Factors Associated with Breastfeeding Patterns in Western Saudi Arabia: A Literature Review

Authors

  • Anwaar Shahbar King Abdul-Aziz University, Faculty of Applied Medical Sciences, Department of Clinical Nutrition, Jeddah, P.O. Box: 80200. Zip Code: 21589, Saudi Arabia
  • Noura M.S. Eid King Abdul-Aziz University, Faculty of Applied Medical Sciences, Department of Clinical Nutrition, Jeddah, P.O. Box: 80200. Zip Code: 21589, Saudi Arabia

DOI:

https://doi.org/10.6000/1929-4247.2019.08.04.5

Keywords:

Breastfeeding, Baby-Friendly Hospital Initiative, Nutrition education, peer support, breastfeeding initiation, breastfeeding confidence.

Abstract

According to literature initiation of breastfeeding is common but exclusive breastfeeding is last one month post delivery in most Saudi women, where continuation to exclusively breastfeed is still challenging. This review discussed breastfeeding patterns, factors associated, and possible approaches to prolong breastfeeding duration in Saudi Arabia. Our review has shown that the early introduction of formula makes the mixed-feeding the most popular feeding method used among the Saudi population. The most frequent reason reported was insufficient milk followed by medical and lifestyle factors. Younger, employed, and higher-educated women were found to be less likely to breastfeed therefore a greater effort probably is required with those women. According to literature, the Baby-Friendly Hospital Initiative (BFHI) was found to be an effective tool in increasing breastfeeding duration worldwide, in Saudi Arabia only one study has published and found that BFHI is effective in initiating breastfeeding but formula was introduced after hospital discharge. We recommend increasing Saudi women's confidence about breastfeeding, educating them and introducing other strategies such as peer counselling.

References

Breastfeeding Handbook for Physicians, 2nd Edition. Schanler RJKNFMSB, editor: American Academy of Pediatrics 2013; p. 337.

Weinstein ME OJ, Bogden JD. A selected review of breast-feeding recommendations. Nutrition Research 2006; 26(8): 379-84. https://doi.org/10.1016/j.nutres.2006.07.002

Stuebe A, Schwarz E. The risks and benefits of infant feeding practices for women and their children. Journal of Perinatology 2009; 30(3): 155-62. https://doi.org/10.1038/jp.2009.107

Modugno F, Goughnour SL, Wallack D, Edwards RP, Odunsi K, Kelley JL, et al. Breastfeeding factors and risk of epithelial ovarian cancer. Gynecologic Oncology 2019; 153(1): 116-22. https://doi.org/10.1016/j.ygyno.2019.01.017

Sondgeroth K, Ruiz-Holguin R, Padilla J, Ramos R, Palacios R. Abstract 3345: Making the link between breastfeeding and breast cancer risk reduction among Hispanic women of childbearing age. Cancer Research 2019; 79(13 Supplement): 3345. https://doi.org/10.1158/1538-7445.SABCS18-3345

Kramer M, Chalmers B, Hodnett E, Sevkovskaya Z, Dzikovich I, Shapiro S, et al. Promotion of Breastfeeding Intervention Trial (PROBIT): a randomized trial in the Republic of Belarus. JAMA 2001; 285: 413-20. https://doi.org/10.1001/jama.285.4.413

Wambach KA. Breastfeeding intention and outcome: A test of the theory of planned behavior. Research in Nursing & Health 1997; 20(1): 51-9. https://doi.org/10.1002/(SICI)1098-240X(199702)20:1<51::AID-NUR6>3.0.CO;2-T

Bhatnagar D, Bhatnagar P. Breastfeeding and cardiovascular risk factors. Current Opinion in Lipidology 2019; 30(1). https://doi.org/10.1097/MOL.0000000000000564

Pandolfi E, Gesualdo F, Rizzo C, Carloni E, Villani A, Concato C, et al. Breastfeeding and Respiratory Infections in the First 6 Months of Life: A Case Control Study. Frontiers in Pediatrics 2019; 7: 152. https://doi.org/10.3389/fped.2019.00152

Oliveira V, Prell M, Cheng X. The Economic Impacts of Breastfeeding: A Focus on USDA's Special Supplemental Nutrition Program for Women, Infants, and Children 2019; 2-2019.

Ahmed AE, Salih OA. Determinants of the early initiation of breastfeeding in the Kingdom of Saudi Arabia. International Breastfeeding Journal 2019; 14(1): 13. https://doi.org/10.1186/s13006-019-0207-z

Walsh SM, Cordes L, McCreary L, Norr KF. Effects of Early Initiation of Breastfeeding on Exclusive Breastfeeding Practices of Mothers in Rural Haiti. The Journal of Pediatric Health Care 2019. https://doi.org/10.1016/j.pedhc.2019.02.010

WHO. Global Data Bank on Infant and Young Child Feeding 2019 [Available from: https://www.who.int/nutrition/ databases/infantfeeding/en.

