scholarly journals Prevalence and obstacles of exclusive breast feeding among women attending primary health care centres in Cairo 2012

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.

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.


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.


2020 ◽  
Vol 11 (4) ◽  
pp. 03-06

Background: Exclusive breastfeeding (EBF) practices have long been demonstrated to have significant implications for maternal and child health. Objective: To assess the knowledge and practices of exclusive breast feeding among mothers in RahimyarKhan. Methodology: Study design: Cross-Sectional study. Duration and Setting: From March to May 2018, in Sheikh Zayed Medical Hospital Rahimyar Khan. A sample of 105 women who attended the Outdoor and Indoor of Gynaecology and Pediatric department and EPI Center were enrolled by the convenient sampling technique. A pre-designed questionnaire was used having different variables like age, monthly income, education, occupation of mothers, residential area, knowledge about EBF, and breastfeeding practices during the last child. Data were statistically analyzed by SPSS version 20. Results: Mean age of mothers was 28± years, and 42.9% of mothers were illiterate, 77.1% were housewives, whereas, 52.3% of mothers belonged to urban areas. In this study, 90.5% of mothers had information about exclusive breastfeeding, and 55.6% of mothers acknowledged that breastfeeding should start immediately after delivery but regarding practice, only 21.9% of the mothers had started immediately after delivery. In this study, 48.6% of mothers knew that exclusive breast feeding is required for 6 months. Conclusion: Knowledge about exclusive breast feeding among mothers was satisfactory, however, practices regarding exclusive breastfeeding low in most among mothers. There is a need for health education program to start in Rahimyar khan.


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):  
Lingling Li ◽  
Yu Zhang ◽  
Mu Li ◽  
Hong Jiang ◽  
Yajuan Yang ◽  
...  

Abstract Background Breast milk is the ideal food to meet all nutrients needs for a baby’s healthy growth and development. The status of breastfeeding supportive services in Baby-Friendly Hospitals and their role in influencing mothers’ breastfeeding practice in Shanghai, China is less understood. The aim of this study was to explore the association between breastfeeding supportive services provided by Baby-Friendly Hospitals around childbirth and exclusive breastfeeding rate at discharge. Methods This was a hospital-based cross-sectional study, conducted in eight Baby-Friendly Hospitals in Shanghai between October 2015 and January 2017. The breastfeeding supportive services during hospitalization were assessed using a 12-question questionnaire based on the evaluation criteria of Baby-Friendly Hospitals. In total 707 mothers completed the survey. Results The overall exclusive breastfeeding rate among participants was 34.4% at discharge. Mothers who received more breastfeeding supportive services during hospitalization were more likely to practice exclusive breastfeeding at discharge compared with mothers who received less services (aOR: 3.00; 95% CI: 2.08, 4.35; p < 0.001). Conclusion Better breastfeeding supportive services during hospitalization was significantly associated with higher rate of exclusive breastfeeding at discharge. More effective measures should be adopted to improve the breastfeeding supportive services in line with the Baby-friendly Hospital Initiative’s Ten Steps to promote and support exclusive breastfeeding and better maternal and child health.


2019 ◽  
Vol 1 (Number 1) ◽  
pp. 14-17
Author(s):  
Nadia Begum ◽  
Monowar Ahmad Tarafdar ◽  
Saizuddin Kabir ◽  
Shila Rani Das ◽  
Sultana Begum ◽  
...  

