scholarly journals Impact of maternal factors and socio-demographic determinants on early initiation of breastfeeding practices in Alwar district, Rajasthan, India

Author(s):  
Harish Chand ◽  
Jyoti Sharma

Background: The SDG-3 goal suggests to reduce the neonatal mortality to below 12 per 1000 live births. New-born who are breastfed after 1 hour of birth are at 33% greater risk of neonatal mortality. To ascertain early initiation of breastfeeding (EIBF) knowledge, practices and its underlying determinants, a cross-sectional study was conducted with mothers of children below 3 years of age.Methods: Sample of 400 mothers of children under 3 years of age was collected. The data 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. Multivariable analysis was done using logistic regression model to determine the association of EIBF with socio-demographic and maternal factors.   Results: 75.8% mothers initiated early breastfeeding within 1 hour of birth whereas only 34.3% mothers had knowledge on early initiation of breastfeeding. 95% mothers fed colostrum to the new-born. Mothers with 25 years of age or more (AOR 1, 95% CI 0.52, 1.57; p value <0.73) were less likely to breastfeed new-born within 1 hour of birth as compared to the mothers who were <25 years of age.Conclusions: Timely initiation of breastfeeding within 1 hour of birth is a critical intervention to avert a considerable number of neonatal deaths to achieve SDG-3 goal, which to reduce neonatal mortality rate <12 per 1000 livebirths.  after delivery could sustain the breastfeeding practice for lo. Intensifying home visits in 3rd trimester to disseminate messages on EIBF and colostrum feeding may improve the coverage of EIBF.

2020 ◽  
Author(s):  
Tesfa Birlew ◽  
Muluken Amare

Abstract BackgroundEthiopian government implemented baby-friendly hospital initiative and community integrated management of childhood illnesses program. Despite early initiation of breastfeeding taken as a key tool for tackling neonatal mortality, EIBF is still low and most of the neonatal mortalities were existed due to delayed initiation of breastfeeding in Ethiopia in general and the practice is not well documented in South West Ethiopia in particular. Therefore, this study aimed to assess early initiation of breastfeeding practice and associated factors among mothers of children aged less than six months of old in Mizan-Aman town, southwest Ethiopia.MethodsA community-based cross-sectional study was employed from April 15 to May 15, 2018. A total of 487 recently delivered mothers were included. The data was collected through face to face interview by using a pre-tested and structured questionnaire. Binary and multivariable logistic regression analysis were employed and p-value < 0.05 was identified as statistically significant factors, and the quality of the data were assured, checked, coded, cleaned and entered in Epi-Info version 3.5.3 and exported to SPSS version 25 for the analysis. ResultThe prevalence of timely initiation of breast feeding was 296(64.50%) in Mizan- Aman Town. Mothers who had < 24 months birth spacing history 1.85(AOR: 95% CI: 1.22, 2.81), mothers’ income level between 1001-1500 Ethiopian Birr 2.21 (AOR: 95% CI: 1.12, 4.37), Primipara mothers 2.00 (AOR: 95% CI: 1.24, 3.23) and home delivery 2.76(AOR: 95% CI: 1.24, 6.14) were important positive predictors for timely initiation of breast feeding. Furthermore, Government employee and merchant mother by occupation was found to be protective factors.Conclusion and recommendationThe practice of early initiation of breast feeding was suboptimal and still below the national average. Intervention at the community and facility level should paid special attention.


2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Vasanthakumar Namasivayam ◽  
Bidyadhar Dehury ◽  
Ravi Prakash ◽  
Marissa Becker ◽  
Lisa Avery ◽  
...  

