Delayed onset of breastfeeding: what is stopping us?

Background: Breastfeeding is the best meal for a new born child. Various initiatives are in place for early initiation of breastfeeding. The effectiveness of these interventions is put to question when a large number of neonates fail to receive breast milk soon after birth. This study analyses the parameters likely to affect the time of onset of breastfeeding and evaluate the scope for interventions. It is important to assess the factors affecting initiation of breastfeeding, determine the relationship of these factors with the time of initiation and to analyse if counselling by health care workers has any benefit on outcome.Methods: This is a hospital based cross sectional observational study in 200 lactating mothers from a pre-designed questionnaire. Main outcome measure- early onset (<1 hour of birth) of breastfeeding.Results: Only 55% neonates included in this study were breastfed within the first 30 minutes. Positive influence for early initiation of breastfeeding was found with non primi mothers aged more than 26 years, with secondary or higher education, who had vaginal birth with institutional delivery. Early oral intake of mother with professional women living in joint family started early breastfeeding. Use of pre lacteal feeds delayed the onset of breastfeeding. Infants fed earlier were males, weight >2.2 kg. Women counselled by health care workers fed their babies earlier. Conclusions: This study surmises that pre lacteal feeds should be discouraged and active health care workers’ participation should be encouraged for early breastfeeding. Breastfeeding should be initiated as soon as possible for healthy neonatal outcome.

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Prevalence and factors affecting early initiation of breastfeeding in rural areas of Dibrugarh district, Assam

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20191856 ◽

2019 ◽

Vol 6 (5) ◽

pp. 2176

Author(s):

Monmohan Borah ◽

Jenita Baruah ◽

Rupali Baruah ◽

Manjit Boruah

Keyword(s):

Rural Areas ◽

Multivariate Regression Analysis ◽

Early Initiation ◽

World Health ◽

Breastfeeding Initiation ◽

Cross Sectional ◽

Timely Initiation ◽

Factors Affecting ◽

Early Initiation Of Breastfeeding ◽

Initiation Of Breastfeeding

Background: Early or timely initiation of breastfeeding, specifically within 1 hour of birth has benefits for survival and beyond and it is recommended by the World Health Organization. Breastfeeding initiation after the first hour of birth doubles the risk of neonatal mortality. The present study has been conducted to estimate the prevalence and determine the factors affecting early initiation of breastfeeding in rural areas of Dibrugarh, district, Assam.Methods: Community based cross sectional study from May 2017 to April 2018 among mothers having children in the age group 0 to 23 months in the rural areas of Dibrugarh district. The sample size calculated for the study was 360 children.Results: The results were analyzed for 334 children. Prevalence of early initiation of breastfeeding was found to be 54.8%. On multivariate regression analysis the occupation and education of mothers, number of antenatal checkup visits, type of delivery and religion were found to be independently associated with early initiation of breastfeeding.Conclusions: This study reveals that the early initiation of breast feeding is lower in rural areas of Dibrugarh district. The findings clearly highlight the importance of imparting health education to family members and mothers right from antenatal period on infant and child feeding practices.

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Comparative Study of Prevalence of Early Initiation of Breast Feeding, Its Enablers and Impeders

Indian Journal of Community Health ◽

10.47203/ijch.2021.v33i01.008 ◽

2021 ◽

Vol 33 (1) ◽

pp. 56-64

Author(s):

Varsha Mahesh Vaidya ◽

Prakash Prabhakarrao Doke ◽

Arvinder Pal Singh Narula ◽

Girija Narendrakumar Wagh ◽

Tushar Madhav Panchanadikar ◽

...

Keyword(s):

Social Sciences ◽

Cesarean Section ◽

Health Care Workers ◽

Urban Areas ◽

Mode Of Delivery ◽

Early Initiation ◽

Early Initiation Of Breastfeeding ◽

Cesarean Deliveries ◽

Care Workers ◽

Initiation Of Breastfeeding

Background: In India the proportion of early initiation of breastfeeding is hovering around 50% and the proportion of cesarean deliveries is increasing substantially. Objectives: To compare the prevalence of early initiation of breastfeeding (EIBF) among cesarean and vaginally delivered women in hospitals in Pune District, Maharashtra State, India and to measure any association between EIBF and various socio-demographic, maternal and fetal factors. Methods: This was a multi-site study conducted in 13 selected hospitals in Pune District in 2017-18. Pune District by population is the fourth largest in India. All women delivered by cesarean section in these hospitals and an equal number of age and parity matched vaginally delivered women were enrolled. They were interviewed before discharge by obstetricians or nurses under the supervision of obstetricians, using a structured, validated tool. The data were analyzed by using Statistical Package for Social Sciences, version 25. Results: In each group, 1,556 women were enrolled. The prevalence of EIBF was 81.5% and 63.6% among vaginally and cesarean delivered women. There was a significant association between EIBF and the place of residence, mode of delivery, gestational period, parity, and presence of some disease. Residence in the rural area was the strongest enabling factor with an adjusted odds ratio of 29.6 (95% C.I.; 18.7-46.9) whereas cesarean section, preterm delivery and first para were impeding factors. Conclusions: Among institutional delivered women EIBF was about 70%. Health care workers need to strongly promote EIBF awareness, especially among women from urban areas, and undergoing cesarean section.

