scholarly journals Is increasing urbanicity associated with changes in breastfeeding duration in rural India? An analysis of cross-sectional household data from the Andhra Pradesh children and parents study

BMJ Open ◽  
2017 ◽  
Vol 7 (9) ◽  
pp. e016331 ◽  
Author(s):  
Laura Oakley ◽  
Christopher P Baker ◽  
Srivalli Addanki ◽  
Vipin Gupta ◽  
Gagandeep Kaur Walia ◽  
...  
Keyword(s):  
Exclusive Breastfeeding ◽  
Andhra Pradesh ◽  
Maternal Education ◽  
Early Stage ◽  
Breastfeeding Duration ◽  
Similar Proportion ◽  
Breastfeeding Initiation ◽  
Cross Sectional ◽  
Breastfeeding Practices ◽  
Children And Parents

ObjectiveTo investigate whether village-level urbanicity and lower level socioeconomic factors are associated with breastfeeding practices in transitioning rural communities in India.Setting29 villages in Ranga Reddy district, southern India between 2011 and 2014.Participants7848 children under 6 years identified via a cross-sectional household survey conducted as part of the Andhra Pradesh Children and Parents Study.Outcome measuresTwo key indicators of optimal breastfeeding: termination of exclusive breastfeeding before 6 months and discontinuation of breastfeeding by 24 months. Village urbanicity was classified as low, medium or high according to satellite assessed night-light intensity.ResultsBreastfeeding initiation was almost universal, and approximately two in three children were exclusively breastfed to 6 months and a similar proportion breastfed to 24 months. Using multilevel logistic regression, increasing urbanicity was associated with breastfeeding discontinuation before 24 months (medium urbanicity OR 1.45, 95% CI 0.71 to 2.96; high urbanicity OR 2.96, 95% CI 1.45 to 6.05) but not with early (<6 months) termination of exclusive breastfeeding. Increased maternal education was independently associated with both measures of suboptimal breastfeeding, and higher household socioeconomic position was associated with early termination of exclusive breastfeeding.ConclusionIn this transitional Indian rural community, early stage urbanicity was associated with a shorter duration of breastfeeding. Closer surveillance of changes in breastfeeding practices alongside appropriate intervention strategies are recommended for emerging economies.

scholarly journals Is night-time light intensity associated with cardiovascular disease risk factors among adults in early-stage urbanisation in South India? A cross-sectional study of the Andhra Pradesh Children and Parents Study

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e036213
Author(s):  
Tina Bonde Sorensen ◽  
Robin Wilson ◽  
John Gregson ◽  
Bhavani Shankar ◽  
Alan D Dangour ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cardiovascular Disease ◽  
Andhra Pradesh ◽  
South India ◽  
Early Stage ◽  
Cvd Risk Factors ◽  
Cvd Risk ◽  
Night Time ◽  
Cross Sectional ◽  
Children And Parents

ObjectivesTo explore associations of night-time light intensity (NTLI), a novel proxy for continuous urbanisation levels, with mean systolic blood pressure (SBP), body mass index (BMI), fasting serum low-density lipoprotein (LDL) and fasting plasma glucose (FPG), among adults in early-stage urbanisation in Telangana, South India.DesignCross-sectional analysis of the third wave of the Andhra Pradesh Children and Parents Study cohort.Setting28 villages representing a continuum of urbanisation levels, ranging from rural settlement to medium-sized town in Telangana, South India.ParticipantsData were available from 6944 participants, 6236 of whom were eligible after excluding pregnant women, participants younger than 18 years of age and participants missing data for age. Participants were excluded if they did not provide fasting blood samples, had implausible or missing outcome values, were medicated for hypertension or diabetes or had triglyceride levels invalidating derived LDL. The analysis included 5924 participants for BMI, 5752 participants for SBP, 5287 participants for LDL and 5328 participants for FPG.ResultsIncreasing NTLI was positively associated with mean BMI, SBP and LDL but not FPG. Adjusted mean differences across the range of village-level NTLI were 1.0 kg/m2 (95% CI 0.01 to 1.9) for BMI; 4.2 mm Hg (95% CI 1.0 to 7.4) for SBP; 0.3 mmol/L (95% CI −0.01 to 0.7) for LDL; and −0.01 mmol/L (95% CI −0.4 to 0.4) for FPG. Associations of NTLI with BMI and SBP were stronger in older age groups.ConclusionThe association of NTLI with cardiovascular disease (CVD) risk factors identify NTLI as a potentially important tool for exploring urbanisation-related health. Consistent associations of moderate increases in urbanisation levels with important CVD risk factors warrant prevention strategies to curb expected large public health impacts from continued and rapid urbanisation in India.

