Retrospective study to improve early initiation of breastfeeding in newborns

Author(s):  
Joyce Jayaseelan ◽  
Anita Krishna Mohan

Background: Breast milk is the best nutrition to every new born baby. WHO recommends that all new-borns should be breastfed within one hour of birth and then on demand. Exclusive breast feeding i.e. avoiding any other feeds till 6 months of age, is best for the baby. Despite these guidelines, our national average of initiating breastfeeding within the first hour is less than 50% as per NFHS 2015-2016. The objective was to study the existing rate of early initiation of breast feeding in the study hospital.Methods: Retrospective data collection from 2015 to 2017 was used for this study. Mothers were educated about colostrum and benefits of early initiation of breastfeeding in their third trimester and during their baby shower.Results: Early initiation of breast feeding was successful among 2624 babies out of 2835 babies who were born in the study period.Conclusions: As compared to national averages, the study hospital had a superior percentage of babies being initiated early on breastfeeding. We need to educate and motivate the society to encourage exclusive breast feeding for all babies. Professional help in the form of dedicated lactation consultants of guidelines will help mothers to breast feed their babies sooner and for longer. Busting local myths and harmful practices is the need of the hour.

Author(s):  
Siti Choirul Dwi Astuti

Early initiation of breastfeeding is still difficult to implement because the mother's knowledge about early initiation of breastfeeding is still lacking. Whereas one of the factors that determine the mother's attitude towards early initiation of breastfeeding is because the mother has information about early initiation of breastfeeding. For this reason, the purpose of this study is the influence of knowledge on the mother's attitude to initiate early breastfeeding. The population in this study were all third-trimester pregnant women who visited the RB where the study was conducted and the sample was determined using simple random sampling. This research includes analytical research with a cross-sectional approach. The method used for data analysis using Chi-Square. The questionnaire is used as a tool that has been tested for validity and reliability. The results of this study, the majority of respondents have the characteristics of healthy reproductive age, secondary education and good knowledge have a positive attitude towards early initiation of breastfeeding. This study concludes that there is a relationship between age, education, and knowledge of mothers' attitudes in the early initiation of breastfeeding.


2020 ◽  
Author(s):  
Tesfa Birlew ◽  
Muluken Amare

Abstract BackgroundEthiopian government implemented baby-friendly hospital initiative and community integrated management of childhood illnesses program. Despite early initiation of breastfeeding taken as a key tool for tackling neonatal mortality, EIBF is still low and most of the neonatal mortalities were existed due to delayed initiation of breastfeeding in Ethiopia in general and the practice is not well documented in South West Ethiopia in particular. Therefore, this study aimed to assess early initiation of breastfeeding practice and associated factors among mothers of children aged less than six months of old in Mizan-Aman town, southwest Ethiopia.MethodsA community-based cross-sectional study was employed from April 15 to May 15, 2018. A total of 487 recently delivered mothers were included. The data was collected through face to face interview by using a pre-tested and structured questionnaire. Binary and multivariable logistic regression analysis were employed and p-value < 0.05 was identified as statistically significant factors, and the quality of the data were assured, checked, coded, cleaned and entered in Epi-Info version 3.5.3 and exported to SPSS version 25 for the analysis. ResultThe prevalence of timely initiation of breast feeding was 296(64.50%) in Mizan- Aman Town. Mothers who had < 24 months birth spacing history 1.85(AOR: 95% CI: 1.22, 2.81), mothers’ income level between 1001-1500 Ethiopian Birr 2.21 (AOR: 95% CI: 1.12, 4.37), Primipara mothers 2.00 (AOR: 95% CI: 1.24, 3.23) and home delivery 2.76(AOR: 95% CI: 1.24, 6.14) were important positive predictors for timely initiation of breast feeding. Furthermore, Government employee and merchant mother by occupation was found to be protective factors.Conclusion and recommendationThe practice of early initiation of breast feeding was suboptimal and still below the national average. Intervention at the community and facility level should paid special attention.


