الفهرس 
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Abstract
Exclusive breastfeeding (EBF) refers to mothers
providing only breast milk for their infants without any other
liquids or solids. There is evidence supporting the benefits of
EBF for infants, children and mothers. Globally, no more
than 35% of infants during their first four months of life are
exclusively breastfed. Regarding Arabic world, Exclusive
breastfeeding rates increased by 10% over the past decade
especially in Syria and Egypt. The world health organization
(WHO) recommends exclusive breast feeding for the first six
months of life while it is advised to provide adequate and
safe complementary foods with breast feeding for up to two
years and beyond.. Exclusive breast feeding protected against
serious morbidities in the first six months of life (Agho et al.,
2019).
Aim of the study:
This study aimed to assess the factors influencing the
practice of exclusive breastfeeding among mothers having
premature infants.
Research question:
What are the factors influencing the practice of
exclusive breastfeeding among mothers having premature
infants.?
Research Design:
The design that was utilized in this study is a
descriptive research design.
Summary
109
Settings:
The current study was conducted at neonatal intensive
care units (NICU) belonging University hospital in Cairo
governorate. there are three university hospitals (Ain Shams
University Hospitals Demerdash- cairo university hospitals
of Alkasr Alain - Al-azher hospital).
Subjects:
1. All mothers who attended postnatal clinic during 6
months and willing to participate at the study.
Tools of data collection:
Data was collected using Four tools :
II. Questionnaire Sheet:
It was designed by the researcher after reviewing the
current and past related literature and it was reviewed by
supervisors. It was written in an Arabic language to suit
mothers language it include the following parts:
Part 1:
- It concerned with characteristics of mothers such as
age, level of education, residence, employment status
- As well as the characteristics of premature baby such
as gestational age, chronological age, sex, sleep
problem, frequency of crying….etc.‘
- It concerned with the obstetric health data of mothers
as type of delivery, plan of pregnancy, complications
during delivery, complications postpartum, parity,
gravidity..etc.
Summary
110
Part 2:
It concerned with studied mother‘s knowledge about
exclusive breast feeding time of starting breastfeeding, Prior
experience with breastfeeding,
Sore system :
Based on mother response to question if mother answer
was correct, mother consider know a score of (1) was given
if mother answer was incorrect consider unknown score
of (0) was given .The total score of knowledge reached 11
score represent 100%. The total knowledge was classified
into two level, salisfactory when the score was > 60% and
unsatisfactory when the score was< 60% (Appendix I).
Part 3: It concerned with factors influencing the
practice of exclusive breast feeding as perceived by the
mothers. It was adopted from Favour, & Evbaguehita,
2021.It consisted of maternal and infant related factors (16)
items, breast related factors (5) items, supportive structure
related factors (9) and influence of traditional and social
culture believes(2)items. The mothers responded to each item
by yes or no.Yes meant that this factor influenced and No
meant this factor did not influence.
Tool II
Modified Likert type like Attitude Rating Scale guided
by La Mora A, Russell DW 1999 to assess the attitude of
mothers towards exclusive breast feeding .The Scale
consisted of 27statement (Appendix II).