Influences of Cesarean Delivery on Breastfeeding Practices and Duration: A Prospective Cohort Study

2018 ◽  
Vol 34 (3) ◽  
pp. 526-534 ◽  
Author(s):  
Cheng Chen ◽  
Yan Yan ◽  
Xiao Gao ◽  
Shiting Xiang ◽  
Qiong He ◽  
...  
Keyword(s):  
Cohort Study ◽  
Regression Model ◽  
Cesarean Delivery ◽  
Vaginal Delivery ◽  
Prospective Cohort Study ◽  
Exclusive Breastfeeding ◽  
Prospective Cohort ◽  
Breastfeeding Duration ◽  
Breastfeeding Initiation ◽  
Breastfeeding Practices

Background: Mothers are encouraged to exclusively breastfeed for the first 6 months. However, cesarean delivery rates have increased worldwide, which may affect breastfeeding. Research aim: This study aimed to determine the potential effects of cesarean delivery on breastfeeding practices and breastfeeding duration. Methods: This was a 6-month cohort study extracted from a 24-month prospective cohort study of mother–infant pairs in three communities in Hunan, China. Data about participants’ characteristics, delivery methods, breastfeeding initiation, use of formula in the hospital, exclusive breastfeeding, and any breastfeeding were collected at 1, 3, and 6 months following each infant’s birth. The chi-square test, logistic regression model, and Cox proportional hazard regression model were used to examine the relationship between breastfeeding practices and cesarean delivery. Results: The number of women who had a cesarean delivery was 387 (40.6%), and 567 (59.4%) women had a vaginal delivery. The exclusive breastfeeding rates at 1, 3, and 6 months were 80.2%, 67.4%, and 21.5%, respectively. Women who had a cesarean delivery showed a lower rate of exclusive breastfeeding and any breastfeeding than those who had a vaginal delivery ( p < .05). In addition, cesarean delivery was related with using formula in the hospital and delayed breastfeeding initiation. Cesarean delivery also shortened the breastfeeding duration (hazard ratio = 1.40, 95% confidence interval [1.06, 1.84]). Conclusion: Healthcare professionals should provide more breastfeeding skills to women who have a cesarean delivery and warn mothers about the dangers of elective cesarean section for breastfeeding practices.

scholarly journals Are we doing enough? Improved breastfeeding practices at 14weeks but challenges of non-initiation and early cessation of breastfeeding remain: findings of two consecutive cross-sectional surveys in KwaZulu-Natal, South Africa

2020 ◽  
Author(s):  
Christiane Horwood ◽  
Lyn Haskins ◽  
Ingunn Marie Engebretsen ◽  
Catherine Connolly ◽  
Anna Coutsoudis ◽  
...  
Keyword(s):  
Exclusive Breastfeeding ◽  
Hiv Positive ◽  
Breastfeeding Initiation ◽  
Structured Interviews ◽  
Breastfeeding Support ◽  
Cross Sectional ◽  
Breastfeeding Practices ◽  
Hiv Positive Mothers ◽  
Kwazulu Natal ◽  
Before And After

