scholarly journals Overview of Optimal Breast-feeding Practices and a Study of Breast-feeding Practices among Suburban Mothers in South India

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):  
Dewi Sartika Siagian ◽  
Sara Herlina

Breast Milk (ASI) is indispensable during infant growth and development. WHO has recommended for exclusive breastfeeding for up to 6 months without providing complementary foods and continued for up to 2 years accompanied by complementary foods. The purpose of this study was to determine the relationship of exclusive breast feeding and maternal education on infant development. This study is quantitative analytic observational with cross sectional design with a large sample of 83 people. The sampling method used is proportional sampling. Data analysis was done unvaried and bivariate. Univariate analysis showed that most of the infants received exclusive breastfeeding as much as 46 people (55.4 percent), low education as many as 56 people (67.5 percent) and most normal development of 47 people (56.6 percent). The result of bivariate analysis of exclusive breastfeeding on infant development with chi square test obtained value of P value less than 0,000 means there is relation between exclusive breast feeding to infant development and bivariate analysis of mother education on infant development with chi square test obtained value of P value 0,012 meaning there is a relationship between maternal education on infant development. Keywords: Exclusive Breast milk, Mother's Education, Infant Development


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.


1970 ◽  
Vol 42 (2) ◽  
pp. 126-131
Author(s):  
UJ Akpan ◽  
MO Ibadin ◽  
PO Abiodun

Background: Adequate early infant nutrition is essential for subsequent optimum growth and development of the child. Exclusive breastfeeding is the cornerstone of the best possible nutrition in early infancy.Objective: To assess current breastfeeding practices in early infancy in Benin City and further progress ( if any) that may have been made in the realisation of optimal early infant feeding practices in the locale in the preceding decade.Methods: A community-based household survey was carried out in three representative wards in Egor Local Government Area of Benin City, from June to September, 2009. Infant feeding practices were evaluated using pre-tested questionnaires on 1068 mothers of infants aged less than 12 months.Result: Five hundred and forty-six (51.1%) infants were aged less than 6 months. The Ever Breastfed Rate was 100.0% while the Timely Suckling Rate was 35.5%. The Exclusive and Predominant Breastfeeding Rates were respectively 40.7% and 30.4% while the Bottle-feeding Rate was 32.2%. Most (98.4%) mothers had correct information about exclusive breastfeeding obtained mainly from antenatal clinics and immunization centres. Factors significantly associated with EBF were high maternal education (χ2 = 9.718; p = 0.045), high socioeconomic status (χ2 = 12.910; p = 0.012), increasing maternal age (χ2 = 14.777; p = 0.022), higher parity (χ2 = 15.212; p = 0.009), delivery in hospital (χ2 = 15.079; p = 0.020) and infant’s age (χ2 = 100.482; P = 0.0001).Conclusions/Recommendations: Breastfeeding practices in Benin City have not improved much from what obtained a decade earlier. Greater emphasis on female education and socio-economic empowerment are advocated as tools for improvement. Reinvigoration of the Baby-friendly Hospital Initiative is also recommended to ensure continued health facility interface that would ensure community mobilisation and support for optimal breastfeeding.Key Words: Breastfeeding, Practices, Early Infancy, Benin City


Author(s):  
Vijay Kumar ◽  
Sanjay Kumar ◽  
Devdarshan Nitin Gandhi ◽  
Mani Kant Kumar

