scholarly journals Breast feeding pattern in teaching districts of a health sciences university in eastern Nepal

2014 ◽  
Vol 11 (3) ◽  
pp. 192-197
Author(s):  
MK Shrivastava ◽  
RR Singh ◽  
GS Shah

Background: Adequate nutrition early in life has an important role in determining infants’ growth and development, and in preventing many adult diseases. Over 2/3rd of under-5 child deaths in the world is associated with inappropriate feeding practices and occurs during infancy. Yet, only 1/3rd of world’s infants are optimally fed. Objectives: To investigate breast feeding patterns and its relation to sociodemographic factors; and to identify factors associated with initiation, continuation, and maintenance of breast-feeding. Methods: Cross-sectional, semistructured questionnaire based study. 508 mothers of infants attending health center were interviewed about feeding patterns and socioeconomic variables. Data were analyzed using appropriate statistical methods. Results: 55.9% infants were breastfed within first hour of life and 90% within the first day. Rapid decline in exclusive-breastfeeding was seen with infant’s age (78.6% at 1 month, 37.3% at 1-3 months, 35.4% at 3-6 months). Factors significantly associated with exclusive breast- feeding were maternal age and education, family income and type. 17.9% infants were given pre-lacteals where as 92.9% received Colostrum. Major factors associated with early initiation of breast-feeding were maternal age and education, family type and mode of delivery. Conclusion: The results show that national guidelines, public messages, and educational campaigns need to be strengthened to achieve desired goals regarding breast feeding. DOI: http://dx.doi.org/10.3126/hren.v11i3.9631  Health Renaissance 2013;11(3):191-197

Author(s):  
Livia Calorina ◽  
◽  
Hanung Prasetya ◽  
◽  

ABSTRACT Background: Children nowadays use gadgets intensively, which can lead to addiction. The frequency or intensity of the children in using gadgets may affect their development. This study aimed to examine the use of gadgets on child development in children aged 3-5 years. Subjects and Method: A cross sectional study was conducted in Melawi, East Kalimantan, Indonesia, from August to September 2019. A sample of 200 children 3-5 years old was selected by fixed exposure sampling. The dependent variable was child development. The independent variables were gadget use, maternal age, maternal education, maternal employment, family income, number of children, and type of family. The data were collected by questionnaire and analyzed by a multiple linear regression. Results: Children development aged 3-5 years increased with maternal age ≥20 years old (b= 0.73; 95% CI= 0.11 to 1.35; p= 0.020), maternal education ≥Senior high school (b= 0.71; 95% CI= 0.34 to 1.08; p<0.001), family income ≥Rp 2,288,000 (b= 0.85; 95% CI= 0.42 to 1.28; p<0.001), and nuclear family type (b= 0.57; 95% CI= 0.25 to 0.89; p= 0.001). Children development aged 3-5 years decreased with gadget use (b= -0.69; 95% CI= -0.98 to -0.40; p<0.001), employed mother (b= -0.75; 95% CI= -1.05 to -0.45; p <0.001), and number of children >2 (b= -1.13; 95% CI= -1.46 to -0.80; p<0.001). Conclusion: Perkembangan anak usia 3-5 tahun meningkat dipengaruhi oleh usia ibu, pendidikan ibu, pendapatan keluarga, dan tipe keluarga inti. Perkembangan anak usia 3-5 tahun menurun pada anak yang menggunakan gadget, pekerjaan ibu, dan jumlah anak. Keywords: gadget use, children aged 3-5 years Correspondence: Livia Calorina. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36A, Surakarta, Central Java, Indonesia. Email: [email protected]. Mobile: 081346595497 DOI: https://doi.org/10.26911/the7thicph.03.87


2011 ◽  
Vol 18 (03) ◽  
pp. 485-488
Author(s):  
FARAH AGHA ◽  
HABIBA SHARAF ALI

Objective: To identify the factors, causing the early termination of breast feeding i.e. from birth to six months of age. Design: A cross sectional study. Setting: Outpatient Department of Ziauddin Medical University, Kemari Campus, Karachi. Period: June 2008 to December. 2008. Methods: A structured questionnaire was put to mothers of children up to two years of age attending the outpatient department of pediatrics. Results: Significant associations existed between the early termination of breast feeding and family income, family structure (nuclear vs. extended), mode of delivery ,delayed in initiation of breast feeding early weaning and antenatal counseling with a p-value of <0.05. Conclusions: Provision of adequate prenatal counseling, early initiation, proper economical and environmental support, backup and encouragement are key factors associated with prolonged breast feeding among women.