Abstract Background KwaZulu-Natal (KZN) Initiative for breastfeeding support (KIBS) was a multipronged intervention to support breastfeeding initiation and sustained breastfeeding implemented between 2014 and 2017. We present results of two surveys conducted before and after KIBS implementation to assess changes in feeding practices in KZN over this time period. Methods Two cross-sectional surveys were conducted in primary health care clinics. Multistage stratified random sampling was used to select clinics and participants. Sample size was calculated to provide district estimates of 14-week exclusive breastfeeding (EBF) rates at baseline (KIBS1), and provincial estimates at endpoint (KIBS2). At KIBS1 the sample required was nine participating clinics in each of 11 districts (99 clinics) with 369 participants per district (N=4059), and at KIBS2 was 30 clinics in KZN with 30 participants per clinic (N=900). All caregivers aged ≥ 15 years attending the clinic with infants aged 13- <16 weeks were eligible to participate. Data was collected using structured interviews on android devices. Multi-variable logistic regression was used to adjust odds ratios for differences between time points. Results At KIBS1 (May2014- March2015), 4172 interviews were conducted with carers, of whom 3659 (87.6%) were mothers. At KIBS2 (January-August 2017), 929 interviews were conducted which included 788 (84.8%) mothers. Among all carers the proportion of EBF was 44.6% and 50.5% (p= 0.1) at KIBS1 and KIBS2 respectively, but greater improvements in EBF were shown among mothers (49.9 vs 59.1: p=0.02). There were reductions in mixed feeding among all infants (23.2% vs 16.3%; p=0.016). Although there was no change in the proportion of carers reporting not breastfeeding (31.9% vs 32.8%; p= 0.2), the duration of breastfeeding among mothers who had stopped breastfeeding was longer at KIBS2 compared to KIBS1 (p=0.0015). Mothers who had returned to work or school were less likely to be breastfeeding (AOR 3.76; 95% CI 3.1-4.6), this was similar among HIV positive mothers (AOR 2.1; 95% CI 1.7-2.6). Conclusion Despite improvements to exclusive breastfeeding, failure to initiate and sustain breastfeeding is a challenge to achieving optimal breastfeeding practices. Interventions are required to address these challenges and support breastfeeding particularly among working mothers and HIV positive mothers.

scholarly journals Intimate partner violence and breastfeeding: a systematic review

BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e034153
Author(s):  
Anne Katrine Normann ◽  
Aleksandra Bakiewicz ◽  
Frederikke Kjerulff Madsen ◽  
Khalid Saeed Khan ◽  
Vibeke Rasch ◽  
...  
Keyword(s):  
Systematic Review ◽  
Intimate Partner Violence ◽  
Exclusive Breastfeeding ◽  
Partner Violence ◽  
Meta Analysis ◽  
Intimate Partner ◽  
Breastfeeding Duration ◽  
Breastfeeding Initiation ◽  
Cross Sectional ◽  
Library Studies

ObjectiveThe association between intimate partner violence (IPV) and breastfeeding is unclear. We conducted a systematic review to summarise the evidence of breastfeeding outcomes following exposure to IPV.DesignSystematic review.MethodsWe searched for published studies without study design or language restrictions (up to July 2019) in the following databases: PubMed, Embase, SCOPUS and The Global Health Library. Studies assessing various breastfeeding outcomes (initiation, duration and exclusive breastfeeding) in women exposed to IPV in any form (physical, psychological or sexual) and at any stage (1 year pre-pregnancy, during or post-pregnancy) were included. Two authors independently selected the studies and conducted the quality appraisal by use of the Newcastle–Ottawa Scale. Results were summarised taking precision and quality into account.ResultsA total of 16 studies (participants n=414 393) were included and they adjusted for a total of 48 different confounders. The majority of studies were cross-sectional (n=11) and most studies were judged to be fair/low quality. Four out of seven studies found that IPV exposure shortened breastfeeding duration (adjusted ORs/aORs=0.22 (95% CI: 0.05–0.85), 1.18 (95% CI: 1.01–1.37), 5.92 (95% CI: 1.72–27.98), 1.28 (95% CI: 1.18–1.39)). Further, 5/10 studies found that IPV led to early termination of exclusive breastfeeding (aORs=1.53 (95% CI: 1.01–23.1), 0.83 (95% CI: 0.71–0.96), 1.35 (95% CI: 1.07–1.71), 0.17 (95% CI: 0.07–0.4), 1839 (95% CI: 1.61–2911)) and 2/6 studies found that IPV significantly reduced breastfeeding initiation (aORs=2.00 (95% CI: 1.2–3.3), 0.81 (95% CI: 0.7–0.93)).ConclusionIPV exposure appears to associate negatively with some breastfeeding outcomes. Individual patient data meta-analysis is required to quantify the magnitude of the association for specific IPV-outcome combinations. More high-quality studies and definition of core confounders are warranted.PROSPERO registration numberCRD42019129353.

scholarly journals Hubungan Antara Pengetahuan Ibu dan IMD Dengan Praktik ASI Eksklusif