Background: Exclusive breastfeeding has been defined by WHO as “When an infant has been given only breast milk from his/her mother or a wet nurse or expressed breast milk during first six month of life and no other liquids/solids except necessary medicine and nutrional supplements in form of drops or syrup”. Aim was to Assess the prevalence and factors associated for faulty feeding on exclusive breast feeding practices of children less than six Months.Methods: An institution-based cross-sectional survey was conducted from May 2020 to October 2020 at Narayan medical college, Jamuhar, Rohtas, South Bihar. All mothers who visited for immunization and/or postnatal care services were considered as the study population. Lactating mothers who had under six-month infants were included. We observe the breastfeeding process for five minutes and record as per the WHO B-R-E-A-S-T feed observation form. The observation was done by asking the mother to put her infant to the breast.  Results: In this present study 58.5% study subjects were given exclusive breast feeding, 36.25% study subjects were given exclusive breast feeding only for some period and rest 5.25% had not given exclusive breast feeding since birth. In this study 46% study subjects had bottle feeding habit, whereas rest 54% do not had Bottle feeding habit.  Conclusions: The Exclusive Breast Feeding was satisfactory (58.5%). Some basic reason for faulty feeding were mothers’ belief that no milk, insufficient milk, baby is sick, mother is working/studying.  


1989 ◽  
Vol 68 (3) ◽  
pp. 879-882
Author(s):  
Anton de Man

95 French-Canadian women took part in a study of the relationships between early feeding practices (bottle-feeding, breast-feeding) and subsequent childrearing attitudes (control, hostility/rejection). Possible effects of maternal age, sex of child, and socioeconomic status were considered. Maternal control was negatively related to socioeconomic status and duration of breast-feeding, whereas maternal hostility/rejection was negatively associated with length of breast-feeding.


2020 ◽  
Vol 27 (05) ◽  
pp. 935-938
Author(s):  
Ali Hammad ◽  
Hafiz Muhammad Anwar ◽  
Sadia Latif ◽  
Malik Muhammad Naeem

Objectives: The objective was to study breast feeding practices in children with sepsis admitted in intensive care unit of Children Hospital, Lahore. Study Design: Descriptive cross-sectional study. Setting: Medical Intensive Care Unit of The Children Hospital and Institute of Child Health Lahore. Period: From June 2018 to December 2018. Material & Methods: Considering 95% confidence level, 7.5% margin of error and the expected percentage of bottle feeding children i.e. 27% (least among both) feeding types in children with sepsis admitted in ICU, a sample size of 140 children was taken. All the patients from 6 month to 2 years of age and either gender admitted in medical ICU with sepsis were included in the study through non-probability consecutive sampling. After taking an informed written consent from caregiver, a preformed and pre-tested questionnaire was used for data collection. Diagnosis of sepsis as based upon the criteria for SIRS. Exclusively breastfed children for first 6 months of life were classified as ‘breastfed’. Data was analyzed using SPSS version 22 and Chi-square test. P value < 0.05 was taken as significant. Results: Total 140 children were included in the study with the mean age of 14.64 ± 5.26 months. In this study, 47 (33.57%) children were found breast fed while 93 (66.43%) children were not breast fed as per history. Conclusion: The study concluded that breast feeding practice is uncommon in children admitted in intensive care unit with sepsis and breastfeeding was found to be significantly associated with maternal education and gender of the child.


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


Author(s):  
Rajiv Kumar Jha ◽  
Sanjay Kumar

Status of nutrition reflects the status of health of a country. Infant and young child feeding practices are multidimensional and age specific. Inappropriate feeding practices and their consequences are major obstacles to sustainable socioeconomic development and poverty reduction. This study was a step to sort out various prevailing feeding practices and awareness status of the family of child in rural and urban areas of Bihar state among the age group of below 5 Years and their outcome. This study was a hospital based descriptive study carried out in PMCH (OPD and Indoor) Patna Bihar. Total number of participants in our study is 180 in the age group 0-5 years which was further divided into 3 groups according to their age each group (0-6, 6-24, and24-60months), had 60 participants. These groups were further equally divided on the basis of location rural and urban; these Subgroups were further divided into 2 equal subgroups according to sex. In this study variety of food given is 63% and 50% in urban and rural population respectively. It is revealed that population getting variety of food has significantly better outcome in nutritional status rather than population not getting it. This study has revealed that population getting nearly proper consistency and calories are only 53% and 41% in urban and rural areas respectively. Population getting nearly proper consistency and calories has significantly better outcome in nutritional status rather than population not getting it. Prevalent mode of feeding in children below 6 months in non exclusive BREAST feeding is bottle feeding in rural and urban areas. 42% and 50% of urban and rural population BOTTLE feed their children above 6 months respectively bottle feeding significantly affect the outcome i.e. the poor nutritional status as compared to the KATORI spoon feeding. Keywords: Healthy food, varieties of nutritional food intake, Breast feeding practices.


