Variation and determinants of early initiation of breastfeeding in high and low neonatal mortality settings in India

2021 ◽  
pp. 1-18
Author(s):  
Jeetendra Yadav ◽  
Chander Shekhar ◽  
Kusum Bharati
Keyword(s):  
Mortality Rate ◽  
Mass Media ◽  
Neonatal Mortality ◽  
Universal Access ◽  
Skilled Birth Attendant ◽  
Well Being ◽  
Early Initiation ◽  
Neonatal Mortality Rate ◽  
Early Initiation Of Breastfeeding ◽  
Initiation Of Breastfeeding

Abstract Early initiation of breastfeeding (EIBF) is considered one of the most cost-effective interventions for infant survival and well-being. This study aimed to examine the variations in, and determinants of, early initiation of breastfeeding among women in high and low neonatal mortality rate (NMR) settings in India using data from the fourth round of the National Family Health Survey conducted in 2015–16. At 35%, EIBF was found to be disproportionately low in the high NMR group of states compared with 52% in the low NMR group, with the national average being 44%. The chance of EIBF significantly increased if childbirth was vaginal, delivery took place in a health institution, the mother received breastfeeding advice and the birth was a planned one in both high and low NMR settings. In the high NMR group of states, the probability of initiating breastfeeding immediately after birth improved to a great extent if childbirth was assisted by a trained person and if the mother was exposed to any type of mass media. There is an urgent need to increase the access of mothers to breastfeeding advice during pregnancy and to increase their exposure to mass media, particularly in high NMR states. In addition, achieving universal access to institutional deliveries and deliveries assisted by a skilled birth attendant, especially in high NMR settings, and promoting early breastfeeding, especially in the case of Caesarean deliveries, would further improve the level of EIBF in the country as a whole. These interventions can potentially increase the prevalence of early initiation of breastfeeding and help India attain the neonatal mortality rate target of Sustainable Development Goal 3.

scholarly journals Socio-demographic determinants of under-five mortality in rural Agra

2017 ◽  
Vol 4 (9) ◽  
pp. 3108
Author(s):  
Krishan Kumar ◽  
Rajiv Srivastava ◽  
S. K. Mishra
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Neonatal Mortality ◽  
Nuclear Family ◽  
Well Being ◽  
Infant Mortality Rate ◽  
Age Group ◽  
Neonatal Mortality Rate ◽  
Important Indicator ◽  
Live Births

Background: One of the most important indicator or index of socio-economic development of a country or region is infant mortality rate. The present study was undertaken to assess the quantum of childhood mortality and to find out the social factors associated with these deaths by verbal autopsies. Methods: This one year cross-sectional study was undertaken in a purposively selected community Development Block Sainyan, district Agra among children aged between 0-5 years using multistage random sampling technique. Suitable statistical methods were applied. Results: Out of total 8355 families surveyed, a total of 185 deaths were reported among children. Number of deaths was higher among those belonging to nuclear family and lower socioeconomic status. The neonatal mortality rate was estimated to be 33.55/1000 live births. The post neonatal mortality rate was found to be 40.78/1000 live births and infant mortality rate was 74.33/1000 live births. Mortality rate in 1-5 year age group children was 10.6/1000 same age group children, while 0-5 yrs. mortality was estimated to be 22.39/1000 children of same age group. Out of 185 children who died, 52.7% were unimmunized and another 35.67% were partially immunized. Conclusions: Female education and socioeconomic well-being should be strengthened. 

scholarly journals The Effect of Early Initiation of Breastfeeding on Neonatal Mortality among Low Birth Weight in Aceh Province, Indonesia: An Unmatched Case Control Study

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Satrinawati Berkat ◽  
Rosnah Sutan
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Neonatal Mortality ◽  
Neonatal Period ◽  
Total Sample ◽  
Early Initiation ◽  
Design Data ◽  
Early Initiation Of Breastfeeding ◽  
Aceh Province ◽  
Initiation Of Breastfeeding

