scholarly journals Breastfeeding rates are high in a prenatal community support program targeting vulnerable women and offering enhanced postnatal lactation support: a prospective cohort study

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Jane Francis ◽  
Alison Mildon ◽  
Stacia Stewart ◽  
Bronwyn Underhill ◽  
Samantha Ismail ◽  
...  

Abstract Background In Canada, 91% of all mothers initiate breastfeeding, but 40–50% stop by 6 months and only 34% breastfeed exclusively for 6 months, with lower rates among socially and/or economically vulnerable women. The Canada Prenatal Nutrition Program (CPNP) aims to support breastfeeding among vulnerable women, but there is no formal framework or funding for sites to integrate proactive postnatal breastfeeding support. This research aimed to i) describe infant feeding practices among clients of one Toronto CPNP site using charitable funds to offer a lactation support program (in-home lactation consultant visits, breast pumps); ii) determine whether breastfeeding outcomes at 6 months differ based on maternal sociodemographics and food insecurity; and iii) assess utilization of the lactation support program. Methods Infant feeding practices were collected prospectively at 2 weeks, 2, 4 and 6 months postpartum via telephone questionnaires (n = 199). Maternal sociodemographics were collected at 2 weeks and food insecurity data at 6 months postpartum. Program monitoring records were used to determine utilization of the lactation support program. Results Ninety-one percent of participants were born outside of Canada; 55% had incomes below the Low-Income Cut-Off; and 55% reported food insecurity. All participants initiated breastfeeding, 84% continued for 6 months and 16% exclusively breastfed for 6 months. Among breastfed infants, ≥76% received vitamin D supplementation. Approximately 50% of infants were introduced to solids before 6 months. Only high school education or less and food insecurity were associated with lower breastfeeding rates. Overall, 75% of participants received at least one visit with a lactation consultant and 95% of these received a breast pump. Conclusions This study provides initial evidence that postnatal lactation support can be delivered within a CPNP site, with high uptake by clients. While all participants initiated breastfeeding and 84% continued for 6 months, adherence to the recommended 6 months of exclusive breastfeeding was low. Further research is needed to better understand the barriers to exclusive breastfeeding and how to support this practice among vulnerable women. Study registered at clinicaltrials.gov as NCT03400605.

2016 ◽  
Vol 56 (1) ◽  
pp. 24 ◽  
Author(s):  
Yovita Ananta ◽  
Ellen Gandaputra ◽  
Elina Waiman ◽  
I Gusti Ayu Nyoman Partiwi ◽  
Nanis Sacharina Marzuki ◽  
...  

Background Breast milk is the ideal food for infants. According to the 2007 Indonesian National Household Health Survey, only 23% of mothers exclusively breastfeed for six months.Objectives To determine the rate of exclusive breastfeeding in Indonesia, to evaluate factors associated with infant feeding practices, and to compare the nutritional and developmental status between exclusively-breastfed and formula-fed infants.Methods A survey was conducted in hospitals located in 17 provinces in Indonesia. The rate of exclusive breastfeeding was calculated. Many variables were investigated as potential predictors for exclusive breastfeeding using a multivariable logistic regression analysis. Further analysis was performed to compare the nutritional and developmental status between exclusively breastfed and formula-fed infants at the time of survey.Results From 1,804 infant subjects, the overall rate of exclusive breastfeeding was 46.3%, ranging from 10.5% in East Java to 66.9% in Jambi. Predominant breastfeeding, complementary feeding, and formula feeding rates were 14.3%, 8.6%, and 30.7%, respectively. Maternal unemployment was associated with a longer duration of breastfeeding (P=0.000). There were significantly more formula-fed infants who were undernourished compared to exclusively-breastfed infants (14% vs. 8%, P=0.001). There were also significantly more infants in the formula-fed group who had abnormal head circumference compared to those in the exclusively-breastfed group (9% vs. 6%, P=0.031). Child development, as assessed by the Pre-screening Developmental Questionnaire, was similar between the two groups (P=0.996).Conclusion The overall rate of exclusive breastfeeding in Indonesia is 46.3%. Maternal unemployment is associated with longer duration of breastfeeding. Exclusive breastfed infants have significant better growth and head circumference compared to formula fed infants, while the development is similar between the two groups.