Author(s):  
Atul Kumar Singh ◽  
S. B. Gupta ◽  
Huma Khan

Background: A recent trial has shown that early initiation of breastfeeding could reduce neonatal mortality by 22%, which would contribute to the achievement of the Millennium Development Goals. Globally, over one million newborn infants could be saved each year by initiating breastfeeding within the first hour of life. In developing countries alone, early initiation of breastfeeding could save as many as 1.45 million lives each year by reducing deaths, mainly due to diarrheal disorders and lower respiratory tract infections in children. We studied the practice of early initiation of breast feeding among institutional delivered women in district Bareilly.Methods: This cross sectional study was conducted in the residence of 289 mothers who were delivered in health care institutions of district Bareilly. The study was carried out among women who delivered in 3 hospitals (one tertiary care hospital - SRMS IMS, one secondary level care hospital (district hospital) and one primary health center (PHC).  All the recently delivered mothers were interviewed at their residences that were having infants aged up to 1 month.Results: 186 (64.4%) mothers had started the breast feeding within 1 hour after delivery. More than half (59.1%) women were aware about the duration of exclusive breast feeding while only 101 (34.9%) women aware about the correct positioning for proper breastfeeding.Conclusions: Early rooming-in, skin-to-skin contact and support to the mother are the simple interventions which are likely to have the greatest impact in reducing child mortality. 


2020 ◽  
Vol 32 (3) ◽  
pp. 527-532
Author(s):  
Thakkar Hemaben Kanubhai ◽  
Mohd Maroof ◽  
Pamei Gaihemlung ◽  
Bhatt Maneesh ◽  
Preeti Kumari

Introduction: Breastfeeding benefits both the mother and infant. It contains all the essential nutrients in an adequate amount that fulfils the infant first six month’s needs. Early initiation of breastfeeding is necessary to ensure consumption of colostrum having multiple protective factors. Aim and Objectives: To estimate the prevalence of early initiation of breast feeding and to determine its associated factors among 0- 23 months children. Methodology: A community-based cross- sectional study was carried out among 339 children aged 0-23 months in field practice areas of Rural & Urban Health Training Centres (RHTC & UHTC), Department of Community Medicine, Govt. Medical College, Haldwani, District Nainital for a period of 6 months using simple random sampling. Questions related to Early initiation of breast feeding and its associated factors were asked through Epicollect software. Wald’s statistics, Chi- square test, Fisher’s exact test were applied. P value of less than 0.05 was considered as significant. Results: The prevalence of Early Initiation of Breastfeeding was 45.1% (95% CI= 39.9%-50.5%) which was significantly associated with place of delivery, mode of delivery, mother’s education & ANC care. Conclusion: Early Initiation of Breastfeeding practice was found in almost half of children which were significantly associated with various factors highlighting the importance of addressing these factors to improve Early Initiation of Breastfeeding practices.


