scholarly journals Breastfeeding practices among currently married women of selected tribes of Jharkhand, India

Author(s):  
Shalini Kumari ◽  
Gautam Kumar Kshatriya

Background: An exclusive breastfeeding for 6 months and an extended breastfeeding for 24 months protects the infant from infectious disease and promotes child spacing. Therefore, the knowledge, attitude and practice about infant and child feeding is important to overcome morbid conditions prevailing among mothers and her child. The present study aimed at investigating the factors influencing an exclusive breastfeeding among currently married tribal women in Jharkhand, India.Methods: A cross sectional study was conducted among the 919 currently married Santal, Oraon, Mahli and Ho women in the age group of 15-29 years from forty villages of Purbi Singhbhum district of Jharkhand using interview schedule method.Results: The mean duration of exclusive breastfeeding and breastfeeding up to 24 months was found to be 4.1 and 12.9 months respectively. Also, not much difference in the average duration of exclusive breast feeding was found between working and non-working women. The results of multinomial regression showed maternal age (OR=1.92, p<0.05), place of delivery (OR=2.3, p<0.05), distance from health facility (OR=4, p<0.01) and sex of last child born (OR=2.5, p<0.01) among the significant determinants for exclusive Breastfeeding.Conclusions: The duration and initiation of breastfeeding in a marginalised society depends to a great extent on how family members participate and decide on the type of feeding for new-borns. Also, several public health education campaigns should be launched aiming at increasing the familiarity of family relations on exclusive breastfeeding.

2017 ◽  
Vol 28 (1) ◽  
pp. 1-5
Author(s):  
Md Saizuddin ◽  
Md Shahidul Hasan ◽  
Md Rashidul Islam ◽  
Md Alfazzaman ◽  
MM Mafizur Rahman ◽  
...  

A descriptive type of cross sectional study was carried out to assess the pattern of infant & young child feeding practices by the rural mothers of Bangladesh with a sample size of 450 during the months of January, 2015 to December, 2015. Out of 450 children, 51.1% are female & 48.9% are male. The proportions of infants with early initiation of breastfeeding (13.6%) and exclusive breastfeeding fewer than six months (57.3%) and infants who received complementary feeding at the age of 6-8 months (55.7%) were low. It showed that 90.4% of mothers have knowledge on exclusive breast feeding but only 57.3% of them have practiced it for 4-6 months. It further revealed that only 8.4% of mothers & 13.6 % of fathers are illiterate. The main problems revealed from the study were late initiation of breastfeeding, low rates of exclusive breastfeeding and inappropriate complementary feeding practices. It further revealed that 69.3% of the respondents had two or less children and only 30.7% had three or more children.Medicine Today 2016 Vol.28(1): 1-5


Author(s):  
Aswathy S. ◽  
Lakshmi M. K.

The study was aimed to assess the breastfeeding practices among mothers of infants in Peringara Gramapanchayat in Kerala. Study was a community based cross-sectional study among mothers of infants in Peringara gramapanchayat using a pretested questionnaire. 142 breastfeeding mothers of infants in Peringara gramapanchayat were studied and mothers who were not present at home during the study were excluded from the study. Study period consisted of 18 days between December 2015 and January 2016. Study variables includes type of delivery, initiation of breastfeeding, breastfeeding practices and role of ASHAs in promoting good breastfeeding practices. Statistical analysis was done using Pearson’s Chi-square test and T test. The study found that exclusive breastfeeding has been done by 68.3% of mothers. There is no practice of giving pre-lacteal feed, 95.8% of mothers have given colostrum to the new born. Statistically significant association was found between the type of delivery and time of initiation of breastfeeding (p less than 0.05). Time of initiation of breastfeeding was prolonged in case of Caesarean section. 49.3% of mothers have breastfed the baby within one hour. 55.6% of mothers were informed about importance of breastfeeding by ASHAs and only 20.4% of mothers were informed about period of exclusive breastfeeding and period of complimentary feeding by ASHAs.


2016 ◽  
Vol 6 (2) ◽  
pp. 88-92 ◽  
Author(s):  
Lazina Sharmin ◽  
MAK Azad Chowdhury ◽  
Soofia Khatun ◽  
Naser Ahmed

