, Budi Prasetyo, Mira Triharini, Pipit Feriani Healthcare in Low-resource Settings.2024;[Epub] CrossRef
The practice of exclusive breastfeeding by region in Indonesia Haerawati Idris, Dea Widya Astari Public Health.2023; 217: 181. CrossRef
Exploring the determinants of exclusive breastfeeding among infants under six months in the Gambia using gambian demographic and health survey data of 2019-20 Bewuketu Terefe, Kegnie Shitu BMC Pregnancy and Childbirth.2023;[Epub] CrossRef
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Exclusive Breastfeeding Practice in Indonesia: A Population-Based Study Maria Gayatri Korean Journal of Family Medicine.2021; 42(5): 395. CrossRef
On the Relationship between Social Support and Early Breastfeeding Termination Marzieh Faghani Aghoozi, Mohaddeseh Karimi Khoshal, Sanaz Faiazi, Shahnaz Tork Zahrani, Malihe Amerian Preventive Care In Nursing and Midwifery Journal.2019; 9(1): 1. CrossRef
Background Nowadays 2-year 'Compulsory Clinical Training Program' is on issue. The perception and opinions for the new training system of residents and interns may be essential to establish ideal postgraduate medical education. Methods: A questionnaire survey of postgraduate trainee from March to April 2008 was performed by person to person method. Gender, age, specialty, the location and the facility of the hospital, and 7 questions reflecting individual perception and opinions for the 'Compulsory Clinical Training Program' were reviewed. Results: Among in 1,314, 1,284 subjects completed the survey fully. We divided 1,284 sujects into 4 groups; Intern; Resident of Family Medicine; Resident of Internal Medicine or Pediatrics; Resident of other than Family Medicine, Internal Medicine and Pediatrics. About the vision for independent clinical skills through the 'Compulsory Clinical Training Program', most were negative. They were afraid of 'prolongation of current Internship' or 'unclear quality of the training course'. In case of setting the 'Compulsory Clinical Training Program', most chose additional resident courses for specialty. The main opinion about the ideal model of a primary physician was medical doctors who obtained primary care specialty. Conclusion: Most of the residents and interns think that the specialists of family medicine, internal medicine or pediatrics are suitable for primary care. And on wishing the additional residency course even after 'Compulsory Clinical Training Program', they doubt about the effi cacy of the new training system.
Background TV viewing and computer use are sedentary behaviors and recent surveys report that they are associated with obesity in children. Association of these activities with obesity or obesity related lifestyles was investigated in this study. Methods: Using the database of questionnaires and physical check-ups among 4th to 6th grade elementary school students in Incheon, the association of television viewing and internet using time with obesity and obesity related factors (dietary habits, and physical activities) were investigated. A total of 2,750 students (1,100 normal weighted/1,650 overweight or obese) were included. Results: In the multiple analyses of computer using time among the boys and girls in weekdays and weekends respectively, according to their obesity degree, except for overweight and obese boys in weekends (P＜0.001), there were no significant differences examined. Multiple logistic regression revealed that children who watched TV more than 2 hours per day ate faster (OR 1.27), had breakfast more irregularly (OR 1.41) and ate vegetables more rarely (OR 1.53). The children who used computer more than 1 hour per day in weekdays were faster eaters (OR 1.38) and hardly ate fruits (OR 1.26) or vegetables (OR 1.60). In weekends, the children who spent time more than 90 minutes in the computer were faster to eat (OR 1.46), more snack eating (OR 1.22), less vegetable consuming (OR 1.59) and more obese (OR 1.46, 95%CI 1.24∼1.73) compared to the others. Conclusion: TV viewing and computer use were associated with several obesity related lifestyles in children. (J Korean Acad Fam Med 2008;29:182-188)
Background : C-reactive protein (hereinafter CRP) is a substance that is elevated in large quantities when there is an abnormal metabolic reaction or an inflammatory condition. Many researches have identified the substance as a prognostic and an independent risk factor responsible for cardiovascular disease. More recently, many studies have shown that obesity is associated with low-grade systemic inflammation. This study was attempted to illustrate the relationship between obesity and CRP regarding Korean men who were applied by different standards of obesity.
Methods : The subjects included 15,353 men who had visited one health promotion center from May, 2001 to December, 2001, were randomly selected as the total addressable population. We excluded 389 men who were observed to have inflammatory conditions, according to the results of the general chemical and physical diagnosis. Among 15,353 Korean men 14,964 were examined. CRP was quantitatively analyzed by the method of Nephelometry as high sensitivity-CRP. CRP values in relation to age, BMI, clustering of metabolic risk factors were studied, and multiple logistic regression analysis was conducted to identify correlation between obesity and CRP value.
Results : We compared the median values of CRP of each group divided by age, BMI, and clustering of metabolic risk factors. As a matter of the fact, the more age, BMI, and clustering of metabolic risk factors increased, the more the value of CRP significantly increased (P＜0.0001). We operationally defined incremented CRP value as CRP of 0.22 mg/dl or more, and conducted multiple logistic regression analysis with the parameters of age, BMI, and obesity related diseases. Consequently, when fasting blood glucose and total cholesterol were high or HDL was low, the risk of CRP increasing was significantly high. Also, when the age was more than 60 or BMI was greater than 25 kg/m2, which was categorized as obese, the risk regarding increase in CRP was significantly high.
Conclusion : Obesity is independently related to increase in CRP in Korean men. Which suggests that low-grade systemic inflammation exists in obese people. Furthermore, our study showed that old age, high level of blood glucose, high level of cholesterol, and low level of HDL have correlation with increase in CRP.
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