scholarly journals Barriers to Exclusive Breastfeeding among Urban Mothers

2016 ◽  
Vol 6 (2) ◽  
pp. 88-92 ◽  
Author(s):  
Lazina Sharmin ◽  
MAK Azad Chowdhury ◽  
Soofia Khatun ◽  
Naser Ahmed

Background: Breastfeeding is the unique source of nutrition and it plays an important role in the growth, development and survival of the infants. The initiation of breastfeeding within one hour and continuation of only breast milk up to six months ensure maximum benefits. The prevalence of exclusive breastfeeding in Bangladesh is 56% which is low. We designed this study to find out the factors influencing the duration of breastfeeding in Bangladeshi population.Objective: To study the factors influencing noncompliance to exclusive breastfeeding.Materials and Methods: This cross sectional study was conducted in Dhaka Shishu Hospital during the period January to June 2011. It includes 125 infant (1–12 months)-mother pairs randomly selected from the inpatient and outpatient departments of Dhaka Shishu Hospital. Mother-infant pairs were divided into two groups based on continuation of only breastfeeding up to six months. Outcomes were compared between two groups.Results: In this study exclusive breastfeeding was found in 27.2% and nonexclusive breastfeeding was in 72.8% cases. It was found that in most cases (40%) termination of breastfeeding was at 3--4 months. The study revealed that insufficient milk production due to poor position and attachment, social factors such as influence of husband and other family members, joining to service etc act as barrier to exclusive breastfeeding. Mass media and advice from health professionals had a higher influence on lower rate of exclusive breastfeeding. Women who were multiparous, housewives were more likely to maintain optimal breastfeeding.Conclusion: The present study reveals some important factors contributing to low rate of exclusive breastfeeding in Bangladesh.J Enam Med Col 2016; 6(2): 88-92

Author(s):  
Aswathy S. ◽  
Lakshmi M. K.

The study was aimed to assess the breastfeeding practices among mothers of infants in Peringara Gramapanchayat in Kerala. Study was a community based cross-sectional study among mothers of infants in Peringara gramapanchayat using a pretested questionnaire. 142 breastfeeding mothers of infants in Peringara gramapanchayat were studied and mothers who were not present at home during the study were excluded from the study. Study period consisted of 18 days between December 2015 and January 2016. Study variables includes type of delivery, initiation of breastfeeding, breastfeeding practices and role of ASHAs in promoting good breastfeeding practices. Statistical analysis was done using Pearson’s Chi-square test and T test. The study found that exclusive breastfeeding has been done by 68.3% of mothers. There is no practice of giving pre-lacteal feed, 95.8% of mothers have given colostrum to the new born. Statistically significant association was found between the type of delivery and time of initiation of breastfeeding (p less than 0.05). Time of initiation of breastfeeding was prolonged in case of Caesarean section. 49.3% of mothers have breastfed the baby within one hour. 55.6% of mothers were informed about importance of breastfeeding by ASHAs and only 20.4% of mothers were informed about period of exclusive breastfeeding and period of complimentary feeding by ASHAs.


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


Author(s):  
Shalini Kumari ◽  
Gautam Kumar Kshatriya

Background: An exclusive breastfeeding for 6 months and an extended breastfeeding for 24 months protects the infant from infectious disease and promotes child spacing. Therefore, the knowledge, attitude and practice about infant and child feeding is important to overcome morbid conditions prevailing among mothers and her child. The present study aimed at investigating the factors influencing an exclusive breastfeeding among currently married tribal women in Jharkhand, India.Methods: A cross sectional study was conducted among the 919 currently married Santal, Oraon, Mahli and Ho women in the age group of 15-29 years from forty villages of Purbi Singhbhum district of Jharkhand using interview schedule method.Results: The mean duration of exclusive breastfeeding and breastfeeding up to 24 months was found to be 4.1 and 12.9 months respectively. Also, not much difference in the average duration of exclusive breast feeding was found between working and non-working women. The results of multinomial regression showed maternal age (OR=1.92, p<0.05), place of delivery (OR=2.3, p<0.05), distance from health facility (OR=4, p<0.01) and sex of last child born (OR=2.5, p<0.01) among the significant determinants for exclusive Breastfeeding.Conclusions: The duration and initiation of breastfeeding in a marginalised society depends to a great extent on how family members participate and decide on the type of feeding for new-borns. Also, several public health education campaigns should be launched aiming at increasing the familiarity of family relations on exclusive breastfeeding.


