scholarly journals Colostrum avoidance, prelacteal feeding and late breast-feeding initiation in rural Northern Ethiopia

2011 ◽  
Vol 14 (11) ◽  
pp. 2029-2036 ◽  
Author(s):  
Nikki L Rogers ◽  
Jemilla Abdi ◽  
Dennis Moore ◽  
Sarah Nd'iangui ◽  
Linda J Smith ◽  
...  

AbstractObjectiveTo identify specific cultural and behavioural factors that might be influenced to increase colostrum feeding in a rural village in Northern Ethiopia to improve infant health.DesignBackground interviews were conducted with six community health workers and two traditional birth attendants. A semi-structured tape-recorded interview was conducted with twenty mothers, most with children under the age of 5 years. Variables were: parental age and education; mother's ethnicity; number of live births and children's age; breast-feeding from birth through to weaning; availability and use of formula; and descriptions of colostrum v. other stages of breast milk. Participant interviews were conducted in Amharic and translated into English.SettingKossoye, a rural Amhara village with high prevalence rates of stunting: inappropriate neonatal feeding is thought to be a factor.SubjectsWomen (20–60 years of age) reporting at least one live birth (range: 1–8, mean: ∼4).ResultsColostrum (inger) and breast milk (yetut wotet) were seen as different substances. Colostrum was said to cause abdominal problems, but discarding a portion was sufficient to mitigate this effect. Almost all (nineteen of twenty) women breast-fed and twelve (63 %) reported ritual prelacteal feeding. A majority (fifteen of nineteen, 79 %) reported discarding colostrum and breast-feeding within 24 h of birth. Prelacteal feeding emerged as an additional factor to be targeted through educational intervention.ConclusionsTo maximize neonatal health and growth, we recommend culturally tailored education delivered by community health advocates and traditional health practitioners that promotes immediate colostrum feeding and discourages prelacteal feeding.

Author(s):  
Bina Melvia Girsang ◽  
Farida Linda Sari ◽  
Nur Afi Darti

Working mother factors, lack of knowledge about the benefits of breast milk, and the low support of assisting health workers are factors that influence the achievement of exclusive breast milk targets. The method of implementing community service activities was carried out with health counseling and assistance in the manufacture of milk bag milk milk cooler for 20 breastfeeding working mothers. Making cooler bags using cork as a material that is easily available and economical, is a breakthrough that can be made in helping to achieve exclusive breastfeeding programs. The purpose of this community service is to empower mothers through making cooler bags that are expected to improve the skills and confidence of working mothers in providing breast milk. The implementation of community service shows the results that mothers understand about the benefits of breast milk (80%), the statement of the attitude of mothers who are willing to milk breast milk in the workplace (80%), and all mothers are able to play a role in making cooler bags independently. Communities can learn independently (self learning) and can share experiences in preventing and tackling infant health, especially in fulfilling breast milk for infant growth and development


2015 ◽  
Vol 05 (03) ◽  
pp. 009-013
Author(s):  
Sabitha Nayak

Abstract Background: Under modern health care, human breast milk is considered the healthiest form of milk for babies. It also promotes the health of both mother and infant and helps to prevent disease.1 WHO states that, the vast majority of mothers can and should breast feed, just as the vast majority of infants can and should be breast fed.5 Purpose: The current study has aimed to determine the breastfeeding success among postnatal mothers. Methods: A descriptive survey approach was conducted on 50 postnatal mothers who were in the postnatal wards of a selected hospital. Observational checklist with 26 items were utilized to collect data. Results: Through descriptive analysis it was found that majority (44%) of mothers were in the age group of 20 – 25 years. Majority (68%) were Hindus. In type of delivery 84% had full term normal delivery. With regards to parity, 44% were multis. In relation to sex of the baby, 68% were females. The condition of the mother and the baby after delivery was good and normal in 100%. An observational checklist on breastfeeding success shows that the success rate on breastfeeding was high. There were 4 items such as getting ready to feed, Latching on, Feed itself and after feed and each item had 4 to 8 specific items on observational checklists on breastfeeding which indicates that in most of the mothers breastfeeding was a success. By inferential statistics it was found that type of delivery is associated with breast feeding (P < 0.05). Since all other p values are more than 0.05 there was no association between those selected demographic variables with breast feeding at 5% level of significance. Conclusion:Breast feeding is an age-old practice among most of the post-natal mothers to feed their young ones. In India, most of the mothers, practice giving breast milk to babies for about 1 to 2 years. Assistance by the health workers is not much sought as most of the bystanders assist the mothers in breast feeding. In the present study also, we have come across mothers successfully breastfeeding their babies and they are contented.


