Oral Dextrose Gel for Neonatal Hypoglycemia and Delayed Newborn Bath’s Effects on the In-Hospital Exclusive Breastfeeding Rate

Background: Breast milk is the most valuable source of food for infants, no food is comparable. However in many countries around the world including Vietnam, the breastfeeding prevalence has been declining. A report of the Ministry of Health showed that only 19.6% of infants in Vietnam were exclusively breastfed for the first 6 months. The study was conducted in Hoi An with the aim at describing the situation of exclusive breastfeeding for the first 6 months of the mothers in Hoi An city, Quang Nam province and; identifying some factors affecting exclusive breast feeding for the first 6 months in the study area. Methods: A crosssectional descriptive study was conducted in Hoi An city in December 2014. 516 mothers of infants aged from 6 to 12 months were directly interviewed on the basis of a structured questionnaire. Information about general characteristics of mothers and their infants, their knowledge and attitude of breastfeeding and the feeding types of their baby for the first 6 months was collected. Multivariable logistic regression model was used to identify factors affecting exclusive breastfeeding for the first 6 months. Results: The exclusive breastfeeding prevalence for the first 6 months is 22.3%. Knowledge in breastfeeding and attitude toward exclusive breastfeeding for the first 6 months are factors that significantly related to exclusive breastfeeding prevalence for the first 6 months (OR = 3.3; p=0.001 and OR=10.4; p<0.001, respectively). Conclusion: The exclusive breastfeeding rate for the first 6 months in Hoi An city is low. The promoting antenatal education in exclusive breastfeeding is necessary solution to improve exclusive breastfeeding rate for the first 6 months. Key words: breast milk, exclusive breastfeeding, Hoi An

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Peran program kelas ibu hamil terhadap pelaksanaan ASI eksklusif di Gunung Kidul

Berita Kedokteran Masyarakat ◽

10.22146/bkm.18048 ◽

2017 ◽

Vol 33 (7) ◽

pp. 317

Author(s):

Dwi Andayani ◽

Ova Emilia ◽

Djauhar Ismail

Keyword(s):

Exclusive Breastfeeding ◽

Case Control Study ◽

Conditional Logistic Regression ◽

Control Sample ◽

Case Control ◽

Bivariate Analysis ◽

Significance Level ◽

Breastfeeding Rate ◽

Regression Tests ◽

Control Study

Purpose This study aimed to determine the effect of the implementation of the antenatal class toward exclusive breastfeeding.Methods The research was a case-control study with a quantitative approach. This research was also supported by a qualitative approach which aimed to complement and reinforce the results obtained from the quantitative data. Sample cases were 135 exclusive breastfeeding infants aged 6-12 months, and the control sample were 135 not exclusive breastfeeding infants aged 6-12 month. Data analysis used the McNemar and conditional logistic regression tests with significance level of p = <0.05 and 95% confidence interval.Results Bivariate analysis showed that antenatal class affected exclusive breastfeeding p = 0.026 and OR = 1.80 (95% CI: 1.03 to 3.24). In the results of multivariate analysis after controlling by including support of her husband and the ANC p = 0.03 and OR = 1.86 (95% CI: 1.05 to 3.30). Mothers who attended antenatal class have exclusive breastfeeding rate 1.86 times higher compared to mothers who did not attend the antenatal class.Conclusion The antenatal class can directly affect exclusive breastfeeding, in spite of controlling the support of her husband and the ANC.

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Intermittent Kangaroo Mother Care and the Practice of Breastfeeding Late Preterm Infants: Results from Four Hospitals in Different Provinces of China

10.21203/rs.2.18645/v2 ◽

2020 ◽

Author(s):

Bo Zhang ◽

Zhiying Duan ◽

Yingxi Zhao ◽

Sarah Williams ◽

Stephen Wall ◽

...

Keyword(s):