Background. Early initiation of breastfeeding is the breastfeed that is received by the baby within the first hour of birth. It is recommended to reduce infant mortality and illness. Objective. To assess the effect of early initiation of breastfeeding on neonatal mortality for low birth weight in Aceh province, Indonesia. Method. In this qualitative study unmatched case controls were used as the design. Data was collected in 8 districts in Aceh province, Indonesia, between January and December 2012. The total sample for this study was 500 LBW who were born between 2010 and 2012, subdivided into 250 LBW who died in neonatal period and 250 LBW who survived during neonatal period. Result. Thermal care and hygienic practice were not significantly associated with neonatal mortality among LBW. Feeding and early initiation of breastfeeding were associated. Discussion. Early initiation of breastfeeding had an effect on neonatal mortality for the low birth weight in Aceh province, Indonesia. The risk of mortality was decreased for those neonates who accepted breast milk within the first hour after birth. Therefore it is concluded that a new strategy to promote and improve the coverage of the initiation of breastfeeding is needed.

scholarly journals Impact of maternal factors and socio-demographic determinants on early initiation of breastfeeding practices in Alwar district, Rajasthan, India

2020 ◽  
Vol 7 (9) ◽  
pp. 3360
Author(s):  
Harish Chand ◽  
Jyoti Sharma
Keyword(s):  
Neonatal Mortality ◽  
Multivariable Analysis ◽  
Early Initiation ◽  
Categorical Variables ◽  
P Value ◽  
Maternal Factors ◽  
Timely Initiation ◽  
New Born ◽  
Early Initiation Of Breastfeeding ◽  
Initiation Of Breastfeeding

Background: The SDG-3 goal suggests to reduce the neonatal mortality to below 12 per 1000 live births. New-born who are breastfed after 1 hour of birth are at 33% greater risk of neonatal mortality. To ascertain early initiation of breastfeeding (EIBF) knowledge, practices and its underlying determinants, a cross-sectional study was conducted with mothers of children below 3 years of age.Methods: Sample of 400 mothers of children under 3 years of age was collected. The data was analysed using statistical software SPSS version 23.0. All characteristics were summarized descriptively. Chi-square (χ2) test was performed to study the association between two categorical variables. Multivariable analysis was done using logistic regression model to determine the association of EIBF with socio-demographic and maternal factors.   Results: 75.8% mothers initiated early breastfeeding within 1 hour of birth whereas only 34.3% mothers had knowledge on early initiation of breastfeeding. 95% mothers fed colostrum to the new-born. Mothers with 25 years of age or more (AOR 1, 95% CI 0.52, 1.57; p value <0.73) were less likely to breastfeed new-born within 1 hour of birth as compared to the mothers who were <25 years of age.Conclusions: Timely initiation of breastfeeding within 1 hour of birth is a critical intervention to avert a considerable number of neonatal deaths to achieve SDG-3 goal, which to reduce neonatal mortality rate <12 per 1000 livebirths.  after delivery could sustain the breastfeeding practice for lo. Intensifying home visits in 3rd trimester to disseminate messages on EIBF and colostrum feeding may improve the coverage of EIBF.

scholarly journals Knowledge, attitude, and behavior of pregnant women on early initiation of breastfeeding

2014 ◽  
Vol 54 (3) ◽  
pp. 174
Author(s):  
Yoke Ayukarningsih ◽  
Sutedja Sutedja ◽  
Anna Mardiyah
Keyword(s):  
Mortality Rate ◽  
Infant Mortality ◽  
Pregnant Women ◽  
Positive Attitude ◽  
Early Initiation ◽  
Infant Mortality Rate ◽  
Early Initiation Of Breastfeeding ◽  
Adequate Knowledge ◽  
Reduce Infant Mortality ◽  
Initiation Of Breastfeeding

Background Infant mortality rate is an indicator of the degree ofhealth in society. In Indonesia, the infant mortality rate remainshigh, with most deaths occurring in the first 24 hours of life.Breastfeeding has been shown to reduce infant mortality, especiallyif undertaken in the first hour of life. This practice is knownas early initiation of breastfeeding (EIB). According to variousstudies, EIB implementation may be influen ced by many factorssuch as knowledge, attitude, behavior, and health care facilities.Objective To assess the level of knowledge, attitude, and behaviorof pregnant women towards EIB.Methods We conducted a descriptive study using questionnaireson 74 pregnant women in the outpatient clinic of Obstetrics andGynecology Department, Dustira Hospital, Cimahi, West Java,Indonesia from November to December 2012.Results Out of 74 respondents, 21 % had a good level of knowledgeon EIB, 23% had an adequate knowledge, and 56% had less thanadequate knowledge on EIB. A positive attitude towards EIBwas found in 65% of the respondents, while 35% had a negativeattitude. With regards to behavior conducive to EIB, 8% ofrespondents had good behavior, 57% had moderate behaviot; and35%had less than adequate behavior.Conclusion Majority of pregnant women have less than adequateknowledge on EIB, a positive attitude towards EIB, and moderateto less than adequate behavior conducive to EIB.