Background: Breastfeeding is the unique source of nutrition and it plays an important role in the growth, development and survival of the infants. The initiation of breastfeeding within one hour and continuation of only breast milk up to six months ensure maximum benefits. The prevalence of exclusive breastfeeding in Bangladesh is 56% which is low. We designed this study to find out the factors influencing the duration of breastfeeding in Bangladeshi population.Objective: To study the factors influencing noncompliance to exclusive breastfeeding.Materials and Methods: This cross sectional study was conducted in Dhaka Shishu Hospital during the period January to June 2011. It includes 125 infant (1–12 months)-mother pairs randomly selected from the inpatient and outpatient departments of Dhaka Shishu Hospital. Mother-infant pairs were divided into two groups based on continuation of only breastfeeding up to six months. Outcomes were compared between two groups.Results: In this study exclusive breastfeeding was found in 27.2% and nonexclusive breastfeeding was in 72.8% cases. It was found that in most cases (40%) termination of breastfeeding was at 3--4 months. The study revealed that insufficient milk production due to poor position and attachment, social factors such as influence of husband and other family members, joining to service etc act as barrier to exclusive breastfeeding. Mass media and advice from health professionals had a higher influence on lower rate of exclusive breastfeeding. Women who were multiparous, housewives were more likely to maintain optimal breastfeeding.Conclusion: The present study reveals some important factors contributing to low rate of exclusive breastfeeding in Bangladesh.J Enam Med Col 2016; 6(2): 88-92


2017 ◽  
Vol 2 (1) ◽  
pp. 19-25 ◽  
Author(s):  
Md Saizuddin ◽  
Md Shaidul Hasan

Background: Infant and young child feeding (IYCF) practices play vital role for the growth & development in the early months of life. Objective: The purpose of the present study was to determine and to identify the patterns and influencing factors of feeding practices in infant and young children of 0-2 years old in Bangladesh. Methodology: A descriptive type of cross sectional study was carried out to assess the pattern of infant & young child feeding practices by the rural mothers of Bangladesh with a sample size of 450 during the months of January to December of 2015.Result: Out of 450 children, 51.1% are female & 48.9% are male. The proportions of infants with early initiation of breastfeeding (13.6%) and exclusive breastfeeding fewer than six months (57.3%) and infants who received complementary feeding at the age of 6–8 months (55.7%) were low. It showed that 90.4% of mothers have knowledge on exclusive breast feeding but only 57.3% of them have practiced it for 4-6 months. It further revealed that only 8.4% of mothers & 13.6 % of fathers were illiterate. The main problems revealed from the study were late initiation of breastfeeding, low rates of exclusive breastfeeding, and inappropriate complementary feeding practices. It further revealed that 69.3% of the respondents had two or less children and 30.7% had three or more children.Conclusion: Majority of the respondents have the knowledge on complementary feeding, knowledge on preparation of complementary feeding, knowledge on preparation of food by grains, knowledge on preparation of food by milk and milk products and knowledge on preparation of food by meat, fish, poultry, liver.Journal of National Institute of Neurosciences Bangladesh, 2016;2(1):19-25


Author(s):  
Harish Chand ◽  
Mansi Chopra ◽  
Jyoti Sharma

<p class="abstract"><strong>Background:</strong> Considering the poor practices of optimal breastfeeding, a cross-sectional study with the objective to ascertain the disparity in knowledge, attitude and practice (KAP) pertaining to early initiation, exclusive and continued breastfeeding behaviours was conducted among the mothers of children below 3 years of age.</p><p class="abstract"><strong>Methods:</strong> 400 mothers of children ≤6 months from 52 villages of Rajasthan were included in the analysis for EBF. The data collection was analysed using statistical software SPSS version 23.0. All characteristics were summarized descriptively. Chi-square (χ2) test was performed to study the association between two categorical variables. Three points liket scale was administered to assess the attitude of mothers.  </p><p class="abstract"><strong>Results:</strong> 72.8 % mothers initiated early breastfeeding, 22.5% continued breastfeeding, and exclusively breastfeeding was practiced by none. 34.3% mothers had knowledge on early initiation of breastfeeding, 34.6% on exclusive breastfeeding and 65.5% had knowledge on continued breastfeeding. 73.8% mothers had positive attitude towards early initiation of breastfeeding, 13.5 % on exclusive breastfeeding and 79.5% had positive attitude towards continued breastfeeding up to 2 years.</p><p class="abstract"><strong>Conclusions:</strong> Though the attitude and knowledge on breastfeeding is good yet exclusive breastfeeding practice was observed very poor. These findings indicate that despite of having good knowledge and a positive attitude towards breastfeeding, there are certain myths and social determinants which hinder optimal breastfeeding. Identification of such barriers will be extremely useful, since counselling and behaviour change strategies will focus and address them, resulting in the practice of good behaviours.</p>


2019 ◽  
Vol 4 (2) ◽  
pp. 123
Author(s):  
Cut Sriyanti ◽  
Nizwar Siregar ◽  
Mudatsir Mudatsir ◽  
Azhari Gani