2014 ◽  
Vol 9 (1) ◽  
Author(s):  
Ingunn Marie S Engebretsen ◽  
Victoria Nankabirwa ◽  
Tanya Doherty ◽  
Abdoulaye Hama Diallo ◽  
Jolly Nankunda ◽  
...  

2021 ◽  
Vol 16 (3) ◽  
Author(s):  
Wenny Artanty Nisman ◽  
Dea Aryas ◽  
Evi Ratnasari ◽  
Melinda Widya ◽  
Nevira Yonanta ◽  
...  

<p>The coverage rate of exclusive breastfeeding in Indonesia is still low despite its ability to affect a baby's health status and ability to survive. In 2017, only 35.73% of babies in Indonesia received exclusive breastfeeding for up to 6 months. This study aims to determine infant feeding practices and identify the factors that influence the practice of exclusive breastfeeding in Yogyakarta. This is a descriptive analysis study with a cross-sectional approach. The instruments that have been used in this study were the demographic data questionnaire, the Iowa Infant Feeding Attitude Scale (IIFAS) questionnaire, and the Breastfeeding Self Efficacy Scale-Short Form (BSES-SF) questionnaire. A total of 421 mothers were involved in this study and the research was conducted between June 2019 to April 2020 in Sleman Regency, Yogyakarta, Indonesia. Correlation data analysis was performed using chi-square and point biserial correlation and the multivariate analysis used logistic regression. Infant feeding practice was high with 82.4% of infants receiving exclusive breastfeeding. It was found that employment status, knowledge, mothers’ attitudes, and self-efficacy about breastfeeding have significant correlations with exclusive breastfeeding. Employment status, knowledge, mothers’ attitudes, and self-efficacy about breastfeeding are factors that can encourage exclusive breastfeeding. <strong></strong></p>


Author(s):  
Oluchukwu Loveth Obiora ◽  
Pauline O. Ezenduka ◽  
Chuka Ifeanyi Umeonwuka

Background: Infant feeding is an integral part of the reproductive process with important implications for the health of mothers and their babies. However, various practices exist in different communities. It is therefore pertinent to know the infant feeding practices among rural dwellers, as well as the factors that influence them.Methods: This study was a cross sectional survey. A total of 372 volunteering parturient women were recruited using a multi-stage stratified sampling technique. Ethical approval and respondents’ informed consent was obtained. A self-developed and validated questionnaire was used to collect data. Descriptive and inferential statistics was used to analyse data.Results: Findings revealed that majority (84.4%) of the respondents were aware of exclusive breastfeeding (EBF), but only about half (50.5%) ever practiced exclusive breastfeeding. Also, a significant percentage of the respondents introduced complimentary feeding to the baby immediately after birth while 29.3% of participants reported drinking palm wine which is mainly alcoholic to stimulate breast milk secretion. Occupation of parturient women was associated with the practice of EBF (p=0.002).Conclusions: Almost half of our studied parturient women do not engage in EBF. There is need for health care workers to strategically educate parturient women and their significant others on the numerous benefits of exclusive breast feeding.


2016 ◽  
Vol 56 (1) ◽  
pp. 24-31
Author(s):  
Yovita Ananta ◽  
Ellen Gandaputra ◽  
Elina Waiman ◽  
I Gusti Ayu Nyoman Partiwi ◽  
Nanis S. Marzuki ◽  
...  

2020 ◽  
Vol 4 (Supplement_2) ◽  
pp. 965-965
Author(s):  
Alina Dallmeier ◽  
Constance Gewa