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Frequency of primiparous mother initiated breastfeeding earlier after birth and factors associated with it in Sindh, Pakistan: a secondary analysis

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20213000 ◽

2021 ◽

Vol 8 (8) ◽

pp. 3766

Author(s):

Asma A. Bham ◽

Suchita Sharma ◽

Akash Sardool ◽

Umer F. Mujahid ◽

Amrat Ayaz ◽

...

Keyword(s):

Health Care ◽

Health Care Professionals ◽

Secondary Analysis ◽

Cross Sectional Study ◽

Vital Role ◽

Early Initiation ◽

Cross Sectional ◽

Factors Associated ◽

Early Initiation Of Breastfeeding ◽

Initiation Of Breastfeeding

Background: Initiation of breastfeeding within one hour after delivery plays a vital role in a newborns life by not only increasing their survival rate but also reducing many life-threatening diseases in the newborn. The aim of the study was to determine frequency of early initiation of breastfeeding among primiparous mothers in a rural district of Thatta, Pakistan.Methods: This study was conducted using survey data extracted from a cross-sectional study conducted in 2019 on prevalence of exclusive breastfeeding and factors associated with it among women in Thatta. The outcome was early initiation of breastfeeding. To determine factors associated with it, multi variable logistic regression was carried out.Results: The study showed that 30.3% of primiparous mothers in Thatta initiated breastfeeding within one hour of birth and knowledge of mothers (OR=9.76, 95% CI: 1.99-17.59), place of birth (OR=3.51, 95% CI: 1.32-9.31) and support of health care professional at health facility (OR=2.93, 95% CI: 1.09-7.86) are the factors significantly associated with early initiation of breastfeeding among primiparous mothers.Conclusions: In order to enhance the early initiation of breastfeeding, it is important for health care professionals to emphasize on the effect of pre-lacteal feeding during and support breastfeeding immediately after delivery, especially among women who had given birth for the first time.

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COVID-19 Psychological Impact on Health Care Workers in Saudi Arabia

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18116076 ◽

2021 ◽

Vol 18 (11) ◽

pp. 6076

Author(s):

Hasan S. Alamri ◽

Wesam F. Mousa ◽

Abdullah Algarni ◽

Shehata F. Megahid ◽

Ali Al Bshabshe ◽

...

Keyword(s):

Health Care ◽

Saudi Arabia ◽

Health Care Workers ◽

Psychological Impact ◽

Psychological Outcomes ◽

Cross Sectional Survey ◽

Online Questionnaire ◽

Cross Sectional ◽

Care Workers ◽

The Impact

Objective: Little is known about the impact of Coronavirus (COVID-19) among the health care workers in Saudi Arabia. Therefore, the present study aimed to assess the psychological impact of COVID-19 among the health care workers. Methods: A cross-sectional survey was conducted from May till mid-July among 389 health care workers from government and private hospitals in Saudi Arabia. Data was collected using a pre-structured online questionnaire that measured adverse psychological outcomes, including the Patient Health Questionnaire-9 (PHQ-9) scale and the Generalized Anxiety Disorder 7-item (GAD-7) scale. The Pearson chi-square test was used to assess the distribution of depression and anxiety among health care workers. Results: A high level of anxiety was recorded among the health care workers, and 69.3% of health care workers below the age of 40 were found to have depression. There was a significant increase in depression among staff with chronic health problems (72.1% vs. 61.9%; p = 0.048). High anxiety levels were detected among young staff compared to others (68.7% vs. 43.8%; p = 0.001). Moreover, 82.1% of the female staff were anxious, as compared to 55.6% of the males (p = 0.001). Conclusions: We found increased prevalence of adverse psychological outcomes among the health care workers in Saudi Arabia during the outbreak of COVID-19. Therefore, there is a need for proper screening and development of corresponding preventive measures to decrease the adverse psychological outcomes.

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Epidemiology of needlestick injuries among health-care workers in Awassa City, Southern Ethiopia

Tropical Doctor ◽

10.1258/td.2009.090191 ◽

2010 ◽

Vol 40 (2) ◽

pp. 111-113 ◽

Cited By ~ 17

Author(s):

Moges Tadesse ◽

Takele Tadesse

Keyword(s):

Health Care ◽

Health Care Workers ◽

Cross Sectional Study ◽

Needlestick Injury ◽

Public Health Issue ◽

Southern Ethiopia ◽

Sectional Study ◽

Needlestick Injuries ◽

Cross Sectional ◽

Care Workers

Accidental needlestick injuries sustained by health-care workers are a common occupational hazard and a public health issue in health-care settings. An analytical cross-sectional study was conducted and 30.9% of health-care workers had experienced at least one needlestick injury in the previous year.

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