scholarly journals Nutritional Status and Breast Feeding Practice among Mothers Attending Lactation Management Centre

Author(s):  
Saria Tasnim ◽  
Syeda Akhtar ◽  
F M Haque
2018 ◽  
Vol 5 (4) ◽  
pp. 1397
Author(s):  
Amarpreet Kaur ◽  
Karnail Singh ◽  
M. S. Pannu ◽  
Palwinder Singh ◽  
Neeraj Sehgal ◽  
...  

Background: The health of Infants to a great extent depends upon the feeding practices and its awareness among the mothers. This study was conducted in Tertiary care hospital to find the correlation between feeding pattern with nutritional status.Methods: Infants in the age group of 14 weeks to 1 year formed the sample of the study. The nutritional status was assessed in relation to breast feeding practice among infants ≤6 months. Among infants >6 months of age, the nutritional status was assessed in relation to adequacy and timely start of weaning. Correlation was observed, and test of significance was applied through chi square test.Results: Total 591 infants were included in the study out of which 232 infants were ≤6 months of age [120 (51.72%) were exclusively breastfed and 112 (48.28%) were top fed]. Out of these breast feed infants, 86/120 (71.67%) had normal nutrition compared to 54/112 (48.21%) of top-fed babies. Infants >6 months of age were 359 in number [116 (32.31%) were having adequate complementary feed, 111 (30.92%) were having inadequate complementary feed and 132 (36.77%) did not receive any complementary feed]. Out of these infants in the age group of >6 months, 56.90% of adequate complementary feed group, 27.03% of receiving inadequate complementary feed and 27.27% of not received complementary feed were having normal nutritional status. The association between nutritional status and breast feeding in ≤6 months and complementary feed in >6 months has been found to be statistically significant (p value < 0.05, d.f =1).Conclusions: Breastfeeding as well as adequate complementary feed has positive correlation to nutritional status in infants even when compared with the malnourished infants of grade I, II, III and IV.


2020 ◽  
Vol 32 (1) ◽  
pp. 43-50
Author(s):  
Sonali Kar ◽  
Angeleena Esther

Background: -To enhance child health, Indian Child Development Scheme (ICDS) and National Health Mission (NHM) strategized that reinforcement of Infant and Young Child Feeding (IYCF) practices would be a good take off. Anganwadis, where 78% of mothers of children below 6 receive services, can serve as an effective platform for mothers to receive counseling on appropriate breast feeding and complementary foods, in a priority state like Odisha.  Aim: -As a prelude to a detailed intervention, a rapid baseline situational analysis was planned in 4 intervention districts to know about the district specific variations and also the overall IYCF practices in the area. Objective: Assess the IYCF indicators in the districts with focus on feeding practices above 6 months of age. Assess the factors responsible for breast feeding and complementary feeding in the sample Materials and Methods: - Final sample of 600 was chosen using 30 cluster sampling based on proportions of less than 2 years children in the study districts (districts named A-D, as the interventions are in progress and state refrains the identity of districts), 30 clusters to be divided in the ratio of 10:8:5:7. From each cluster-mothers of 20 children, nearly equal proportions of children in 0-6months and 7-23 months, were interviewed for sociodemographic, health seeking and prevailing IYCF practices. BMI (Body Mass Index) and MUAC (Mid Upper arm Circumference) were used to corroborate the nutritional status of child. Results: - 606 interviews were conducted. Age groups ratio was 2:1.5. Exclusive breast feeding was noted at 68% and under nutrition was 59.2%. Advanced maternal age  were positively associated with declining breast-feeding practice; however good spacing and male child was protective for good IYCF practices. The complementary feeding practices, measured with 2 major indicators i.e. Minimum Food Diversity and Minimum Meal Frequency, were calculated as 40.7% and 20.6% respectively. Gender representation for both indicators was positively skewed for females, which was reasoned in FGDs as purely by chance and did not mean a preference for boys. Both service provider and the mothers’ knowledge was compromised regarding complementary feeding indicators, in spite of the fact that former had been trained on this aspect. Conclusion: - Targeted interventions are envisaged as scope for improvement in the IYCF indicators in the mixed mileu of a state, wherein some districts indicators markedly affect the overall state indicators. In Odisha, this study may give guidelines to the intervening districts to overhaul the load of under nutrition which is now more district and select population specific.


2019 ◽  
Vol 7 (2) ◽  
pp. 592-599
Author(s):  
Farhana Akther ◽  
Tasmia Tasnim ◽  
Jesmin Rahaman ◽  
A. K. Obidul Huq ◽  
Kazi Muhammad Rezaul Karim ◽  
...  