Abstract Background Timely initiation of breastfeeding, also known as early initiation of breastfeeding, is a well-recognized life-saving intervention to reduce neonatal mortality. However, only one quarter of newborns in Uttar Pradesh, India were breastfed in the first hour of life. This paper aims to understand the association of community-based prenatal counselling and postnatal support at place of delivery with early initiation of breastfeeding in Uttar Pradesh, India. Methods Data from a cross-sectional survey of 9124 eligible women (who had a live birth in 59 days preceding the survey) conducted in 25 districts of Uttar Pradesh, India, in 2018, were used. Simple random sampling was used to randomly select 40 Community Development Blocks (sub district administrative units) in 25 districts. The Primary Sampling Units (PSUs), health service delivery unit for frontline workers, were selected randomly from a linelisting of PSUs in each selected Community Development Block. Bivariate and multivariate logistic regression analyses were performed to assess the association of prenatal counselling and postnatal support on early initiation of breastfeeding in public, private and home deliveries. Results Overall 48.1% of mothers initiated breastfeeding within an hour, with major variation by place of delivery (61.2% public, 23.6% private and 32.6% home). The adjusted odds ratio (aOR) of early initiation of breastfeeding was highest among mothers who received both counselling and support (aOR 2.67; 95% CI 2.30, 3.11), followed by those who received only support (aOR 1.99; 95% CI 1.73, 2.28), and only counselling (aOR 1.40; 95% CI 1.18, 1.67) compared to mothers who received none. The odds of early initiation of breastfeeding was highest among mothers who received both prenatal counselling and postnatal support irrespective of delivery at public health facilities (aOR 2.49; 95% CI 2.07, 3.01), private health facilities (aOR 3.50; 95% CI 2.25, 5.44), or home (aOR 2.84; 95% CI 2.02, 3.98). Conclusions A significant association of prenatal counselling and postnatal support immediately after birth on improving early initiation of breastfeeding, irrespective of place of delivery, indicates the importance of enhancing coverage of both the interventions through community and facility-based programs in Uttar Pradesh.


2019 ◽  
Vol 6 (1) ◽  
pp. 31
Author(s):  
Ike Putri Setyatama ◽  
Ika Esti Anggraeni ◽  
Siti Erniyati Berkah Pamuji

Perdarahan merupakan penyebab utama kematian ibu di Kabupaten Tegal pada Tahun 2017. Berdasarkan hasil survei di Puskesmas Slawi tahun 2018, terdapat 30 ibu bersalin yang mengalami perdarahan postpartum. Inisiasi Menyusu Dini (IMD) adalah perilaku pencarian puting payudara ibu sesaat setelah bayi lahir. Melaksanakan IMD akan menstimulasi produksi hormon oksitosin secara alami. Hormon Oksitosin ini membantu uterus berkontraksi, sehingga dapat mengontrol perdarahan nifas.Tujuan penelitian untuk menganalisis pengaruh IMD terhadap kontraksi uterus pada ibu nifas di Puskesmas Slawi. Populasi dalam penelitian ini adalah ibu yang bersalin di Puskesmas Slawi periode bulan Januari-Desember tahun 2018 sebanyak 215 responden, dan sampel sebanyak 140 responden. Desain penelitian ini menggunakan metode survei dengan pendekatan case control. Berdasarkan perhitungan Chi Square dengan α = 0,05 diperoleh nilai p sebesar 0,029. Karena nilai p < α berarti secara statistik hasil pengujian signifikan, berarti ada hubungan antara variabel, dan hasil uji statistik pengaruh dengan Regresi Logistik, diperoleh nilai Sig. 0,029, berarti ada pengaruh antara variabel dengan R Square 0,034, berarti bahwa variabel IMD berpengaruh terhadap kontraksi uterus sebesar 3,4%. Kesimpulan dalam penelitian ini ada hubungan dan ada pengaruh IMD terhadap kontraksi uterus ibu nifas di Puskesmas Slawi Kabupaten Tegal. Kata kunci : inisiasi menyusu dini;  kontraksi uterusTHE EFFECT OF EARLY INITIATION OF BREASTFEEDING TOWARDS UTERINE CONTRACTION FOR POSTPARTUM MOTHER AT PUSKESMAS SLAWI TEGAL REGENCY Hemorrhage is the main cause of maternal mortality in Tegal regency 2017. Based on the survey at Slawi District Health Centre, in January – December 2018, there were 30 women in labor with postpartum hemorrhage. Early Initiation of Breastfeeding (IMD) is an act performed by the baby in finding mother’s nipple after born. IMD will stimulate oxytocin hormones helping uterine to get contraction and can control hemorrhage after labor. The study was aimed to analyze the effect of IMD towards uterine contraction for postpartum mother at Slawi District Health Centre. The population was women in labor at Puskesmas Slawi as 215 respondents; the sample was 140 women in labor, and performed or not performed IMD The research design applied case control study..Based on Chi Square with α = 0.05, p value was 0.029. It refused Ho; there was a relationship of those variables. The logistic regression described that Sig. value was 0.029; it showed an effect of those variables with R square of 0.034 stating IMD had an effect of uterine contraction as 3.4%. Therefore, there were a relationship and an effect of IMD towards uterine contraction of postpartum mother at Puskesmas Slawi. Keywords: early initiation of breastfeeding; uterine contraction 


