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November 2020 -
Volume 18, Issue 11

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From the Editor

Editorial
A. Abyad (Chief Editor)
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Original Contribution

Perceptions of Patient Safety Culture among Physicians and Nurses in a Tertiary Hospital in Southwestern Saudi Arabia
[Abstract]
[pdf]
Abdullah A. Alsabaani
DOI: 10.5742/MEWFM.2020.93884

Awareness, Knowledge and Practice of Adult Saudi Females about Cervical Cancer Screening, in Aseer Region, Saudi Arabia
[Abstract]
[pdf]
Mehad H. Al-Qasem, Osma Badar, Anwar M. Abokathiyah
DOI: 10.5742/MEWFM.2020.93885

Public awareness and attitude of the population of Al-Madinah Al-Munawwarah regarding the effects of sunlight and food on vitamin D homeostasis: A cross-sectional study
[Abstract]
[pdf]
Sultan S. Al Thagfan, Saleh A. Bahashwan, Ahmed M. AlJohani, Mohammed W. Azuny,
Eyad A. Domlo, Mohammad Y. Manqu, Salem S. Alhubayshi, Khaled Faisal Alhejail,
Salah M. El Sayed
DOI: 10.5742/MEWFM.2020.93886

Appendectomy as a risk factor for ectopic pregnancy in Taif city
[Abstract]
[pdf]
FarZana R. Arain, Lura A. Habib, Hadeel A. Alharthi, Tasneem H. Elsayed, Dhuha A. Alhumaidi, Lujain A. AlHarthi, Mai S. Althobaiti
DOI: 10.5742/MEWFM.2020.93887

Epidemiology of Hepatitis B in Salahaldeen
[Abstract]
[pdf]
Layla A. Hameed, Sarab Kahtan Abedalrahman, Marwah Imad Al Ameen
DOI: 10.5742/MEWFM.2020.93888

Attitude and Awareness Toward Heart Attack Symptoms and Lifesaving Actions Among Population of Western Region, KSA
[Abstract]
[pdf]
Ali M. Alabdali, Hessa A. Alshahrani, Athar I. Alqurashi, Maryam A. Alzaylaee, Rawan A. Althobaiti, Thekra I. Alsalmi
DOI: 10.5742/MEWFM.2020.93890

Risk Factors of Cervical Epithelial Cell Abnormality in Baghdad
[Abstract]
[pdf]
Asan Ali Qasim Al Niyazee, Ilham Majeed Abdulaaima, Luma Abdulrazzaq Mohammed Saleh, Sarab Kahtan Abedalrahman
DOI: 10.5742/MEWFM.2020.93889

Population and Community Studies

Patterns of Contact Lenses Use among female Students at Health Colleges of King Khalid University at Abha, KSA
[Abstract]
[pdf]
Safar Abadi Alsaleem, Dina Abdullah S. Asiri, Shatha Mahdi A alamry, Amani Hashem AbuHassan, Nouf Saad S Al-Shahrani, Norah Saad Alkahtani, Mohammed Abadi Alsaleem,
Awad S. Alsamghan
DOI: 10.5742/MEWFM.2020.93891

Factors associated with failure of exclusive breastfeeding among mothers of twins in Saudi Arabia
[Abstract]
[pdf]
Malak Mohammad Allihaibi
DOI: 10.5742/MEWFM.2020.93892

Monogenic diabetes: importance of genetic testing
[Abstract]
[pdf]
Rubena Ali Malik, Sabana Shaikh
DOI: 10.5742/MEWFM.2020.93893

Clinical Audit Report as preliminary step for Quality Improvement Project on Prescribing Proton Pump Inhibitors for appropriate indications in West Bay Health Center
[Abstract]
[pdf]
Samar Soliman, Mohamed Salem, Eman Mohamed, Sharief Khan, Abdul-Ali Shah, Wafaa Yousuf
DOI: 10.5742/MEWFM.2020.93894

Prevalence and association between sleep, stress, and physical activity among medical students in southern region, Saudi Arabia
[Abstract]
[pdf]
Shehata Farag Shehata, Mohammed Saad Alshahrani, Mohammed Saad Aldarami, Faisal Ali Asiri, Hashem Abdullah Alghamdi
DOI: 10.5742/MEWFM.2020.93895

Prevalence of fibromyalgia syndrome in chronic urticaria
[Abstract]
[pdf]
Abdulsatar J. Mathkhor, Jinan Q. Mohammed
DOI: 10.5742/MEWFM.2020.93897

Virtual Pain Management Clinic during COVID-19 pandemic: Experience from Qatar
[Abstract]
[pdf]
Khalid Ahmed, Hani Abdalla, Siddig Abdalla, Mouhand FM Mohamed, Yasir Hassan
DOI: 10.5742/MEWFM.2020.93898