Malnutrition is one of the major causes of mortality for children in developing countries. Inappropriate feeding practices can have profound consequences for the growth, development, and survival of infants and children. A cross sectional study was carried out among 180 mother-infant pair of the tribal (Garo) and Non-tribal (Non-Garo) households at Madhupur Upazilla in Tangail region. The objectives of the study were to assess the feeding behavior of Garo and Non-Garo mothers and also prevalence of malnutrition among infants and young children. More than half of Garo respondents had smaller family size and a higher spending on food compared to Non-Garo respondents. From the breast feeding related information it was seen that colostrum was given to their babies as the first food in Garo (81.2%) and Non Garo groups (63.4%) respectively. It was also observed that 12.2% Garo mothers gave powder milk, but the non-Garo mothers preferred honey and sugar water. Exclusive breast-feeding in Garo and Non-Garo areas were 64.6% and 45.7% respectively. In Non-Garo areas breast feeding continued longer times than Garo areas. The predominance of moderate to severe underweight in Non-Garo and Garo areas were 42.21% and 34.44% respectively. A similar trend of stunting and wasting was found in both groups of the infants. Finally, it can be clearly viewed and concluded that the feeding practices of mothers from Garo community were better compared to Non-Garo communities, and largely depends on various socioeconomic factors that affect the nutritional status of their children.


2018 ◽  
Vol 5 (4) ◽  
pp. 1651 ◽  
Author(s):  
Keya Roy ◽  
Aparajita Dasgupta ◽  
Nivedita Roychoudhury ◽  
Lina Bandyopadhyay ◽  
Shamita Mandal ◽  
...  

Background: Malnutrition among under-five children is an important public health problem in developing countries, and a major cause of morbidity and mortality in India, hence the present study was conducted to find out the nutritional status of under-five children and to elicit the factors associated with it.Methods: This community based cross-sectional study was conducted among 142 under-five children during May to June 2017 in the areas under the jurisdiction of Nasibpur Primary Health Centre, Singur, West Bengal, India. Data on socio-demographic characteristics, feeding habits and other biological factors were obtained from structured questionnaire, followed by anthropometric measurement. Assessment of nutritional status of the children was done with the help of Composite Index of Anthropometric Failure (CIAF). Descriptive statistics and logistic regression were performed to analyse the data by using SPSS version 16.0.Results: The mean (standard deviation) age of the sample was 28.4 (±15.2) months. About 36.1% children were found to have anthropometric failure using CIAF (wasting only 2.1%, wasting and underweight 14.5%, wasting, stunting and underweight 5.5%, stunting and underweight 6.3%, stunting only 4.9%, underweight only 2.8%). Education of mother [AOR = 3.6 (1.2–10.8)], birth order [AOR = 3.7 (1.4-9.9)], and exclusive breast feeding practice [AOR = 7.3 (2.9–18.1)] remained the significant correlates when adjusted with other variables in the multivariable analysis.Conclusions: The high prevalence of malnutrition in the community requires multipronged approach regarding nutritional education, intensive information education and communication (IEC) activities for exclusive breast feeding through antenatal clinics and adoption of family planning methods.


2012 ◽  
Vol 28 (1) ◽  
pp. 25-31
Author(s):  
Warda Haque ◽  
Chowdhury Rafiqul Ahsan ◽  
Jamalun Nessa ◽  
Mahmuda Yasmin

Infection with Helicobacter pylori has been implicated in the development of acute and chronic gastritis, peptic  ulcer disease, non-ulcer dyspepsia, and gastric MALT (mucosa-associated lymphoid tissue) lymphoma and   extragastroduodenal disorders. H. pylori infection may lead to development of hypochlorhydria and subsequent  malnourishment. This study examined the affiliation between H. pylori infection and some sociodemographic and nutritional variables including breast feeding practice, poverty, and availability of safe drinking water. Three hundred children with age ranging from zero to twelve years were enrolled in the study. Their nutritional status was assessed following standard protocol. A precoded questionnaire was filled up for obtaining data. Serostatus of anti H. pylori antibody was determined by in-house ELISA using formalin fixed   H. pylori whole cell antigen. The cut-off value of the ELISA was further validated by Immunoblot technique. Among the 149 case (malnourished) children, 107 (72%) contained anti-H. pylori antibodies and among the   control (nonmalnourished) population (n=151), 91 (60%) possessed anti-H. pylori antibodies, with an overall seroprevalence of 66%. Malnourishment was found to be more widespread among female (56%) than male children (44%). Highly significant association (p = 0.000) was reported between poor socioeconomic status and development of malnourishment. The degree of severity of malnourishment increased inversely with   the practice of exclusive breast-feeding up to 5 months of age (p = 0.010). The odds ratio relating breastfeeding to malnourishment reflected 52% reduction in the risk of development of malnourishment among   breast-fed children. The use of unsafe drinking water was associated with 5.33 times higher odds of developing   malnourishment. Poverty reduction strategies associated with improvement of hygiene condition and   promotion of breast feeding can actively contribute to the improvement of the nutritional status of the children of Bangladesh. DOI: http://dx.doi.org/10.3329/bjm.v28i1.11805 Bangladesh J Microbiol, Volume 28, Number 1, June 2011, pp 25-31


