scholarly journals Practice of early initiation of breastfeeding among postnatal mothers in a tertiary hospital in South India

Author(s):  
Anish Keepanasseril ◽  
ReemaAlen Babu ◽  
K Kanimozhi
2021 ◽  
Vol 8 (1) ◽  
pp. 93-101
Author(s):  
Nona Shakya ◽  
Mana Maya Shakya

Introduction: Early initiation of breastfeeding within one hour of birth decreases infant morbidity and mortality, and it helps promote exclusive breastfeeding. Despite the benefits of early initiation of breastfeeding, the practice is far from adequate. We aim to identify the barriers to the early initiation of breastfeeding among postnatal mothers. Method: A cross-sectional analytical study was carried out among the postnatal ward of Manipal Teaching Hospital from 1 June to 30 August 2017. Consecutive sampling was used. Ethical permission was obtained. Data was collected through face-to-face interviews using a semi-structured questionnaire, including demographics of mother and infant, and time of initiation of feeding. SPSS was used for descriptive analysis of demographics, and the association of factors for the initiation of early breastfeeding was analyzed to draw the inference. Result: Out of 244 postnatal mothers, the early initiation of breastfeeding was done by 19.7%, and 82.4% provided prelacteal feeds of infant formula. Delayed breastfeeding was associated with caesarean section (OR: 21.99; 95% CI 5.55-87.03), prelacteal feeding (OR: 7.49; 95% CI 2.72-20.66), and lack of antenatal checkup visit (OR: 7.38; 95% CI 2.3-23.73). Conclusion: Early initiation of breastfeeding was low (19.7%) in postnatal mothers, with barriers to breastfeeding identified as caesarean delivery, prelacteal feeding, lack of antenatal checkup visits. 


Author(s):  
Nisha Rakhi Tirkey ◽  
Barkha Devi ◽  
Sonam Zangmu Sherpa

Background: Breastfeeding is the most desirable method for achieving a normal growth and development of the child. Breastfeeding practice is multifactorial, and number of variables influence mothers’ decisions and ability to breastfeed. This study aimed to assess the perception and practice regarding early initiation of breastfeeding and factors associated with breastfeeding among hospitalized postnatal mothers in East Sikkim.Methods: The descriptive study was carried out among 80 postnatal mothers who delivered term healthy babies either through normal vaginal delivery (n=34) or lower segment caesarean section (n=38), selected through purposive sampling technique and were interviewed within six hours of postpartum. Data were collected over a period of one month through an interview schedule to get information on feeding practice, perception and the factors responsible for delayed breastfeeding. Data analysis was done using Statistical package for social sciences (SPSS) version 16. Chi square test was used to examine the factors associated with perception and practice of early initiation of breastfeeding (within one hour of birth).Results: The result shows that early initiation of breast feeding within one hour of birth was done by 36% of mothers after the delivery and few adopted prelacteal feeding (19%) where as 86% had positive perception towards it. The factors that mostly influenced early initiation of breastfeeding were planned pregnancy (100%) and support from family members during pregnancy and delivery (100%). There was a statistically significant association between mother’s educational status and information regarding early initiation of breastfeeding and influencing factors like breastfeeding education during antenatal period and guidance from the health professional (p<0.05).Conclusions: Early initiation of breastfeeding within one hour was found extremely low which is an alarming. The findings also suggest the need of breastfeeding promotion programs among the mothers who are less educated. Such breastfeeding promotion programmes could be implemented through network of community-based workers. 


