Family Medicine and Primary Care: Open Access (ISSN: 2688-7460)

research article

Factors Controlling Cessation of Breastfeeding among Primiparas vs. Multiparas in PHC Centers in Riyadh, Saudi Arabia

Authors: Yazeed Rajab Elzahrany, Abdullah Falah Alharthi, Hamzah Mohammad Alkhalifah, Sulaiman Mohammed Alqahtani, Mohammed Aljehani, Ammar Hamid Suliman, Mostafa Kofi*

*Corresponding Author: Mostafa Kofi, Family and Community Medicine Department, Prince Sultan Military Medical City, Riyadh, Saudi Arabia

Received Date: 08 December, 2021

Accepted Date: 14 December, 2021

Published Date: 20 December, 2021

Abstract

Objectives: The objectives of this study were to evaluate the prevalence and factors affecting breastfeeding cessation in primiparas compared to those in multiparas attending Prince Sultan Military Medical city PHC centers in Riyadh city, Saudi Arabia.

Subjects and methods: This study is a cross-sectional study that was conducted from November 2017 to March 2018 with multistage sampling technique of Ministry of defense PHC centers that have well-baby clinics in Riyadh city, Saudi Arabia. 500 subjects were randomly enrolled in the study. Data were collected by a self-administered questionnaire.

Results: From the sample of N=496, 41.9 % were primiparas, 55.2% of mothers chose to feed their infants with formula, and just 11.9% exclusively breastfed their infants. Most of the participating mothers (74%) started feeding their babies with formula whilst still in the hospital (82.7% in the primiparas group and 67.7% in the multiparas group). Logistic regression revealed that infants who used pacifiers were 77.9 times less likely to be exclusively breastfeeding than exclusively bottle-fed (OR=0.221). Additionally, It was found to be three times more likely that mothers who gave birth vaginally would exclusively breastfeed their babies than those who gave birth via cesarean section (OR=3.071).

Conclusion: The most common type of feeding in our research was exclusive infant formula. Primiparas were associated with early introduction of infant formula and early cessation of breastfeeding. Hospital stay, pacifier use, and cesarean delivery were negatively associated with breastfeeding. Finally, we recommend adopting The Baby-friendly Hospital Initiative (BFHI) and implementing  the Ten Steps to Successful Breastfeeding policy as a standard of practice in Saudi Arabia.

Keywords: Breastfeeding; Primiparas; Multiparas


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