2015 ◽  
Vol 14 (2) ◽  
pp. 43-47
Author(s):  
Sukhendu Shekhar Sen ◽  
Jhulan Das Sharma ◽  
Dhananjoy Das ◽  
Shahed Iqbal ◽  
Md Badruddoza

Background: The predominant form of malnutrition is commonly called proteincalorie malnutrition. Protein Energy Malnutrition (PEM) is still a major health problem in children of developing countries including Bangladesh. The causes of malnutrition are multifactorial including nutritional factors, socioeconomic factors, health status of the mothers and repeated infections in children.Objective: To explore the information regarding the breast feeding practices of children suffering from Protein-Energy Malnutrition.Methods: This case control study was conducted in Chittagong Medical College Hospital from November 2006 to April 2007. A total of 65 controls and 65 cases were selected consecutively for the purpose of the study. Their mothers were interviewed with help of structured questionnaire containing all the variables of interest to attain the study objectives. The test statistics used to analyze the data were descriptive statistics and Chi-square (c2) or Fisher’s Exact Probability Test.Results: A significantly higher frequency of cases (67.7%) were given pre-lacteal feed, predominantly honey and sugar-water compared to control group (41.5%) (p = 0.008). Nearly 100% of controls were given colostrums compared to 75% of the cases. About one-third (31.3%) of the cases was exclusively breast-fed in comparison to 58.5% of the control group (p = 0.003). Over onequarter (27.7%) of the control were breast-fed upto 6 months of age, as opposed to only 1.5% cases (p < 0.001). Duration of predominant breast feeding for more than 6 months of age was also significantly higher in control group than that in case group (p = 0.001). Breast milk substitutes demonstrate their significant presence in cases (38.5%) than that in controls (9%) (p = 0.003).Conclusion: The study showed that rejection of colostrums, practice of prelacteal feeding, delayed initiation of breast feeding, early cessation of exclusive breast feeding and use of formula milk all were significantly higher in the malnourished group of children than those in their normal counterpart.Chatt Maa Shi Hosp Med Coll J; Vol.14 (2); Jul 2015; Page 43-47


2017 ◽  
Vol 20 (15) ◽  
pp. 2810-2818 ◽  
Author(s):  
Amy L Frith ◽  
Shirin Ziaei ◽  
Ruchira Tabassum Naved ◽  
Ashraful Islam Khan ◽  
Iqbal Kabir ◽  
...  

AbstractObjectiveTo determine if exclusive breast-feeding counselling modifies the association of experience of any lifetime or specific forms of domestic violence (DV) on duration of exclusive breast-feeding (EBF).DesignIn the MINIMat trial pregnant women were randomized to receive either usual health messages (UHM) or usual health messages with breast-feeding counselling (BFC) in eight visits. During pregnancy (30 weeks), lifetime experience of any or specific forms of DV was measured. Infant feeding practice information was collected from 0 to 6 months at 15 d intervals.SettingMatlab, Bangladesh.SubjectsPregnant and postpartum women (n 3186) and their infants.ResultsAmong women in the UHM group, those who had experienced any lifetime DV exclusively breast-fed for a shorter duration than women who did not experience any lifetime DV (P=0·02). There was no difference, however, in duration of EBF among women in the BFC group based on their experience of any lifetime DV exposure (P=0·48). Using Cox regression analysis, there was an interaction of exposure to any lifetime DV, sexual violence and controlling behaviour, and counselling group with duration of breast-feeding at or before 6 months (P-interaction≤0·08). Among the UHM group, experience of any lifetime DV, sexual violence or controlling behaviour was associated with fewer days of EBF (P<0·05). In contrast, among the BFC group, experience of DV was not associated with duration of EBF.ConclusionsThe experience of DV compromises EBF and the support of breast-feeding counselling programmes could assist this vulnerable group towards better infant feeding practices.


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