2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Ofelia P. Saniel ◽  
Veincent Christian F. Pepito ◽  
Arianna Maever L. Amit

Abstract Background The prevalence of early initiation of breastfeeding and exclusive breastfeeding (EBF) at 6 months remain low in the Philippines. To help meet the 90% early initiation of breastfeeding target and to improve infant and young child feeding practices in the Philippines, the Millennium Development Goals - Fund 2030 Joint Programme (JP) on Ensuring Food Security and Nutrition for Children 0–24 months old was implemented. We aimed to determine the effectiveness of visits by peer counselors during pregnancy and after delivery, and membership in breastfeeding support groups in promoting these optimal breastfeeding practices. Methods We used data from the Endline Survey of the JP to study the effects of prenatal and postnatal peer counselor visits, and membership in breastfeeding support groups, and their possible interactions with initiation of breastfeeding within 1 hour of birth among children aged 0 to 24 months and EBF at 6 months among children aged 6 to 24 months, while adjusting for confounding. We used logistic regression methods for survey data to assess these associations. Results Of the 2343 mother-infant pairs, only 1500 (63.1%) practiced early initiation of breastfeeding. Of the 1865 children aged 6 months or older, only 621 (34.7%) were exclusively breastfed at 6 months. After adjusting for confounding variables, there was no strong evidence that peer counselor visits were associated with early initiation or EBF at 6 months. However, members of breastfeeding support groups had 1.49 times higher odds of early initiation of breastfeeding (95% CI [Confidence Interval] 1.12, 1.98) and 1.65 times higher odds of EBF (95% CI 1.20, 2.24) compared to those who were not members of breastfeeding support groups. There was no interaction between the different exposure variables and early initiation and EBF at 6 months. Conclusions Our findings suggest breastfeeding support groups may be institutionalized to promote both early initiation of breastfeeding and EBF in the Philippines, while the role of peer counselors in promoting optimal breastfeeding behaviors should be further reviewed. Our suggestion to integrate non-healthcare professionals to promote early initiation of breastfeeding and EBF could be tested in future intervention studies.


2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Vasanthakumar Namasivayam ◽  
Bidyadhar Dehury ◽  
Ravi Prakash ◽  
Marissa Becker ◽  
Lisa Avery ◽  
...  

Abstract Background Timely initiation of breastfeeding, also known as early initiation of breastfeeding, is a well-recognized life-saving intervention to reduce neonatal mortality. However, only one quarter of newborns in Uttar Pradesh, India were breastfed in the first hour of life. This paper aims to understand the association of community-based prenatal counselling and postnatal support at place of delivery with early initiation of breastfeeding in Uttar Pradesh, India. Methods Data from a cross-sectional survey of 9124 eligible women (who had a live birth in 59 days preceding the survey) conducted in 25 districts of Uttar Pradesh, India, in 2018, were used. Simple random sampling was used to randomly select 40 Community Development Blocks (sub district administrative units) in 25 districts. The Primary Sampling Units (PSUs), health service delivery unit for frontline workers, were selected randomly from a linelisting of PSUs in each selected Community Development Block. Bivariate and multivariate logistic regression analyses were performed to assess the association of prenatal counselling and postnatal support on early initiation of breastfeeding in public, private and home deliveries. Results Overall 48.1% of mothers initiated breastfeeding within an hour, with major variation by place of delivery (61.2% public, 23.6% private and 32.6% home). The adjusted odds ratio (aOR) of early initiation of breastfeeding was highest among mothers who received both counselling and support (aOR 2.67; 95% CI 2.30, 3.11), followed by those who received only support (aOR 1.99; 95% CI 1.73, 2.28), and only counselling (aOR 1.40; 95% CI 1.18, 1.67) compared to mothers who received none. The odds of early initiation of breastfeeding was highest among mothers who received both prenatal counselling and postnatal support irrespective of delivery at public health facilities (aOR 2.49; 95% CI 2.07, 3.01), private health facilities (aOR 3.50; 95% CI 2.25, 5.44), or home (aOR 2.84; 95% CI 2.02, 3.98). Conclusions A significant association of prenatal counselling and postnatal support immediately after birth on improving early initiation of breastfeeding, irrespective of place of delivery, indicates the importance of enhancing coverage of both the interventions through community and facility-based programs in Uttar Pradesh.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Foyez Ahmmed ◽  
Muhammad Mahabub Rahaman Manik

