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Malaysian Journal of Medical Sciences
School of Medical Sciences, Universiti Sains Malaysia
ISSN: 1394-195X
Vol. 25, No. 4, 2018, pp. 112-121
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Bioline Code: mj18052
Full paper language: English
Document type: Research Article
Document available free of charge
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Malaysian Journal of Medical Sciences, Vol. 25, No. 4, 2018, pp. 112-121
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Maternal Factors Associated with the Initiation of Exclusive Breastfeeding among Mothers at One Week after Delivery in Two Selected Hospitals in Kelantan, Malaysia
Che Muzaini, Che’ Muda; Tengku Alina, Tengku Ismail; Rohana, Ab Jalil; Suhaily, Mohd Hairon; Zaharah, Sulaiman & Nazirah, Johar
Abstract
Background: The first week following delivery usually coincides with the initiation of
exclusive breastfeeding. This study aimed to determine the prevalence of and the associated factors
regarding the initiation of exclusive breastfeeding among mothers at one week after delivery in two
selected hospitals in the state of Kelantan, Malaysia.
Methods: A cross-sectional study was conducted from March to August 2015 among post-partum
mothers, who were selected through systematic sampling. A newly developed and validated
questionnaire on the participants’ data, knowledge and attitude items and a breastfeeding practice
checklist were used. The mothers were interviewed in the post-natal ward, and their breastfeeding
practices were determined through a phone call at one week following delivery. Descriptive
statistics and simple and multiple logistic regressions were used for the data analysis.
Results: A total of 335 participants were included. The prevalence of exclusive
breastfeeding at one week post-partum was 77.9% (95% CI: 73.0%, 82.2%), with significant
associated factors being previous exclusive breastfeeding experience [adjusted odds ratio (AOR)
2.48; 95% CI: 1.37, 4.49; P-value = 0.003] and the mean total score of knowledge [AOR 1.06; 95%
CI: 1.01, 1.11; P-value = 0.011].
Conclusion: Every mother should receive breastfeeding education, with special emphasis
on those with no previous experience. The weak areas of knowledge identified herein should be
strengthened during health education.
Keywords
exclusive breastfeeding; post-partum; knowledge; attitude
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