scholarly journals The Determinants of Early Initiation of Breastfeeding Practice among Mothers Attending a Tertiary Hospital, Kathmandu

2019 ◽  
Vol 39 (3) ◽  
pp. 168-173
Author(s):  
Sharada Acharya ◽  
Chitra Khanal ◽  
Akriti Shree Dahal ◽  
Mankeshari Maharjan ◽  
Bhagawati Bhandari
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Tertiary Care ◽  
Early Initiation ◽  
Multivariate Logistic Regression Model ◽  
Cross Sectional ◽  
Early Initiation Of Breastfeeding ◽  
Low Birth Weight Babies ◽  
Breastfeeding Practice ◽  
Initiation Of Breastfeeding

Introduction: Breastfeeding is the best way of providing ideal food for the optimal growth and development of an infant. Early initiation of breastfeeding (EIBF) within one hour of birth is one of the cost effective strategies to reduce neonatal mortality. The aim of the study was to find out the determinants of breastfeeding practice. Methods: This was a descriptive cross-sectional study conducted among 207 mothers who have child from birth to 12 months in Maternal and Child Health (MCH) Clinic of tertiary care referral hospital. The mothers for the study were selected using probability sampling technique. Variables were analysed using a multivariate logistic regression model to identify the determinants of EIBF. Results: The prevalence of EIBF in the study population was 47.3%. Caesarean delivery (AOR: 3.449, CI: 1.224-9.719, p = 0.019), mothers who have done more than one postnatal visit (AOR: 2.824, CI: 1.126-7.079, p = 0.027) and low birth weight babies (AOR: 7.973, CI: 1.571-40.465, p = 0.027) were more likely to delay initiation of breastfeeding. Conclusions: Less than half newborn receive breast milk within the first hour of birth. Mothers delivered by caesarean section, who have done more than two postnatal visit and low birth weight babies were more likely to delay initiation of breastfeeding. These are the major determinants of initiation of breastfeeding. Existing breastfeeding promotion program should be strengthened within the existing health care system.

scholarly journals Risk Factors Associated with Initiation of Breastfeeding among Mothers with Low Birth Weight Babies: A Cross-Sectional Multi-Centre Study in Abu Dhabi, United Arab Emirates

2019 ◽  
Vol 7 (23) ◽  
Author(s):  
Zainab Taha ◽  
Ahmed Ali Hassan ◽  
Ludmilla Wikkeling-Scott ◽  
Dimitrios Papandreou
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
United Arab Emirates ◽  
Early Initiation ◽  
Abu Dhabi ◽  
Cross Sectional ◽  
Early Initiation Of Breastfeeding ◽  
Delayed Initiation ◽  
The Mean ◽  
Initiation Of Breastfeeding

BACKGROUND: Early initiation of breastfeeding is important for good lactation outcomes and has long been recommended by the World Health Organization (WHO). Recommendations are based on research showing that breastfeeding saves children’s lives, particularly among vulnerable populations such as low birth weight (LBW) neonates. In spite of a consistent rise in LBW deliveries, and in spite of the importance of breastfeeding for the survival of LBW neonates, a dearth of research exists regarding early initiation of breastfeeding for this population. AIM: This study aimed to investigate the prevalence of, and factors associated with the initiation of breastfeeding among mothers with children aged less than two years who were low birth weight in Abu Dhabi, United Arab Emirates (UAE). METHODS: The data for this cross-sectional study were extracted from a larger project on evaluation of breastfeeding practices in Abu Dhabi. The original data were collected from seven healthcare centres located in different urban and suburban areas of Abu Dhabi during 2017. A structured questionnaire was used by trained research assistants who collected relevant data from mothers during the interview. RESULTS: The study included a total of 1,822 mothers of children below the age of two years; 175 (9.6%) of those children were identified as LBW. The mean (standard deviation [SD] ages of the mothers and the children were 30.5 (5.0) years and 6.0 (5.1) months, respectively. The mean birth weight (SD) of the LBW children was 2079.6 (255.0) grams. Forty (29.9%) mothers of LBW children initiated breastfeeding within the first hour. Sixty-four (47.8%) were delivered vaginally, and 70 (52.2%) were delivered via caesarean section (CS). In multivariable logistic regression analysis, the only factor associated with delayed initiation of breastfeeding among the LBW children was CS (adjusted odds ratio [AOR] 2.33; 95% confidence interval [CI] 1.07, 5.07). CONCLUSION: The prevalence of LBW was 9.6%, and it was associated with delayed initiation of breastfeeding as compared to the normal birth weight babies. While early initiation of breastfeeding should be promoted for all newborns, LBW infants are recognised as a vulnerable group and thus require additional support. There should be more emphasis on promoting and facilitating breastfeeding for LBW babies, especially those delivered by CS.