Breast Milk ◽

Preterm Infants ◽

Exclusive Breastfeeding ◽

Kangaroo Mother Care ◽

Late Preterm ◽

Feeding Practice ◽

Late Preterm Infants ◽

Breastfeeding Rate ◽

Milk Feeding

Abstract Background China has an extremely low exclusive breastfeeding rate. Kangaroo mother care (KMC) has been shown to increase the exclusive breastfeeding rate among infants born extremely or very preterm. However, there is limited evidence surrounding intermittent KMC and exclusive breastfeeding in late preterm infants. In our study we investigated the association between the provision of intermittent KMC and breastfeeding practice for late preterm infants in four hospitals in different provinces of China. Methods Intermittent KMC was recommended to the mothers of all preterm infants admitted to the postnatal wards of participating hospitals between March 2018 and March 2019. Those who agreed to practice KMC were enrolled in the “KMC group”, those who did not were enrolled in the “No KMC group”. Basic maternal socio-demographic information was collected, feeding practice; outcome and method, were recorded daily whilst in hospital. A follow-up survey of feeding practice was conducted 42 days after discharge. Calculations for feeding practice were performed separately for both groups. Logistics regression was used to analyze the association between KMC and feeding outcome and method, adjusting for socio-demographic covariates. Results Among the 844 mothers participating in the study, 627 (74.3%) chose to perform KMC. More of the mothers who provided KMC were exclusively breast milk feeding their infants in the 24 hours before hospital discharge (54.6%) and at follow-up (57.3%), compared to mothers who did not provide KMC (34.6% at discharge and 33.2% at follow-up,). Mothers in the KMC group were more likely to be breastfeeding (method) than mothers in the No KMC group (65.3% vs. 52.1% at discharge, and 83.1% vs. 67.3% at follow up). Logistic regression indicated that compared with the No KMC group, mothers who provided KMC were twice as likely to be exclusively breast milk feeding their infants at discharge (OR=2.15 (1.53-3.02)), use breastfeeding method at discharge as opposed to other means such as bottle or cup feeding (OR=1.61 (1.15-2.25)), be exclusive breast milk feeding at follow-up (OR=2.55 (1.81-3.61)), and use breastfeeding method at follow-up (OR=2.09 (1.44-3.02)). Conclusions Intermittent KMC was associated with a nearly doubled increase in exclusive breast milk feeding (outcome) and breastfeeding (method) at both discharge and 42 days after discharge for late preterm infants. This is especially important in China where exclusive breastfeeding rates are low, intermittent KMC provides a feasible means to increase the likelihood of these vulnerable infants receiving the benefits of exclusive breastmilk.

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Pendidikan Kesehatan Masyarakat Perawatan Payudara pada Ibu Nifas di Posyandu Dewi Sri Pamulang Kota Tangerang Selatan

JPKMI (Jurnal Pengabdian Kepada Masyarakat Indonesia) ◽

10.36596/jpkmi.v2i1.121 ◽

2021 ◽

Vol 2 (1) ◽

pp. 17-22

Author(s):

Ikada Septi Arimurti ◽

Rita Dwi Pratiwi ◽

Wannasta Alayya

Keyword(s):

Health Education ◽

Community Service ◽

Exclusive Breastfeeding ◽

P Value ◽

Breastfeeding Rate ◽

Care Health ◽

Breast Care ◽

Postpartum Mothers ◽

The Impact ◽

Provide Health Education

Abstrak: Data Riskesdas tahun 2018 menyatakan bahwa pada bayi umur 0-5 bulan di Indonesia, proporsi pola pemberian ASI sebanyak 37,3% ASI ekslusif, sedangkan pada ASI parsial dan ASI predominan masing-masing sebesar 9,3%, dan 3,3%. Hal ini menunjukkan bahwa angka ASI eksklusif kita masih tergolong rendah. Perawatan payudara adalah faktor yang berpengaruh terhadap keberhasilan proses menyusui pada ibu nifas, selain faktor lainnya. Penelitian sebelumnya mengungkapkan terdapat hubungan yang signifikan antara perawatan payudara dengan keberhasilan proses menyusui dengan p-value sebesar 0,007. Tujuan pengabdian masyarakat ini adalah memberi edukasi kepada masyarakat khususnya ibu nifas untuk dapat melakukan perawatan payudara pada masa nifasnya sehingga bisa mendukung program ASI eksklusif. Metode pengabdian masyarakat dilakukan melalui ceramah dan simulasi perawatan payudara. Pendidikan kesehatan dilakukan oleh dosen dan mahasiswa STIKes Widya Dharma Husada Tangerang. Kegiatan bertempat di Posyandu Dewi Sri Pamulang Kota tangerang Selatan. Pelaksanaannya pada saat kegiatan posyandu lalu disertakan pendidikan kesehatan dengan tema perawatan payudara pada ibu nifas. Peserta kegiatan sebanyak 15 orang ibu nifas. Terdapat antusiasme warga saat kegiatan berlangsung. Dampak kegiatan ini peserta mengetahui cara melakukan perawatan pada payudara sehingga sangat bermanfaat dalam proses menyusuinya. Harapan selanjutnya adalah kader posyandu juga dapat terus memberikan pendidikan kesehatan mengenai perawatan payudara pada ibu nifas yang belum memahami bagaimana merawat payudara selama proses menyusui.Abstract: Riskesdas data for 2018 states that in infants aged 0-5 months in Indonesia, the proportion of breastfeeding patterns is 37,3% exclusive breastfeeding, while partial breastfeeding and predominant breastfeedings are 9,3% and 3,3%, respectively. This shows that our exclusive breastfeeding rate is still low. Breast care is one of the factors that influence the success of the breastfeeding process in postpartum mothers and other factors. Previous research revealed a significant relationship between breast care and the success of the breastfeeding process with a p-value = 0,007. This community service aims to provide education to the community, especially postpartum mothers, to carry out breast care during the puerperium so that they can support the exclusive breastfeeding programs. Community service methods are carried out through lectures and simulations of breast care. Health education is carried out by lecturers and students of STIKes Widya Dharma Husada Tangerang. The activity took place at Posyandu Dewi Sri Pamulang, South Tangerang City. It was implemented during the posyandu activities and then included health education with breast care for postpartum mothers. Participants in the activity were about 15 mothers. There was enthusiasm from the residents when the activity took place. The impact of this activity, participants know how to do a treatment on the breast, so it is very beneficial in breastfeeding. The next hope is that posyandu cadres can also continue to provide health education on breast care to mothers who do not understand how to care for the breast during the breastfeeding process.

