scholarly journals Comparative Study of Prevalence of Early Initiation of Breast Feeding, Its Enablers and Impeders

2021 ◽  
Vol 33 (1) ◽  
pp. 56-64
Author(s):  
Varsha Mahesh Vaidya ◽  
Prakash Prabhakarrao Doke ◽  
Arvinder Pal Singh Narula ◽  
Girija Narendrakumar Wagh ◽  
Tushar Madhav Panchanadikar ◽  
...  
Keyword(s):  
Social Sciences ◽  
Cesarean Section ◽  
Health Care Workers ◽  
Urban Areas ◽  
Mode Of Delivery ◽  
Early Initiation ◽  
Early Initiation Of Breastfeeding ◽  
Cesarean Deliveries ◽  
Care Workers ◽  
Initiation Of Breastfeeding

Background: In India the proportion of early initiation of breastfeeding is hovering around 50% and the proportion of cesarean deliveries is increasing substantially. Objectives: To compare the prevalence of early initiation of breastfeeding (EIBF) among cesarean and vaginally delivered women in hospitals in Pune District, Maharashtra State, India and to measure any association between EIBF and various socio-demographic, maternal and fetal factors. Methods: This was a multi-site study conducted in 13 selected hospitals in Pune District in 2017-18. Pune District by population is the fourth largest in India. All women delivered by cesarean section in these hospitals and an equal number of age and parity matched vaginally delivered women were enrolled. They were interviewed before discharge by obstetricians or nurses under the supervision of obstetricians, using a structured, validated tool. The data were analyzed by using Statistical Package for Social Sciences, version 25. Results: In each group, 1,556 women were enrolled. The prevalence of EIBF was 81.5% and 63.6% among vaginally and cesarean delivered women. There was a significant association between EIBF and the place of residence, mode of delivery, gestational period, parity, and presence of some disease. Residence in the rural area was the strongest enabling factor with an adjusted odds ratio of 29.6 (95% C.I.; 18.7-46.9) whereas cesarean section, preterm delivery and first para were impeding factors. Conclusions: Among institutional delivered women EIBF was about 70%. Health care workers need to strongly promote EIBF awareness, especially among women from urban areas, and undergoing cesarean section. 

scholarly journals Delayed onset of breastfeeding: what is stopping us?

2020 ◽  
Vol 7 (10) ◽  
pp. 2021
Author(s):  
Ketan Gadhavi ◽  
Ruta Deo
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Oral Intake ◽  
Positive Influence ◽  
Early Initiation ◽  
Cross Sectional ◽  
Factors Affecting ◽  
Early Initiation Of Breastfeeding ◽  
Care Workers ◽  
Initiation Of Breastfeeding

Background: Breastfeeding is the best meal for a new born child. Various initiatives are in place for early initiation of breastfeeding. The effectiveness of these interventions is put to question when a large number of neonates fail to receive breast milk soon after birth. This study analyses the parameters likely to affect the time of onset of breastfeeding and evaluate the scope for interventions. It is important to assess the factors affecting initiation of breastfeeding, determine the relationship of these factors with the time of initiation and to analyse if counselling by health care workers has any benefit on outcome.Methods: This is a hospital based cross sectional observational study in 200 lactating mothers from a pre-designed questionnaire. Main outcome measure- early onset (<1 hour of birth) of breastfeeding.Results: Only 55% neonates included in this study were breastfed within the first 30 minutes. Positive influence for early initiation of breastfeeding was found with non primi mothers aged more than 26 years, with secondary or higher education, who had vaginal birth with institutional delivery. Early oral intake of mother with professional women living in joint family started early breastfeeding. Use of pre lacteal feeds delayed the onset of breastfeeding. Infants fed earlier were males, weight >2.2 kg. Women counselled by health care workers fed their babies earlier.  Conclusions: This study surmises that pre lacteal feeds should be discouraged and active health care workers’ participation should be encouraged for early breastfeeding. Breastfeeding should be initiated as soon as possible for healthy neonatal outcome.

scholarly journals Prevalence and associated factors of early initiation of breastfeeding among women delivered via Cesarean section in South Gondar zone hospitals Ethiopia, 2020