scholarly journals Determinants of early initiation of breastfeeding in Peru: analysis of the 2018 Demographic and Family Health Survey

2019 ◽  
Vol 41 ◽  
pp. e2019051
Author(s):  
Akram Hernández-Vásquez ◽  
Horacio Chacón-Torrico
Keyword(s):  
Health Survey ◽  
Family Health ◽  
Early Initiation ◽  
Health Centers ◽  
Multivariate Logistic Regression Model ◽  
Delivery Mode ◽  
Cross Sectional ◽  
Early Initiation Of Breastfeeding ◽  
Vaginal Deliveries ◽  
Initiation Of Breastfeeding

OBJECTIVES: Early initiation of breastfeeding (EIBF) is one of the most cost-effective strategies to reduce neonatal mortality. We sought to determine the prevalence and determinants of EIBF in Peru.METHODS: We performed a cross-sectional analytical study of the 2018 Peruvian Demographic and Family Health Survey as a secondary data source. In total, 19,595 children born during the 5 years prior to the survey were included in the study. The dependent variable (EIBF status), socio-demographic variables, and pregnancy-related variables were analyzed using a multivariate logistic regression model to identify the determinants of EIBF.RESULTS: The prevalence of EIBF in the study population was 49.7%. Cesarean deliveries were associated with a lower likelihood of EIBF (adjusted odds ratio [aOR], 0.06; 95% confidence interval [CI], 0.05 to 0.07) than were vaginal deliveries. Newborns born at public health centers (aOR, 1.37; 95% CI, 1.15 to 1.65) had a higher rate of EIBF than those not born at public or private health centers. Women from the jungle region (aOR, 2.51; 95% CI, 2.17 to 2.89) had higher odds of providing EIBF than those from the coast. Mothers with more than a secondary education (aOR, 0.65; 95% CI, 0.55 to 0.76) were less likely to breastfeed during the first hour of the newborn’s life than women with primary or no education.CONCLUSIONS: More than half of Peruvian children do not breastfeed during the first hour after birth. The major determinants of EIBF status were the delivery mode and the region of maternal residence. Strategies are needed to promote early breastfeeding practices.

scholarly journals Time of initiation of breastfeeding in various modes of delivery and to observe the effect of low birth weight and period of gestation on initiation of breastfeeding

2018 ◽  
Vol 5 (4) ◽  
pp. 1509 ◽  
Author(s):  
Navneet Badaya ◽  
Sanjiv Jain ◽  
Nayan Kumar
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Negative Impact ◽  
Early Initiation ◽  
P Value ◽  
Early Initiation Of Breastfeeding ◽  
Group I ◽  
The Difference ◽  
Period Of Gestation ◽  
Initiation Of Breastfeeding

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.

scholarly journals 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, 2018

2020 ◽  
Author(s):  
Tesfa Birlew ◽  
Muluken Amare
Keyword(s):  
Breast Feeding ◽  
Associated Factors ◽  
Early Initiation ◽  
P Value ◽  
Multivariable Logistic Regression Analysis ◽  
Cross Sectional ◽  
Timely Initiation ◽  
Early Initiation Of Breastfeeding ◽  
Breastfeeding Practice ◽  
Initiation Of Breastfeeding

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.

scholarly journals Breastfeeding practices of nursing mothers in Tamil Nadu: a hospital based cross sectional study

2018 ◽  
Vol 5 (10) ◽  
pp. 4441
Author(s):  
Shalini S. ◽  
Gopalakrishnan S.
Keyword(s):  
Tamil Nadu ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Early Initiation ◽  
Sectional Study ◽  
Cross Sectional ◽  
Normal Delivery ◽  
Early Initiation Of Breastfeeding ◽  
Breastfeeding Practices ◽  
Initiation Of Breastfeeding