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The association between breastfeeding supportive services during childbirth hospitalization and exclusive breastfeeding at discharge

10.21203/rs.3.rs-25221/v1 ◽

2020 ◽

Author(s):

Lingling Li ◽

Yu Zhang ◽

Mu Li ◽

Hong Jiang ◽

Yajuan Yang ◽

...

Keyword(s):

Exclusive Breastfeeding ◽

Evaluation Criteria ◽

Cross Sectional Study ◽

Supportive Services ◽

Cross Sectional ◽

Breastfeeding Rate ◽

The Status ◽

Survey Results ◽

Healthy Growth ◽

And Child Health

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.

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Effect of peer counselling on exclusive breastfeeding among mothers attending child welfare clinic in two selected general hospitals in Lagos state, Nigeria

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20203682 ◽

2020 ◽

Vol 8 (9) ◽

pp. 3298

Author(s):

Owolabi Omolara Arike ◽

Sotunsa John

Keyword(s):

Child Welfare ◽

Exclusive Breastfeeding ◽

Mean Difference ◽

Control Group ◽

General Hospitals ◽

Breastfeeding Rate ◽

Lagos State ◽

Child Welfare Clinic ◽

Peer Counselling ◽

Experimental Group

Background: Inadequate nutrition and poor feeding practices of newborn and infants has turn out to be a major public health concern that has negatively affected the lives of many children and as led to the cause of various forms of deficiencies, also the leading cause of death of most children between 1-5years of age. This study determined the effect of peer counselling on exclusive breastfeeding among mothers attending child welfare clinic in two selected general hospitals in Lagos State, Nigeria.Methods: This study adopted a two group pre-test post-test quasi experimental design. Total enumeration was used to select one hundred and seventy-four (174) participants that participated in the study. Data was collected using a self-developed questionnaire while four research questions were tested using descriptive statistics.Results: Findings indicated that the pre-intervention knowledge mean score of participants on the knowledge of exclusive breastfeeding in the control group was 15.43±4.98 (48.2%) and 14.69±5.16 (45.9%) in the experimental group with a mean difference of 0.74. The post-intervention knowledge mean score of participants on the exclusive breastfeeding in the control group was 15.58±4.83 (48.7%) and 28.97±8.31 (90.5%) in the experimental group with a mean difference of 13.39. Conclusions: The present study demonstrated a significant improvement in the exclusive breastfeeding rate among mothers due to peer counselling exposure, and the interventions have been effective in increasing knowledge and practice of breastfeeding among mothers. It was recommended that knowledge of peer counselling will influence knowledge, practice and behaviours on exclusive breastfeeding rate among mothers.

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Evaluation of the impact of breastfeeding support groups in primary health centres in Andalusia, Spain: a study protocol for a cluster randomized controlled trial (GALMA project)

BMC Public Health ◽

10.1186/s12889-020-09244-w ◽

2020 ◽

Vol 20 (1) ◽

Cited By ~ 1

Author(s):

Isabel Rodríguez-Gallego ◽

Fatima Leon-Larios ◽

Cecilia Ruiz-Ferrón ◽

Maria-de-las-Mercedes Lomas-Campos

Keyword(s):

