scholarly journals Barriers to exclusive breast feeding, the missing links: a cross sectional study from Puducherry, India

2020 ◽  
Vol 7 (4) ◽  
pp. 884
Author(s):  
Gayathri G. Nair ◽  
Arul Kumaran Arunagirinathan ◽  
Nirmal S. R. ◽  
Rajesh Yadav B.

Background: Breast milk, the first natural food for a new-born, provides all the energy and essential nutrients an infant requires for the first 6 months of life. The NHFS -4 survey shows only 45.5% of children are exclusively breastfed (EBF) in Puducherry. This study aims at assessing the socio-demographic characteristics associated with exclusive breastfeeding in a tertiary hospital in Puducherry and identify the barriers in the promotion of exclusive breastfeeding.Methods: Community-based cross-sectional study at a tertiary hospital in Puducherry. Sample size: 115 mothers of 6 months to 2-year-old children, born term gestation with a birth weight of >2.5 kg, attending the Paediatric OPD. Questionnaire-based study comprising of socio-demographic and parameters pertaining to exclusive breast-feeding.Results: Only 44.3% of the mothers have exclusively breastfed in the first 6 months. Shorter duration of spacing between births and caesarean section had significant negative association with exclusive breast-feeding. Most of the mothers received postnatal counselling on breast-feeding (94%) of which 58% were by health care personnel. Despite that, only a sixth (19%) of them were well versed with proper breastfeeding techniques. Poor secretion (45.3%), sore/inverted nipple (23.5%) amounted to the most common of the barriers. Among working mothers, 42.9% attributed their jobs as the cause for early weaning.Conclusions: The prevalence of exclusive breastfeeding is still low even among a literate study group. There were no significant association with socio-demographic factors found, but lacunae were identified. A more objective post-natal counselling to mothers involving their caregivers may improve the current scenario.

Author(s):  
Niti V. Singh ◽  
Vijaykumar Singh ◽  
Soujannya K. Chowdhury

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.


2020 ◽  
Author(s):  
Dejen Getaneh Feleke ◽  
Chanyalew Worku Kassahun ◽  
Tesfamichael G/Mariam W/mariam ◽  
Sheganew Fetene Tassaw ◽  
Ermiase Sisay Chanie

Abstract BackgroundNon-exclusive breastfeeding is becoming major cause of infants and children morbidity and mortality in developing countries including Ethiopia. The magnitude of non-exclusive breast feeding and its factors is not addressed in the study area.ObjectiveTo assess the prevalence of non-exclusive breast feeding and its factors in the first 6 months life of infants among mother-infant pairs of 6 to 12 months in Debre Tabor Town, Northwest Ethiopia, 2019.MethodsA Community based cross sectional study was conducted among 860 mother-infant pairs of 6 to 12 months in Debre Tabor Town, from March 1-30/2019. To select study participants cluster sampling technique was employed. Data was entered into Epi info version 7.2.0.1, and exported to SPSS window version 20 for analysis. Binary and Multivariable logistic regression was used to see the association between dependent and independent variables. Odds ratio with 95% confidence interval was computed. P-value < 0.05 was used to declare association.ResultsThe prevalence of non-exclusive breastfeeding of mothers to their infants within the first 6 months was found to be 39.8% (95% CI: 36.6-43.0). Mothers whose husbands had no formal education (AOR=6.60 [95%CI: 4.14, 10.41), primary education (AOR=4.30 [95% CI: 2.62, 7.20]), Mothers governmental employed ((AOR=8.20 [(95% CI: 5.191, 12.940]), daily laborer (AOR=1.70 [95% CI: 1.01, 2.90], merchant mothers (AOR=0.44 [95% CI: 0.35, 0.90]),and Mothers who had no post-natal care follow up for current baby in health service (AOR=2.40 [(95% CI: 1.56, 3.76]) were significantly associated with Non-exclusive breastfeeding within the first 6 months.Conclusion and RecommendationsHigh proportion of mothers practiced non-exclusive breast feeding within the first 6 months. Husband’s had no formal education, primary education maternal governmental employed, daily laborer, merchant and mothers who had no post-natal follow up were predictors with outcomes in the study area. Hence; it is better to increase annual leave for delivered mothers, improve awareness of husbands towards benefits of introducing complementary feeding timely, and advice mothers to improve post-natal period follow up.