Tahir MJH JL, Foster LP, Duncan KM, Teague AM, Kharbanda EO, McGovern PM, et al. Association of full Breastfeeding Duration with Postpartum Weight Retention in a Cohort of Predominantly Breastfeeding Women. Nutrients 2019; 11: 938. https://doi.org/10.3390/nu11040938

Health TMO. Breastfeeding Support: Close to Mothers 2018 [Available from: https://www.moh.gov.sa/en/Health Awareness/EducationalContent/BabyHealth/Pages/Breastfeeding.aspx.

Callen J, Pinelli J. Incidence and duration of breastfeeding for term infants in Canada, United States, Europe, and Australia: a literature review. Birth 2004; 31(4): 285-92. https://doi.org/10.1111/j.0730-7659.2004.00321.x

El Mouzan MI, Al Omar AA, Al Salloum AA, Al Herbish AS, Qurachi MM. Trends in infant nutrition in Saudi Arabia: compliance with WHO recommendations. The Journal-Annals of Saudi Medicine 2009; 29(1): 20. https://doi.org/10.4103/0256-4947.51812

Al-Jassir M, Khaja Moizuddin S, Al-Bashir B. A Review of some Statistics on Breastfeeding in Saudi Arabia. Nutrition and Health 2003; 17(2): 123-30. https://doi.org/10.1177/026010600301700203

El Mouzan MI, Al Omar AA, Al Salloum AA, Al Herbish AS, Qurachic MM. Trends in infant nutrition in Saudi Arabia: compliance with WHO recommendations. Ann Saudi Med 2009; 29(1): 20. https://doi.org/10.4103/0256-4947.51812

Al-Jassir M, El-Bashir B, Moizuddin S, Abu-Nayan A. Infant feeding in Saudi Arabia: mothers' attitudes and practices. East Mediterr Health J 2006; 12(1/2): 6.

Al-Othman AM, Saeed AA, Bani IA, Al-Murshed KS. Mothers' practices during pregnancy, lactation and care of their children in Riyadh, Saudi Arabia. Saudi Med J 2002; 23(8): 909-14.

El-Gilany A, Sarraf B, Al-Wehady A. Factors associated with timely initiation of breastfeeding in Al-Hassa province, Saudi Arabia. East Med Health J 2012; 18(3): 250-4. https://doi.org/10.26719/2012.18.3.250

Hanafi MI, Shalaby SAH, Falatah N, El-Ammari H. Impact of health education on knowledge of, attitude to and practice of breastfeeding among women attending primary health care centres in Almadinah Almunawwarah, Kingdom of Saudi Arabia: controlled pre–post study. Journal of Taibah University Medical Sciences 2014; 9(3): 187-93. https://doi.org/10.1016/j.jtumed.2013.11.011

Batterjee MAA. A phenomenology study examining partial breast-feeding in the Kingdom of Saudi Arabia University 2009.

Habib F, Hanafi M, El Sogheer A. Antenatal care in primary health care centres in Medina, Saudi Arabia, 2009: a cross-sectional study. Eastern Mediterranean Health Journal 2011; 17(3): 196-202. https://doi.org/10.26719/2011.17.3.196

Al-Hreashy FA, Tamim HM, Al-Baz N, Al-Kharji NH, Al-Amer A, Al-Ajmi H, et al. Patterns of breastfeeding practice during the first 6 months of life in Saudi Arabia. Saudi Med J 2008; 29(3): 427-31.

Fida NM, Al-Aama JY. Pattern of infant feeding at a University Hospital in Western Saudi Arabia. Saudi Med J 2003; 24(7): 725-9.

Shawky S, Abalkhail BA. Maternal factors associated with the duration of breast feeding in Jeddah, Saudi Arabia. Paediatr Perinat Epidemiol 2003; 17(1): 91-6. https://doi.org/10.1046/j.1365-3016.2003.00468.x

Mosalli R, Abd EAAA, Qutub M, Zagoot E, Janish M, Paes B. Perceived barriers to the implementation of a baby friendly initiative in Jeddah, Saudi Arabia. Saudi Med J 2012; 33(8): 895.

Amin T, Hablas H, Al Qader AAA. Determinants of initiation and exclusivity of breastfeeding in Al Hassa, Saudi Arabia. Breastfeed Med 2011; 6(2): 59-68. https://doi.org/10.1089/bfm.2010.0018

Mosher C, Janjua Z, Ali H, Alhoulan A, Khan T, Hamadah R. Breastfeeding in Saudi Arabia The Need for the Baby Friendly Hospital Initiative A Research Proposal. Community Medicine 2011.

