Factors Associated with Not Breastfeeding and Delaying the Early Initiation of Breastfeeding in Abu Dhabi, UAE
Abstract
The World Health Organization (WHO) recommends early initiation of breastfeeding within the first hour of birth to reduce the risk of infant morbidity and mortality. However, breastfeeding initiation data and related factors in the United Arab Emirates (UAE) are limited. Therefore, this study aimed to evaluate the factors associated with mothers who did not initiate breastfeeding in Abu Dhabi, the United Arab Emirates. The study received ethical approval (ZU17_006_F) from Zayed University. The data for this cross-sectional study was extracted from a larger project aimed to evaluate infants and young children's feeding practices in Abu Dhabi. The project's data was collected from the local community and seven urban and suburban health care centers in Abu Dhabi during 2017. Mothers who had never breastfed their children were compared with mothers who breastfed as recommended by the WHO. Out of 1822 deliveries, 81 (4.5%) of the mothers did not breastfeed. Cesarean delivery (Adjusted Odds Ratio – AOR) 8.45, 95% Confidence Interval - CI (3.02, 23.65), not receiving breastfeeding support (AOR 6.95, 95% CI 1.93, 25.10), and maternal employment (AOR 4.34, 95% CI 1.61, 11.68) were significantly associated with mothers who did not breastfeed. Mothers who did not breastfeed need to be identified as early as possible to receive all kinds of support from the healthcare staff, family, employers, and the community as a whole.
Keywords: breastfeeding, caesarean delivery, breastfeeding support, maternal employment, The United Arab Emirates.
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