Background: Breastfeeding is an essential component of maternal and child health. It has been envisaged that early initiation and exclusive breastfeeding are two key factors, which prevent mortalities relating to newborn and infants, and is also a great source of health and wellbeing of the mother and child. This study was conducted to estimate the prevalence of early initiation of breastfeeding and the reasons for delay among postnatal mothers, in selected health centers in and around Chennai, Tamil Nadu.Methods: This hospital based cross sectional study was carried out among 450 post natal mothers who delivered in primary, secondary and tertiary care government hospitals in Chennai and its peripheries. The participants were selected by two-stage sampling. A pre-tested structured interview schedule was used to elicit data regarding breastfeeding practices. The data was analyzed using SPSS version 21 software and results presented using descriptive and analytical statistics.Results: A majority of the study participants (84.2%) belonged to 21–30 years age group and 48% mothers had normal delivery while 52% had a caesarean section. The prevalence rate of early initiation of breastfeeding was 55.8%. The reasons for delay in early initiation of breastfeeding were found to be due to ignorance of the mother (28.2%), pain after delivery (27.2%), respiratory distress (11.1%) and low birth weight of babies (7.5%).Conclusions: This study emphasizes the need for an increased effort to propagate and popularize the concept of early initiation of breastfeeding among the community, especially to antenatal mothers.

scholarly journals The Effect of Early Initiation of Breastfeeding on Neonatal Mortality among Low Birth Weight in Aceh Province, Indonesia: An Unmatched Case Control Study

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Satrinawati Berkat ◽  
Rosnah Sutan
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Neonatal Mortality ◽  
Neonatal Period ◽  
Total Sample ◽  
Early Initiation ◽  
Design Data ◽  
Early Initiation Of Breastfeeding ◽  
Aceh Province ◽  
Initiation Of Breastfeeding

Background. Early initiation of breastfeeding is the breastfeed that is received by the baby within the first hour of birth. It is recommended to reduce infant mortality and illness. Objective. To assess the effect of early initiation of breastfeeding on neonatal mortality for low birth weight in Aceh province, Indonesia. Method. In this qualitative study unmatched case controls were used as the design. Data was collected in 8 districts in Aceh province, Indonesia, between January and December 2012. The total sample for this study was 500 LBW who were born between 2010 and 2012, subdivided into 250 LBW who died in neonatal period and 250 LBW who survived during neonatal period. Result. Thermal care and hygienic practice were not significantly associated with neonatal mortality among LBW. Feeding and early initiation of breastfeeding were associated. Discussion. Early initiation of breastfeeding had an effect on neonatal mortality for the low birth weight in Aceh province, Indonesia. The risk of mortality was decreased for those neonates who accepted breast milk within the first hour after birth. Therefore it is concluded that a new strategy to promote and improve the coverage of the initiation of breastfeeding is needed.

scholarly journals A study of epidemiological co-relates of low birth weight babies born in tertiary care hospital

2018 ◽  
Vol 6 (3) ◽  
pp. 1006
Author(s):  
Priti J. Patale ◽  
Monika S. Masare ◽  
Seema S. Bansode-Gokhe
Keyword(s):  
Socioeconomic Status ◽  
Birth Weight ◽  
Low Birth Weight ◽  
Maternal Education ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Maternal Weight ◽  
Cross Sectional ◽  
Low Birth Weight Babies

Background: To study the Epidemiological Factors related with the low Birth weight Babies born in tertiary care Hospital of teaching Medical Institution.Methods: The present study was a cross sectional observational study carried out in the Post Natal ward of Obstetric department of a tertiary care hospital of a metropolitan city, data collection was done from the Mothers of low birth weight babies by conducting face to face interview in the post-natal ward with a predesigned, structured Performa. Data was analyzed using statistical package for social science program.Results: The study showed that most of mothers of the babies were between the age group of 22 to 30 years 87 (58.3%) while 49 (32.8%) were below the age of 21 years and 13(8.7%) were above 30 years of age. Most of the study subjects 70 (47.0%) belongs to the lower socioeconomic status where as 62 (41.6%) and 17 (11.4%) belong to upper lower and middle socioeconomic class respectively. It was observed in the present study that maternal education, socioeconomic status, parity, maternal weight gain during pregnancy, height of the mother, tobacco habits either chewing or smoking, birth order of the baby are the factors, significantly associated with low birth weight of the baby.Conclusions: Socioeconomic development, maternal nutrition, and increasing the use of health services during pregnancy, are all important for reducing LBW. There is need to strengthen the existing maternal services at the basic level of community.

