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Table 8 Quantitative and qualitative findings on delayed initiation of breastfeeding by country

From: Neonatal care practices in sub-Saharan Africa: a systematic review of quantitative and qualitative data

Country

Reasons for delayed initiation (quantitative)

Reasons for delayed initiation of breastfeeding (qualitative)

Ethiopia

 

Lack of milk [10, 49]

Baby not ready to feed [10]

Colostrum dirty/unhealthy for baby [50]

Mother and baby need to bath [50]

Ghana

84% lack of milk

11% baby refused

4% mother or child ill [25]

Lack of milk [25, 48]

Mother and baby need to bath [48]

Beliefs about colostrum [48]

Baby sleeping and/or not showing signs of hunger [48]

Milk bitter the first few days

Mother needs to undergo cleansing ritual the first few days [51]

Malawi

 

Mother and/or baby need to bath [14, 16]

No signs of hunger [14]

Nigeria

68% colostrum dirty or harmful

14% lack of milk

13% mother or child ill [47]

Lack of milk

Baby needs rest [12]

Colostrum dirty and harmful [12, 47]

Senegal

 

Baby sleeping [26]

Tanzania

 

Lack of milk [15, 36], colostrum is not suitable to feed [15]

Baby did not cry [36]

Mother and baby need to bath [36]

Mother is in pain after delivery [36]

Uganda

 

Lack of milk or colostrum is harmful [34]

No signs of hunger [35]

Zambia

 

Mother is in pain post-delivery and needs rest

Baby is sleeping and/or not showing signs of hunger [17]