scholarly journals Impact of structured pre-natal counselling on early initiation of breast feeding and adherence to exclusive breast feeding: a comparative interventional study

2021 ◽  
Vol 10 (7) ◽  
pp. 2699
Author(s):  
Hiral B. Koli ◽  
Mudra Gopidas Nair ◽  
Maitri C. Shah
Keyword(s):  
Breast Feeding ◽  
Feeding Rate ◽  
Intervention Study ◽  
Tertiary Care ◽  
Early Initiation ◽  
Case Group ◽  
Care Hospital ◽  
Exclusive Breast Feeding ◽  
Adequate Knowledge ◽  
Prenatal Counselling

Background: The importance of early initiation of breast feeding (EIBF) and exclusive breastfeeding (EBF) is widely recognized, but the optimum rates have not been attained due to several factors. One of the important factors is the lack of adequate knowledge of women regarding breastfeeding.Methods: This comparative intervention study was conducted in the obstetric OPD and postnatal wards of tertiary care hospital of central Gujarat. This study included antenatal women between gestational age of 28 to 38 weeks who are visiting obstetric OPD at our institute and wanted to deliver at the same as cases (356 participants) and postpartum women who were delivered at this institute who have not taken antenatal care and counselling at this institute as control.Results: This study concluded that prenatal counselling regarding breast feeding had significant impact on the improvement of knowledge of women regarding EIBF and Exclusive breast feeding. Rate of EIBF and EBF was 91.85% and 86.52% in case group which was significantly higher compared to the control group.Conclusions: Prenatal structured counselling helps to raise the rate of EIBF and EBF.

scholarly journals Factors influencing early initiation of breast feeding among mothers in North Coastal Andhra Pradesh, India

2019 ◽  
Vol 6 (10) ◽  
pp. 4316
Author(s):  
Kiran Pamarthi ◽  
Jugal Kishore Palli
Keyword(s):  
Breast Feeding ◽  
Andhra Pradesh ◽  
Tertiary Care ◽  
Early Initiation ◽  
P Value ◽  
Care Hospital ◽  
Feeding Problems ◽  
Singleton Pregnancy ◽  
Recent Trial ◽  
Positive Effects

Background: The benefits of breastfeeding for the health and wellbeing of the mother and babies are well documented. A recent trial has shown that early initiation of breastfeeding could reduce neonatal mortality, which would contribute to the achievement of the Millennium development goals. The positive effects of breastfeeding on the new-born’s health can be attributed to the components of breast milk, as well as the contact between mother and baby.Methods: This is a hospital based, cross sectional study conducted in the Department of Pediatrics and Department of Obstetrics and Gynaecology, at a tertiary care hospital in North Coastal Andhra Pradesh. Study period was one year between March 2018 to February 2019. 310 healthy term new-born babies of singleton pregnancy were included.Results: The prevalence of initiation of breast breastfeeding within one hour in this study is 48.7% (151 neonates). Hindu religion, literacy, urban residence, vaginal delivery, male child, breast feeding advice during antenatal period, birth spacing <2 years, not giving prelacteal feeds, absence of breast-feeding problems and maternal illness were found to have a significant association with initiation of breast feeding within 1 hour after delivery (p value <0.05).Conclusions: Innovative strategies like provision of breastfeeding counsellors in the hospital setup; constant counselling to mothers and their immediate relatives who take care of baby and mothers can increase early initiation of breast feeding.  

scholarly journals Exclusive breast feeding reduces diarrhoeal episodes among children: results from a cross-sectional study among the mothers of under-five children in Kolkata

2019 ◽  
Vol 6 (2) ◽  
pp. 733 ◽  
Author(s):  
Nibedita Banerjee ◽  
Arup Chakraborty ◽  
Arista Lahiri ◽  
Kalidas Biswas
Keyword(s):  
Breast Feeding ◽  
Nuclear Family ◽  
Tertiary Care ◽  
Child Growth ◽  
Care Hospital ◽  
Cross Sectional ◽  
Exclusive Breast Feeding ◽  
Under Five ◽  
Under Five Children ◽  
The Mean