2021 ◽  
Vol 11 (5) ◽  
pp. 305-312
Author(s):  
Uchenna Ekwochi ◽  
Ebelechuku Francesca Ugochukwu ◽  
Chinyere Ukamaka Onubogu

Background: Breastfeeding is beneficial to mothers, infants and society at large. The nutritional and non-nutritional benefits are gained when practiced in line with recommended durations. Objective: The duration of breastfeeding and related factors among mothers of southeastern Nigeria were explored. Methods: This was a hospital based cross-sectional study using an interviewer-administered questionnaire. Data analysis employed SPSS version 20. Results: A total of 1,833 women were surveyed. Most (93.3%) were aged 20-40 years and had at least secondary education (94,6%). More than half (64.3%) were working class. Many had 1-4 children (91.5%) and a family size of ≤6 (74.2%). Up to 83.3% of the mothers breastfed for ≥12 months. Common reasons advanced for cessation of breastfeeding were pregnancy (29.8%), baby refusing to suckle (10.2%) or old enough to stop breastfeeding (18.0%). No reason for cessation was given for 22.4%. Mothers <20 years practiced non-exclusive breastfeeding or early introduction of complementary feeds, bottle-fed and were significantly least likely to breastfeed for up to one year. Conclusion: A suboptimal number of Nigerian mothers breastfed for ≥12 months. Unscientific reasons were proffered for cessation of breastfeeding. Younger mothers practiced non-exclusive breastfeeding, bottle-fed and gave early complementary feeds, negatively affecting duration of breastfeeding. Sustained individualized health education is advocated to improve duration of breastfeeding and avail young children of its wholesome nutritional benefits. Key words: Breastfeeding Cessation, Breastfeeding Duration, Lactation Cessation Determinants, Weaning Timing, Nutrition.


2020 ◽  
Vol 11 (4) ◽  
pp. 6784-6792
Author(s):  
Talal Shakas AlGhamdi

This study aims to determine the prevalence of and maternal factors that are associated with exclusive breastfeeding (EBF) in Sudair and Al Zulfi, Riyadh, Saudi Arabia. A cross-sectional study was undertaken by means of recruiting 522, mother-infant pairs with infants aged six months. These participants were attending the Well-Baby Clinics in Sudair and Al Zulfi from  January 1st to April 30th, 2016, using a pilot-tested Arabic questionnaire. The EBF prevalence was determined via the “recall since birth” technique and regression analysis. EBF prevalence among mothers of infants (6 months) was 17.1%. Mothers’ insights of insufficient milk were the most recurrently reported reason (42.5%) for not practising exclusive breastfeeding. Saudi mothers (adjusted odds ratio: 10.06; 95% confidence interval: 8.46, 12.53), mothers aged 28–38 years (36.03; 1.96, 62.21), mothers who attended breastfeeding health education (90.52; 5.49, 134.8), multiparous mothers (67.25; 5.83, 122.8), and mothers with housekeeping availability (19.59; 1.36, 281.47) were more likely to practice exclusive breastfeeding in comparison to their counterparts. EBF rates in both areas  are far below the WHO recommended level. The mother’s nationality, age, parity, breastfeeding health education, and housekeeping availability were essential determinants to the practice EBF. Thus, aggressive multisectoral governmental interventions should be made to promote as well as support breastfeeding.


2021 ◽  
Vol 25 (1) ◽  
pp. 406-414
Author(s):  
Nabaz Sdeeq ◽  
Abubakir Saleh

Background and objective: Breastfeeding is a useful and natural source of nutrition that provides the healthiest start for an infant. Despite its nutritional benefits, breastfeeding promotes a unique and emotional connection between mother and baby. This study aimed to assess the determinants of exclusive breastfeeding within the first six months of age in Erbil City, Iraq. Methods: A cross-sectional study was conducted in Erbil city, Iraq, from December 2017 to December 2018. A convenience sampling method was used for selecting mothers of infants aged 6-15 months. A structured interviewer administered questionnaire was used for data collection. The statistical package for the social sciences was used for data analysis and a P value of ≤0.05 was regarded as statistically significant. Results: A total of 306 mothers with children aged between 6 and 15 months were included. The prevalence of exclusive breastfeeding was 26.5%. Around 36% of mothers had a primary school qualification, of whom 28.2% gave exclusive breastfeeding. Around 84%of the mother were housewives, of whom 28.3% had exclusive breastfeeding. Around 92% of the mothers had a birth at health facilities, of whom 26.2% gave exclusive breastfeeding. Around 50% of mothers had cesarean section deliveries, of whom 23.4% gave exclusive breastfeeding. Around 44% of the mothers mentioned that insufficient milk is the barrier to exclusive breastfeeding. Conclusion: Exclusive breastfeeding still remains low compared to the current WHO recommendations. The most common barrier to continuing exclusive breastfeeding was the perception of insufficient milk production. Housewife mothers are more likely to breastfeed their infants exclusively, and least when the mother is a non-house wife. Keywords: Exclusive breastfeeding; Mothers; Infants; Erbil.


Author(s):  
Poonam Meena ◽  
Satish Meena ◽  
Ashok Meena ◽  
R N Sehra

Background: This study was describe the breastfeeding practices and factors affected initiation and duration of breastfeeding  Methods: The cross sectional study was conducted on mothers with infants less than 1 year who came to immunization center for vaccination was included in the study. Total 1000 mothers include in this study. Results: Only 35.40% of the mothers did the exclusive breastfeeding until 6 months and started weaning after 6 months. A total 55.00% of mothers in our study prematurely started weaning. Conclusions: The study emphasizes the need for breastfeeding intervention programs especially for the mothers during antenatal and postnatal check-ups. Keywords: Breastfeeding, Immunization, Infants.