2017 ◽  
Vol 21 (5) ◽  
pp. 967-980 ◽  
Author(s):  
Mary Economou ◽  
Ourania Kolokotroni ◽  
Irene Paphiti-Demetriou ◽  
Christiana Kouta ◽  
Ekaterini Lambrinou ◽  
...  

AbstractObjectiveTo assess the prevalence and sociodemographic determinants of breast-feeding (BF) and exclusive breast-feeding (EBF) in Cyprus up to the sixth month.DesignCross-sectional and longitudinal descriptive study. BF and EBF were estimated based on mothers’ self-reported BF status in line with Step 7 of the WHO/UNICEF Baby-Friendly Hospital Initiative questionnaire and based on 24 h recall.SettingMaternity wards in all public hospitals and twenty-nine (of thirty-five) private maternity clinics nationwide.SubjectsConsecutive sample of 586 mothers recruited within 48 h from birth, followed up by telephone interview at the first, fourth and sixth month.ResultsAlthough 84·3 % of mothers initiated BF before discharge, prevalence of BF at the sixth month was 32·4 %, with the highest reduction observed between the first and fourth months. Prevalence of EBF at 48 h was 18·8 % and fell gradually to 5·0 % at the sixth month. Mothers with higher educational attainment or higher family income were more likely to breast-feed until the sixth month. In terms of EBF, an association was observed only with education, which persisted until the sixth month. Other than social gradient, mode of delivery was the strongest determinant of BF initiation, exclusivity and continuation. Mothers who gave birth vaginally were three to four times more likely to initiate BF (OR=3·1; 95 % CI 1·7, 5·4) and EBF (OR=4·3; 95 % CI 2·7, 6·8).ConclusionsThe low prevalence of BF and EBF in Cyprus, together with the fact that caesarean section rates are currently among the highest in Europe, suggest the need for further research to understand this multidimensional phenomenon and for interdisciplinary policy action to protect, promote and support BF.


2021 ◽  
Vol 15 (1) ◽  
pp. 1-7
Author(s):  
Raheli Misiko Mukhwana ◽  
Margaret N Keraka ◽  
Meshack Onyambu

Introduction/Aims Focused antenatal care provides individualised counselling, targeted assessment and safe, cost effective, evidence-based intervention. It has been implemented in developing countries as a strategy to improve maternal health. This study aimed to investigate sociodemographic factors associated with maternal complications in selected public county hospitals in Nairobi City County, Kenya. Methods This was a cross-sectional study using a sample of 397 postnatal women who were given a questionnaire, with sections on their sociodemographic and health characteristics. Data analysis was done using the Chi Square test to determine the association between study variables, with P<0.05 considered statistically significant. Results The study found that 30% of respondents reported a maternal complication during their current delivery outcome. Sociodemographic factors significantly associated with maternal complications were age (P=0.002), occupation (P=0.001) and income (P=0.011). The health factors associated with occurrence of maternal complications were number of deliveries (P=0.001) and mode of delivery (P=0.001). Conclusions A number of factors were found to be significantly associated with maternal outcomes, including age and occupation. Further studies to determine why young women do not use focused antenatal care are necessary, as this would help reduce the incidence of birth-associated complications.


2018 ◽  
Vol 104 (2) ◽  
pp. 134-140 ◽  
Author(s):  
Anna Francis ◽  
Madeleine S Didsbury ◽  
Anita van Zwieten ◽  
Kerry Chen ◽  
Laura J James ◽  
...  

