scholarly journals A critical analysis of factors for delayed initiation of breast feeding in a district level hospital

Author(s):  
Ramana Rao M. V. ◽  
Naima Fathima

Background: Breastfeeding is the cornerstone for child survival. Poor breastfeeding practices contribute to 20 per cent of neonatal deaths and nearly 13 per cent of deaths in children below five years. In south Asia, 40% of the babies are initiated breastfeeding within one hour despite increase in institutional deliveries, 80%.Methods: This prospective study was conducted to critically analyse the factors for delayed initiation of breast feeding. A prospective study was carried out among randomly selected postnatal mothers in the postnatal ward of a district teaching hospital. Data was collected by face to face interviews using a pre-validated structured questionnaire.Results: Above 90% of the women did not know the importance of initiating breast feeding within one hour of delivery as none of them received antenatal counselling. Baby was not given to the mother in 90% of the cases. 70% believed that colostrum is not good for the baby. 60% gave pre-lacteal feeds and 60% reported pain of surgical site or perineum as the cause for delayed initiation of breast feeding.Conclusions: UNICEF estimates that if all children receive the benefits of breastfeeding – globally, 8,23,000 child deaths can be averted every year. All health care facilities should adopt Baby Friendly Hospital Initiative’s Ten successful steps for breast feeding to initiate early breast feeding within one hour to reduce morbidity and mortality of infants and under five children.

2005 ◽  
Vol 10 (10) ◽  
pp. 956-960 ◽  
Author(s):  
Eric Elguero ◽  
Kirsten B. Simondon ◽  
Jacques Vaugelade ◽  
Adama Marra ◽  
Francois Simondon

Demography ◽  
1991 ◽  
Vol 28 (2) ◽  
pp. 181 ◽  
Author(s):  
John F. Stewart ◽  
Barry M. Popkin ◽  
David K. Guilkey ◽  
John S. Akin ◽  
Linda Adair ◽  
...  

Diabetologia ◽  
2014 ◽  
Vol 57 (7) ◽  
pp. 1355-1365 ◽  
Author(s):  
Susanne Jäger ◽  
Simone Jacobs ◽  
Janine Kröger ◽  
Andreas Fritsche ◽  
Anja Schienkiewitz ◽  
...  

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
O Abdalla ◽  
S Patel ◽  
T Nambi Rajan ◽  
M Kumar

Abstract Aim To evaluate the clinical outcome and patient’s satisfaction of our real-time teleurology experience. Materials A prospective study, the whole cohort of face-to-face [FTF] clinics was shifted for telephone clinics. The data were collected prospectively for all appointments from 30th March to 3rd April. The primary objectives were clinic outcome and patient’s satisfaction evaluated using a validated questionnaire. The secondary objectives were number of non-attendance, percentage of face-to-face clinics and clinic demographics. Results Overall, 95 scheduled appointments for 7 consultants and 2 trainees. Telephone consultations performed for 75 patients, while 6 patients reviewed in FTF Clinics, and 14 patients classified as non-attendant. The non-attendance rate was 14.7%, with estimated 50% reduction in comparison to FTF rate prior to pandemic. The majority of patients (58%) treated conservatively while 14 (17.2%) patients commenced on medications, and 20 patients (24.6%) were listed for surgery. All patients but one (98.1%) agreed that cancelling FTF clinics was reasonable. The majority of the patients 94.2%, 96.2%, 84.6% found the telephone clinic was effective, long enough, and was easy to express their concerns over the phone, respectively. Approximately 90.4% and 100% satisfied with teleurology service and that clinicians were careful, respectively. Conclusions Our study elucidated the feasibility of teleurology in a real time setting and showed that it meets the tetrafecta of clinical outcomes, continuity of care, patient’s safety, and patient’s satisfaction. To our knowledge, this is the first study to assess patient’s perception of teleurology using a validated questionnaire.


PEDIATRICS ◽  
1990 ◽  
Vol 86 (5) ◽  
pp. 806-806
Author(s):  
FRED AGRE

To the Editor.— In the article "Relationship Between Infant Feeding and Infectious Illness: A Prospective Study of Infants during the First Year of Life" the authors comment on the methodologic failures of other studies.1 These failures include: (1) prospective data on infection and feeding, (2) specifying what is meant by infectious illness and breast-feeding, (3) controlling for other variables, and (4) exposure to illness through time. Such a study accounting for the above methodologic flaws was conducted by me and reported in the American Journal of Diseases of Children.2


Author(s):  
Kambham Jahnavi ◽  
Gomathi S.

Background: Breastfeeding is one of the most important determinants of child survival, birth spacing, and prevention of childhood infections. The importance of exclusive breastfeeding and the immunological and nutritional values of breast milk has been demonstrated. Materials and Methods: A quantitative approach and non-experimental descriptive design was adopted. The study was conducted on 60 postnatal mothers admitted at NRI General Hospital using convenient sampling technique. Data were collected structured knowledge questionnaire and obtained data were analysed by descriptive and inferential statistics. Results: Regarding the breastfeeding self-efficacy among post-natal mothers, 23.3% mothers had low confidence, 33.3% mothers had moderate confidence, 43.3% mothers had high confidence. Conclusion: The findings revealed that the improve the breast feeding self-efficacy of postnatal Mother’s.


PEDIATRICS ◽  
1991 ◽  
Vol 88 (5) ◽  
pp. 1079-1080
Author(s):  
JUDY HOPKINSON

The article "Relationship Between Infant Feeding and Infectious Illness: A Prospective Study of Infants During the First Year of Life" by Rubin et al in the April issue of Pediatrics was provocative. Like Mulford, I too am concerned about the definitions of breast-feeding used in the study. Breast-feeding and formula-feeding are defined in such a way that the study actually examines the impact of the degree of breast-feeding on health of breast-fed infants. This may be an important issue in Denmark where the incidence of breast-feeding at 1 month is more than 90%.


1979 ◽  
Vol 68 (5) ◽  
pp. 521-529 ◽  
Author(s):  
STIG SJÖLIN ◽  
YNGVE HOFVANDER ◽  
CHARLOTTE HILLERVIK

1992 ◽  
Vol 24 (1) ◽  
pp. 89-96 ◽  
Author(s):  
Kathleen Ford

SummaryThe relationship between subsequent lengths of lactational amenorrhoea for individual women in a prospective study of breast-feeding women in Bangladesh was studied. The data indicate that previous length of amenorrhoea has significant predictive value for the subsequent length of amenorrhoea. Information on previous experience with lactational amenorrhoea should be therefore incorporated into guidelines for the introduction of family planning during lactation.


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