This descriptive type of cross- sectional study was conducted in Dhamrai, Dhaka among nursing mother with a sample size 120 using semi-structured questionnaire to determine the knowledge and practice regarding exclusive breast feeding irrespective of socio-demographic characteristics from January 2018 to February 2018 employing purposive sampling method. The percentage of mother-infant pair were highest within 20-30 years (65%) of age group. About 13.33% of mothers were illiterate, 33.33% had primary level and only 2.50% completed graduation; more than half (56.67%) of the mothers were housewives. It was revealed that 55.83% of the respondents had knowledge of exclusive breast feeding, however 42.50% of them gave only breast milk up to 6 months. The initiation of breast feeding within 1 hour was 47.50%, 32.50% within 1-2 hours. 8.83% after 2 hours, 9.16% of the respondents did not remember about the exact time and 2.50% did not breast fed their babies, the reason of not feeding breast milk was insufficient milk secretion. Premature complementary feeding was associated with an increased occurrence of vomiting (47.50%), diarrhea (59.16%), dyspnea (19.16%) but 55% of the respondents did not mentioned specific condition. One of the ten steps to successful breastfeeding is initiating breastfeeding within the first hour of delivery, the major barrier to achieving the recommendations of the Global Strategy for Infant and Young Child Feeding.


2013 ◽  
Vol 52 (191) ◽  
Author(s):  
Ram Hari Chapagain

Introduction: Lack of knowledge and proper feeding practices contribute to higher childhood morbidity and mortality. The aim of the study wasto evaluate the mother’s knowledge and practices in terms of quantity, quality and timing of complementary feeding in infant and young child.Methods: A hospital based cross-sectional study was conducted between June, 2010 to October, 2011, at Kanti Children's Hospital, Nepal, involving 1100 mothers of children from 6 to 24 months of age who attended outpatient department of this hospital, applying systematic sampling technique using semi-structured questionnaire.Results: Eighty-seven percent of mothers had knowledge about the duration of exclusive breast feeding but only 33.0% practiced it and 21.0% breast fed their children up to 3 months. Eighty-seven percent of mothers knew when to start complementary feeding and 53.27% of mothers used the marketed weaning food. lito alone was offered by 28.27% as complementary food. Though 36.6% had proper knowledge of frequency of complementary feeding, only 33.27% were actually practicing it and 9.9% were offering more frequent thanrecommended. About half of the mothers fed their child with the food of appropriate consistency and 66.0% fed with the appropriate amount. But only 15.82% mothers fed their children with ideal frequency, sufficient amount and ideal quality.Conclusions: There was a knowledge and practice gap of duration of exclusive breast feeding and initiation and continuation of ideal complementary feeding. Rate of exclusive breast feeding was on declining trend._______________________________________________________________________________________Keywords: complementary feeding; exclusive breast feeding; infant and young child feeding; ideal feeding._______________________________________________________________________________________


2008 ◽  
Vol 48 (2) ◽  
pp. 120
Author(s):  
Nenden Ismawaty ◽  
Julistio Djais ◽  
Herry Garna

Background Breast milk is an ideal nutrition source for infantsbecause of its balanced composition, naturally adjusted toinfants' need for growth and without any expenses. However,low education mothers living in slum areas are ignorant towardsinformations about the importance of exclusive breast-feeding.Objective To observe the effects of exclusive breast-feeding onlinear growth of children aged 24-36 months in urban slumsarea.Methods A cross-sectional study was carried out on 343children consisted of 188 exclusively breastfed infants and 155nonexclusively breastfed infants in Puskesmas Cigondewaharea on August to September 2007. Anthropometricmeasurements were performed to obtain linear growth status.Data were analyzed by using odd ratio (OR). The first step wasperformed univariately to assess the effect of data variables.Henceforth, factors which significantly influence the growthwill be assesed by multivariate calculation.Results Normal linear growth status was found in 109 (66.1%)exclusively breastfed compared with 56 (33.9%) nonexclusivelybreastfed children. Univariate analyzes showed that factorsthat influenced children normal linear growth were exclusivebreast-feeding (OR: 2.44; 95%CI: 1.58;3.78), industrial productporridge as complementary food (OR: 1.65; 95%CI: 1.00;2.72),and frequency of illnesses <6x/year (OR: 1.57; 95%CI: 1.02;2.42).The result of multinomial logistic regression analyzes showed thatexclusive breast-feeding became the only factor that influencechildren linear growth (OR: 2.254; 95%CI: 1.438;3.533).Conclusion Exclusive breast-feeding has significant positive effect onlinear growth of children.


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