scholarly journals Study of breast feeding knowledge among mothers in perinatal period admitted in a tertiary care centre in Dehradun, Uttarakhand, India

Author(s):  
Sunil Kumar Thapliyal ◽  
Akhil Bangari ◽  
Ruchi .

Background: Exclusive breast feeding reduces infant and neonatal mortality. NFHS-3 (2005-06) and NFHS-4 (2015-16) (India), showed only marginal improvement from 46% to 55%, regarding exclusive Breast feeding, among children during first 6 months of life. If mother’s knowledge is good, she will be confident to take decision on Breast feeding. This study was conducted to assess, the knowledge, regarding breast feeding, among mothers in perinatal period admitted in a tertiary care centre in Dehradun, Uttarakhand, India.Methods: This was descriptive, cross-sectional study carried out among 300 perinatal mothers. The data was collected using self-administered questionnaires.Results: 95% of mothers knew that the breast milk is best for the baby. 75% of mothers were aware that the breast milk should be the neonates first feed, though only 55% knew about initial breast milk (colostrum). 77% of the mothers said the time for first feed should be within an hour. 27% said baby should be fed as and when hungry. 56% of the mothers stated that the baby should be allowed to feed as long as the baby sucks at the breast. 63.7% mothers were aware about the duration of EBF.Conclusions: Knowledge regarding exclusive breast feeding is inadequate among mothers in Uttarakhand. The government must incorporate breast feeding topic in schools to improve the knowledge on breast feeding, so that mothers can take decision independently. 

Author(s):  
Sanjay Kumar ◽  
Shivani Sinha ◽  
Setu Sinha ◽  
Varsha Singh ◽  
Sanjay Kumar Choudhary ◽  
...  

Background: The world health organization (WHO) recommends exclusive breast feeding (EBF) for the first six months of life while it is advised to provide adequate and safe complementary foods with breast feeding for up to two years and beyond.Methods: A hospital based cross sectional study was carried out in the immunisation clinic of IGIMS for a period of 6 months from January 2017 to June 2017.A total of 400 mothers were enrolled in the study. Children of Age group 0-12 months were included in the study. Sample size was collected by using convenient sampling from January to June 2017. All mothers who attended our immunization clinic for vaccination of their child and had children less than 12 months of age and who gave verbal consent were included in the study. Mothers were asked to stay after vaccination of their infants to look for any untoward effects of vaccination. Mothers were interviewed by using a semi structured questionnaire after getting a verbal consent from them, All data entry and analyses were carried out using Microsoft Excel and statistical software by descriptive statistics and presented as frequency and percentages.Results: The prevalence of exclusive breast feeding for up to 6 months of age was still low. Male child is having a higher percentage of immunization coverage of about 60%, where as the female child is having about 40%. 36% of the babies were started breastfeeding within one hour and colostrum was given to 40% of them, only 35% of them were on exclusive breast feeding.Conclusions: Use of expressed breast milk was low. The prevalence of EBF for up to 6 months of age was still low as per WHO recommendations. The mother's perception of “insufficient breast milk” was also the main reason for introducing other foods. We should make a strategy by making a guideline for promoting and educating about exclusive breastfeeding within the existing health care system such as the antenatal, after delivery and vaccination clinics.


Author(s):  
Avanitaben D. Solanki ◽  
Neha S. Nagrani ◽  
Dhara V. Patel ◽  
Neela M. Patel ◽  
Jigna P. Barot ◽  
...  