Author(s):  
Neha Goyal

Background: Early initiation of breastfeeding defined by World Health Organization as initiation of breastfeeding within one hour of birth, provides new-borns the best chance for survival, growth and development. Yet the rates of early initiation are still low (41.5%), varying widely in different parts of India. Present study was done to find the proportion of early initiation of breastfeeding and associated factors in a rural area.Methods: This cross-sectional study was conducted among 73 recently delivered mothers residing in a rural area of Moradabad, who were interviewed using a semi structured questionnaire with early initiation of breastfeeding as outcome variable. For statistical analysis Chi-square and Fisher’s exact tests were used.Results: 61.64% recently delivered mothers responded that they had initiated breastfeeding within one hour of delivery. Early initiation was significantly lower among working mothers as compared to housewives. No significant differences in timely initiation have been found with mother age, religion and type of family. However significant association of early initiation was found between full antenatal care (ANC) and breastfeeding counselling.Conclusions: More than sixty percent mothers initiated breastfeeding within an hour of delivery. Full ANC and breastfeeding counselling can help in improving rates of early initiation. 


2021 ◽  
Vol 7 (1) ◽  
pp. 44
Author(s):  
M Riduan Abriadi ◽  
Husaini Husaini ◽  
Eko Suhartono ◽  
Zairin Noor ◽  
Meitria Syahadatina Noor

Early initiation of breastfeeding is program of Indonesian Government.   Early breastfeeding has not been widely practiced, <30% for South Kalimantan and 21% for Tapin District. The implementation of early initiation of breastfeeding by midwives at Datu Sanggul Rantau Hospital is influenced by age, education level, years of service, midwife training and socialization of implementation of early breastfeeding initiation. This study aims was to analyze the factors associated with implementation of early initiation of breastfeeding by midwives at Datu Sanggul Rantau Hospital. The study was cross sectional, with 32 midwives in PONEK, maternity and nicu at Datu Sanggul Rantau Hospital. The variables were age, education level, years of service, training and socialization. Data were analyzed using Chi square.  The results showed socialization was related with p value of 0.004. Unrelated factors were age p value 0.660, education level p value 0.496, years of service p value of 0.761, and training p value 0.314. Simultaneously, age, education level, years of service, training and socialization are not related to the implementation of early breastfeeding initiation with p value 0, 083. The conclusion is there is a significant relationship between socialization and the implementation of early initiation of breastfeeding at Datu Sanggul Rantau Hospital.


2020 ◽  
Author(s):  
Desalew Degu Ayalew ◽  
Belayneh Ayanaw Kassie ◽  
Melkamu Tamir Hunegnaw ◽  
Kassahun Alemu ◽  
Aysheshim Kassahun Belew