Background: Breast feeding is of utmost importance for optimal child growth. This study aims to determine the knowledge on breast feeding among the mothers of under five children and to find out the association between the proportion of exclusive breast feeding and the incidence of diarrhoeal disease.Methods: An institution based cross sectional descriptive study was conducted among ninety (90) mothers of under five children who attended the immunization clinic of a tertiary care hospital with the help of a pre-designed, pre-tested, semi-structured schedule. Mothers were selected by systematic random sampling and interview done after obtaining written consent.Results: The mean age of the respondent mothers were 25.78 years. Among them 77.8% were staying in the nuclear family with the mean education up to 8th standard, 94.4% of home maker. The mean education of fathers was 9th standard with majority (77.8%) occupied either in service or in other occupation. Average no of children per family was 1.3. Majority of mothers’ younger children (66.7%) were male. Majority (66.7%) mothers had heard the term colostrum and 88.3% knew that colostrum has anti-infective property and nutritionally superior. Sixty (66.67%) mothers had exclusively breast fed their children. Out of not exclusively breastfed children 36.67% experienced diarrhoea.Conclusions: Though majority mothers knew about breastfeeding, yet the proportion not having proper knowledge was high. The statistical analysis showed exclusive breast feeding to be highly protective against developing diarrhoeal episodes. In order to generate better breastfeeding practices, addressing the knowledge gap is needed. 

scholarly journals Early initiation of breast feeding practice among institutional delivered women in district Bareilly

2017 ◽  
Vol 4 (9) ◽  
pp. 3436 ◽  
Author(s):  
Atul Kumar Singh ◽  
S. B. Gupta ◽  
Huma Khan
Keyword(s):  
Breast Feeding ◽  
Tertiary Care ◽  
Early Initiation ◽  
Feeding Practice ◽  
Care Hospital ◽  
Hospital District ◽  
Early Initiation Of Breastfeeding ◽  
Skin Contact ◽  
Tract Infections ◽  
Initiation Of Breastfeeding

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. 

scholarly journals Improving exclusive breast feeding in the first 24 h of life using Plan-Do-Study-Act cycle in a tertiary care hospital

2020 ◽  
Vol 76 (3) ◽  
pp. 325-332
Author(s):  
Safal Muhammed ◽  
Subhash Chandra Shaw ◽  
Ankur Rawat ◽  
Deepu V. Joy ◽  
Amit Sood ◽  
...  
Keyword(s):  
Breast Feeding ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Exclusive Breast Feeding

scholarly journals Determinants of Early Initiation of Breastfeeding among Mothers in a Tertiary Care Hospital

2021 ◽  
Vol 8 (13) ◽  
pp. 755-759
Author(s):  
Subrat Kumar Pradhan ◽  
Udayana Nayak ◽  
Samyak Sahu ◽  
Alok Ranjan Panda ◽  
Jasmin Nilima Panda
Keyword(s):  
Breast Feeding ◽  
Rural Areas ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Mode Of Delivery ◽  
Early Initiation ◽  
Care Hospital ◽  
Cross Sectional ◽  
Early Initiation Of Breastfeeding ◽  
Initiation Of Breastfeeding

BACKGROUND Early initiation of breast feeding implies putting the newborn baby to the mother’s breast as soon as possible after delivery, preferably within one hour. Colostrum or ‘first milk’ which is secreted soon after birth helps build nutrient stores in the child and is rich in protective immunoglobulins for the child. Early initiation helps the child to learn suckling fast leading to early secretion of breast milk. We intended to find out the determinants of early initiation of breast feeding. METHODS This is a cross-sectional study conducted from May to August 2019 in a tertiary care hospital. The sample size was 400. The study population consisted of mothers who delivered healthy term newborns in the obstetrics and gynaecology (O & G) ward of the hospital. Interview of the mothers was done using a predesigned and pretested questionnaire. Data entry was done on Microsoft Excel and analysis was done on Epi Info 7. RESULTS Mean age of the study participants was 25.66 ± 4.228. Majority of the respondents came from rural areas (61.25 %) and were homemakers (63.5 %). More than half the respondents had either middle or secondary school education. Previous information, mode of delivery, type of family, father’s and mother’s education and mother’s occupation were significant determinants of early initiation of breastfeeding (EIBF). CONCLUSIONS The above study reveals some determinants of the practice of EIBF and efforts are needed in order to address these determinants, to improve this practice, especially in a tertiary care setup. KEYWORDS Breastfeeding, New-Born, Infant, Colostrum, Tertiary Healthcare