Author(s):  
Yuni Kurniati Yuni Kurniati

Abstract Early Initiation suckle the baby strat breastfeeding immediately after birth alone. Based on the WHO study of about 3% annually (3.6 million) from 120 million babies born having the risk of death and nearly one million babies die later. An research, 22% of infant mortality under the age of 28 days can be prevented through early initiation of breastfeeding and 13% of deaths babies can be prevented through exclusive breastfeeding for six moon. Goal of this research  to get  a picture of  third trimester pregnant women about the Initiation of Early Breastfeeding Budi Mulia Medika Clinic Palembang Year 2011. This research is descriptive research. The study population was all third trimester pregnant women who come to the clinic for pregnancy check Budi Mulia Medika Clinic Palembang Year 2011. Taking samples are taken by non-random manner with Accidental Sampling. Data analysis technique is done with the univariate analysis, this analysis is used to describe the frequency and percentage distribution of the Knowledge of Early Initiation Suckle covering (meaning, purpose, benefits, timing of Early Initiation of Breastfeeding). The results of this study of 34 respondents indicated that respondents' knowledge about the good of Early Initiation of Breastfeeding by 55.9% and less knowledgeable of 44.1%. From the research results are expected to improve the health officer counseling of Early Initiation suckle especially in pregnant women and more to apply the technique Of Early Initiation Suckle On new mothers.   Abstrak   Inisiasi Menyusui Dini adalah bayi mulai menyusu sendiri segera setelah lahir. Berdasarkan Penelitian WHO setiap tahunnya sekitar 3% (3,6 juta ) dari 120 juta bayi lahir mengalami resiko kematian dan hampir satu juta bayi kemudian meninggal.Suatu penelitian 22% kematian bayi dibawah umur 28 hari dapat dicegah melalui Inisiasi Menyusui Dini dan 13% kematian bayi dapat dicegah melalui pemberian ASI Ekslusif selama 6 bulan.Tujuan penelitian ini untuk mendapatkan gambaran pengetahuan ibu hamil trimester III tentang Inisiasi Menyusui Dini di Klinik Bersalin Budi Mulia MedikaTahun 2011. Jenis penelitian ini adalah penelitian diskriptif. Populasi penelitian ini adalah semua ibu hamil trimester III yang datang untuk memeriksakan kehamilannya ke Klinik Bersalin Budi Mulia Medika Tahun 2011. Pengambilan sampel dilakukan dengan cara non random dengan Accidental Sampling. Teknik analisa data di lakukan dengan analisa univariat,analisa ini digunakan untuk memperoleh gambaran distribusi frekuensi dan persentase dari  Pengetahuan tentang Inisiasi Meyusui Dini yang meliputi (pengertian, tujuan, manfaat, waktu pemberian Inisiasi Menyusui Dini). Hasil penelitian ini menunjukkan dari 34 responden bahwa pengetahuan  responden tentang Inisiasi Menyusui Dini yang baik sebesar 55,9% dan yang berpengetahuan kurang sebesar 44,1%. Dari hasil penelitian diharapkan agar petugas kesehatan meningkatkan peyuluhan tentang Inisiasi Meyusui Dini khususnya pada ibu hamil  dan lebih menerapkan teknik Inisiasi Meyusui dini pada ibu yang baru melahirkan.


Author(s):  
Anaiappan Jeyakumar ◽  
Kuberan Deivasigamani

Background: The practice of breast feeding is the best intervention in promoting child survival. The success depends on early initiation of breast feeding soon after birth. Globally a three fifth of new born wait for more than one hour to begin breast feeding, despite the fact that the practice will extremely reduce neonatal infections and maternal postpartum complications. In this context, the objectives of the study was to estimate the prevalence of early initiation of breastfeeding and barriers in non-initiation of early breast feeding among recently delivered mothers at Chennai.Methods: This cross sectional study was conducted in Zone VI of Chennai. Four hundred and fifty (450) delivered a term, live baby with in past 1 year were selected by using simple random technique. Pre-tested structured interview schedule was used to collect data.Results: Among the study group, 54.4% mothers initiated breast feeding within first one hour after delivery. Delay in handing over the baby to the mother (43.9%), maternal complications (19%), neonatal complications (14.1%), Caesarean section (17.6%), and misconception of insufficiency of milk secretion (5.4%) were barriers in non-initiation of early breast feeding.Conclusions: The study explains the prevalence and importance of early initiation of breast feeding. Avoidance of pre lacteal feeds. Promotions of breast milk substitutes and commercial products should be restricted. Co-ordination between the health care providers and mothers must be strengthened. Maternal education plays a vital role in clarifying the ignorance and misconceptions. Emotional and social support influences mothers to initiate it early.