The Relationship between the speed of early initiation of breastfeeding with postpartum hemorrhage volume on stage labor

2017 ◽  
Vol 3 (2) ◽  
pp. 99
Author(s):  
Yunarsih Yunarsih ◽  
Dwi Rahayu
Keyword(s):  
Mortality Rate ◽  
Maternal Mortality ◽  
Breast Feeding ◽  
Post Partum ◽  
Early Initiation ◽  
Fourth Stage ◽  
Maternal Mortality Rate ◽  
Post Partum Hemorrhage ◽  
Early Initiation Of Breastfeeding ◽  
Initiation Of Breastfeeding

Maternal mortality rate  in Indonesia is assumed to be high enough; it is 228 per a hundred thousand alive birth case in 2010 with the main factor is a heavy bleeding. The decrease of maternal mortality rate  can be done by decreasing one of its factors that is avoiding a heavy bleeding after the delivery by doing a first breast feeding procedure. The purpose of the study is to find the correlation between the speed of early initiation of breastfeeding with  the volume of blood occur at the fourth stage of the labor (post partum hemorrhage). The method used in the study is an analytical observation (longitudinal prospective). While the population of study is some mothers who experience a vaginal birth in BPM Bunda district Prambon. The number of the sample is 29 mothers using a random sampling technique. The independent variable is the speed of early initiation breastfeeding and the dependent variable is  the volume of blood on the fourth stage (post partum hemorrhage). The datum are analyzed by ( SPSS ) T analyzed on two random sample and match to the meaningful degree of α; 0,05. The result of the study shows that there is a correlation between the speed of first breastfeeding  with   the volume of the blood p = 0,00. Therefore the conclusion of the study is that there is a correlation between the speed of the first breastfeeding and the volume of the blood, so that the researcher hope that the person on duty for the delivery process to encourage the first breastfeeding procedure to the mother and also to enlarge the knowledge of health education of the expecting mother about the essential effect of first breast feeding application.; Keyword : early initiation of breastfeeding, post partum hemorrhage, maternal mortality

scholarly journals Effect of Caesarean Section on Neonatal Health in Bangladesh after Controlling Selection Bias: Propensity Score Based Analysis

2021 ◽  
Vol 69 (1) ◽  
pp. 23-29
Author(s):  
Md Mahmudur Rahman ◽  
Sabina Sharmin ◽  
Taslim Sazzad Mallick
Keyword(s):  
Caesarean Section ◽  
Propensity Score ◽  
Neonatal Mortality ◽  
Treatment Effect ◽  
Early Initiation ◽  
Treatment Groups ◽  
Early Neonatal Mortality ◽  
Early Initiation Of Breastfeeding ◽  
Weighting Methods ◽  
Initiation Of Breastfeeding

The paper examines the effect of caesarean section (C-section) on early neonatal mortality, neonatal mortality, and early initiation of breastfeeding using Bangladesh Demographic and Health Survey (BDHS), 2014 data. Propensity score matching and weighting methods were used to estimate unbiased estimate of treatment effect. The study demonstrates how conclusion about treatment effect varies with and without having balance in the treatment groups. Standard analysis, without caring about balance, reveals that C-section has no significant impact on early neonatal mortality and neonatal mortality. After applying propensity score adjusted methods, balance was achieved in the treatment groups and it was found that C-section has significant effect on early neonatal mortality and neonatal mortality. However, there was no difference between standard and PS adjusted methods in estimating the effect of C-section on early initiation of breastfeeding. It is concluded that children who were delivered by C-section have significantly lower odds of early neonatal mortality, neonatal mortality, and early initiation of breastfeeding as compared to the children who were not delivered by C-section. Dhaka Univ. J. Sci. 69(1): 23-29, 2021 (January)

scholarly journals The Association between a Novel Baby-Friendly Hospital Program and Equitable Support for Breastfeeding in Vietnam

2021 ◽  
Vol 18 (13) ◽  
pp. 6706
Author(s):  
Caroline M. Joyce ◽  
Sherry Shu-Yeu Hou ◽  
Binh T. T. Ta ◽  
Duong Vu Hoang ◽  
Roger Mathisen ◽  
...  
Keyword(s):  
Child Health ◽  
Exclusive Breastfeeding ◽  
Post Partum ◽  
Well Being ◽  
Early Initiation ◽  
Breastfeeding Initiation ◽  
Early Initiation Of Breastfeeding ◽  
Health And Well Being ◽  
Initiation Of Breastfeeding