Breast milk was a food source to meet all the baby's needs for nutrients. Early initiation of breastfeeding may improve survival of children, improve health status, and improve brain development and motoric.  Efforts to improve the health of infants with exclusive breastfeeding can be done by involving students with the mentoring process. This studied aims to find out the level of success of mentoring by students on the provision of breastfeeding exclusive in Aceh Province. The project design was cross-sectional study with a number of subjects were 86 infant under two years. The sampling technique uses cluster sampling. Data analyses using Chi-Square test. The results of the studied found that of 43 respondents who received a breastmilk income, 76,7% gave exclusive breastfeeding and 23,3% did not give exclusive breastfeeding.  Then of 43 respondents who did not get the assistance, as 53,5% gave exclusive breastfeeding, and 46,5% did not give exclusive breastfeeding. Results known to have a significant relationship between mentoring with exclusive breastfeeding (p= 0,020). Students mentoring is effective in increasing the provision of exclusive breastfeeding to infant under two years of age. ASI merupakan sumber makanan untuk memenuhi semua kebutuhan nutrisi pada bayi. Inisiasi menyusui dini dapat meningkatkan kelangsungan hidup anak-anak, meningkatkan status kesehatan, dan meningkatkan perkembangan otak dan motorik. Upaya meningkatkan kesehatan bayi dengan pemberian ASI eksklusif dapat dilakukan dengan melibatkan siswa dengan proses pendampingan. Penelitian bertujuan untuk mengetahui tingkat keberhasilan pendampingan oleh siswa tentang pemberian ASI eksklusif di Provinsi Aceh. Desain penelitian adalah studi cross-sectional dengan jumlah subjek 86 anak di bawah dua tahun. Teknik pengambilan sampel menggunakan cluster sampling. Analisis data menggunakan uji Chi-Square. Hasil penelitian menujukkan bahwa dari hasil pendampingan oleh siswa terdapat 76,7% yang telah memberikan ASI eksklusif. Sedangkan tidak mendapatkan pendampingan hanya sebesar 53,5% yang memberikan ASI eksklusif. Terdapat hubungan signifikan antara pendampingan dengan pemberian ASI eksklusif (p= 0,020). Kesimpulan, pendampingan siswa efektif dalam meningkatkan pemberian ASI eksklusif untuk bayi di bawah usia dua tahun. Saran, perlu penguatan kepada dinas pendidikan bahwa lintas sektor ini sangat bagus dalam meningkatkan kesehatan masyarakat.


2021 ◽  
Author(s):  
Anna Rozensztrauch ◽  
Magdalena Klaniewska ◽  
Marta Berghausen - Mazur

Abstract Background The World Health Organization identifies exclusive breastfeeding as the gold standard for child nutrition. Breastfeeding provides many benefits to both the baby and the mother. First days after birth are crucial for breastfeeding and determine its further path. Unfortunately, very often it is also the time of facing the first breastfeeding problems. The aim of this study was to analyze selected factors influencing a mother's decision to breastfeed. Methods This is a cross-sectional study conducted between March 2019 and November 2019 in selected Polish maternity wards. Data were collected through completion of author's questionnaire and a standardized questionnaire, the Multidimensional Perceived Social Support Scale and also through informal interviews with mothers. During statistical analysis the chi-square test of independence, the Kolmogorov-Smirnov test, as well as the non-parametric Mann-Whitney U test in addition to Fisher's exact test were performed. Results The results showed that there is no correlation between the mode of delivery and the mother’s choice of infant feeding method. Whereas knowledge of the benefits of breastfeeding and received support affects the mother’s decision on infant feeding method. The study also showed that the 83% of newborns were put to the breast within the first two hours after birth. However, only 58% continued to be breastfed in the subsequent days. As many as 42% of the newborns were supplemented with formula despite early initiation of breastfeeding. Analyses showed that exclusive breastfeeding was more often chosen by mothers with higher education. And the most common breastfeeding problem reported by 62% of the respondents was perceived insufficient milk supply and also breastfeeding pain, reported in 48,5% mothers. Conclusions It is extremely important to continually promote breastfeeding among women. The role of midwives is crucial in this regard, as they should encourage the initiation of breastfeeding, support mothers during the perinatal and postnatal periods, and increase their sense of competence and confidence in their ability to breastfeed. Accessible, professional, and empathetic support can help reduce the number of women supplementing with modified milk. Undoubtedly, the postpartum period is important for breastfeeding outcomes, but it is significant that breastfeeding education and promotion begin during pregnancy.