2014 ◽  
Vol 2 (3) ◽  
pp. 115-118
Author(s):  
Rajat Das Gupta

Background: Proper feeding practices during infancy are necessary for the growth and development of infants and to prevent malnutrition. This study was conducted to describe the feeding practice among infants in a rural area in Bangladesh. Methods: A cross-sectional study was conducted between February and June 2013. Data was collected through face-to-face interviews of 212 mothers using a pretested questionnaire. Results: Exclusive breast feeding and complementary feeding rates were 40.6% and 97.3%, respectively. One third of the mothers practiced prelactal feeding, and honey was the most common item. Maternal illness (72.7%) was the most common reason for not giving breast milk. Infant formula was used as an alternative food in majority of the cases (72.7%). Conclusion: Percentage of exclusive breast feeding was not satisfactory. Encouragement of female education is recommended to improve feeding practices and infant care


2020 ◽  
Vol 7 (10) ◽  
pp. 1468
Author(s):  
Suhaila Abdalkarim Ali ◽  
Amani Osman Abdelmola

Background: Breastfeeding is the best way of providing nutrition for the healthy growth and development of infants. It is an essential part of the reproductive process with important inferences for the health of mothers. Exclusive breastfeeding for 6 months is the recommended way for infants nourishing. Complementary foods should be introduced after the age of 6 months, and breastfeeding should continue until the age of 2 years. This study was conducted to measure the prevalence of exclusive breastfeeding and to identify the most common obstacles confronting the practice between mothers attending El-Darrassa PHC centre.Methods: A descriptive cross-sectional study included all mothers attending the PHC centre. The data was collected by a questionnaire. The descriptive method and inferential statistics were used for data analysis.Results: The prevalence of breastfeeding was 97%, while the prevalence of exclusive breast-feeding was 51%. The obstacles facing breastfeeding were: 38% decreasing amount of mother’s milk, 16.8% the ease of artificial feeding and 16% the mothers’ working status. Nearly half knew the breastfeeding benefits for mother and child. There were no significant relations between exclusive breastfeeding and demographic characteristics, while there were significant relationships, between breastfeeding and medications contraindicated with lactation, easiness of artificial feeding, and decreased amounts of milk.Conclusions: The study revealed that the key factors for improving exclusive breastfeeding are raising the mothers’ awareness, enhancing health facilities policies to support mothers’ initiation of breastfeeding immediately after birth, promoting effective breastfeeding and enforcing laws protecting working mothers and facilitating their breastfeeding practice during work.


Author(s):  
Poonam Meena ◽  
Satish Meena ◽  
Ashok Meena ◽  
R N Sehra

Background: This study was describe the breastfeeding practices and factors affected initiation and duration of breastfeeding  Methods: The cross sectional study was conducted on mothers with infants less than 1 year who came to immunization center for vaccination was included in the study. Total 1000 mothers include in this study. Results: Only 35.40% of the mothers did the exclusive breastfeeding until 6 months and started weaning after 6 months. A total 55.00% of mothers in our study prematurely started weaning. Conclusions: The study emphasizes the need for breastfeeding intervention programs especially for the mothers during antenatal and postnatal check-ups. Keywords: Breastfeeding, Immunization, Infants.


2017 ◽  
Vol 2017 ◽  
pp. 1-9 ◽  
Author(s):  
Zegeye Abebe ◽  
Degefaye Zelalem Anlay ◽  
Belete Biadgo ◽  
Asemarie Kebede ◽  
Tsedalu Melku ◽  
...  

Objective. To assess undernutrition and associated factors among children aged 6–59 months in Gondar Town, northwest Ethiopia. Methods. A community-based cross-sectional study was conducted in 2014. Multistage sampling method was used to select study participants. Structured interviewer administered questionnaire and anthropometric measurements were used. Binary logistic regression was fitted to identify associated factors. Results. The prevalences of wasting and stunting were 6.8% and 45.7%, respectively. Higher odds of wasting were observed among children whose fathers were daily laborers (AOR = 2.63), children who had eating problem (AOR = 2.96), and those who were not exclusively breast-fed for the first six months (AOR = 5.63). Similarly, higher odds of stunting were found among female children (AOR = 1.65), children who lived in households having four to six families (AOR = 2.14), and children who did not start breast-feeding within one hour of birth (AOR = 0.67). Conclusion. Childhood undernutrition was a significant problem. Child eating problem, paternal occupation, and exclusive breast-feeding were associated with wasting, whereas family size, child sex, and breast-feeding initiation time were associated with stunting. Therefore, strengthening of early initiation and exclusive breast-feeding, promoting healthcare seeking behavior, and designing social support programme for poor family are recommended to reduce undernutrition.


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