Abstract Background : The world is now suffering from malnutrition and remains one of the major causes of under-five mortality. Children from developing countries, including Ethiopia also suffer from undernutrition due to suboptimal breastfeeding practice. Hence, the study aims were to assess early initiation of breastfeeding among children aged less than two years, months in West Belessa district, North West Ethiopia, 2019. Methods: A community-based cross-sectional study was conducted from January to February 2019 in the West Belessa district. A total of 569 Children was selected by a simple random sampling technique. The data were collected by an interviewer-administered structured questionnaire. Data were entered and analyzed by using Epi-Info version 7 and SPPS version 20, respectively. Bi-variable logistic regression analysis was used to check predictor variables associated with the dependent variable. Variables having a p-value of less than 0.20 in the bi-variable analysis were fitted into the multivariable model. Multivariable binary logistic regression with a 95% confidence interval and Odds Ratio (OR) were computed. Variables having p-value < 0.05 were taken as significantly associated with the dependent variables. Result : The prevalence of EIBF was 77.7 % (95%CI, 74.3-81.0). Age of the mother (AOR= 2.76, 95%CI (1.21, 6.27)), postnatal Visit (AOR= 1.85, 95%CI (1.03, 3.85)), and Antenatal care (AOR= 2.58, 95%CI (1.18, 9.94)) was significantly associated with EIBF. Conclusion and Recommendation: We observed, the prevalence of early initiation of Breastfeeding was low in West Belessa District. Age of the mother, Antenatal and postnatal care were associated with EIBF. Hence, improving antenatal and postnatal care services through increase accessibility and providing counseling during this contact time. Keywords: early initiation of breastfeeding, Children, West Belessa


2021 ◽  
Vol 1 ◽  
pp. 928-936
Author(s):  
Dewi Solekha ◽  
Emi Nurlaela

AbstractThe infant mortality rate in Indonesia is still high at 24 per 100 live births. One of the causes is infection. Infection can by prevented by controling breast milk because breast milk contains colostrum which is able to maintain the baby’s immune system. The introduction of breastfeeding begins with early initiation of breastfeeding. The coverage of newsborn in Indonesia in 2019 who received early intiation of breastfeeding was 75,58%.The purpose of this study was to determine the between early initiation of breastfeeding and the smooth production of breast milk throught the Literature Review.This reserch is a quantitive research through Literature Review. The articles were obtained from three articles from articles from Garuda Portal which is a critical review of the JBI instrument written by The Joanna Briggs Institute. The results of this study indicate a relationship between the provion of early intitiation og breastfeeding with the smooth discharge of breast milk with p value <0,05 (0,000-0,029).There is a corelation between the previsions of early initiation of breastfeeding the smoothness is producing breast milk.Keywords :giving early initiation of breastfeeding ( IMD), breast milk flow AbstrakAngka kematian bayi di Indonesia masih tinggi yaitu 24 per 1000 kelahiran hidup. Salah satu penyebabnya yaitu infeksi. Infeksi dapat dicegah dengan pengendalian ASI karena didalam ASI mengandung kolostrum yang mampu menjaga daya tahan tubuh bayi. Pengenalan Asi dimulai dengan inisiasi menyusu dini (IMD).Cakupan bayi baru lahir di Indonesia pada tahun 2019 yang mendapatkan Inisiasi Menyusu Dini ( IMD) yaitu 75,58. Tujuan dari penelitian ini adalah untuk mengetahui hubungan pemberian Inisiasi Menyusu Dini dengan kelancaran Pengeluaran ASI melalui Literatur Review. Penelitian ini merupakan Penelitian kuantitatif melalui Literature Review. Artikel didapatkan dari Searh Ergine Google scholar tiga dan Portal Garuda dua telaah kritis instrument JBI The Joanna Briggs Institute .Hasil penelitian ini menunjukkan adanya hubungan antara pemberian inisiasi menyusu dini (IMD) dengan kelancaran pengeluaran ASI dengan p value<0,05 (0,000-0,029).Terdapat hubungan antara pemberian inisiasi menyusu dini (IMD) dengan kelancaran pengeluaran ASI.Kata kunci: Pemberian IMD ; Kelancaran Pengeluaran ASI.


2021 ◽  
Vol 2 (2) ◽  
pp. 89-102
Author(s):  
Maria Mahdalena Diyah Pujiastuti ◽  
Agnes Mahayanti ◽  
Sr. Therese Maura Hardjanti, CB