2017 ◽  
Vol 1 (4) ◽  
pp. 406
Author(s):  
Zuhud Nur Rosyid ◽  
Sri Sumarmi
Keyword(s):  
Breast Milk ◽  
Exclusive Breastfeeding ◽  
Random Sampling ◽  
Feeding Practice ◽  
Breastfeeding Initiation ◽  
Chi Square ◽  
Cross Sectional ◽  
Breastfeeding Practices ◽  
Cross Sectional Design ◽  
The Relationship

Background: Breast milk is the most appropriate food given to babies. Breast milk is the only drink or food that a baby needs at the age of 0-6 months first. Breast milk helps growth and development, contains anti-body and other essential nutrients that can protect babies from various diseases. In 2013, the exclusive breast milk presentation at Puskesmas Ayah I is 87.65%, decreasing in 2014 and 2015 become 78.26% and 71.65%. Many factors can influence the behavior of exclusive breastfeeding. Objectives: The purpose of this research was to analyze the relationship between mother knowledge and early breastfeeding initiation practice with exclusive breastfeeding prectices in the working area of Puskesmas Ayah I Kebumen Ditrict.Methods: The type of this research was quantitative using cross sectional design. This study was conducted from June-August of 2017. The population used was all mothers who were breastfeeding and had infants aged 6-11 months in three villages in the working area of Puskesmas Ayah I namely Tlagasari, Ayah and Bulurejo villages. Sampling by proportional random sampling method with sample size were 61 respondents. Data was analised by chi-square test.Results: The result showed that there was a relationship between mothers’s knowledge and exclusive breastfeding practice (p=0.000), and early breastfeeding initiation practice with Exclusive Breast-feeding practice (p=0.025)Conclusion: The mother's knowledge level on exclusive breastfeeding affects the success of exclusive breastfeeding practices. The existence of early initiation of breastfeeding practices by the mother, a greater chance in giving exclusive breastfeeding in infants.ABSTRAK Latar belakang : Air Susu Ibu (ASI) merupakan makanan yang paling tepat diberikan pada bayi. Air susu ibu satu-satunya minuman atau makanan yang diperlukan bayi pada usia 0-6 bulan pertama. ASI membantu pertumbuhan dan perkembangan, mengandung anti bodi dan zat gizi penting lainnya yang mampu melindungi bayi dari berbagai penyakit. Pada tahun 2013, cakupan ASI eksklusif di Puskesmas Ayah I sebesar 87, 65%, terjadi penurunan pada tahun 2014 dan tahun 2015 menjadi 78,26% dan 71,65%. Terdapat beberapa faktor yang berhubungan dengan perilaku pemberian ASI secara Eksklusif.Tujuan: Tujuan dari penelitian ini yaitu menganalisis hubungan antara pengetahuan ibu dan IMD dengan pemberian ASI secara eksklusif pada wilayah kerja Puskesmas Ayah I Kebumen.Metode : penelitian ini bersifat kuantitatif dengan desain cross sectional. Penelitian dilakukan bulan Juni sampai Agutus tahun 2017. Populasi dalam penelitian ini yaitu seluruh ibu yang pernah atau sedang menyusui dan memiliki bayi usia 6-11 bulan di desa Tlagasari, Ayah, dan Bulurejo Puskesmas Ayah I. Sampel diambil melalui metode proportional random sampling dan diperoleh sampel sebesar 61 responden. Analisis data menggunakan uji chi-square.Hasil : Bahwa ada hubungan yang bermakna antara pengetahuan ibu dengan pemberian ASI secara eksklusif (p=0,000), dan IMD dengan pemberian ASI secara eksklusif (p=0,025).Kesimpulan : Tingkat pengetahuan ibu mengenai ASI eksklusif berpengaruh terhadap keberhasilan praktik pemberian ASI eksklusif. Adanya praktik IMD oleh ibu, berpeluang lebih besar dalam memberikan ASI eksklusif pada bayi. 

scholarly journals Are we doing enough? Improved breastfeeding practices at 14weeks but challenges of non-initiation and early cessation of breastfeeding remain: findings of two consecutive cross-sectional surveys in KwaZulu-Natal, South Africa

2020 ◽  
Author(s):  
Christiane Horwood ◽  
Lyn Haskins ◽  
Ingunn Marie Engebretsen ◽  
Catherine Connolly ◽  
Anna Coutsoudis ◽  
...  
Keyword(s):  
Exclusive Breastfeeding ◽  
Hiv Positive ◽  
Breastfeeding Initiation ◽  
Structured Interviews ◽  
Breastfeeding Support ◽  
Cross Sectional ◽  
Breastfeeding Practices ◽  
Hiv Positive Mothers ◽  
Kwazulu Natal ◽  
Before And After