PEDIATRICS ◽  
1988 ◽  
Vol 82 (3) ◽  
pp. 496-503
Author(s):  
Anne L. Wright ◽  
Catharine Holberg ◽  
Lynn M. Taussig ◽  

Feeding practices have been analyzed prospectively in a sample of 1,112 healthy infants selected from families using an HMO. Data were collected at well-child visits during the first year of life regarding breast-feeding, formula feeding, and use of solid foods and cow's milk. Seventy percent of all infants were breast-fed, with the mean duration of breast-feeding being almost 7 months. Factors positively associated with breast-feeding included education and marriage, whereas maternal employment outside the home and ethnicity (being Hispanic rather than Anglo-American) were related to bottle feeding. Solid foods were introduced earlier by Hispanics and, also, among less well educated and single women; maternal employment was unrelated to the introduction of solid foods. Multiple regression analysis indicated different patterns for the two ethnic groups: education and employment were related to almost all feeding practices for Anglo-Americans, whereas education and employment predicted few feeding practices for the Hispanics. These findings suggest that the effects of ethnicity are independent of those of education.


2016 ◽  
Vol 55 (6) ◽  
pp. 302
Author(s):  
Elizabeth Yohmi ◽  
Nanis Sacharina Marzuki ◽  
Eveline Nainggolan ◽  
I Gusti Ayu Nyoman Partiwi ◽  
Badriul Hegar Sjarif ◽  
...  

Background Breast milk is the best and most ideal food for babies because it contains all nutrition needed for their optimal growth and development. Babies who receive breast milk will have strong immune system, good brain development, and closer emotional bonding with their mothers. Considering the importance of breast milk, Indonesian government has been campaigning to endorse exclusive breastfeeding up to six months in the last four years. To date, there is no national data available to evaluate the exclusive breastfeeding program. Therefore, Indonesian Pediatric Society (IDAI) conducted a national survey on breastfeeding to investigate exclusive breastfeeding rate in Indonesia.Objective To find out the prevalence of exclusive breastfeeding in Indonesia.Methods This study included 22 provinces in Indonesia and targeted on mothers with infants aged 0-11 months. For the quantitative portion of the study we used simple random sampling design to get the prevalence from the population. For the qualitative interview data we used a stratified random sampling design to ensure that each infant age group was well represented. Survey location in each province was selected based on defining the capital city to be urban area and its sub-urban areas to be rural. This study was performed between October – November 2010.Results We found that the prevalences of breastfeeding among baby 0-11 months was quite high which were 91%, 86%, and 72% in infants aged 0-3 months, 0-6 months, and 6-11 months, respectively. Interestingly, the prevalence of breastfeeding in urban area was higher than in rural area for infants aged 6-11 months. However, despite the high prevalence of giving breast milk, less than half of mothers gave breast milk exclusively, to babies aged 0-3 months and to those aged 0-6 months. The awareness to exclusively breastfeed was greater for urban mothers than for rural ones in those with infants aged 0-6 months. Mothers with high socioeconomic status had the highest prevalence of exclusive breastfeeding. The prevalence of breastfeeding without formula was still the highest up to 12 months but the role of giving formula was increasing especially in rural area. The prevalence of breast milk introduced as the first milk was around 60%. Java and Sumatra had lower prevalence of breast milk introduced as the first milk compared to Kalimantan and Sulawesi. We also found that mothers started giving solid food from an early age, especially in rural areas. With increasing age, the frequency of giving breast milk declined in both urban and rural areas.Conclusion The overall prevalence of exclusive breastfeeding up to 6 months of age in Indonesia was 49.8%. Maternal unemployment and high family socioeconomic status were associated with longer duration of breastfeeding. 


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