SEARCHCROSS-SECTIONALobstetrics and gynecology, pediatrics

cross-sectional·obstetrics and gynecology, pediatrics, public health, nutrition, epidemiology·PMC10276413

Acceptability of donated breast milk among pregnant women in selected hospitals in central Uganda: a cross-sectional study

International Breastfeeding Journal · 5 authors, 4 centres

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AGENT 01 · STRUCTURED SUMMARY

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TL;DR

The central finding is that a majority (61.5%) of the women reported they would accept donated breast milk.

Full summary

691 CHARS

This cross-sectional study enrolled 244 pregnant women in central Uganda via systematic sampling. Factors associated with higher acceptability included having higher education, being Muslim, having heard of donated breast milk banking, and a preference for donated milk in the case of a serious medical condition. The study used a generalized linear model to analyze associations. Limitations include the findings being specific to an urban, hospital-based context and not generalizable to rural or community settings. The authors conclude that acceptability is high and recommend public sensitization campaigns, especially for women with lower education, to support the use of donated milk.

STUDY TYPE

cross-sectional

SPECIALTY

obstetrics and gynecology

SUMMARISED BY

AI pipeline

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100% · A

ORIGINAL PAPER

PMC10276413

Acceptability of donated breast milk among pregnant women in selected hospitals in central Uganda: a cross-sectional study

International Breastfeeding Journal

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ABSTRACT

Background Donated breast milk is considered beneficial to vulnerable infants. Thus, Uganda launched its first human milk bank in November 2021 to provide breast milk to preterm, low birthweight and sick babies. However, there is a scarcity of information on the acceptability of donated breast milk in Uganda. The study sought to assess the acceptability of using donated breast milk and associated factors among pregnant women at a private and a public hospital in central Uganda. Methods This cross-sectional study enrolled pregnant women attending antenatal care at the selected hospitals between July and October 2020. All pregnant women recruited had already given birth to at least one child. Data were collected using a semi-structured questionnaire, and we recruited participants through systematic sampling. Used frequencies, percentages and means with standard deviations to summarize variables. Assessed the association between the acceptability of donated milk and selected factors by comparing their arithmetic means using a generalized linear model to allow for clustering at the health facility level. Used a normal distribution and an identity link and calculated the adjusted mean differences together with 95% CIs [generated using robust variance estimators to correct for model misspecification]. Results A total of 244 pregnant women with a mean age of 30 (± 5.25) years were enrolled. Sixty-one-point 5% (150/244) of the women reported that they would accept donated breast milk. Higher education (adjusted mean difference, technical versus primary level: 1.33; 95% CI 0.64, 2.02), being Muslim (adjusted mean difference, Muslim versus Christian: 1.24; 95% CI 0.77, 1.70), having heard of donated breast milk banking (adjusted mean difference, ever versus never: 0.62; 95% CI 0.18, 1.06) and presence of a serious medical condition (adjusted mean difference, preference of donated milk versus other feeds in a serious medical condition: 3.96; 95% CI, 3.28, 4.64) were associated with acceptability of donated breast milk. Conclusions The acceptability of using donated breast milk for infant feeding was high among pregnant women. Public sensitization and education campaigns are indispensable for the acceptability of donated milk. These programs should be designed to include women with lower education levels. Supplementary Information The online version contains supplementary material available at 10.1186/s13006-023-00569-x.

CITATION EXPORT

Mary Gorreth Namuddu, Juliet Kiguli, Victoria Nakibuuka et al.. Acceptability of donated breast milk among pregnant women in selected hospitals in central Uganda: a cross-sectional study. International Breastfeeding Journal. (2023). https://doi.org/10.1186/s13006-023-00569-x

AUTHORS

5 · 4 CENTRES

Mary Gorreth Namuddu, Juliet Kiguli, Victoria Nakibuuka, Ritah Nantale, David Mukunya

1grid.11194.3c0000 0004 0620 0548School of Public Health, College of Health Sciences, Makerere University, Kampala, P.O. Box 7072, Uganda
2grid.461255.10000 0004 1780 2544Department of Paediatrics, Nsambya Hospital, Kampala, P.O. Box 7146, Uganda
3grid.448602.c0000 0004 0367 1045Department of Community and Public Health, Faculty of Health Sciences, Busitema University, Mbale, P.O. Box 1460, Uganda
4Department of Research, Nikao Medical Center, Kampala, Uganda