2018 ◽  
Vol 35 (3-4) ◽  
pp. 84-93
Author(s):  
Rulina Suradi ◽  
Dewi Anggraeni Wisnumurti

The purpose of this prospective cohort study was to evaluate the breastfeeding promotion program m Dr. C1pto Mangunkusumo general hospital which we started m 1991. The study was done from July 1992 until March 1993. During that time. We could follow 249 mother-infant pairs every month for 4 months. Results: 1. Babies who received only breast milk during hospital stay did not lose more weight if compared to babies who got some formula. 2. Not a single baby lost weight more ~10% during hospital stay· Prelacteal feeding delayed the adequacy of breastmilk; 4. Though prelacteal feeding once or twice by spoon did not interfere with full breast feeding at the age of 4 months, yet mothers whose babies were given prelacteal feeding started to give supplementary food earlier; 5. Family income places a role in the decision to give early food supplement.


NSC Nursing ◽  
2021 ◽  
pp. 28-45
Author(s):  
Yuli Suryanti ◽  
Damris Muhammad ◽  
M.Naswir M.Naswir ◽  
Guspianto Guspianto

Introduction: Breast milk is the best food for babies because it contains nutrients to support growth and development. The achievement rate of exclusive breastfeeding in ASIA countries has not yet reached the expected target. The coverage of exclusive breastfeeding in Jambi Province in 2018 was 59.36%. The success of exclusive breastfeeding is not only influenced by the mother's physical and mental readiness to breastfeed. Still, it is also influenced by support from health workers and the family. The study aimed to determine the effect of counseling using breastfeeding video on grandmothers' knowledge as breastfeeding support in Sembubuk Village, Muaro Jambi Regency. Methods: This type of pre-experimental research using the One Group Pretest-Posttest design, which saw 40 grandmothers of the Breast Milk Support Group members, was carried out from June 2020 to July 2021. Respondents answer the questionnaires to complete the data collection. The intervention carried out in this study was the provision of counseling using video media about breastfeeding. Data were analyzed through univariate and bivariate using the Wilcoxon test. Results: The results showed the p-value = 0.0001, which means that breastfeeding video affects grandmothers' knowledge in breastfeeding support groups in Sembubuk village, Muaro Jambi District. Conslusion: The results of this study are expected to increase public knowledge and insight regarding the importance of breastfeeding for infant health so that positive behavior is formed in breastfeeding, providing additional appropriate information to advance understanding of breastfeeding support groups about breastfeeding. Keywords: Exclusive breastfeeding, health education, Knowledge, Video-based


PEDIATRICS ◽  
1977 ◽  
Vol 60 (3) ◽  
pp. 307-307
Author(s):  

Very strict rules should be adopted for the advertising of children's foods. Publicity for breast milk substitutes should in no case be aimed directly at the public or at families. Publicity for ready-made baby foods should make it quite clear that they are not intended for children of less than three months. The distribution of free samples and other means of sales promotion should be prohibited for everything relating to food for the young child. These are some of the conclusions reached by members of a WHO Working Group who met in Algiers from 26 to 30 October 1976 in order to study the problems of nutrition in relation to public health. The meeting was organized by the WHO Regional Office for Europe and in attendance were experts from 10 countries in the Region and representatives from FAO and WHO. The necessity for better dietary education of the public and health workers and for emphasizing the value of breast-feeding was clearly stated, the themes to be stressed depending on the general socioeconomic status of the country or the area. For example, in industrialized countries where milk preparations for infants are easily available, stress should be laid primarily on the "immunological" advantages of breast milk and on the importance of infants being breastfed for at least six weeks. In developing countries the crucial nature of breast-feeding in the prevention of infections and malnutrition should be stressed.


2020 ◽  
Vol 40 (1) ◽  
pp. 7-13
Author(s):  
Srijana Basnet ◽  
Merina Shrestha ◽  
Tulashi Adhikari ◽  
Aarati Shakya