Abstract Objectives The purpose of this study was to determine if nutritional knowledge is associated with recommended infant feeding practices among mothers in the Lubombo region of eSwatini. Methods In April 2019, we conducted a cross-sectional survey to assess knowledge and practices among mothers (18–49 years) with at least one young child (0–24 months) in the Siphofaneni Tinkhundla (Administrative subdivision) of the Lubombo region of eSwatini. Community health workers invited mothers to a central meeting location were quantitative data was collected through one-on-one interviews. The questionnaire was broken up into four sections: 1) Sociodemographic, 2) Household Food Security Assessment, 3) Nutrition Practices, and 4) Nutrition Knowledge. Mothers were 18–48 years of age (mean: 26.95; SD: 6.5). We used logistic and multivariate regression to measure the association between breastfeeding practices and nutrition knowledge, and the association between diet diversity and nutrition knowledge. Results A total of 164 mothers completed the questionnaire. Participants were 18–48 years of age (mean: 26.95; SD: 6.5). Their children were 0–24 months of age (mean: 10.4; SD: 6.3). The total nutrition knowledge score ranged from 8 to 44 (mean: 21.8; SD: 6.14). Approximately 92% had heard of exclusive breastfeeding; of those mothers, 87% were able to properly explain the practice. Ninety three % of infants 0–5 months were breastfed, but less than half of those were exclusively breastfed. Exclusive breastfeeding practices were not significantly associated with nutrition knowledge. The mean for the Minimum Diet Diversity score was 3.7 (SD 1.38). Diet Diversity scores and nutrition knowledge were significantly associated (P = .011) after adjusting for infant sex, maternal education and household size. Conclusions Education alone may not be sufficient for the adoption of recommended infant feeding practices among mothers. Future research should explore sociocultural and economic factors that may play a role in influencing recommended infant feeding practices. Funding Sources This study was funded by the Fulbright U.S. Student Program.


1970 ◽  
Vol 42 (2) ◽  
pp. 126-131
Author(s):  
UJ Akpan ◽  
MO Ibadin ◽  
PO Abiodun

Background: Adequate early infant nutrition is essential for subsequent optimum growth and development of the child. Exclusive breastfeeding is the cornerstone of the best possible nutrition in early infancy.Objective: To assess current breastfeeding practices in early infancy in Benin City and further progress ( if any) that may have been made in the realisation of optimal early infant feeding practices in the locale in the preceding decade.Methods: A community-based household survey was carried out in three representative wards in Egor Local Government Area of Benin City, from June to September, 2009. Infant feeding practices were evaluated using pre-tested questionnaires on 1068 mothers of infants aged less than 12 months.Result: Five hundred and forty-six (51.1%) infants were aged less than 6 months. The Ever Breastfed Rate was 100.0% while the Timely Suckling Rate was 35.5%. The Exclusive and Predominant Breastfeeding Rates were respectively 40.7% and 30.4% while the Bottle-feeding Rate was 32.2%. Most (98.4%) mothers had correct information about exclusive breastfeeding obtained mainly from antenatal clinics and immunization centres. Factors significantly associated with EBF were high maternal education (χ2 = 9.718; p = 0.045), high socioeconomic status (χ2 = 12.910; p = 0.012), increasing maternal age (χ2 = 14.777; p = 0.022), higher parity (χ2 = 15.212; p = 0.009), delivery in hospital (χ2 = 15.079; p = 0.020) and infant’s age (χ2 = 100.482; P = 0.0001).Conclusions/Recommendations: Breastfeeding practices in Benin City have not improved much from what obtained a decade earlier. Greater emphasis on female education and socio-economic empowerment are advocated as tools for improvement. Reinvigoration of the Baby-friendly Hospital Initiative is also recommended to ensure continued health facility interface that would ensure community mobilisation and support for optimal breastfeeding.Key Words: Breastfeeding, Practices, Early Infancy, Benin City