Dorgham LS, Hafez SK, Kamhawy HE, B.H. W. Assessment of initiation of breastfeeding, prevalence of exclusive breast feeding and their predictors in Taif, KSA. Life Science Journal 2014; 11(1).

Al-Madani M, Vydelingum V, Lawrence J. Saudi Mothers’ Expected Intentions and Attitudes Toward Breast-Feeding. Infant Child Adolesc Nutr 2010; 2(3): 187-98. https://doi.org/10.1177/1941406410369699

Al-Shehri SN, Farag MK, Baldo MH, Al-Mazrou YY, Aziz KMS. Overview on Breastfeeding Patterns in Saudi Arabia. J Trop Pediatr 1995; 41(1): 38-44. https://doi.org/10.1093/tropej/41.Supplement_1.38

Alwelaie YA, Alsuhaibani EA, Al-Harthy AM, Radwan RH, Al-Mohammady RG, Almutairi AM. Breastfeeding knowledge and attitude among Saudi women in Central Saudi Arabia. Saudi Med J 2010; 31(2): 193-8.

Murshid E. Infant feeding practices of Saudi mothers in five different regions of Saudi Arabia 2006.

Al-Ayed IH, Qureshi MI. Breastfeeding Practices in Urban Riyadh. Journal of Tropical Pediatrics 1998; 44(2): 113-7. https://doi.org/10.1093/tropej/44.2.113

Al-Jassir MS, El-Bashir BM, Moizuddin SK. Surveillance of infant feeding practices in Riyadh city. Annals of Saudi Medicine 2004; 24(2): 136. https://doi.org/10.5144/0256-4947.2004.136

Azzeh F, Alazzeh A, Hijazi H, Wazzan H, Jawharji M, Jazar A, et al. Factors associated with not breastfeeding and delaying the early initiation of breastfeeding in Mecca Region, Saudi Arabia. Children 2018; 5(1): 8. https://doi.org/10.3390/children5010008

WHO. Exclusive breastfeeding for six months best for babies everywhere 2011 [Available from: https://www.who.int/ mediacentre/news/statements/2011/breastfeeding_20110115/en/#.

El-Gilany A. Infant feeding in Al-Hassa, Saudi Arabia. World Family Medicine Journal: Incorporating the Middle East Journal of Family Medicine 2010; 99(294): 1-8.

Ogbeide DO, Siddiqui S, Al Khalifa IM, Karim A. Breast feeding in a Saudi Arabian community-Profile of parents and influencing factors. Saudi Med J 2004; 25(5): 580-4.

Al-Yousif G, Sabra AA, Sebiany AM, Hafez AS. Predictors of breastfeeding practices in primary health care facilities at Al-Khobar city, Eastern Saudi Arabia. Egyptian Journal of Community 2011.

Kordy MN, Ibrahim MA, El-Gamal FM, Bahnassy AA. Factors Affecting the Duration of Breastfeeding in a Rural Population of Saudi Arabia. Asia-Pacific Journal of Public Health 1992; 6(1): 35-9. https://doi.org/10.1177/101053959200600110

Bryant AG, Bauer AE, Muddana A, Wouk K, Chetwynd E, Yourkavitch J, et al. The Lactational Effects of Contraceptive Hormones: an Evaluation (LECHE) Study. Contraception 2019; 100(1): 48-53. https://doi.org/10.1016/j.contraception.2019.03.040

Prior E, Santhakumaran S, Gale C, Philipps LH, Modi N, Hyde MJ. Breastfeeding after cesarean delivery: a systematic review and meta-analysis of world literature. The American Journal of Clinical Nutrition 2012. https://doi.org/10.3945/ajcn.111.030254

El-Gilany A-H, Helal R, Shady E. Exclusive breastfeeding in Al-Hassa, Saudi Arabia. Breastfeed Med 2011; 6(4): 209. https://doi.org/10.1089/bfm.2010.0085

Bertini G, Perugi S, Dani C, Pezzati M, Tronchin M, Rubaltelli FF. Maternal Education and the Incidence and Duration of Breast Feeding: A Prospective Study. Journal of Pediatric Gastroenterology and Nutrition 2003; 37(4). https://doi.org/10.1097/00005176-200310000-00009

Ummarino M, Albano F, Marco GD, Mangani S, Aceto B, Ummarino D, et al. Short duration of breastfeeding and early introduction of cow's milk as a result of mothers'low level of education. Acta Paediatrica 2003; 92(s441): 12-7. https://doi.org/10.1111/j.1651-2227.2003.tb00641.x