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Bekalu Getnet ◽  
Alemu Degu ◽  
Fantahun Yenealem
Keyword(s):  
Cesarean Section ◽  
Antenatal Care ◽  
Associated Factors ◽  
Northwest Ethiopia ◽  
Early Initiation ◽  
Cross Sectional ◽  
Early Initiation Of Breastfeeding ◽  
Professional Guidance ◽  
South Gondar ◽  
Initiation Of Breastfeeding

Abstract Background Early initiation of breastfeeding is putting the newborn to breast within one hour after birth. This study was aimed to assess prevalence of early initiation of breastfeeding and its associated factors among mothers who delivered by cesarean section in South Gondar Zone hospitals Northwest Ethiopia, 2020. Methods An institutional based cross-sectional study was employed in South Gondar Zone hospitals from June 12 to July 03, 2020. A total of 356 cesarean delivered mothers were included. Data were collected using interviewer administered questionnaire and entered in to Epi Data version 4.2 and then exported to SPSS version 23.0. Logistic regression statistical analyses were used to identify factors associated with the outcome variables. Results The prevalence of early initiation of breastfeeding among mothers who delivered by cesarean section was 51.9%. Mothers who had intended pregnancy [AOR = 2.69, 95% CI (1.34–5.38)], had professional guidance [AOR = 2.68, 95% CI (1.18–6.10)], had breastfeeding experience [AOR = 2.25, 95% CI (1.35–3.75)], and had four and above antenatal care visits [AOR = 2.20, 95% CI (1.24–3.91)] were positively associated with early initiation of breastfeeding among mothers who delivered by cesarean section. Conclusion Type of pregnancy, professional guidance, had four or more antenatal care and breastfeeding experience were significantly associated with early initiation of breast feeding among mothers who delivered by cesarean section. Community based breastfeeding education and counseling to pregnant mothers and encouraging all mothers to follow recommended ANC visit is should be recommended.

scholarly journals Modelling the Trend and Determinants of Breastfeeding Initiation in Nigeria

2013 ◽  
Vol 2013 ◽  
pp. 1-9 ◽  
Author(s):  
Waheed Babatunde Yahya ◽  
Samson Babatunde Adebayo
Keyword(s):  
Urban Areas ◽  
Educational Status ◽  
Early Initiation ◽  
Demographic And Health Surveys ◽  
Breastfeeding Initiation ◽  
Early Initiation Of Breastfeeding ◽  
Singleton Birth ◽  
Nursing Mothers ◽  
Mother’S Age ◽  
Initiation Of Breastfeeding

This paper examined the general trend of timing of breastfeeding initiation among nursing mothers in Nigeria. The time of initiating the first breast milk to an infant by his/her mother is measured as whether it is immediate (before the first hour of birth) or delayed (after the first hour of birth), and the impacts of some socioeconomic and maternal factors on this are determined. Results from this study showed that mother’s age at birth, her enhanced educational status, mothers’ domiciling in urban areas, singleton birth, and mother’s frequent antenatal visits among others contributed positively to early initiation of breastfeeding by Nigerian nursing mothers (P<0.05). In the contrary, delivery through caesarean operation, nursing mothers that delivers at homes instead of hospitals, and the current birth being the first from a mother are all found to militate against early initiation of breastfeeding (P<0.05) among others. General results showed that early breastfeeding initiation experience among nursing mothers in Nigeria significantly improves over time between 1990 and 2008 (P<0.05), although following a sinusoidal pattern. Four waves of national data from the Nigerian Demographic and Health Surveys for 1990, 1999, 2003, and 2008 were employed in the study.

scholarly journals Meta-Analysis the Effect of Section Caesarea on Early Breastfeeding Initiation

2021 ◽  
Vol 6 (1) ◽  
pp. 46-55
Author(s):  
Ferda Fibi Tyas Nurkholifa ◽  
◽  
Eti Poncorini Pamungkasari ◽  
Hanung Prasetya ◽  
◽  
...  
Keyword(s):  
Cesarean Section ◽  
Meta Analysis ◽  
Random Effect Model ◽  
Early Initiation ◽  
Breastfeeding Initiation ◽  
Normal Delivery ◽  
Cesarean Section Delivery ◽  
Early Initiation Of Breastfeeding ◽  
Section Technique ◽  
Initiation Of Breastfeeding