Background: Rates of early initiation of breastfeeding are low in Southeast Asia, despite evidence that increased initiation of early breastfeeding would lead to better long-term infant and child health and decrease inequities in long-term health and well-being. In response, a novel performance-based, baby-friendly hospital program designates hospitals that adhere to evidence-based early essential newborn care (EENC) and breastfeeding interventions as Centers of Excellence for Breastfeeding (COE). This study examined whether hospital participation in the program was associated with better breastfeeding outcomes. Methods: Hospitals (n = 28) were invited into the program in December 2018. Hospitals developed an improvement plan for promoting a breastfeeding-friendly environment and meeting the standards of the COE accreditation process and were enrolled on a rolling basis over the course of a year. Post-partum surveys were conducted with parents (n = 9585) from January 2019 through April 2020 to assess their breastfeeding and post-partum experience. Segmented regression models were used to assess how breastfeeding outcomes evolved before and after hospital enrollment in the COE program. Results: Enrollment was associated with a 6 percentage-point (95% CI: 3, 9) increase in the level of early initiation of breastfeeding, which continued to increase in the post-enrollment period, and a 5 percentage-point (95% CI: 2, 9) increase in the level of exclusive breastfeeding during hospital stay. We did not observe evidence that enrollment was immediately associated with receipt of lactation counseling or exclusive breastfeeding at survey time. Conclusion: The prevalence of early and exclusive breastfeeding increased after enrollment in the COE program, suggesting that the program has the potential to improve breastfeeding initiation rates and longer-term child health and well-being. Further research should be conducted to examine whether the program has an impact on the overall duration of breastfeeding.

scholarly journals Effectiveness of peer counseling and membership in breastfeeding support groups in promoting optimal breastfeeding behaviors in the Philippines

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Ofelia P. Saniel ◽  
Veincent Christian F. Pepito ◽  
Arianna Maever L. Amit
Keyword(s):  
Support Groups ◽  
The Philippines ◽  
Early Initiation ◽  
Peer Counseling ◽  
Breastfeeding Support ◽  
Child Feeding ◽  
Peer Counselors ◽  
Early Initiation Of Breastfeeding ◽  
Peer Counselor ◽  
Initiation Of Breastfeeding

Abstract Background The prevalence of early initiation of breastfeeding and exclusive breastfeeding (EBF) at 6 months remain low in the Philippines. To help meet the 90% early initiation of breastfeeding target and to improve infant and young child feeding practices in the Philippines, the Millennium Development Goals - Fund 2030 Joint Programme (JP) on Ensuring Food Security and Nutrition for Children 0–24 months old was implemented. We aimed to determine the effectiveness of visits by peer counselors during pregnancy and after delivery, and membership in breastfeeding support groups in promoting these optimal breastfeeding practices. Methods We used data from the Endline Survey of the JP to study the effects of prenatal and postnatal peer counselor visits, and membership in breastfeeding support groups, and their possible interactions with initiation of breastfeeding within 1 hour of birth among children aged 0 to 24 months and EBF at 6 months among children aged 6 to 24 months, while adjusting for confounding. We used logistic regression methods for survey data to assess these associations. Results Of the 2343 mother-infant pairs, only 1500 (63.1%) practiced early initiation of breastfeeding. Of the 1865 children aged 6 months or older, only 621 (34.7%) were exclusively breastfed at 6 months. After adjusting for confounding variables, there was no strong evidence that peer counselor visits were associated with early initiation or EBF at 6 months. However, members of breastfeeding support groups had 1.49 times higher odds of early initiation of breastfeeding (95% CI [Confidence Interval] 1.12, 1.98) and 1.65 times higher odds of EBF (95% CI 1.20, 2.24) compared to those who were not members of breastfeeding support groups. There was no interaction between the different exposure variables and early initiation and EBF at 6 months. Conclusions Our findings suggest breastfeeding support groups may be institutionalized to promote both early initiation of breastfeeding and EBF in the Philippines, while the role of peer counselors in promoting optimal breastfeeding behaviors should be further reviewed. Our suggestion to integrate non-healthcare professionals to promote early initiation of breastfeeding and EBF could be tested in future intervention studies.

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