21. ASSESSING EARLY INITIATION OF BREASTFEEDING PRACTICE AMONG POSTPARTUM WOMEN IN BOKEO PROVINCIAL HOSPITAL, LAO PEOPLE’S DEMOCRATIC REPUBLIC (LAO PDR) DURING 2022-202

Xanxai Soryavong1, Duong Minh Duc2, Dinh Thi Phuong Hoa2
1 Bokeo Provinical Hospital - Lao PDR
2 Hanoi University of Public Health

Main Article Content

Abstract

Introduction: This paper aimed to assess the change of the early initiation of breastfeeding (within one hour of birth) amongst postpartum women in a hospital-based intervention during 2022-2023.


Methods: The study used a quasi-experimental design that used data before and after an intervention to evaluate the effectiveness of the intervention. The total number of postpartum women was 400 with 2 data collection periods: Jan-Apr, 2022 and Sep-Dec, 2023.


Results: The results showed that early initiation of breastfeeding amongst postpartum women increased from 47.5% to 97.7%, with an 50.2% increase in percentage (p<0.05).


Conclusions: The results show that intervention to promote early breastfeeding for postpartum mothers at Bokeo Provincial General Hospital is effective. We recommend that health workers’ intervention and support for mothers according to step 2 of the Baby-Friendly Hospital
Initiative (BFHI) is an effective model to help increase early initiation of breastfeeding early in hospitals in Lao PDR

Article Details

References

[1] World Health Organization and UNICEF, Pregnancy, childbirth, postpartum and newborn care: a guide for essential practice. 2015, World Health Organization,.
[2] Conneely, M., et al., Effect of feeding colostrum at different volumes and subsequent number of transition milk feeds on the serum immunoglobulin G concentration and health status of dairy calves. J Dairy Sci, 2014. 97(11): p. 6991-7000.
[3] Smith, E.R., et al., Delayed breastfeeding initiation and infant survival: A systematic review and meta-analysis. PLoS One, 2017. 12(7): p. e0180722.
[4] Rawal, P., V. Gupta, and B.R. Thapa, Role of colostrum in gastrointestinal infections. Indian J Pediatr, 2008. 75(9): p. 917-21.
[5] Edmond, K.M., et al., Delayed breastfeeding initiation increases risk of neonatal mortality. Pediatrics, 2006. 117(3): p. e380-6.
[6] Group, N.S., Timing of initiation, patterns of breastfeeding, and infant survival: prospective analysis of pooled data from three randomised trials. Lancet Glob Health, 2016. 4(4): p. e266-75.
[7] World Health Organization, Protecting, Promoting and Supporting Breastfeeding in Facilities Providing Maternity and Newborn Services. 2017, World Health Organization,: Geneva.
[8] World Health Organization Regional Office for Western Pacific and UNICEF Action plan for
healthy newborn infants in the western Pacific region (2014–2020). 2014.
[9] World Health Organization Western Pacific Region First biennial progress report. 2016.
[10] World Health Organization, et al. Trends in maternal mortality: 1990 to 2015. 2015.
[11] Phetsouvanh, R., et al., Causes of community-acquired bacteremia and patterns of antimicrobial resistance in Vientiane, Laos. Am J Trop Med Hyg, 2006. 75(5): p. 978-85.
[12] UNICEF. Breastfeeding helps keep every child healthy. 2017 [cited 2020 20/12]; Available from: https://www.unicef.org/laos/stories/breastfeeding-helps-keep-every-child-healthy.
[13] Kounnavong, S., et al., Key determinants of optimal breastfeeding practices in Laos. Food and Nutrition Sciences, 2013. 4(10A): p. 61.
[14] UNICEF. Baby-friendly Hospital Initiative Training Materials. 2009 [cited 2021 01/05];
Available from: https://sites.unicef.org/nutrition/index_24850.html.
[15] UNICEF and World Health Organization, Capture the moment - Early initiation of breastfeeding: the best start for every newborn. 2018, UNICEF: New York.
[16] Nesbitt, R.C., et al., Quality along the continuum: a health facility assessment of intrapartum
and postnatal care in Ghana. PLoS One, 2013. 8(11): p. e81089.
[17] Lâm Thị Thiên Trang, Thực hành nuôi con bằng sữa mẹ hoàn toàn trong 6 tháng đầu của bà mẹ có con dưới 12 tháng tuổi và một số yếu tố ảnh hưởng tại huyện Chợ Mới, An Giang năm 2020. 2020, Trường Đại học Y tế Công cộng,: Hà Nội.p. 99.
[18] Lý Hải Yến, Kiến thức, thực hành cho trẻ bú sớm của sản phụ và một số yếu tố ảnh hưởng
tại khoa chăm sóc sức khỏe sinh sản Trung tâm y tế huyện Thoại Sơn tỉnh An Giang năm 2020.
2020, Trường Đại học Y tế Công cộng,: Hà Nội. p. 96.
[19] Hồ Thị Thuỷ, Thực trạng cho con bú sớm của các bà mẹ sinh con tại bệnh viện Trường đại học Tây Nguyên và một số yếu tố liên quan năm 2022. 2022, Trường Đại học Y tế Công cộng,: Hà Nội. p. 99.
[20] World Health Organization and UNICEF, Baby Friendly Hospital Initiative Part II. Hospital Level implementation. 1992, WHO/UNICEF: Geneva.