AbstractEarly initiation of breastfeeding (EIBF) is an essential practice for child health as well as for maternal health. This study aims to determine trends, prevalence, and factors associated with EIBF in Bangladesh. Data for this study were extracted from Bangladesh demographic and health surveys (BDHS) 2004, 2007, 2011, and 2014. This study found an increasing trend in EIBF in Bangladesh irrespective of the different characteristics of mothers and children. Chi-square test was conducted to find the association between EIBF and different factors. Multilevel logistic regression analysis was used to consider the hierarchical structure of the data. Regression result showed that educated parents [Adjusted odds ratio (AOR) = 1.14, 95% Confidence Interval (CI) = 1.04, 1.26 ], exposure to media [AOR = 1.13, CI = 1.05, 1.21], 2nd or 3rd birth order [AOR = 1.13, CI = 1.04, 1.23], wanted child [AOR = 1.12, CI = 1.02, 1.23], antenatal visit [AOR = 1.07, CI = 1.00, 1.15], antenatal visit by medically trained provider [AOR = 1.06, CI = 1.00,1.13] and rich wealth index [AOR = 1.10, CI = 1.01, 1.20] were positively associated with EIBF. In contrast, mothers with caesarian delivery [AOR = 0.36, CI = 0.31, 0.40], delivery in private facility [AOR = 0.83, CI = 0.73, 0.95], multiple birth, and higher maternal age were less likely to EIBF.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
D Dharel ◽  
A Bhattarai ◽  
Y R Paudel ◽  
P Acharya ◽  
K Acharya

Abstract Background Initiation of breastfeeding within one hour from birth is one of the five key essential newborn care messages, implemented along with birth preparedness package since 2008. This study aimed to determine the trend of early initiation of breastfeeding (EIBF) and to assess the effect of health facility delivery on EIBF in Nepal. Methods We analyzed the data from the last four nationally representative Nepal Demographic and Health Surveys (NDHS) conducted in 2001,2006,2011 and 2016. Data on the early initiation of breastfeeding was obtained from the mothers of infants born within 24 months prior to the survey. The explanatory variable was the place of delivery, dichotomized as either the health facility, or home delivery. Survey year had a significant interaction with the place of delivery. Multivariable logistic regression was conducted separately on pooled samples before (NDHS 2001 and 2006) and after (NDHS 2011 and 2016) the program implementation. Adjusted odds ratio (AOR) with 95% confidence interval (CI) for EIBF was calculated after adjusting for predetermined covariates. Results The rate of EIBF increased by 26.5% points (from 32.8% in 2001 to 59.3% in 2016) among infants delivered in a health facility, compared to an increase by 17.1% points (from 29.9% to 47.0%) among home born infants. EIBF increased by 32.5% points before, compared to 49.7% points after BPP. Delivery in a health facility was associated with a higher odd of EIBF in later years (AOR2.3, 95% CI 2.0,2.8), but not in earlier years (AOR1.3, 95% CI 0.9,2.0). Delivery by caesarean section, first-born infant, and lack of maternal education were associated with a lower rate of EIBF in both periods. Conclusions Higher EIBF was associated with health facility delivery in Nepal, only after programmatic emphasis on essential newborn care messages. This implies the need for explicit focus on EIBF at birth, particularly when mother is less educated, primiparous or undergoing operative delivery. Key messages The rate of initiation of breastfeeding within an hour from birth is increasing in Nepal, with higher rates in health facility delivery, as shown by the recent four nationally representative surveys. Programmatic focus on essential newborn care messages may have contributed to significant association of higher rates of early initiation of breastfeeding when delivered in health facility.


e-NERS ◽  
2013 ◽  
Vol 1 (1) ◽  
Author(s):  
Fransisca M.A. Wowiling ◽  
Benny Wantouw ◽  
Julia Rottie