Author(s):  
Harish Chand ◽  
Mansi Chopra ◽  
Jyoti Sharma

<p class="abstract"><strong>Background:</strong> Considering the poor practices of optimal breastfeeding, a cross-sectional study with the objective to ascertain the disparity in knowledge, attitude and practice (KAP) pertaining to early initiation, exclusive and continued breastfeeding behaviours was conducted among the mothers of children below 3 years of age.</p><p class="abstract"><strong>Methods:</strong> 400 mothers of children ≤6 months from 52 villages of Rajasthan were included in the analysis for EBF. The data collection was analysed using statistical software SPSS version 23.0. All characteristics were summarized descriptively. Chi-square (χ2) test was performed to study the association between two categorical variables. Three points liket scale was administered to assess the attitude of mothers.  </p><p class="abstract"><strong>Results:</strong> 72.8 % mothers initiated early breastfeeding, 22.5% continued breastfeeding, and exclusively breastfeeding was practiced by none. 34.3% mothers had knowledge on early initiation of breastfeeding, 34.6% on exclusive breastfeeding and 65.5% had knowledge on continued breastfeeding. 73.8% mothers had positive attitude towards early initiation of breastfeeding, 13.5 % on exclusive breastfeeding and 79.5% had positive attitude towards continued breastfeeding up to 2 years.</p><p class="abstract"><strong>Conclusions:</strong> Though the attitude and knowledge on breastfeeding is good yet exclusive breastfeeding practice was observed very poor. These findings indicate that despite of having good knowledge and a positive attitude towards breastfeeding, there are certain myths and social determinants which hinder optimal breastfeeding. Identification of such barriers will be extremely useful, since counselling and behaviour change strategies will focus and address them, resulting in the practice of good behaviours.</p>


2019 ◽  
Vol 4 (2) ◽  
pp. 123
Author(s):  
Cut Sriyanti ◽  
Nizwar Siregar ◽  
Mudatsir Mudatsir ◽  
Azhari Gani

Breast milk was a food source to meet all the baby's needs for nutrients. Early initiation of breastfeeding may improve survival of children, improve health status, and improve brain development and motoric.  Efforts to improve the health of infants with exclusive breastfeeding can be done by involving students with the mentoring process. This studied aims to find out the level of success of mentoring by students on the provision of breastfeeding exclusive in Aceh Province. The project design was cross-sectional study with a number of subjects were 86 infant under two years. The sampling technique uses cluster sampling. Data analyses using Chi-Square test. The results of the studied found that of 43 respondents who received a breastmilk income, 76,7% gave exclusive breastfeeding and 23,3% did not give exclusive breastfeeding.  Then of 43 respondents who did not get the assistance, as 53,5% gave exclusive breastfeeding, and 46,5% did not give exclusive breastfeeding. Results known to have a significant relationship between mentoring with exclusive breastfeeding (p= 0,020). Students mentoring is effective in increasing the provision of exclusive breastfeeding to infant under two years of age. ASI merupakan sumber makanan untuk memenuhi semua kebutuhan nutrisi pada bayi. Inisiasi menyusui dini dapat meningkatkan kelangsungan hidup anak-anak, meningkatkan status kesehatan, dan meningkatkan perkembangan otak dan motorik. Upaya meningkatkan kesehatan bayi dengan pemberian ASI eksklusif dapat dilakukan dengan melibatkan siswa dengan proses pendampingan. Penelitian bertujuan untuk mengetahui tingkat keberhasilan pendampingan oleh siswa tentang pemberian ASI eksklusif di Provinsi Aceh. Desain penelitian adalah studi cross-sectional dengan jumlah subjek 86 anak di bawah dua tahun. Teknik pengambilan sampel menggunakan cluster sampling. Analisis data menggunakan uji Chi-Square. Hasil penelitian menujukkan bahwa dari hasil pendampingan oleh siswa terdapat 76,7% yang telah memberikan ASI eksklusif. Sedangkan tidak mendapatkan pendampingan hanya sebesar 53,5% yang memberikan ASI eksklusif. Terdapat hubungan signifikan antara pendampingan dengan pemberian ASI eksklusif (p= 0,020). Kesimpulan, pendampingan siswa efektif dalam meningkatkan pemberian ASI eksklusif untuk bayi di bawah usia dua tahun. Saran, perlu penguatan kepada dinas pendidikan bahwa lintas sektor ini sangat bagus dalam meningkatkan kesehatan masyarakat.


Author(s):  
Shaitan Singh Balai

Background: This study describe the breastfeeding practices. This study was describe the breastfeeding practices and factors affected initiation and duration of breastfeeding  Methods: The cross sectional study was conducted on mothers with infants less than 1 year who came to immunization center for vaccination was included in the study. Total 500 mothers include in this study. Results: Only 35.20% of the mothers did the exclusive breastfeeding until 6 months and started weaning after 6 months. A total 56.00% of mothers in our study prematurely started weaning. Conclusions: The study emphasizes the need for breastfeeding intervention programs especially for the mothers during antenatal and postnatal check-ups. The information regarding the advantage and duration of breastfeeding need to be provided for the community as a whole. Keywords: Breastfeeding, Immunization, Infants.


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