Breastfeeding Pattern and its Associated Factors Among Mothers Working at Two Hospitals in Kathmandu

2020 ◽  
Vol 40 (1) ◽  
pp. 7-13
Author(s):  
Srijana Basnet ◽  
Merina Shrestha ◽  
Tulashi Adhikari ◽  
Aarati Shakya

Introduction: Breastfeeding practices of women working at the hospital are likely to be modified by the facilities and support that they receive at the hospital. This study was done to evaluate the breast feeding practices and to analyse important factors that are associated with exclusive breast feeding till six months among women working at hospitals in Kathmandu, Nepal Methods: A total of 110 women, with a young child between the ages of six months and two years were recruited from two hospitals in Kathmandu. A predesigned structured, interviewer-administered questionnaire was used for data collection. Results: The mean age of the mothers was 29.85 ± 3.68 years. Ninety seven (88.2%) women were aware about initiation of breastfeeding within first hour of birth but only 64 (58.2%) women could practice it. Most women 100 (90.9%) were aware about exclusive breastfeeding but only 18 (16.3%) could practice exclusive breastfeeding till six months.  Mean duration of exclusive breastfeeding was 2.86 ± 2.00 months and 20 (18.2%) mothers practiced mixed feeding since birth. The participants whose babies had prelacteal feeding had significantly shorter duration of mean exclusive breast feed {1.92 ± 2.18 (S.D)} compared to those who did not have prelacteal feed {3.33 ± 1.74 (S.D)}  (p = 0.001). Those who delivered by normal vaginal delivery, initiated breastfeeding within first hour of delivery, expressed breast milk and got feeding breaks were associated with longer duration of mean exclusive breast feed. Conclusion: The breast feeding practices among working women at hospital is quite low compared to national statistics on IYCF. Breast milk expression and feeding breaks for lactating working women could improve feeding practices.

2014 ◽  
Vol 8 ◽  
pp. 71-74 ◽  
Author(s):  
Tulashi Adhikari ◽  
Ishwar Subedi

This descriptive explorative study was carried out with the aim of finding out the current status on breastfeeding among mothers of infants in Kanti Children Hospital, Maharajgunj, Kathmandu. A total of 100 mothers attending maternal and child health (MCH) Clinic of Kanti Children’s hospital were selected on the first come first basis. A semi- structured questionnaire was used to collect data that assess the knowledge and actual practices of mothers regarding breastfeeding. The study finding revealed that 52% responded has correct meaning of exclusive breastfeeding. Regarding the initiation of breastfeeding only 41% respondents fed their babies correctly within 1 hour. Twenty six percent of them had given Prelacteal feeding from 52.6% of mothers from rural and 20.8% mothers from urban area. Only 12% of respondents had knowledge about expressing breast milk (EBM) and among them only 8.3% practiced it. Regarding the duration of exclusive breastfeeding (EBF), 34% respondents had given EBF up to 6 months, 26% had given prelacteal feed and 26% respondents did not practice EBF from 1st day of life. DOI: http://dx.doi.org/10.3126/jfstn.v8i0.11754 J. Food Sci. Technol. Nepal, Vol. 8 (71-74), 2013


Author(s):  
R. Mark Beattie ◽  
Anil Dhawan ◽  
John W.L. Puntis

Bottle-feeding 32Type of formula feed 33Complementary feeding 34Although the WHO recommends exclusive breast-feeding for 6 months and partial breast-feeding thereafter, it was recognized that some mothers would be unable, or would choose not to breast-feed, and that these mothers also deserved support to optimize their infant's nutrition. It is important that formula feeds are made up according to instructions and that both formula milk and expressed breast milk is handled in a way that minimizes the risk of bacterial proliferation in the feed. Some simple guidelines are given below: ...


PEDIATRICS ◽  
1989 ◽  
Vol 83 (1) ◽  
pp. 31-40 ◽  
Author(s):  
Kenneth H. Brown ◽  
Robert E. Black ◽  
Guillermo Lopez de Romaña ◽  
Hilary Creed de Kanashiro

Longitudinal studies of the feeding practices and morbidity from infectious diseases of 153 Peruvian newborns from an underprivileged, periurban community were completed during their first year of life. Feeding practices were assessed by monthly questionnaires, and illnesses were identified by thrice-weekly, community-based surveillance. All infants were initially breast-fed, but only 12% were exclusively breast-fed at 1 month of age. At 12 months of age, 86% of children still received some breast milk. Incidence and prevalence rates of diarrhea in infants younger than 6 months of age were less among those who were exclusively breast-fed compared with those who received other liquids or artificial milks in addition to breast milk. The diarrheal prevalence rates doubled with the addition of these other fluids (15.2% v 7.1% of days ill, P < .001). Infants for whom breast-feeding was discontinued during the first 6 months had 27.6% diarrheal prevalence. During the second 6 months of life, discontinuation of breast-feeding was also associated with an increased risk of diarrheal incidence and prevalence. Upper and lower respiratory tract infections occurred with lesser prevalence among exclusively breast-fed younger infants. The prevalences of skin infections by category of feeding practice were not as consistent, but exclusively breast-fed infants tended to have fewer skin infections during the initial months of life and older infants who continued to breast-feed had fewer infections than those who did not. None of the results could be explained by differences in the socioeconomic status of the infants' families.