Abstract: Early Initiation of Breastfeeding is the baby starts to suckle his own soon after birth, as long as the skin is left in contact with his mother, at least 1 hour after birth. How to initiate early breastfeeding baby was named after the breast crawl or crawl seek his own breast. This study aims to gain an overview of the relationship between knowledge and attitude of mothers VK (maternity) Prof Dr Irina D BLU. R.D. Kandou Manado. Design of this study used cross sectional method where the entire population is a normal post partum mothers in space VK (Maternity) Prof Dr Irina D BLU. R.D. Kandou Manado with a sample size of 30 responden. Data responde collected using questionnaires and observation sheets then the data presented preformance cross tabulation tables and chi square test with a significance level of 0.05. Based on the results of the study showed that of the chi square test results obtained ρ value ​> 0.05. It states that there is no correlation between knowledge and attitude with the implementation of early breastfeeding initiation (IMD) in mothers post partum in space VK (maternity) Prof. Dr Irina D BLU R.D. Kandou Manado. Keywords: Knowledge and Attitude Post Partum Mom, Implementation of Early Initiation of Breastfeeding (IMD).     Abstrak: Inisiasi Menyusu Dini adalah bayi mulai menyusu sendiri segera setelah lahir, asalkan dibiarkan kontak dengan kulit ibunya, setidaknya 1 jam setelah lahir. Cara bayi melakukan inisiasi menyusu dini ini dinamakan the breast crawl atau merangkak mencari payudara sendiri. Penelitian ini bertujuan memperoleh gambaran mengenai hubungan pengetahuan dan sikap ibu post partum dengan pelaksanaan inisiasi menyusu dini (IMD) di Ruang VK (bersalin) Irina D BLU RSUP Prof. R.D. Kandou Manado. Desain penelitian ini menggunakan metode cross sectional dimana populasinya adalah keseluruhan ibu post partum secara normal di Ruang VK (Bersalin) Irina D BLU RSUP Prof. R.D. Kandou Manado dengan besar sampel 30 responden.Data dikumpulkan dari responde dengan menggunakan lembar kuisioner dan observasi kemudian data disajikan dalm tabel tabulasi silang dan uji chi square dengan derajat kemaknaan 0,05. Berdasarkan hasil penelitian menunjukkan bahwa dari hasil uji chi square didapatkan nilai ρ > 0,05. Ini menyatakan bahwa tidak ada hubungan pengetahuan dan sikap dengan pelaksanaan inisiasi menyusu dini (IMD) pada ibu post partum di Ruang VK (bersalin) Irina D BLU RSUP Prof.Dr. R.D. Kandou Manado. Kata kunci: PengetahuandanSikapIbuPost Partum, Pelaksanaan Inisiasi Menyusu Dini (IMD).


2015 ◽  
Vol 55 (3) ◽  
pp. 126
Author(s):  
Yoke Ayukarningsih ◽  
Arief Dwinanda

Background The infant mortality rate (IMR) in Indonesia is higher than that in other ASEAN countries. The highest rate of mortality occurs in the first 24 hours of life. Suboptimal breastfeeding initiation is a cause of high IMR. In an effort to decrease infant mortality, implementing early initiation of breastfeeding (EIB) has been encouraged.Objective To assess the success rate and time needed for latching on in EIB implementation.Methods We reviewed medical records of vaginal deliveries at Dustira Hospital, Cimahi, West Java, from June–November 2011.Results From 305 vaginal deliveries, 174 infants received EIB, though only 159 medical records could be assessed. The results showed that 52 % did EIB with a 91.8% success rate (defined as good implementation by WHO) and a 8.2% fail rate. In terms of subjects’ birth weights, the success rate of EIB implementation was 62.5% in the low birth weight (LBW) group, 94.9% in the normal birth weight (NBW) group, and 100% in the large birth weight or macrosomic group. The success rate of EIB implementation was 69.2% in the preterm group and 93.8% in the full term group. The success rate of EIB implementation was 71.4% in the LBW/fullterm group and 55.6% in the LBW/preterm group. The amount of time for infants to latch on was highest within the 30–44 minute group (52.7%).Conclusion The EIB implementation at Dustira Hospital was classified as good and the amount of time to latch on was 30-44 minutes.


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