Abstract Background KwaZulu-Natal (KZN) Initiative for breastfeeding support (KIBS) was a multipronged intervention to support breastfeeding initiation and sustained breastfeeding implemented between 2014 and 2017. We present results of two surveys conducted before and after KIBS implementation to assess changes in feeding practices in KZN over this time period. Methods Two cross-sectional surveys were conducted in primary health care clinics. Multistage stratified random sampling was used to select clinics and participants. Sample size was calculated to provide district estimates of 14-week exclusive breastfeeding (EBF) rates at baseline (KIBS1), and provincial estimates at endpoint (KIBS2). At KIBS1 the sample required was nine participating clinics in each of 11 districts (99 clinics) with 369 participants per district (N=4059), and at KIBS2 was 30 clinics in KZN with 30 participants per clinic (N=900). All caregivers aged ≥ 15 years attending the clinic with infants aged 13- <16 weeks were eligible to participate. Data was collected using structured interviews on android devices. Multi-variable logistic regression was used to adjust odds ratios for differences between time points. Results At KIBS1 (May2014- March2015), 4172 interviews were conducted with carers, of whom 3659 (87.6%) were mothers. At KIBS2 (January-August 2017), 929 interviews were conducted which included 788 (84.8%) mothers. Among all carers the proportion of EBF was 44.6% and 50.5% (p= 0.1) at KIBS1 and KIBS2 respectively, but greater improvements in EBF were shown among mothers (49.9 vs 59.1: p=0.02). There were reductions in mixed feeding among all infants (23.2% vs 16.3%; p=0.016). Although there was no change in the proportion of carers reporting not breastfeeding (31.9% vs 32.8%; p= 0.2), the duration of breastfeeding among mothers who had stopped breastfeeding was longer at KIBS2 compared to KIBS1 (p=0.0015). Mothers who had returned to work or school were less likely to be breastfeeding (AOR 3.76; 95% CI 3.1-4.6), this was similar among HIV positive mothers (AOR 2.1; 95% CI 1.7-2.6). Conclusion Despite improvements to exclusive breastfeeding, failure to initiate and sustain breastfeeding is a challenge to achieving optimal breastfeeding practices. Interventions are required to address these challenges and support breastfeeding particularly among working mothers and HIV positive mothers.

scholarly journals Sociodemographic Determinants Affecting Exclusive Breastfeeding Practices

2020 ◽  
Vol 7 (12) ◽  
pp. 5179-5184
Author(s):  
Anwaya Magare ◽  
Sangita Adchitre ◽  
Vijaykumar Jadhav ◽  
Swati Mahajan
Keyword(s):  
Exclusive Breastfeeding ◽  
Maternal Education ◽  
Child Survival ◽  
Well Being ◽  
Sociodemographic Factors ◽  
Cross Sectional ◽  
Breastfeeding Practices ◽  
Sociodemographic Determinants ◽  
Major Factors ◽  
Structured Questionnaire

Introduction: Breastfeeding is very critical for the physiology, growth, and overall well-being of neonates and women. Exclusive breastfeeding and continued breastfeeding with complementary feeding are major factors in child survival, growth, and development. Breast-feeding in India is universal and, a lot of the customs and practices have their effect on it like familial change, societal and cultural differences, absence of elders informing the tradition of breastfeeding. Breastfeeding is having so many advantages for mother and infant, but still, the standard recommended practices are not followed. Hence, the researcher felt the need to assess the various sociodemographic factors determining current breastfeeding practices. Methods: A cross-sectional descriptive study was carried out amongst all the mother-child pairs attending immunization sessions from 1st October 2014 to 31st September 2015. The structured questionnaire was used to record the data. Collected data was used to assess the sociodemographic factors determining the current breastfeeding practices. Results: In the present study majority 163(50.2%) mothers practiced exclusive breastfeeding for 6 months. It was found that association between practice of exclusive breastfeeding and mothers education (χ2- 20.50, p-0.00), occupation (χ2- 10.48, p-0.01), religion (χ2-8.907, p-0.03), type of family (χ2-120.84, p-0.00) and socioeconomic status (χ2-35.62, p-9e-8) was statistically significant with. Conclusion: It was concluded that lack of adequate information, maternal education level, socioeconomic factors, etc. influence the early breastfeeding practices. Key words: Exclusive Breastfeeding, sociodemographic, mother’s education, mother’s occupation  

Trends in Breastfeeding Practices and Mothers’ Experience in the French Nutrinet-Santé Cohort.