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):  
P. I. Opara ◽  
B. A. Alex-Hart

Background: Breastfeeding pattern established in the immediate neonatal period is a determinant of long term breastfeeding behaviour. Objectives: To determine prelacteal feeding practices of mothers attending the Infant Welfare Clinic of a tertiary hospital in Port Harcourt, Nigeria. Subjects and Methods: This was a cross sectional hospital based study carried out over a 3 month period. A structured, self-administered questionnaire was distributed to mothers whose babies were 0 to 6 months old, who visited the infant welfare clinics of the hospital for any of the child health services such as immunization, nutrition counselling, weighing and vitamin A supplementation. Questions asked included socio-demographics, the first feeds given immediately after birth, how long it took to commence breastfeeding and reasons for giving any feeds other than breast milk. Results: A total of 207 mothers participated in this study, mean age 30.73±4.129SD. 146 (70.5%) mothers gave breast milk as the first feeds to their babies while 61(29.5%) gave prelacteal feeds. Fifty eight (28%) of the babies were put to breast within 2-12 hours after delivery. There was a significant positive relationship between time to first breast feed and administration of prelacteal feeds (p = 0.000). Reasons for giving substances other than breast milk included poor or no lactation and caesarian section delivery. The commonest reason for not giving breast milk as the first feed was because breast milk did not flow. Factors which positively influenced giving breastmilk as the first feed included maternal level of education (p=0.018), delivery in government health facilities (p=0.00) and having vaginal delivery (p=0.008).  Conclusion: Prelacteal feeding practice is common among mothers in Port Harcourt. Time to first breast feed, mode of delivery and place of delivery were some of the factors that influenced use of prelacteal feeds.


PEDIATRICS ◽  
1980 ◽  
Vol 66 (4) ◽  
pp. 626-628 ◽  
Author(s):  
James A. Lemons ◽  
Richard L. Schreiner ◽  
Edwin L. Gresham

The Committee on Nutrition of the American Academy of Pediatrics has recently advocated breast-feeding for the normal, full-term newborn, unless contraindicated for specific reasons (including a desire by the mother not to breast-feed) or when breast-feeding is unsuccessful.1 This recommendation reflects the renewed interest throughout the world in providing human milk to the healthy infant. Further, expressed breast milk (either from the infant's mother or from donors) is being fed with increased frequency to the preterm or sick infant.2,3 The adequacy of human milk to meet the nutritional needs of all preterm babies has not been documented, however, as recently reviewed by Fleischman and Finberg.4


2013 ◽  
Vol 2 (1) ◽  
pp. 43-48 ◽  
Author(s):  
Farzana Mahejabin ◽  
Abdul Wadud Khan ◽  
Masuda Sultana