<p class="abstract">Erosive pustular dermatosis of the scalp (EPDS) has been reported as a rare chronic and progressive non-infectious inflammatory condition of the actinically damaged scalp characterized by crusts, erosions and pustules. It tends to occur on the scalp of older people who have usually been treated for diffuse actinic damage and actinic keratoses. The list of possible differential diagnosis is long and includes tinea capitis, folliculitis decalvans, neutrophilic dermatosis, autoimmune vesiculobullous disorders, malignancy etc. Notoriously difficult to treat, these cases tend to be chronic and progressive. These patients often present after repeated treatment to various scalp dermatosis that doesn’t result in clearing instead persistence and perpetuation of the process. A cross sectional prospective study was conducted in department of dermatology in a tertiary care centre in which six cases of EPDS attending outpatient department from 2017 to 2019 were included. EPDS is more common but under recognized condition, hence less cases are reported till date. Increased awareness of and proper diagnosis of this condition changes the approach towards these patients, protects the scalp from involuntary insults and other precipitating factors that hinders with a better outcome.</p>


2021 ◽  
pp. 10-11
Author(s):  
Akhilesh Behra

BACKGROUND- Psoriasis is chronic common papulosquamous disorder. Its aetiology included various environmental and genetic factors. In genetics, HLA-Cw6 is most commonly associated with psoriasis. Childhood psoriasis is also common in worldwide population. However, very few studies done on epidemiological data and HLA-Cw6 analysis in childhood psoriasis patients. AIMS AND OBJECTIVE- Clinicoepidemiological study of childhood psoriasis patients and its association with HLA-Cw6 in a tertiary care centre of Eastern India MATERIALAND METHOD- We conducted a cross-sectional study in a tertiary care centre and recruited 20 patients of psoriasis with age group below 18 years after taking proper consent. Clinical history and blood was taken from them and HLA-Cw6 analysis was done by PCR method. Data compilation was done by Microsoft excel using SPSS software. RESULTS- A total of the 20 childhood psoriasis patients, 9 were males and 11 were females. Generalized plaque type psoriasis (N=19) is commonest followed by guttate psoriasis (N=1). None of the patients had arthalgia. Family history was present in only 3 patients. Higher numbers of childhood psoriasis patients (N=14) were positive for HLA-Cw6. Also Higher numbers of females (N=10) were positive for HLA-Cw6. ve patients had nail changes. CONCLUSION- We found HLA-Cw6 is strongly associated with childhood psoriasis and also HLA-Cw6 frequency is higher in female than male childhood psoriasis patients.


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.


2019 ◽  
Vol 6 (17) ◽  
pp. 1300-1305
Author(s):  
Mansi Singh ◽  
Ajay Kumar ◽  
Sanjay Mehrotra ◽  
Virendra Atam ◽  
Ravi Mishra ◽  
...  

2021 ◽  
Vol 59 (244) ◽  
pp. 1277-1282
Author(s):  
Arbin Shakya ◽  
Jenash Acharya ◽  
Sunil Joshi

Introduction: Victim of injuries presenting to a hospital is a medico-legal issue. So, with medical management, proper documentation of injuries should be done as a legal duty by all physicians attending such cases. The study aims to find the prevalence of injury amongst medicolegal cases inthe Department of Forensic Medicine in a tertiary care centre. Methods: A descriptive cross-sectional study was done amongst 328 medicolegal cases presenting at a tertiary center, from January 2019 to February 2021. Ethical approval was obtained from the Institutional Review Committee (Reference number: 2603202101). Convenience sampling was used to select study samples. After detailed history regarding the incidence, injuries were examined and documented in a performa. The data were entered in Statistical Package for Social Sciences version 18. Point estimate at 95% Confidence Interval was calculated along with frequency and percentagefor binary data. Results: Among 328 cases presenting to hospital for medicolegal issues, 237 (72.25%) (67.40-77.09 at 95% Confidence Interval) had injuries, out of which 170 (71.73%) cases were due to physical assault, 64 (27%) cases due to accident; 2 (1.26%) were undetermined. Majority of victims of injury were adult males, with mean age of 32.41±13.96 years. In most accidental injuries internal organs were also injuries and life-threatening. Conclusions: The prevalence of injuries amongst medicolegal cases was found to be higher in our study in comparison to other studies done in similar settings. Most of the injuries were due to physical assault; however, the majority of road traffic injuries were life-threatening. These road traffic injuries could have been prevented by following a safe system approach to road safety.


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