scholarly journals Study of nutritional and immunization status in children 6 months to 3 years attending outpatient department at a tertiary care hospital in rural South Rajasthan, India

2018 ◽  
Vol 6 (1) ◽  
pp. 15
Author(s):  
Vivek Parasher ◽  
Gaurav Dadhich ◽  
Rahul Khatri ◽  
Mansi Sharma
Keyword(s):  
Breast Feeding ◽  
Health Care Professionals ◽  
Severe Acute Malnutrition ◽  
Tertiary Care ◽  
Medical Science ◽  
Acute Malnutrition ◽  
Care Hospital ◽  
Physical And Mental Health ◽  
Exclusive Breast Feeding ◽  
The Impact

Background: Good nutrition, particularly in the first three years of life, is important in establishing and maintaining a good foundation that has implications on a child’s future physical and mental health. The present study has been undertaken to study the “Impact of the nutritional and immunization services on the children between 6 months to 3 years,” with special emphasis to identify moderate acute malnutrition (MAM) and severe acute malnutrition (SAM) cases.Methods: This observational study was conducted from August 2017 to July 2018 in department of paediatrics at pacific institute of medical science included 400 cases age between 6 months to 3 years.Results: Incidence of SAM and MAM is 7.5% and 30.75 % respectively. Female predominance was seen in SAM and MAM i.e. 53.4% and 54.6% respectively. Significant association of under-nutrition was found with LBW (p<0.05), not giving exclusive breast feeding up to 6 months of life (p<0.05) and, Low socioeconomic status (p<0.001). Higher numbers of females were unvaccinated.Conclusions: Despite introduction of various national programs at different levels for improvement of maternal and child health, we still have significant number of children who are undernourished and unimmunized. Children are future of our nation and their health is of paramount importance. It can only be achieved with strong political will, active participation of community and by increase commitment of health care professionals. We need to start from birth, institutional delivery, exclusive breast feeding, immunization, and timely introduction of complementary feeds, marriages at appropriate age, proper antenatal visits and birth spacing. 

Why Won't Mothers Exclusively Breastfeed their Child - Evidence from a Prospective Study in Lucknow District, Uttar Pradesh

2016 ◽  
Vol 53 (1) ◽  
pp. 81
Author(s):  
Shivendra Kumar Singh ◽  
Pavan Pandey
Keyword(s):  
Breast Milk ◽  
Prospective Study ◽  
Breast Feeding ◽  
Urban Areas ◽  
Tertiary Care ◽  
Uttar Pradesh ◽  
Final Analysis ◽  
Care Hospital ◽  
Exclusive Breast Feeding ◽  
A Prospective Study

Breast milk is indispensable and the only recommended food for newborn. Breast milk provides valuable nutrition for baby and it is also good for the health of mother. There should be Exclusive Breast Feeding (EBF) till six months of age and then continued till 2 years of age along with complementary foods (WHO). This is a prospective study conducted during a period of 12 months. Women delivering at tertiary care hospital were enrolled in the study and were followed for six months. Data related to the study was collected on five occasions - at delivery, after 1.5, 2.5, 3.5 and 6 months birth of child from 185 women enrolled in study and final analysis was done on 175 women. At the end of six months the prevalence of exclusive breast feeding was only 41.7 %. The prevalence of EBF in rural and urban areas was 41.6 and 41.8 % respectively. Majority of women introduced some or other kind of external food after five months of age (between 4<sup>th</sup> and 5<sup>th</sup> visit). Percentage of children receiving pre-lacteal feeding was 21.7 % even though all were delivered in a tertiary care institute. All malnourished children were not breastfed exclusively.