Introduction: Breastfeeding practices of women working at the hospital are likely to be modified by the facilities and support that they receive at the hospital. This study was done to evaluate the breast feeding practices and to analyse important factors that are associated with exclusive breast feeding till six months among women working at hospitals in Kathmandu, Nepal Methods: A total of 110 women, with a young child between the ages of six months and two years were recruited from two hospitals in Kathmandu. A predesigned structured, interviewer-administered questionnaire was used for data collection. Results: The mean age of the mothers was 29.85 ± 3.68 years. Ninety seven (88.2%) women were aware about initiation of breastfeeding within first hour of birth but only 64 (58.2%) women could practice it. Most women 100 (90.9%) were aware about exclusive breastfeeding but only 18 (16.3%) could practice exclusive breastfeeding till six months.  Mean duration of exclusive breastfeeding was 2.86 ± 2.00 months and 20 (18.2%) mothers practiced mixed feeding since birth. The participants whose babies had prelacteal feeding had significantly shorter duration of mean exclusive breast feed {1.92 ± 2.18 (S.D)} compared to those who did not have prelacteal feed {3.33 ± 1.74 (S.D)}  (p = 0.001). Those who delivered by normal vaginal delivery, initiated breastfeeding within first hour of delivery, expressed breast milk and got feeding breaks were associated with longer duration of mean exclusive breast feed. Conclusion: The breast feeding practices among working women at hospital is quite low compared to national statistics on IYCF. Breast milk expression and feeding breaks for lactating working women could improve feeding practices.


2021 ◽  
Vol 10 (1) ◽  
pp. 207
Author(s):  
Suci Rahmani Nurita

The infant morbidity rate is the second indicator in determining the child's health status because it is a reflection of the baby's weak immune system. This is influenced by nutritional factors, socio-economic factors and demographics. Breastfeeding is related to the fulfillment of infant nutrition. Almost all babies in Indonesia (96%) have received breast milk but the infant mortality and morbidity rate is still high. It was found that the duration of breastfeeding greatly affects the survival of the baby, which is related to the imbalance of nutrients the baby gets while breastfeeding. The imbalance between the foremilk and hindmilk can cause problems for the baby such as discomfort and pain. Babies can become fussy, the consistency of the stool becomes watery, green and foamy, spit up, bloating and even diarrhea in babies. This research is descriptive in nature. The objective of this research is to describe the balance of foremilk and hindmilk of breast milk in breastfeeding mothers. The population in this study were all mothers who exclusively breastfed who had babies aged 1-12 months in the working area of the Kenali Besar Community Health Center. Sampling using accidental sampling technique with a sample size of 35 people. Data collection was carried out in January-February 2020 at the Kenali Besar CommunityHealth Center of Jambi City by interview using a questionnaire. The research results were analyzed by univariate. The results showed more than half of the respondents had poor knowledge (65.7%), positive attitudes (51.4%), abnormal length of breastfeeding (68.6%), and proper breastfeeding position and attachment (80%). .As many as 65.7% of respondents have an imbalanced of foremilk and hindmilk of breast milk. It is hoped that the health center and health workers will improve health promotion programs through counseling and exposure to lactation management regarding the balance of foremilk and hindmilk breast milk. It is hoped that breastfeeding mothers can balance the foremilk and hindmilk of breast milk by paying attention to the length of breastfeeding as well as the position and attachment during breastfeeding


2001 ◽  
Vol 33 (1) ◽  
pp. 139-154 ◽  
Author(s):  
DARRYL J. HOLMAN ◽  
MICHAEL A. GRIMES

Human breast milk is primarily colostrum immediately following birth. Colostrum gradually changes to mature milk over the next several days. The role of colostrum in fighting infections and promoting growth and development of the newborn is widely acknowledged. This role is mediated by differences across cultures in the acceptability of colostrum and the prevalence of colostrum feeding. This study examined the prevalence of colostrum feeding and time to initiation of breast-feeding in 143 rural Bangladeshi women in Matlab thana. Structured interviews were collected during a 9-month prospective study conducted in 1993. Women were usually interviewed within 4 days of giving birth and were asked about whether or not they fed their child colostrum and the number of hours until they began breast-feeding the baby. Ninety per cent of the mothers reported feeding their newborn colostrum. A logistic regression found no effect on the prevalence of colostrum feeding from the following covariates: mother's age, parity, history of pregnancy loss, child's sex, mother's self-report of delivery complications, and the time from birth to interview. Fifty-nine per cent of mothers initiated breast-feeding within 4 h, and 88% within 12 h of parturition. Survival analysis was used to estimate the effects of covariates on the time from delivery to initial breast-feeding. Time to initial breast-feeding was delayed slightly, but significantly, for older mothers, for male infants, and by mothers who did not report delivery complications. The percentage of mothers who fed their child colostrum was higher, and times to initial breast-feeding were shorter, than almost all previous reports from South Asia. These findings might be explained, in part, by methodological differences among studies, but it is suggested that recent changes towards earlier initiation of breast-feeding have taken place in rural Bangladesh.


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