2020 ◽  
Vol 40 (3) ◽  
pp. 190-196
Author(s):  
Mia Ervina ◽  
Bunga Astria Paramashanti ◽  
Hamam Hadi ◽  
Nur Indah Rahmawati

Introduction: Exclusive breastfeeding plays an important role in preventing morbidity and mortality in infants and young children. However, exclusive breastfeeding coverage remains low, especially among working mothers. This study aimed to examine the relationship between early initiation of breastfeeding and prevalence of exclusive breastfeeding among working mothers in Bantul District, Yogyakarta Special Region, Indonesia. Methods: This study used a cross-sectional design. The population were all women in reproductive age who worked in middle and large companies. Samples included mothers whose infants were aged six to 12 months and were selected by probability proportional to size sampling technique. Main outcome was exclusive breastfeeding, while the independent variable was the early initiation of breastfeeding. Statistical analysis were descriptive statistics test, chi-square test, and multiple logistic regression at the level of significance of 0.05. Results: Exclusive breastfeeding coverage was around 22%, whilst the early initiation of breastfeeding coverage was 10%. Early initiation of breastfeeding was associated with exclusive breastfeeding practice (adjusted OR = 2.93; 95% CI: 1.04 - 8.28). Variables that were not significantly related to exclusive breastfeeding included being a first-time mother, maternal age, maternal educational level, breastfeeding counselling during antenatal visits, and delivery methods. Conclusions: Early initiation of breastfeeding is associated with higher prevalence of exclusive breastfeeding among working mothers. To increase exclusive breastfeeding coverage, particularly among employed women, it is highly recommended to enhance early initiation of breastfeeding program.


Author(s):  
Anna Rozensztrauch ◽  
Magdalena Klaniewska ◽  
Marta Berghausen-Mazur

Abstract Background The World Health Organization identifies exclusive breastfeeding as the gold standard for child nutrition. Breastfeeding provides many benefits to both the baby and the mother. First days after birth are crucial for breastfeeding and determining its further path. Unfortunately, very often it is also the time of facing the first breastfeeding problems. The aim of this study was to analyse selected factors influencing a mother’s decision to breastfeed. Methods This is a cross-sectional study conducted between March 2019 and November 2019 in selected Polish maternity wards. Data were collected through completion of author’s questionnaire and a standardised questionnaire and the Multidimensional Perceived Social Support Scale and also through informal interviews with mothers. During statistical analysis, the chi-square test of independence and the Kolmogorov–Smirnov test as well as the non-parametric Mann–Whitney U test in addition to Fisher’s exact test were performed. Results The results showed that there is no correlation between the mode of delivery and the mother’s choice of infant feeding method. Knowledge of the benefits of breastfeeding and received support affects the mother’s decision on infant feeding method. The study also showed that the 83% of newborns were put to the breast within the first 2 h after birth. However, only 58% continued to be breastfed in the subsequent days. As many as 42% of the newborns were supplemented with formula despite early initiation of breastfeeding. Analyses showed that exclusive breastfeeding was more often chosen by mothers with higher education. And the most common breastfeeding problem reported by 62% of the respondents was perceived insufficient milk supply and also breastfeeding pain, reported in 48.5% mothers. Conclusions It is extremely important to continually promote breastfeeding among women. The role of midwives is crucial in this regard, as they should encourage the initiation of breastfeeding, support mothers during the perinatal and postnatal periods, and increase their sense of competence and confidence in their ability to breastfeed. Accessible, professional, and empathetic support can help reduce the number of women supplementing with modified milk. Undoubtedly, the postpartum period is important for breastfeeding outcomes, but it is significant that breastfeeding education and promotion begin during pregnancy.


Author(s):  
Pushti V. Vachhani ◽  
Nishant R. Bhimani ◽  
Nishith B. Sutaria ◽  
Girija P. Kartha

Background: Infant and child mortality continues to be a major public health problem all over the country. Despite the existence of national programmes for improving child health in India, child mortality and morbidity continue to be high. Utilization of child health care services is poor in the rural areas, causing significant impact on the health causing increased morbidity and mortality.Methods: It was a Community based Cross-sectional study carried out in the rural area of Surendranagar district through oral questionnaire method which was pre-designed and pretested. Data on demography, history of colostrum, initiation of breastfeeding, prelacteal feeds, exclusive breastfeeding, introduction of complementary feeding, immunization, respiratory infections etc. were collected, compiled and analyzed by applying appropriate tests using SPSS.Results: Out of 154 participants, 43.51% were offered breastfeeding within one hour of birth. Association was observed between initiation of breastfeeding, exclusive breastfeeding, time of introduction of complementary foods and duration of breastfeeding and utilization of health education services. Educational level of mothers and immunization status of the children had a significant statistical association. The overall prevalence of ARI was 31.82% & of Diarrhoea was 39.61%.Conclusions: A positive association was observed between nutritional status and utilization of nutritional services. Significant impact of health education services given during the antenatal period was observed on initiation of breastfeeding as well as exclusive breastfeeding. Although child services in India have been created, strengthened and expanded over the years, their performance in terms of utilization particularly in rural area is still limited.


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