To identify the socio-demogrsphic factors and to determine the breast-feeding and weaning practices of the mothers of infants in some selected villages of Dhamrai.  A descriptive type of cross sectional study was conducted from July to December, 2011. A total of 320 mothers were interviewed having infant up to the age of 1 year. A validated questionnaire, which consists of questions relating to socio-demographic data, breast-feeding and weaning practices, was used.  The total number of mothers interviewed was 320 who had infants up to 1 year of age. The mothers were mostly 154(48.1%) aged 21- 25 years and 107 (33.4%) aged 26-30 years. Most 151 (47.2%) of the mothers were educated up to primary level and 96(30%) up to secondary level. 71 mothers were illiterate. The mothers were mostly 190(55.4%) belonged to nuclear family and 129(40.3%) joint family. Most 301(94.1%) of the mothers were housewife. The monthly income of the respondents were Taka 5001-10000 amongst 149(47%) and Taka < 5000 132 (41%). The mean monthly family income of the respondents was 7626.56±3171.248 Taka. Out of 320 infants, 137 (43%) were aged 9-12 months, 124 (39%) were 6-9 months and 59 (18.4%) infants were aged < 6 months. The infants mostly 96(30%) weighted more than 8 kg, 95 (30%) weighted 6-8 kg and 76 (24%) weighted 4-6 kg. All the mothers had initiated breast feeding to their infants and majority 298(98%) were on breast feeding and 57 (96.6%) were on exclusive breast feeding during the study. The infants of < 6 months fed breast milk 8 times or more in a day, the infants of 6-9 months fed breast milk 6-8 times in a day and those not breast fed they fed liquid/soft foods 4-6 times in a day. The infants of 9-12 months fed breast milk 4-6 times in a day and those not breast fed they fed liquid/soft foods 6-8 times in a day. The infants mostly 57(96.6%) were on exclusive breast feeding at the age of <6 months and on complementary feeding 77 (62%) and 83(60.5%) infants at the age of 6-9 and 9-12 months respectively. The infants were not on breast feed 13 (10.5%) at the age of 6-9 months and 23(16.8%) at the age of 9-12 months. Out of 320 respondents 315(98.4%) were aware about the usefulness of breast feeding and 5(1.6%) were not aware. Out of 320 respondents 269(84.1%) were aware about the complementary food and 51(15.9%) were not aware. Out of 320 respondents 218(68.1%) were aware about the knowledge of starting weaning food and 102(31.9%) were not aware about the starting of weaning food.  The results of the study indicate that the breast feeding practices among the mother of urban areas were well practiced. DOI: http://dx.doi.org/10.3329/cbmj.v2i1.14183 Community Based Medical Journal Vol.2(1) 2013 43-48


2016 ◽  
pp. 36-42
Author(s):  
Thi Ngoc Anh Nguyen ◽  
Hoang Lan Nguyen

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


2021 ◽  
Vol 8 ◽  
pp. 2333794X2110183
Author(s):  
Ahmedzekuwan Adem ◽  
Nega Assefa ◽  
Merga Deresa ◽  
Mohammed Yuya ◽  
Galana Mamo Ayana ◽  
...  

Background. Prelacteal feeding is defined as administration of any substances other than breast milk to newborn babies during the first 3 days after birth. Despite its negative health outcomes, it is commonly practiced in developing countries. Therefore, this study aimed at assessing the prevalence of pre-lacteal feeding practices and associated factors among mothers of children aged less than 2 years of age in Kersa district, Eastern Ethiopia. Method. A community-based cross-sectional study design was conducted among 465 mothers having children aged less than 2 years in Kersa district. A multistage sampling technique was used to select study participants. Binary logistic regression analysis was fitted to identify factors associated with prelacteal feeding practices. Variables with a P-value <.05 were identified as statistically significant factors. Results. The prevalence of pre-lacteal feeding in Kersa district was 46.4% (95% CI; 42.0%, 51.5%). Initiating breastfeeding after 1 hour of delivery (AOR = 10.80, 95% CI: (5.79, 20.17)), giving birth at home (AOR = 2.77, 95% CI: (1.41, 5.46)), not knowing risks associated with pre-lacteal feeding (AOR = 3.25, 95% CI: (1.72, 6.15)) and perceiving pre-lacteal feeding as beneficial (AOR = 9.56, 95% CI: (4.45, 20.52)) were factors significantly associated with practice pre-lacteal feeding practices. Conclusion. Significant proportions of mothers were practicing pre-lacteal feeding in the study area. Late initiation of breastfeeding, home delivery, not knowing risks of prelacteal feeding, and perceiving pre-lacteal feeding as beneficial were contributing factors for practicing of pre-lacteal feeding. Therefore, promoting institutional delivery and timely initiation of breastfeeding would reduce prelacteal feeding in Kersa district.


2017 ◽  
Vol 28 (1) ◽  
pp. 1-5
Author(s):  
Md Saizuddin ◽  
Md Shahidul Hasan ◽  
Md Rashidul Islam ◽  
Md Alfazzaman ◽  
MM Mafizur Rahman ◽  
...  

A descriptive type of cross sectional study was carried out to assess the pattern of infant & young child feeding practices by the rural mothers of Bangladesh with a sample size of 450 during the months of January, 2015 to December, 2015. Out of 450 children, 51.1% are female & 48.9% are male. The proportions of infants with early initiation of breastfeeding (13.6%) and exclusive breastfeeding fewer than six months (57.3%) and infants who received complementary feeding at the age of 6-8 months (55.7%) were low. It showed that 90.4% of mothers have knowledge on exclusive breast feeding but only 57.3% of them have practiced it for 4-6 months. It further revealed that only 8.4% of mothers & 13.6 % of fathers are illiterate. The main problems revealed from the study were late initiation of breastfeeding, low rates of exclusive breastfeeding and inappropriate complementary feeding practices. It further revealed that 69.3% of the respondents had two or less children and only 30.7% had three or more children.Medicine Today 2016 Vol.28(1): 1-5


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