scholarly journals Determinants of Early Initiation of Breastfeeding among Mothers in a Tertiary Care Hospital

2021 ◽  
Vol 8 (13) ◽  
pp. 755-759
Author(s):  
Subrat Kumar Pradhan ◽  
Udayana Nayak ◽  
Samyak Sahu ◽  
Alok Ranjan Panda ◽  
Jasmin Nilima Panda
Keyword(s):  
Breast Feeding ◽  
Rural Areas ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Mode Of Delivery ◽  
Early Initiation ◽  
Care Hospital ◽  
Cross Sectional ◽  
Early Initiation Of Breastfeeding ◽  
Initiation Of Breastfeeding

BACKGROUND Early initiation of breast feeding implies putting the newborn baby to the mother’s breast as soon as possible after delivery, preferably within one hour. Colostrum or ‘first milk’ which is secreted soon after birth helps build nutrient stores in the child and is rich in protective immunoglobulins for the child. Early initiation helps the child to learn suckling fast leading to early secretion of breast milk. We intended to find out the determinants of early initiation of breast feeding. METHODS This is a cross-sectional study conducted from May to August 2019 in a tertiary care hospital. The sample size was 400. The study population consisted of mothers who delivered healthy term newborns in the obstetrics and gynaecology (O & G) ward of the hospital. Interview of the mothers was done using a predesigned and pretested questionnaire. Data entry was done on Microsoft Excel and analysis was done on Epi Info 7. RESULTS Mean age of the study participants was 25.66 ± 4.228. Majority of the respondents came from rural areas (61.25 %) and were homemakers (63.5 %). More than half the respondents had either middle or secondary school education. Previous information, mode of delivery, type of family, father’s and mother’s education and mother’s occupation were significant determinants of early initiation of breastfeeding (EIBF). CONCLUSIONS The above study reveals some determinants of the practice of EIBF and efforts are needed in order to address these determinants, to improve this practice, especially in a tertiary care setup. KEYWORDS Breastfeeding, New-Born, Infant, Colostrum, Tertiary Healthcare

scholarly journals Evaluation of Calf circumference as a procedure to screen low birth weight babies: a hospital based cross sectional study

2017 ◽  
Vol 4 (6) ◽  
pp. 2065 ◽  
Author(s):  
Arshiya Rehman Sheikh ◽  
Sushama Subhash Thakre ◽  
Subhash Thakre ◽  
Chaitanya Rangangouda Patil ◽  
Prithvi B. Petkar
Keyword(s):  
Birth Weight ◽  
Low Birth Weight ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Calf Circumference ◽  
Cross Sectional ◽  
Low Birth Weight Babies ◽  
The Mean

Background: In spite of the interventions being taken, low birth weight still persists as a public health problem in low and middle-income countries. World Health Organization defines low birth weight as birth weight less than 2500 gm. There is a constant search to find newer methods to detect low birth weight babies so that early methods can be instituted. This study was conducted to evaluate calf circumference as procedure to screen low birth weight babies in tertiary care hospital in Nagpur. Methods: A cross sectional study was conducted in tertiary care hospital of Nagpur, Maharashtra for a period of 4 months. The study subjects were babies delivered at the hospital. Birth weight was recorded using a digital weighing scale within 24 hours of the delivery. Length, calf circumference, head and chest circumference were measured according to standard guidelines. Results: Majority of mothers were in the age group of 20 to 24 years of age group, were educated up to primary school and belonged to Hindu religion. The mean calf circumference of low birth weight babies was 9.64±1.13 cm and was 10.96±1.01 cm in normal weight babies. The mean values of calf circumference were significantly lower in low birth weight babies (p <0.001). The sensitivity and specificity for the best cut off of calf circumference was found to be 89.97% and 42.86% respectively.Conclusions: Measuring calf circumference was found to be a good test with higher sensitivity but lower specificity. Hence, calf circumference can be used as an alternative method to screen babies born in remote areas, where the facility of weighing the baby at birth is not available.

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