ABSTRACT   Background: The success of breastfeeding is a team work with proper information and big support to create  environment enabled the  mothers to give breastfeeding optimally to their baby (Kemenkes, 2019). Keeping in mind that the OT achievement is far below 100% , the researcher is interested in take up factors influence the application of Early  Initiation of Breastfeedingin Operating Theater Unit of Panti Rapih Hospital Yogyakarta. Objective: Unveil factors wish  interfere the practice of  Early  Initiation of Breastfeeding  in Operating Theater Unit of Panti Rapih Hospital Yogyakarta. Methods: The design of the study is observational analytic  method with  cross sectional approach. The population of the study is every mother who gives birth with sectio caesarea in Operating Theater Unit of  Panti Rapih Hospital Yogyakarta. Sampling technique in the study is accidental sampling. This study had 33 respondents. Study instrument in the study is  questionnairefilled out by respondents on the first day after sectio caesarea was performed in the inpatient room. The research was conducted from September 2020 to February 2021. Results: There is no significant correlation between knowledge and  IMD practice (p value 0.772), there is no significant correlation between attitudes and IMD practice ( p value  0.500), there is no significant correlation between parity and  IMD practice (p value  0.500), there is a significant correlation , strong and unidirectional between health personnel support and IMD practice (p value  0.000) . Conclusion: Significant factors interfere with the success  of Early Initiation of breastfeeding  in the Operating Theater Unit of Panti Rapih Hospital Yogyakarta is health personnel  supportwhile the insignificant factors consists of knowledge, attitude and parity.


2020 ◽  
Vol 10 (2) ◽  
pp. 104-113
Author(s):  
Andy Emmanuel ◽  
Sheila Elizabeth Clow

OBJECTIVEDelay in initiation of breastfeeding after birth is associated with the introduction of other feeds. It has been recommended that all women should initiate breastfeeding within the first hour after birth. Early initiation of breastfeeding and exclusive breastfeeding could reasonably reduce neonatal deaths. The aim of this study was to assess the initiation of breastfeeding and prelacteal feeding in Plateau State, Nigeria.MATERIALS AND METHODA cross-sectional design was adopted for the study. A total of 763 women drawn equally from the three senatorial zones of the state voluntarily completed a questionnaire. Results were analyzed using chi-squared statistics and regression analysis.RESULTSFindings show that 33.1% of women initiated breastfeeding in a timely manner. The relationships between the timely initiation of breastfeeding and the use of pain relief, maternal age, maternal employment, economic status, influence of family and friends, and advertisement were found to be statistically significant. Furthermore, 92% gave breast milk for the first feed, while 8% gave infant formula, glucose, herbs, or water. Inadequate breast milk production, delayed initiation of breastfeeding, and health conditions were factors identified as responsible for prelacteal feeding.CONCLUSIONThe proportion of women who initiated feeding in a timely manner was low, which underscores the need to promote and support early initiation of breastfeeding in the state. There is thus a need for a public education campaign, particularly directed at women receiving antenatal care, and focusing on the need for establishing feeding early. Women with health challenges and those with a history of poor milk production may require additional support to breastfeed as recommended.


2018 ◽  
Vol 5 (4) ◽  
pp. 1509 ◽  
Author(s):  
Navneet Badaya ◽  
Sanjiv Jain ◽  
Nayan Kumar

Background: There are certain factors influencing early initiation of breastfeeding, most of them can be corrected by paying little attention and by making certain strategies for the other factors. Study the difference between the time of initiation of breastfeeding in vaginally delivered and caesarean born deliveries, evaluate the effect of low birth weight and period of gestation on initiation of breastfeeding and to promote and encourage the breastfeeding.Methods: This observational prospective study was conducted on 500 newborns delivered at Department of RMC, Ajmer and outborn section of Department of Pediatrics, JLN MC, Ajmer. The study group was divided two groups, group- I 250 newborn delivered vaginally and group-II 250 newborn delivered by caesarean section.Results: Among birth weight >2500gm, in 146 (41.83%) cases breastfeeding was started in 0-1 hr, in 172 (49.28%) cases in 1-4 hours. Thus 91.11% initiated breastfeeding in first 8 hours (p value <0.00002), showing early initiation of breastfeeding in >2500g newborn. Among term babies, out of 398 (79.6%) babies with period of gestation 37-41 weeks, in 162 (40.70%) cases breastfeeding was initiated in 0-1 hour, in 185 (46.48%) cases in 1-4hr (p value <0.0391). Thus, 347(81.18%) initiated breastfeeding in first 8 hours.Conclusions: Term gestation is positively associated while low birth weight and prematurity of baby has negative impact on early initiation of breastfeeding.


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