Background: Early Initiation of Breastfeeding is the baby's first activity to find the mother's nipple within the first hour of birth. UNICEF and WHO recommend Early Breastfeeding Initiation as a strategy to achieve the 4th MDG, namely reducing child mortality. Early Breastfeeding Initiation has many benefits but its prevalence is still low, one of the contributing factors is cesarean section delivery. This study aims to estimate the effect of cesarean section delivery on early breastfeeding initiation based on the results of a number of previous studies. Subjects and Method: This study was a meta-analysis and systematic study. The articles used were obtained from PubMed, Science Direct and Google Scholar published from 2009-2020. The inclusion criteria used were full text articles with observational designs, articles published in English and Indonesian. The PICO study problems are as follows. Population= post partum mothers. Intervention= cesarean section delivery. Comparison= normal delivery. Outcome= early initiation of breastfeeding. Articles were collected using a prism flow diagram. Meta analysis was performed using RevMan 5.3 with a Random Effect Model. Results: A total of 11 articles conducted a meta-analysis review of this study. The metaanalysis of 11 articles showed that women who gave birth through cesarean section technique were 0.33 times more likely to have early breastfeeding initiation compared to normal delivery. (aOR= 0.33; 95% CI= 0.18 to 0.59; p<0.001). Conclusion: Mothers who gave birth through cesarean section technique were more likely to initiate early breastfeeding by 0.33 times compared to normal delivery. Keywords: caesarean section, delivery method, early initiation of breastfeeding Correspondence: Ferda Fibi Tyas Nurkholifa. Masters Program in Public Health, Universitas Sebelas Maret, Surakarta, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java, Indonesia. Email: ferdafibi13@- gmail.com. Mobile: +62856557788

scholarly journals Metode persalinan dan hubungannya dengan inisiasi menyusu dini di RSUP Dr. Sardjito Yogyakrta

2010 ◽  
Vol 7 (2) ◽  
pp. 92
Author(s):  
Sheilla Virarisca ◽  
Djaswadi Dasuki ◽  
Sulchan Sofoewan
Keyword(s):  
Cesarean Section ◽  
Economic Status ◽  
Early Initiation ◽  
Infant Mortality Rate ◽  
Health Providers ◽  
Delivery Methods ◽  
Normal Delivery ◽  
Early Initiation Of Breastfeeding ◽  
Qualitative Approaches ◽  
Initiation Of Breastfeeding

Background: The 2002-2003 IDHS shows that the presentation of breastfeeding within an hour after birth or early initiation in Indonesia is still low (38%). According to some studies, early initiation plays an important role in reducing infant mortality rate, determining the success of exclusive breastfeeding, preventing pre-lactation feeding, creating more intensive bonding between mother and baby. Some earlier studies state that delivery methods are related with early initiation. However, there have been some studies whose results are in contrast with those previous studies.Objective: To study the relationship between delivery methods and early initiation in Dr. Sardjito hospital, Yogyakarta.Method: This was an observational study with a cross-sectional study design through quantitative and qualitative approaches. Samples were postpartum women in Dr. Sardjito hospital as many as 100 respondents. Data were analyzed with univariable analysis using frequency distribution table, bivariable analysis using chi-square, and multivariable analysis using binary regression.Results: The proportion of early initiation of breastfeeding was three times greater in women who gave birth with normal delivery methods than women who gave birth with cesarean section (RR=3.1; 95% CI=1.42-6.89). Another factor that was related with early initiation of breastfeding was the support from health providers (RR=2.3; 95% CI=1.36-3.78). Meanwhile, women’s age, knowledge, parity, economic status, and mother’s disease were insignifcantly related with early initiation.Conclusion: The proportion of early initiation of breastfeeding  was three times greater in women who gave birth with normal delivery methods than women who gave birth with cesarean section. Another factor that was related with early initiation of breastfeeding was the support from health providers. Meanwhile, women’s age, knowledge, parity, economic status, and disease were insignifcantly related with early initiation of breastfeeding.