Clinical Research and Methods

Telemedicine difficulties for Family Physicians in dermatological cases
[Abstract]
[pdf]
Zeeshan Najam Khan
DOI: 10.5742/MEWFM.2020.93899

Case Report

Early Diagnosis of an Ectopic Pregnancy in patient with Irregular Menstrual Bleeding
[Abstract]
[pdf]
Samar Soliman, Mohammed Salem
DOI: 10.5742/MEWFM.2020.93900


Middle East Quality Improvement Program
(MEQUIP QI&CPD)

Chief Editor -
Abdulrazak Abyad MD, MPH, MBA, AGSF, AFCHSE
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Editorial Office -
Abyad Medical Center & Middle East Longevity Institute
Azmi Street, Abdo Center,
PO BOX 618
Tripoli, Lebanon
Phone: (961) 6-443684
Fax:     (961) 6-443685
Email: aabyad@cyberia.net.lb
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Lesley Pocock
medi+WORLD International
AUSTRALIA
Email: lesleypocock@mediworld.com.au
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Editorial Enquiries -
abyad@cyberia.net.lb
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While all efforts have been made to ensure the accuracy of the information in this journal, opinions expressed are those of the authors and do not necessarily reflect the views of The Publishers, Editor or the Editorial Board. The publishers, Editor and Editorial Board cannot be held responsible for errors or any consequences arising from the use of information contained in this journal; or the views and opinions expressed. Publication of any advertisements does not constitute any endorsement by the Publishers and Editors of the product advertised.

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November 2020 - Volume 18, Issue 11

Factors associated with failure of exclusive breastfeeding among mothers of twins in Saudi Arabia

Malak Mohammad Allihaibi

SBFM; ABFM; IBCLC, Family Medicine Consultant, Ministry of Health,
Makkah Al-Mukarrahmah City, Saudi Arabia

Correspondence:
Malak Mohammad Allihaibi, SBFM; ABFM; IBCLC
Family Medicine Consultant, Ministry of Health, Makkah Al-Mukarrahmah City,
Saudi Arabia
Email: malak.allihaibi@hotmail.com

Received: September 2020; Accepted: October 2020; Published: November 1, 2020. Citation: Malak Mohammad Allihaibi. Factors associated with failure of exclusive breastfeeding among mothers of twins in Saudi Arabia. World Family Medicine. 2020; 18(10): 69-77 DOI: 10.5742/MEWFM.2020.93892

Abstract

Objective: To assess prevalence of exclusive breastfeeding practices and risk factors for failure to fulfill exclusive breastfeeding for twins delivered in Saudi Arabia.

Methods: Following a comparative case-control study design in Saudi Arabia, this study comprised 178 mothers who delivered twins and 122 mothers who delivered singleton babies. The researcher developed a self-administered questionnaire in simple Arabic language. The questionnaire included questions regarding personal characteristics of the mothers, breastfeeding practices of the baby, and questions about mothers’ confidence toward their ability to exclusively breastfeed their babies.

Results: Caesarian delivery was significantly more among mothers of twins than mothers of singleton babies (79.5% and 35.4%, respectively, p<0.001). Admission to neonatal intensive care units was significantly more among twin babies than singleton babies (60.7% and 18.5%, respectively, p<0.001). Number of children (5 or more) was significantly more among mothers with twins than those with singletons (16.4% and 4.5%, respectively, p<0.001). Mothers in both study groups did not differ significantly according to their employment status, residence, and family monthly income. Significantly less twin, than singleton babies started breastfeeding during the first 6 hours after birth (48.4% and 73%, respectively, p<0.001). There were significantly less twin than singleton babies who were exclusively breastfed (46.7% and 79.2%, respectively, p<0.001). Exclusive breastfeeding was significantly more practiced by mothers whose children were not admitted to neonatal intensive care units (NICU) than those whose children were admitted to NICU (64.6% and 35.1%, respectively, p=0.001). Exclusive breastfeeding was also significantly more practiced by mothers whose children started breastfeeding within the first 6 hours than those who started breastfeeding after 6 hours (p=0.009). Mothers of twin babies were significantly less confident than mothers of singleton babies regarding being able to exclusively breastfeed their babies (p<0.001 for all statements of confidence).

Conclusions: Twins usually start their first breastfeeding later than singleton babies, and also tend to achieve exclusive breastfeeding less than singleton babies. Exclusive breastfeeding is less practiced by mothers whose children are admitted to NICU and whose children did not start breastfeeding within the first 6 hours. Mothers of twin babies are less confident than those of singleton babies regarding being able to exclusively breastfeed their babies. Rooming-in of mothers with their babies should be allowed at NICU.

Key words: Exclusive breastfeeding, twins,
Caesarian section, neonatal intensive care unit, Saudi Arabia







 


 
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