Di Napoli A, Di Lallo D, Pezzotti P, Forastiere F, Porta D. Effects of parental smoking and level of education on initiation and duration of breastfeeding. Acta Paediatrica 2006; 95(6): 678-85. https://doi.org/10.1080/08035250600580578

Li R, Fein SB, Chen J, Grummer-Strawn LM. Why mothers stop breastfeeding: mothers' self-reported reasons for stopping during the first year. Pediatrics 2008; 122: 69-76. https://doi.org/10.1542/peds.2008-1315i

Al-Mazrou YY, Aziz KMS, Khalil M. Breastfeeding and Weaning Practices in Saudi Arabia. Journal of Tropical Pediatrics 1994; 40(5): 267-71. https://doi.org/10.1093/tropej/40.5.267

Alzamil HA, Alhakbany MA, Alfadda NA, Almusallam SM, Al-Hazzaa HM. A Profile of Physical Activity, Sedentary Behaviors, Sleep, and Dietary Habits of Saudi College Female Students. J Family Community Med 2019; 26(1): 1-8. https://doi.org/10.4103/jfcm.JFCM_58_18

Al-Amoud MM. Breastfeeding practice among women attending primary health centers in Riyadh. J Family Community Med 2003; 10(1): 19.

WHO. Baby-friendly Hospital Initiative 2019 [Available from: https://www.who.int/nutrition/topics/bfhi/en/.

Lillehoj CJ, Dobson BL. Implementation of the Baby-Friendly Hospital Initiative Steps in Iowa Hospitals. Journal of Obstetric, Gynecologic, & Neonatal Nursing 2012; 41(6): 717-27. https://doi.org/10.1111/j.1552-6909.2012.01411.x

Braun MLG, Giugliani ERJ, Soares MEM, Giugliani C, de Oliveira AP, Danelon CMM. Evaluation of the Impact of the Baby-Friendly Hospital Initiative on Rates of Breastfeeding. American Journal of Public Health 2003; 93(8): 1277-9. https://doi.org/10.2105/AJPH.93.8.1277

Venancio SI, Saldiva SRDM, Escuder MML, Justo Giugliani ER. The Baby-Friendly Hospital Initiative shows positive effects on breastfeeding indicators in Brazil. J Epidemiol Community Health 2012; 66(10): 914-8. https://doi.org/10.1136/jech-2011-200332

Cattaneo A, Buzzetti R. Quality improvement report: Effect on rates of breast feeding of training for the Baby Friendly Hospital Initiative. Br Med J 2001; 323(7325): 1358. https://doi.org/10.1136/bmj.323.7325.1358

Philipp BL, Merewood A, Miller LW, Chawla N, Murphy-Smith MM, Gomes JS, et al. Baby-friendly hospital initiative improves breastfeeding initiation rates in a US hospital setting. Pediatrics 2001; 108(3): 677-81. https://doi.org/10.1542/peds.108.3.677

Ajzen I, Fishbein M. Understanding attitudes and predicting social behaviour 1980.

Ajzen I. The theory of planned behavior. Organizational behavior and human decision processes 1991; 50(2): 179-211. https://doi.org/10.1016/0749-5978(91)90020-T

Armitage CJ, Conner M. Efficacy of the Theory of Planned Behaviour: A meta-analytic review. British Journal of Social Psychology 2001; 40(4): 471-99. https://doi.org/10.1348/014466601164939

Avery A, Zimmermann K, Underwood PW, Magnus JH. Confident commitment is a key factor for sustained breastfeeding. Birth 2009; 36(2): 141-8. https://doi.org/10.1111/j.1523-536X.2009.00312.x

Giles M, Connor S, McClenahan C, Mallett J, Stewart-Knox B, Wright M. Measuring young people's attitudes to breastfeeding using the Theory of Planned Behaviour. Journal of Public Health 2007; 29(1): 17-26. https://doi.org/10.1093/pubmed/fdl083

Bai Y, Middlestadt SE, Peng C-YJ, Fly AD. Predictors of Continuation of Exclusive Breastfeeding for the First Six Months of Life. Journal of Human Lactation 2010; 26(1): 26-34. https://doi.org/10.1177/0890334409350168

Swanson V, Power KG. Initiation and continuation of breastfeeding: theory of planned behaviour. Journal of Advanced Nursing 2005; 50(3): 272-82. https://doi.org/10.1111/j.1365-2648.2005.03390.x

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Published

2019-11-12

How to Cite

Shahbar, A., & Eid, N. M. (2019). Factors Associated with Breastfeeding Patterns in Western Saudi Arabia: A Literature Review. International Journal of Child Health and Nutrition, 8(4), 145–153. https://doi.org/10.6000/1929-4247.2019.08.04.5

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General Articles