scholarly journals Influence of Place and Mode of delivery on Initiation of Breast feeding Practices in Urban and Rural Area of District Ambala, Haryana

Author(s):  
Hardeep Joshi ◽  
Author(s):  
M. Vijay Kumar ◽  
Indranil Acharya ◽  
Jayanti P. Acharya ◽  
Puligila Raj Shravani ◽  
Sabbineni Ramya

Background: Breastfeeding is the normal way of providing young infants with the nutrients they need for healthy growth and development. Methods: A community based cross sectional study was conducted among 800 mothers from urban and rural areas of Rangareddy District. A pre designed pre tested questionnaire was used to interview the mothers. Questionnaire contained questions related to demographic factors and breast feeding practices. Institutional Ethical clearance was taken. Results: The overall prevalence of exclusive breast feeding was 65%, being comparatively more in rural area (68%) which was statistically significant. Colostrum was discarded by 15% mothers in urban and 9% in rural area. Breast feeding was initiated within 1 hour in 184 (46%) in urban area and in 148 (37%) in rural area. Conclusions: Though mothers from rural area had certain favorable breast feeding practices such as demand feeding, colostrum being given but still various inappropriate practices were prevalent in both rural and urban areas. 


Author(s):  
Edwin Dias ◽  
Kumar B.

Background: The status of breast milk practices is dismal in India in spite of specialized nutrient to newborns by way of breast milk. Culture influences breastfeeding decisions of mothers which have an influence on overall growth, development, health and nourishment of infants and children. Objectives: Assessing the maternal information, approach, and practices towards breastfeeding among mothers. Breastfeeding correlation with a number of antenatal visits, hospital education, maternal education, parity, mode of delivery, holding the baby after delivery, socioeconomic status, employment, religion and sex of the child, and prelacteal feeds. Methods: In a study, 400 mothers with children up to 2 years attending hospitals over a one year period. Data was collected using a self-administered standardized questionnaire. Statistical Analysis: The data was analysed regarding mean, frequencies, percentages, Chi-Square test and Spearman’s correlation test. Results: Breast feeding was deferred in mothers who delivered by Caesarean section due to mothers being kept for observation. Forty-three point eight % of mothers initiated first breast feeds within an hour. Eighty-eight point six % had initiated breastfeeds within one to four hours, however, it was. Prelacteal feeds were given by twenty-seven % mothers. Most mothers fed colostrum to the infants. Mean duration of exclusive breastfeeding was four and a half months. There was no association between duration of exclusive breastfeeding with parity, hospital education, holding of baby socioeconomic status and sex of the child. 34% of mothers administered in addition to breast feeding bottle-feeding. The mean age of starting complementary foods was 6 and half months. Conclusion: Due to cultural factors and other social promotional activities, the majority of the mothers had adequate knowledge and a positive attitude towards infant breastfeeding practice. Delay in the initiation of breastfeeding will impact education programs and neonatal feeding practices.


Author(s):  
Sirivella Tejaswini ◽  
Bhavani Bangarkodi Blakrishna

Background: Basic food of infant is mother’s milk. Breast feeding should be initiated within the first half an hour of birth. The first milk is the most suitable feed for the newborn. Colostrum is very important for growth, development and protection from infections in infants. The importance of colostrum is still not known to many mothers and caregivers. This study aimed to compare the knowledge and practice regarding colostrum feeding among mothers in urban and rural area.Methods: A descriptive approach and comparative survey design was adopted for the study. Data was collected from 150 mothers (75 each from urban and rural area) having infants of birth to 6 months age. Data was collected using a performa with items on socio-demographic varibles, a structured questionnaire to assess knowledge and a practice questionnaire regarding colostrum feeding.Results: 46.7% urban and 48% rural had moderate level of knowledge and 22.7% mothers from rural had poor knowledge. The urban mothers were more aware about colostrum feeding and its importance than rural mothers. Majority of the mothers (92% urban, 89.3% rural) practiced colostrum feeding. Comparison of knowledge and practice showed statistically significant difference between mothers of urban and rural area.Conclusions: Knowledge regarding colostrum feeding was inadequate and improper breast feeding practices were found in both urban and rural area. Urban area mothers had more knowledge and better feeding practices compared to mothers of rural area. There is an ongoing need for individual and community awareness programmes regarding importance of colostrum feeding.


BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e044884
Author(s):  
Melanie Rae Bish ◽  
Fiona Faulks ◽  
Lisa Helen Amir ◽  
Rachel R Huxley ◽  
Harold David McIntyre ◽  
...  

ObjectivesUsing routinely collected hospital data, this study explored secular trends over time in breast feeding initiation in a large Australian sample. The association between obesity and not breast feeding was investigated utilising a generalised estimating equations logistic regression that adjusted for sociodemographics, antenatal, intrapartum and postpartum conditions, mode of delivery and infant’s-related covariates.DesignPopulation-based retrospective panel.SettingA regional hospital that serves 26% of Victoria’s 6.5 million population in Australia.ParticipantsAll women experiencing live births between 2010 and 2017 were included. Women with missing body mass index (BMI) were excluded.ResultsA total of 7491 women contributed to 10 234 live births. At baseline, 57.2% of the women were overweight or obese, with obesity increasing over 8 years by 12.8%, p=0.001. Although, breast feeding increased over time, observed in all socioeconomic status (SES) and BMI categories, the lowest proportions were consistently found among the obese and morbidly obese (78.9% vs 87.1% in non-obese mothers, p<0.001). In the multivariable analysis, risk of not breast feeding was associated with higher BMI, teenage motherhood, smoking, belonging to the lowest SES class, gravidity >4 and undergoing an assisted vaginal or caesarean delivery. Compared with women with a normal weight, the obese and morbidly obese were 66% (OR 1.66, 95% CI 1.40 to 1.96, p<0.001) to 2.6 times (OR 2.61, 95% CI 2.07 to 3.29, p<0.001) less likely to breast feed, respectively. The detected dose–response effect between higher BMI and lower breast feeding was not explained by any of the study covariates.ConclusionThis study provides evidence of increasing breast feeding proportions in regional Victoria over the past decade. However, these proportions were lowest among the obese and morbidly obese and those coming from the most disadvantaged backgrounds suggesting the need for targeted interventions to support breast feeding among these groups. The psychosocial and physiological associations between obesity and breast feeding should further be investigated.


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