ObjectiveThe aim was to compare quality of life (QoL) among children and adolescents with different stages of chronic kidney disease (CKD) and determine factors associated with changes in QoL.DesignCross-sectional.SettingThe Kids with CKD study involved five of eight paediatric nephrology units in Australia and New Zealand.PatientsThere were 375 children and adolescents (aged 6–18 years) with CKD, on dialysis or transplanted, recruited between 2013 and 2016.Main outcome measuresOverall and domain-specific QoL were measured using the Health Utilities Index 3 score, with a scale from −0.36 (worse than dead) to 1 (perfect health). QoL scores were compared between CKD stages using the Mann-Whitney U test. Factors associated with changes in QoL were assessed using multivariable linear and ordinal logistic regression.ResultsQoL for those with CKD stages 1–2 (n=106, median 0.88, IQR 0.63–0.96) was higher than those on dialysis (n=43, median 0.67, IQR 0.39–0.91, p<0.001), and similar to those with kidney transplants (n=135, median 0.83, IQR 0.59–0.97, p=0.4) or CKD stages 3–5 (n=91, 0.85, IQR 0.60–0.98). Reductions were most frequent in the domains of cognition (50%), pain (42%) and emotion (40%). The risk factors associated with decrements in overall QoL were being on dialysis (decrement of 0.13, 95% CI 0.02 to 0.25, p=0.02), lower family income (decrement of 0.10, 95% CI 0.03 to 0.15, p=0.002) and short stature (decrement of 0.09, 95% CI 0.01 to 0.16, p=0.02).ConclusionsThe overall QoL and domains such as pain and emotion are substantially worse in children on dialysis compared with earlier stage CKD and those with kidney transplants.


2017 ◽  
Vol 11 (2) ◽  
pp. 20-23
Author(s):  
Safiur Rahman Ansari ◽  
Gehanath Baral

Aims: To examine the association between maternal hemoglobin with birth weight.Methods: Cross sectional study of obstetrics database at Paropakar Maternity and Women’s Hospital. Hospital delivery of over 18 years of age women tested for Pearson correlation using SPSS-17.Results: Total of 2085 cases analyzed. There was mean hemoglobin value of 12.05 ± 1.30 (95% CI=11.992-12.103) g/dL and no any significant impact on mode of delivery (p=0.15) and neonatal death (p=0.736). There was a small but a significant correlation (p<0.01) of maternal age with hemoglobin (r = 0.106) and birth weight (r = 0.093); but a very small negative correlation between maternal hemoglobin and birth weight.Conclusions: Optimal maternal hemoglobin during labor rules out any strong correlation with birth weight.


2015 ◽  
Vol 3 (2) ◽  
Author(s):  
Sri Aminingsih ◽  
Lucia Desi Puti

Background Breastfeeding will ensure babies stay healthy and start life in the most healthy. Breastfeeding is actually not only allows the baby to grow up to be healthy physically, but also more intelligent, stable had a emotional, spiritual development, and positivesocial development. Riskesdas 2010 coverage of exclusive breastfeeding in Indonesia is still far from the world average and still very far from the target of Healthy Indonesia 2010. In rural districts Pucanganom Giriwoyo of the initial interview 3 of 5 mothers to breastfeed exclusively, while 2 others are not breastfed exclusively with reasons having to work, lack of time and because of no discharge of breast milk.The purpose to find out the factors that affect the mother in exclusive breast feeding in the village of Pucanganom sub-district of Giriwoyo Regency Wonogiri.Method of this research is descriptive research. While the plan is cross sectional used to find out the factors that affect the mother in exclusive breast feeding. Then there searchers took data from respondents regarding the factors that affect breast feeding.The Result Factors that affect the exclusive breast feeding is the age of the mother, the mother's education, number of children,  mother's work and family income. The most exclusive breast feeding on mother's  age 26-45 years (83,33%), maternal education high school-undergraduate (70%), given on the first and second child(73,34%), employment of the mother as a homemaker (73,34%), and family income 1-3 million (76.67%).Conclusion the mother who does not work it's possible giving exclusive breast milk due to the considerable amount of time which can be used by the mother to nurture her baby even 24 hours time the mother could be given to her baby, therefore breast feeding can be done during the first 6 months of the birth ofthe baby.Keywords: Exclusive breast feeding


Author(s):  
Malaz Mohamed Elrafie Mustafa ◽  
Ebtehaj Saleh Albeshri ◽  
Mashael Khaled Althobati