scholarly journals Early initiation of breast feeding and its associated factors among 0-23 months children in Haldwani, District Nainital

2020 ◽  
Vol 32 (3) ◽  
pp. 527-532
Author(s):  
Thakkar Hemaben Kanubhai ◽  
Mohd Maroof ◽  
Pamei Gaihemlung ◽  
Bhatt Maneesh ◽  
Preeti Kumari
Keyword(s):  
Breast Feeding ◽  
Associated Factors ◽  
Mode Of Delivery ◽  
Simple Random Sampling ◽  
Early Initiation ◽  
P Value ◽  
Delivery Mode ◽  
Cross Sectional ◽  
Early Initiation Of Breastfeeding ◽  
Initiation Of Breastfeeding

Introduction: Breastfeeding benefits both the mother and infant. It contains all the essential nutrients in an adequate amount that fulfils the infant first six month’s needs. Early initiation of breastfeeding is necessary to ensure consumption of colostrum having multiple protective factors. Aim and Objectives: To estimate the prevalence of early initiation of breast feeding and to determine its associated factors among 0- 23 months children. Methodology: A community-based cross- sectional study was carried out among 339 children aged 0-23 months in field practice areas of Rural & Urban Health Training Centres (RHTC & UHTC), Department of Community Medicine, Govt. Medical College, Haldwani, District Nainital for a period of 6 months using simple random sampling. Questions related to Early initiation of breast feeding and its associated factors were asked through Epicollect software. Wald’s statistics, Chi- square test, Fisher’s exact test were applied. P value of less than 0.05 was considered as significant. Results: The prevalence of Early Initiation of Breastfeeding was 45.1% (95% CI= 39.9%-50.5%) which was significantly associated with place of delivery, mode of delivery, mother’s education & ANC care. Conclusion: Early Initiation of Breastfeeding practice was found in almost half of children which were significantly associated with various factors highlighting the importance of addressing these factors to improve Early Initiation of Breastfeeding practices.

scholarly journals Barriers for early initiation and exclusive breastfeeding up to six months in predominantly rural Sri Lanka: a need to strengthen policy implementation

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Thilini Chanchala Agampodi ◽  
Neerodha Kithmini Dharmasoma ◽  
Iresha Sandamali Koralagedara ◽  
Thushari Dissanayaka ◽  
Janith Warnasekara ◽  
...  
Keyword(s):  
Sri Lanka ◽  
Cesarean Section ◽  
Exclusive Breastfeeding ◽  
Work Load ◽  
Early Initiation ◽  
Learning Theories ◽  
Maternity Ward ◽  
On Demand ◽  
Early Initiation Of Breastfeeding ◽  
Initiation Of Breastfeeding

Abstract Background Sri Lanka was named as the first-ever ‘Green’ breastfeeding nation status by the World Breastfeeding Trends Initiative (WBTi) in January 2020. However, improvements are still needed. This study aims to identify barriers and facilitators for early initiation of breastfeeding and exclusive breastfeeding for 6 months in rural Sri Lanka. Methods We conducted in-depth interviews with 16 mothers with infants, who had been unable to practice early initiation of breastfeeding and/or exclusive breastfeeding (EBF), in six child-welfare clinics in Anuradhapura, Sri Lanka. Three focus group discussions were held with public health midwives (PHMs). Initial thematic analysis that built upon force field and social learning theories was performed. Results Main barriers for EBF were clustered at three time periods; during the first 2–3 days, 2–3 weeks, and 4–5 months postpartum. Early barriers included cesarean section pain, poor breast latch, maternal exhaustion, suboptimal maternity ward environment, and lack of support for breastfeeding. Around 2–3 weeks postpartum mothers introduced water or infant formula due to social norms and poor support. On-demand feeding was misunderstood. Around 4 and 5 months postpartum, EBF ended due to return to work. PHMs reported a heavy workload limiting their time to support breastfeeding. Conclusion EBF interruption was due to diverse individual- and environnmental- level barriers that varied across the first 6 months. To improve EBF, Sri Lanka should focus on strengthening policies for reducing the excessive rates of cesarean section, improving support in maternity ward facilities, fostering on-demand breastfeeding, enhancing support for working mothers and reducing the work load of PHMs.

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

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