Support Groups ◽

Exclusive Breastfeeding ◽

Intervention Group ◽

World Health ◽

Control Group ◽

Breastfeeding Initiation ◽

Primary Health ◽

Breastfeeding Rate ◽

Breastfeeding Rates ◽

The Impact

Abstract Background In 2003, the World Health Organization recommended exclusive breastfeeding (EB) during the newborn’s first 6 months of life and, if possible, during the first 2 years. However, EB rates resist these recommendations. In developed countries, only 1 out of 3 babies is breastfed during its first 6 months of life, and great differences between areas and countries can be observed. Only 35% of the newborns receive breastfeeding at 3–4 months of age. There are diverse strategies described in the literature that have proven their efficiency in improving breastfeeding rates. It has also been proven that professional support is an effective tool to extend any kind of breastfeeding; besides, it has been observed that mother-to-mother support also increases breastfeeding initiation, sustainment, and exclusive duration. The overall aim of the study is to assess the impact of the support groups on the sustainment of exclusive breastfeeding until 6 months after birth. Methods/design This study is a cluster-random multicentric clinical trial with a control group and an intervention group, without blinding because it is impossible to mask the intervention. A randomization by centres of primary health (clusters) will be carried out. The women allocated to the intervention or control group will be randomized with a simple randomization sampling. The participants’ breastfeeding rate will be followed up at the first 10 days, and at 2, 4, and 6 months of their newborn’s life. Discussion There is a need to assess the impact of mother support groups on exclusive breastfeeding. This study aims to analyse the outcomes related to the support received and to identify what should the structure of these groups be; in other words, to describe factors related to a better breastfeeding experience in order to help women increase breastfeeding rates. Trial registration The trial is prospectively recorded at the ISRCTN registry (Trial ID: ISRCTN17263529). Date recorded: 17/06/2020.

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Prevalence of exclusive breastfeeding in Indonesia: a qualitative and quantitative study

Paediatrica Indonesiana ◽

10.14238/pi55.6.2015.302-8 ◽

2016 ◽

Vol 55 (6) ◽

pp. 302

Author(s):

Elizabeth Yohmi ◽

Nanis Sacharina Marzuki ◽

Eveline Nainggolan ◽

I Gusti Ayu Nyoman Partiwi ◽

Badriul Hegar Sjarif ◽

...

Keyword(s):

Socioeconomic Status ◽

Breast Milk ◽

Urban Area ◽

Rural Area ◽

Exclusive Breastfeeding ◽

Random Sampling ◽

Urban Areas ◽

Sampling Design ◽

Capital City ◽

Breastfeeding Rate

Background Breast milk is the best and most ideal food for babies because it contains all nutrition needed for their optimal growth and development. Babies who receive breast milk will have strong immune system, good brain development, and closer emotional bonding with their mothers. Considering the importance of breast milk, Indonesian government has been campaigning to endorse exclusive breastfeeding up to six months in the last four years. To date, there is no national data available to evaluate the exclusive breastfeeding program. Therefore, Indonesian Pediatric Society (IDAI) conducted a national survey on breastfeeding to investigate exclusive breastfeeding rate in Indonesia.Objective To find out the prevalence of exclusive breastfeeding in Indonesia.Methods This study included 22 provinces in Indonesia and targeted on mothers with infants aged 0-11 months. For the quantitative portion of the study we used simple random sampling design to get the prevalence from the population. For the qualitative interview data we used a stratified random sampling design to ensure that each infant age group was well represented. Survey location in each province was selected based on defining the capital city to be urban area and its sub-urban areas to be rural. This study was performed between October – November 2010.Results We found that the prevalences of breastfeeding among baby 0-11 months was quite high which were 91%, 86%, and 72% in infants aged 0-3 months, 0-6 months, and 6-11 months, respectively. Interestingly, the prevalence of breastfeeding in urban area was higher than in rural area for infants aged 6-11 months. However, despite the high prevalence of giving breast milk, less than half of mothers gave breast milk exclusively, to babies aged 0-3 months and to those aged 0-6 months. The awareness to exclusively breastfeed was greater for urban mothers than for rural ones in those with infants aged 0-6 months. Mothers with high socioeconomic status had the highest prevalence of exclusive breastfeeding. The prevalence of breastfeeding without formula was still the highest up to 12 months but the role of giving formula was increasing especially in rural area. The prevalence of breast milk introduced as the first milk was around 60%. Java and Sumatra had lower prevalence of breast milk introduced as the first milk compared to Kalimantan and Sulawesi. We also found that mothers started giving solid food from an early age, especially in rural areas. With increasing age, the frequency of giving breast milk declined in both urban and rural areas.Conclusion The overall prevalence of exclusive breastfeeding up to 6 months of age in Indonesia was 49.8%. Maternal unemployment and high family socioeconomic status were associated with longer duration of breastfeeding.