2020 ◽  
Author(s):  
Frederic Courtois ◽  
Sandrine Péneau ◽  
Benoît Salavane ◽  
Valentina A Andreeva ◽  
Marie-Françoise Roland-Cachera ◽  
...  
Keyword(s):  
20Th Century ◽  
Exclusive Breastfeeding ◽  
Health Benefits ◽  
Breastfeeding Duration ◽  
Breastfeeding Initiation ◽  
Breastfeeding Support ◽  
The Past ◽  
Breastfeeding Practices ◽  
The World ◽  
Breastfeeding Cessation

Abstract BackgroundDespite the suggested health benefits of breastfeeding for infants and mothers,France has one of the lowest rates regarding breastfeeding initiation and duration in the world. Fewstudies have been performed concerning the extent of breastfeeding practices in France since themiddle of the 20th century, or regarding the mothers’ practices from initiation to cessation. Thepurpose of our study is to determine trends in breastfeeding over the past decades and to examinemothers’ perceptions about factors known to have an impact on breastfeeding support and cessation.Methods29,953 parous women from the French NutriNet-Santé cohort were included in theprsent study. Using web-questionnaires, they were asked retrospectively if they breastfed or nottheir youngest child, and if so, the duration of the exclusive and total breastfeeding. For those whohad breastfed, we investigated their perceptions about support at initiation and during the entirebreastfeeding period and the reasons for breastfeeding cessation. We also asked those who did notbreastfeed about their perceptions on non-breastfeeding their youngest child and the reasons forchoosing to bottle-fed him or her. Analyses were weighted according to the French census data.Results67.3% of mothers in the NutriNet-Santé cohort breastfed their youngest child. Theproportion of breastfed children increased tover the past few decades, from 55.0% (95%CI: 54.3 –55.6) in the 1970s to 82.9% (82.4 – 83.4) in the 2010s. Mean total breastfeeding duration was 4.7months (4.5 – 5.0) while exclusive breastfeeding duration was 2.8 months (2.7 – 2.9). Mothers feltsupported at initiation and over the breastfeeding period. 59.5% of mothers reported a desire to havebreastfed more than 2 months longer. Mothers who did not breastfeed did it by choice (64.3%).They did not feel guilty (78.2%) and did not perceive a problem not to breastfeed (58.8%), butalmost half of them would have liked to breastfeed (45.9%).ConclusionBreastfeeding duration has increased in the past decades but did not reach the publichealth recommendations threshold. Other targets than mothers have to be considered, like the fatherand her environment, to increase breastfeeding practices.Trial RegistrationThe study was registered at ClinicalTrials.gov (NCT03335644).

scholarly journals Hubungan Antara Pengetahuan Ibu dan IMD Dengan Praktik ASI Eksklusif

2017 ◽  
Vol 1 (4) ◽  
pp. 406
Author(s):  
Zuhud Nur Rosyid ◽  
Sri Sumarmi
Keyword(s):  
Breast Milk ◽  
Exclusive Breastfeeding ◽  
Random Sampling ◽  
Feeding Practice ◽  
Breastfeeding Initiation ◽  
Chi Square ◽  
Cross Sectional ◽  
Breastfeeding Practices ◽  
Cross Sectional Design ◽  
The Relationship