scholarly journals Study on Exclusive Breastfeeding practice and related factors among mothers attending in a tertiary care hospital of Bangladesh

2018 ◽  
Vol 10 (1) ◽  
pp. 343-346
Author(s):  
Farzana Rahman Chowdhury ◽  
BH Nazma Yasmeen ◽  
Shabnam Rahman
Keyword(s):  
Breast Milk ◽  
Breast Feeding ◽  
Exclusive Breastfeeding ◽  
Tertiary Care ◽  
Antenatal Visit ◽  
Feeding Practice ◽  
Care Hospital ◽  
Related Factors ◽  
Exclusive Breast Feeding ◽  
Medical College

Back ground : Exclusive breastfeeding (EBF) means that the infant receives only breast milk for the first six months of life after birth. In Bangladesh, 55% of children less than 6 months of age are exclusively breastfed according to BDHS 2014. Objectives : To assess the exclusive breast feeding practice and associated factors among children in an urban area ofBangladesh. Method : This cross-sectional study was conducted in Popular Medical College, Dhanmondi, Dhaka, among 80 mothers having infants aged 7-12 months, attending the outpatient department were selected purposively for the study during the period of 1st August 2017 to 31st December 2017. Sample were selected purpasively for the study and predesigned questionnaire were used for data collection. Data analysis was done by using SPSS software version 22. Result : It was found that only 30(37.5%) mother went for regular antenatal checkup and remaining 50 (62.5%) had irregular antenatal check up. But none of them got breastfeeding advice during antenatal visit. Breastfeeding was initiated with in 1 hour of birth in 36(40%) cases and 44 (60%) cases after 1hour of birth. Exclusive breastfeeding (EBF)was found in 40 (50%) children. Among them 30 (75%) were children of housewife mothers. Mixed feeding (breast milk plus formula/ cow’s milk) was given to 30 children among them18 (60%) were the children of housewife mothers.Only formula milk was given to 10 children of them 8(80%) were the children of housewife mothers.Exclusive breast milk was not given by 18(45%) mothers due to job or other occupation whereas 22 (55%) mother did not give EBF due to insufficient breast milk. Conclusion : In the study rate of exclusive breast feeding was 50%. This study also showed that frequency of exclusive breast feeding practice was lower in working mothers than housewife mothers. This study also showed that the speculation of not getting sufficient milk was one of the main reasons for not giving exclusive breastfeeding. Northern International Medical College Journal Vol.10(1) Jul 2018: 343-346

scholarly journals A cross sectional study to assess factors related to exclusive breast feeding practice among mothers of infants aged six months or less admitted in pediatric wards at tertiary care hospital

2021 ◽  
Vol 8 (7) ◽  
pp. 3336
Author(s):  
Niti V. Singh ◽  
Vijaykumar Singh ◽  
Soujannya K. Chowdhury
Keyword(s):  
Breast Feeding ◽  
Exclusive Breastfeeding ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Feeding Practice ◽  
Care Hospital ◽  
Sectional Study ◽  
Cross Sectional ◽  
Exclusive Breast Feeding

Background: Infant feeding practices have a major role in determining the nutritional status of a child. Despite several benefits of exclusive breastfeeding, the practice is not common in many developing nations, including India. So there is a need to assess factors associated with exclusive breast feeding by mothers.Methods: A cross sectional study using the quantitative method by the means of a well prepared questionnaire, carried out in the pediatric ward of a tertiary care hospital in Mumbai. Data was collected by face to face interview and filed in a pretested, semi-structured, questionnaire. Data entry was done in excel sheet and analysed with the help of epi-info and statistical package for the social sciences (SPSS) software and was presented in tabular and graphical form.Results: A total of 112 mothers with infants <6 months of age participated in the study with a response rate of 98%.Conclusions: Majority of mothers’ perception about exclusive breastfeeding was that they considered it insufficient for their infant’s health and nutrition, and hence also relied on other feeds.

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