Children's oral health is of paramount importance as it governs the oral health status of the upcoming generation. Their oral hygiene is a vital part of general childcare. This under-appraised issue is often neglected by young parents, which can result in poor children's oral health. Aim: To assess standard knowledge, attitude and behavior of Saudi parents pertaining to the oral health of their young children. Materials and Methods: a prospective cross-sectional online survey was conducted in Saudi Arabia in 2017. The questionnaire included a total of 16 questions which were divided into two parts; the first part asked about parents' general information such as the name, age, gender, educational level, occupation and total family income. The second part included questions related to knowledge, attitude and practices toward children on selected oral health issues. Results: 1038 Saudi parents responded to the online questionnaire (70% Females and 30% male). Majority Saudi parents recognized many preventive dental aspects like importance of early acquisition of tooth brushing, avoidance of caries-related diet and nocturnal on demand breast feeding. Seventy three percent were convinced that it is better to take their children to a specialized pediatric dentist rather than a general dental practitioner. However, it was revealed that there was limited knowledge and awareness of Saudi parents about the significance of the routine dental checkups, ideal timing of first dental visit and importance of topical fluoride. Hypothetical myths and social beliefs associated with dental treatment like endodontic treatment were common; creating barriers to early preventive and curative dental care of young Saudi children. Conclusion: Parents were found to have inadequate knowledge in regard to oral health of their young children. The present research points to a need for enhanced dental education of parents, particularly in planning for their children's first visit and effect of prolonged on-demand at night breast feeding on development of early childhood caries. Community based oral health programs are required in order to raise parents' awareness regarding their children's oral health.


2021 ◽  
Vol 9 (E) ◽  
pp. 324-327
Author(s):  
Lili Fajria ◽  
Nuzulia Irawati ◽  
Hema Malini ◽  
Mudjiran Mudjiran ◽  
Randi Refnandes

BACKGROUND: In the transition period, in adolescents occur the process of physical, cognitive, and social maturation. This period is essential in the formation of sexual identity, which related to gender and sexual orientation. Improper sexual identities will provoke sexual behavior problems. The problems with sexual behavior begin from differences in sexual orientation with a sexual orientation generally accepted by the public (heterosexual). In some adolescents, there is a change in sexual orientation that leads to homosexuality. The factors that play a significant role in adolescent sexual orientation are parenting. AIM: This study aimed to examine the risk of different sexual orientation tendencies in adolescents and the families’ factors in West Sumatra. MATERIALS AND METHODS: This study’s design was a cross-sectional study with 532 adolescents aged 13–18 years old as the respondents. It took 3 months to research by using a questionnaire as the instrument. The questionnaire’s data were analyzed using Chi-square. RESULTS: The results showed that the risk of different sexual behaviors in adolescents was 59.4% normal tendency, 26.7% low tendency, and 13.9% high tendency. Furthermore, family factors related significantly to the risk of different sexual behavior tendencies were gender and family intimacy factors (p < 0.05), while age, family type factors, and family income factors (p > 0.05) are not significantly related. CONCLUSION: Based on that, it concluded that the parents expected to develop closer relationships with family members.


2020 ◽  
Vol 2 (7A) ◽  
Author(s):  
Amarila Malik ◽  
Grasella Ong ◽  
Firsty Amanah Prasetyaningsih ◽  
Kristien Juni ◽  
Radhian Amandito ◽  
...  

Microbial colonization of a neonate’s gastrointestinal tract has significant perinatal and lifetime health consequences, with some clinical outcomes that have been linked to differences in the diversity and composition of gut microbiota. The effort to engineer intestinal ecosystem has led us to preserve the cultivable commensal microbiota. Here we investigated the association of cultivable bacterial diversity of neonates meconium from Indonesian National Referral Hospital Cipto Mangunkusumo (NRHCM) with mode of delivery and feeding patterns, as well as hyperbilirubinemia. We performed a cross-sectional study of meconium and clinical data collected from 14 Indonesian neonates born at NRHCM. Culture-dependent identification of bacterial isolates was conducted by performing simultaneous microbiological and molecular 16S rDNA PCR-Sanger sequencing methods. Phylogenetic tree and principal components analysis were employed to determine the bacterial profile and their association with clinical characteristics and outcomes. Cultivable bacterial profile indicates the predominance of Firmicutes (84,41%), with an abundant population of Staphylococcus (53.24%) with top three most significant population present are, i.e. S. hominis (12.99%), S. epidermidis (11.68%), and S. haemolyticus (10.39%). Bacterial diversity was associated with mode of delivery which showed that vaginal route populated by lower diversity of cultivable bacteria but by fewer opportunistics one than that of cesarean, with Staphylococcus hominis dominates the population, whereas with feeding patterns showed that the exclusive breast-fed was most populated by Staphylococcus, whereas non-exclusive one shared the same proportion of Staphylococcus and Bacterioides. While, non-hyperbilirubinemia group showed more abundant and diverse Staphylococcus than that of the opposite group.


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