2021 ◽  
Vol 9 (1) ◽  
pp. 37-42
Author(s):  
Praveen Kumar

Background: The common cause of deaths in 50% of children below the age of 5 years is undernutrition. It is estimated that 13 – 16% of these deaths can be easily avoided by exclusive breastfeeding in the first 6 months. An additional 6% of deaths may be avoided by appropriate complementary feeding till the age of 2 years. We in the current study tried to evaluate the infant feeding practices in the field are of PIMS, Karimnagar. Methods: The variables recorded wereReligion, Literacy status, and socioeconomic status: Socio-economic status was recorded based on Modified Kuppuswamy Classification.Type of family, Type of House, Birth Weight, and Immunization status. A Predesigned and pre-tested proforma was used the investigator interviewed the mother in the local language using a predesigned proforma. Each infant-mother was interviewed for about 40 minutes. Sample size calculation AP prevalence of exclusive breastfeeding is 67.2 (NFHS -3), Calculation of sample size for qualitative data the total was rounded to n=400 Results: And all the babies were given colostrum feeding. 302 (75.4%) of mothers had initiated breastfeeding within 2-4 hours followed by 85 (21.3%) who were breastfed within the first one hour, 8(2%) who were breastfed within 7-12 Hrs, 4(1%) who were breastfed within 12-24 hrs. Weight for age, 284 (71%) of childrenwere normal, 86 (21.5%) were moderately underweight and 30 (7.5%) wereseverely underweight.When length for age was assessed, 58 (14.5%) weremoderately stunted and 24 (6%) severely stunted. For length for weight, thepresent study observed that 87 (21.75%) had moderate wasting and 43(10.75%) had severe wasting. A significant difference was noted betweenboys and girls with regards to weight for age and length for weight. Conclusion: The overall new-born care practices were good in the present study area. The majority (99%) of the deliveries were conducted in institutions by a skilled birth attendant. Three fourth of the women had an interval of 25-36 months between the previous two successive deliveries. Most (94.1%) of the new-born were wrapped immediately after birth and bathing of the new-born was delayed till 2 days (70.6%) to avoid hypothermia. However, practices like application on the umbilical cord and giving bath to the new-born were also observed on certain occasions.


2005 ◽  
Vol 39 (3) ◽  
pp. 406-412 ◽  
Author(s):  
Celene Aparecida Ferrari Audi ◽  
A M S Corrêa ◽  
M R D O Latorre ◽  
Rafael Pérez-Escamilla

OBJECTIVE: To assess factors associated with infant feeding practices on the first day at home after hospital discharge. METHODS: A total of 209 women, who had a child aged four months or less and were living in Itapira, Brazil, were interviewed during the National Immunization Campaign Day in 1999. Statistical analysis was performed using the Chi-square test and a logistic regression model was used for verifying an association between dependent and independent variables. RESULTS: Women aged 25.5 years on average and 18.2% were teenagers. Fifty-three percent of the women delivered vaginally and most vaginal deliveries (78.5%) took place in the public hospital. The prevalence of exclusive breastfeeding on the first day at home was 78.1% and 11.6% of the infants were receiving formula at this time. The only factor associated with EBF on the first day at home was being a teenaged-primiparous mother (OR=9.40; 95% CI: 1.24-71.27). This association remained statistically significant even after controlling for type of delivery and hospital where the birth took place. Feeding formula on the first day at home was only significantly associated with the hospital (i.e., birth at the city hospital was a protective factor (OR=0.33; 95% CI: 0.13-0.86), even after controlling for vaginal delivery. CONCLUSIONS: On the first day at home after hospital discharge, teenaged-primiparous mothers were more likely to exclusive breastfeeding as well as those infants born in the municipal public hospital. Further studies are needed from a multidisciplinary approach.


Author(s):  
Bushra Jabeen ◽  
S. P. Suryanarayana ◽  
M. Puttaswamy

Background: Adequate nutrition during infancy and early childhood is essential to ensure the growth, health, and development of children to their full potential. Lack of knowledge, wrong attitude and faulty practices among mothers in some aspects of infant feeding can lead to infant mortality. Thus, appropriate infant feeding practices and following recommended practice of exclusive breastfeeding could help in improvement of health of child and mother and also improve IMR. The objective of the study was assessment of knowledge, attitude and practice of infant feeding practices among reproductive age women.Methods: An institutional based, descriptive cross sectional study was conducted among reproductive age group (15 to 49 years) women attending OPD of OBGY department for various reasons. A semi structured questionnaire along with software tools like EpiInfo7, MS Excel and SPSS version 23 are used for data analysis.Results: A total of 98.5% of women consider breast milk as best nutrition and 77% were aware regarding exclusive breastfeeding. Weaning was most commonly started with mashed cereals (68.5%) with other food items at lower percentage. Participants are aware that breastfeeding is beneficial to both mother and child, and should not be avoided in any condition unless advised by treating doctor.Conclusions: Through the mothers under study had adequate knowledge regarding feeding practice but in this study it was observed that the appropriate practice worsens with increasing parity of mother.


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