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Exclusive breastfeeding rate and factors associated with infant feeding practices in Indonesia

Paediatrica Indonesiana ◽

10.14238/pi56.1.2016.24-31 ◽

2016 ◽

Vol 56 (1) ◽

pp. 24 ◽

Cited By ~ 2

Author(s):

Yovita Ananta ◽

Ellen Gandaputra ◽

Elina Waiman ◽

I Gusti Ayu Nyoman Partiwi ◽

Nanis Sacharina Marzuki ◽

...

Keyword(s):

Infant Feeding ◽

Exclusive Breastfeeding ◽

Head Circumference ◽

Feeding Practices ◽

Infant Feeding Practices ◽

Developmental Status ◽

Factors Associated ◽

Breastfed Infants ◽

Breastfeeding Rate ◽

Duration Of Breastfeeding

Background Breast milk is the ideal food for infants. According to the 2007 Indonesian National Household Health Survey, only 23% of mothers exclusively breastfeed for six months.Objectives To determine the rate of exclusive breastfeeding in Indonesia, to evaluate factors associated with infant feeding practices, and to compare the nutritional and developmental status between exclusively-breastfed and formula-fed infants.Methods A survey was conducted in hospitals located in 17 provinces in Indonesia. The rate of exclusive breastfeeding was calculated. Many variables were investigated as potential predictors for exclusive breastfeeding using a multivariable logistic regression analysis. Further analysis was performed to compare the nutritional and developmental status between exclusively breastfed and formula-fed infants at the time of survey.Results From 1,804 infant subjects, the overall rate of exclusive breastfeeding was 46.3%, ranging from 10.5% in East Java to 66.9% in Jambi. Predominant breastfeeding, complementary feeding, and formula feeding rates were 14.3%, 8.6%, and 30.7%, respectively. Maternal unemployment was associated with a longer duration of breastfeeding (P=0.000). There were significantly more formula-fed infants who were undernourished compared to exclusively-breastfed infants (14% vs. 8%, P=0.001). There were also significantly more infants in the formula-fed group who had abnormal head circumference compared to those in the exclusively-breastfed group (9% vs. 6%, P=0.031). Child development, as assessed by the Pre-screening Developmental Questionnaire, was similar between the two groups (P=0.996).Conclusion The overall rate of exclusive breastfeeding in Indonesia is 46.3%. Maternal unemployment is associated with longer duration of breastfeeding. Exclusive breastfed infants have significant better growth and head circumference compared to formula fed infants, while the development is similar between the two groups.

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Neonatal Weight Matters: An Examination of Weight Changes in Full-Term Breastfeeding Newborns During the First 2 Weeks of Life

Journal of Human Lactation ◽

10.1177/0890334417722508 ◽

2017 ◽

Vol 34 (1) ◽

pp. 86-92 ◽

Cited By ~ 10

Author(s):

Diane DiTomasso ◽

Andrea L. Paiva

Keyword(s):

Weight Loss ◽

Body Weight ◽

Exclusive Breastfeeding ◽

Full Term ◽

Weight Changes ◽

Breastfeeding Rate ◽

Observational Cohort ◽

Term Newborns ◽

Group 2 ◽

Group 1

Background: Weight changes in the early weeks of life are important indicators of newborn wellness. Yet, little is known about weight loss patterns for breastfeeding newborns. Research aim: This study aimed to compare weight changes and exclusive breastfeeding rates in newborns who lost ≤ 7% and > 7% of their body weight after birth. Methods: A prospective, observational cohort study was completed. Newborns who lost ≤ 7% made up Group 1 and newborns who lost > 7% of birth weight made up Group 2. Mothers used a digital scale to weigh their newborns daily until 14 days of life. Newborn intake and outputs were also recorded. Results: Mean (with standard deviation in parentheses) weight loss for all newborns ( N = 151) was 7.68% (2.35%). Newborns in Group 1 ( n = 67) lost 5.7% (0.99%) and newborns in Group 2 lost 9.3% (1.87%). More than half of healthy, full-term newborns (56%) lost > 7%. On Day 14, the exclusive breastfeeding rate for newborns in Group 2 was significantly less than for those in Group 1 (60% vs. 82%; p = .033). Newborns gained a mean of 1.1% body weight daily; those in Group 1 gained 1.2% daily, and those in Group 2 gained 1.0% daily. Conclusion: Weight loss > 7% may be a normal phenomenon among breastfeeding newborns. Newborns who lost > 7% had a lower exclusive breastfeeding rate at 2 weeks of age. After the weight nadir was reached, most newborns gained weight at a similar pace, despite differences in early weight loss.

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