Background: Breast milk is the most appropriate food given to babies. Breast milk is the only drink or food that a baby needs at the age of 0-6 months first. Breast milk helps growth and development, contains anti-body and other essential nutrients that can protect babies from various diseases. In 2013, the exclusive breast milk presentation at Puskesmas Ayah I is 87.65%, decreasing in 2014 and 2015 become 78.26% and 71.65%. Many factors can influence the behavior of exclusive breastfeeding. Objectives: The purpose of this research was to analyze the relationship between mother knowledge and early breastfeeding initiation practice with exclusive breastfeeding prectices in the working area of Puskesmas Ayah I Kebumen Ditrict.Methods: The type of this research was quantitative using cross sectional design. This study was conducted from June-August of 2017. The population used was all mothers who were breastfeeding and had infants aged 6-11 months in three villages in the working area of Puskesmas Ayah I namely Tlagasari, Ayah and Bulurejo villages. Sampling by proportional random sampling method with sample size were 61 respondents. Data was analised by chi-square test.Results: The result showed that there was a relationship between mothers’s knowledge and exclusive breastfeding practice (p=0.000), and early breastfeeding initiation practice with Exclusive Breast-feeding practice (p=0.025)Conclusion: The mother's knowledge level on exclusive breastfeeding affects the success of exclusive breastfeeding practices. The existence of early initiation of breastfeeding practices by the mother, a greater chance in giving exclusive breastfeeding in infants.ABSTRAK Latar belakang : Air Susu Ibu (ASI) merupakan makanan yang paling tepat diberikan pada bayi. Air susu ibu satu-satunya minuman atau makanan yang diperlukan bayi pada usia 0-6 bulan pertama. ASI membantu pertumbuhan dan perkembangan, mengandung anti bodi dan zat gizi penting lainnya yang mampu melindungi bayi dari berbagai penyakit. Pada tahun 2013, cakupan ASI eksklusif di Puskesmas Ayah I sebesar 87, 65%, terjadi penurunan pada tahun 2014 dan tahun 2015 menjadi 78,26% dan 71,65%. Terdapat beberapa faktor yang berhubungan dengan perilaku pemberian ASI secara Eksklusif.Tujuan: Tujuan dari penelitian ini yaitu menganalisis hubungan antara pengetahuan ibu dan IMD dengan pemberian ASI secara eksklusif pada wilayah kerja Puskesmas Ayah I Kebumen.Metode : penelitian ini bersifat kuantitatif dengan desain cross sectional. Penelitian dilakukan bulan Juni sampai Agutus tahun 2017. Populasi dalam penelitian ini yaitu seluruh ibu yang pernah atau sedang menyusui dan memiliki bayi usia 6-11 bulan di desa Tlagasari, Ayah, dan Bulurejo Puskesmas Ayah I. Sampel diambil melalui metode proportional random sampling dan diperoleh sampel sebesar 61 responden. Analisis data menggunakan uji chi-square.Hasil : Bahwa ada hubungan yang bermakna antara pengetahuan ibu dengan pemberian ASI secara eksklusif (p=0,000), dan IMD dengan pemberian ASI secara eksklusif (p=0,025).Kesimpulan : Tingkat pengetahuan ibu mengenai ASI eksklusif berpengaruh terhadap keberhasilan praktik pemberian ASI eksklusif. Adanya praktik IMD oleh ibu, berpeluang lebih besar dalam memberikan ASI eksklusif pada bayi. 

Breastfeeding practices among mothers of infants in Peringara Panchayat in Pathanamthitta District

2018 ◽  
Vol 3 (01) ◽  
Author(s):  
Aswathy S. ◽  
Lakshmi M. K.
Keyword(s):  
Exclusive Breastfeeding ◽  
Cross Sectional Study ◽  
Community Based ◽  
Chi Square ◽  
Cross Sectional ◽  
Breastfeeding Practices ◽  
Chi Square Test ◽  
Type Of Delivery ◽  
Initiation Of Breastfeeding

The study was aimed to assess the breastfeeding practices among mothers of infants in Peringara Gramapanchayat in Kerala. Study was a community based cross-sectional study among mothers of infants in Peringara gramapanchayat using a pretested questionnaire. 142 breastfeeding mothers of infants in Peringara gramapanchayat were studied and mothers who were not present at home during the study were excluded from the study. Study period consisted of 18 days between December 2015 and January 2016. Study variables includes type of delivery, initiation of breastfeeding, breastfeeding practices and role of ASHAs in promoting good breastfeeding practices. Statistical analysis was done using Pearson’s Chi-square test and T test. The study found that exclusive breastfeeding has been done by 68.3% of mothers. There is no practice of giving pre-lacteal feed, 95.8% of mothers have given colostrum to the new born. Statistically significant association was found between the type of delivery and time of initiation of breastfeeding (p less than 0.05). Time of initiation of breastfeeding was prolonged in case of Caesarean section. 49.3% of mothers have breastfed the baby within one hour. 55.6% of mothers were informed about importance of breastfeeding by ASHAs and only 20.4% of mothers were informed about period of exclusive breastfeeding and period of complimentary feeding by ASHAs.

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