2016 ◽  
Vol 8 (01) ◽  
Author(s):  
Dwi Anita Apriastuti ◽  
Radika Ayu Pratiwi

Dwi Anita Apriastuti 1), Radika Ayu Pratiwi 2)1) 2) Prodi D-III Kebidanan Stikes Estu Utomo BoyolaliE-mail: [email protected] kematian bayi resiko kematian bayi dibawah 2 bulan meningkat menjadi 480 kasus sekitar 40% kematian balita terjadi satu bulan pertama kehidupan bayi karena tidak disusui. Dengan dilakukan Inisiasi menyusu dini (IMD) dapat mengurangi 22% kematian bayi 28 hari, berarti Inisiasi menyusu dini (IMD) mengurangi kematian balita 8,8%. Tujuan: Untuk mengetahui hubungan pengetahuan setelah penayangan video dengan sikap tentang inisiasi menyusui dini. Metode: Penelitian diskriptif kuantitatif dengan pendekatan metode survey dengan jumlah ibu hamil trimester 3 sebanyak 50 orang dengan cara pengambilan purposive sampling yang dikriteriakan secara inklusi dan eksklusi didapatkan 35 ibu hamil sebagai sampel. Dengan alat penayangan video dan kuesioner dan tehnik pengolahan data menggunakan SPSS 15 dengan uji Chi Square. Hasil dan Pembahasan: Tingkat pengetahuan responden setelah penayangan video IMD dalam kategori tahu mencapai 89%, dan dalam kategori tidak tahu mencapai 11%. Berdasarkan hasil perhitungan dengan analisis univariat diketahui bahwa sikap inisiasi menyusui dini dalam kategori tidak menerima mencapai 14%, dan dalam kategori menerima mencapai 86%.  Berdasarkan hasil chi square tentang hubungan antara pengetahuan setelah penayangan video dengan pelaksanaan tentang inisiasi menyusui dini diperoleh diperoleh p-value (sig) sebesar 0,006 pada tingkat kepercayaan 95%, karena p-value 0,006 < dari 0,05, maka dapat disimpulkan bahwa terdapat hubungan antara pengetahuan setelah penayangan video dengan sikap ibu hamil trimester 3 tentang pelaksanaan inisiasi menyusui dini. Jadi dengan penayangan video diharapkan ibu hamil dapat memahami pentingnya IMD dan mau melaksanakan IMD pada saat melahirkan.Kata kunci: pengetahuan, penayangan video, sikap tentang inisiasi menyusui dini.RELATIONSHIP  KNOWLEDGE VIDEO VIEWS IMD WITH ATTITUDE PREGNANT WOMEN TRIMESTER III WITH ON THE IMPLEMENTATION IMDABSTRACTThe risk of infant death mortality risk infants under 2 months increased to approximately 40% of 480 cases of under-five deaths occur during the first month of life because it is not breastfed babies. With the initiation of suckling done early (IMD) can reduce 22% of infant mortality 28 days, meaning early initiation of breastfeeding (IMD) reducing under-five mortality of 8.8%. Objective: To determine the relationship of knowledge after the video with the attitude of the early initiation of breastfeeding. Methods: The study was descriptive quantitative approach survey method with the number of third trimester pregnant women as many as 50 people by taking purposive sampling in criteria basis of inclusion and exclusion obtained 35 pregnant women in the sample. By means of video views and questionnaires and data processing techniques using SPSS 15 using Chi Square. Results and Discussion: The respondent knowledge after the video IMD in category out reached 89%, and in the category not know 11%. Based on calculations by univariate analysis known that the attitude of early initiation of breastfeeding in the category of not receiving reached 14%, and in the category receiving reached 86%. Based on the results of chi square of the relationship between knowledge after the video with the implementation of early initiation of breastfeeding was obtained was obtained p-value (sig) of 0.006 at the 95% confidence level, because the p-value 0.006 <0.05, it can be concluded that there is a relationship between knowledge after the video with the attitude of third trimester pregnant women about the implementation of early initiation of breastfeeding. So with video viewership expected expectant mother can understand the importance of and willing to carry IMD IMD during childbirth.Keywords: knowledge, video views, attitudes about early initiation of breastfeeding.


2017 ◽  
Vol 3 (2) ◽  
pp. 99
Author(s):  
Yunarsih Yunarsih ◽  
Dwi Rahayu

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


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