Factors associated with exclusive breastfeeding in the first six months of life in Northern India
DOI:
https://doi.org/10.18203/2349-3291.ijcp20182550Keywords:
Early breastfeeding initiation, Exclusive breastfeeding, Health counsellingAbstract
Background: Breast milk is a complete food for growing children until 6 months of age, and mothers play a important role in their growth and development. So, promoting their attitude towards the benefits of breastfeeding ensures guarantee child health in the future. The objective of this study was to assess the knowledge and practice of Breast feeding with their determinants among mothers in Jammu.
Methods: In this cross‑sectional study, 200 mothers attending the well‑baby clinics in Jammu from June 2017 to Febuary 2018 were selected, data was collected by face-to-face interviews using a structured questionnaire.
Results: Of the 200 women, 70% were 21–30 years of age and 61% of mothers have studied only up to primary school. Majority of deliveries (80%) took place in government run hospitals. 75% of the infants were born out of normal delivery. 47.5% of mothers did not feed colostrum to their babies. Breastfeeding was initiated in only 13% of babies within one hour after birth. 52.5% babies were fed with pre-lacteals. In 7% of babies bathing was done immediately after birth.
Conclusions: Maternal knowledge and attitude towards exclusive Breast feeding was moderate. It is essential to plan for mothers by officials in order to promote breast-feeding in the first 6 months of baby's life to enhance positive maternal attitude in this regard.
References
World Health Organization. Effect of breastfeeding on infant and child mortality due to infectious diseases in less developed countries: a pooled analysis. Lancet. 2000;355:451-5.
Binns CW, Lee M, Scott JA. The fetal origins of disease hypothesis: public health implications for the Asia-Pacific region. Asia Pacific J Public Health. 2001;13:68-73.
World Health Organization (WHO). Report of the Expert Consultation on the Optimal Duration of Exclusive Breastfeeding. Geneva: WHO, 2001;28-30.
Schack NL, Larnkjær A, Michaelsen KF. Long term effects of breastfeeding on the infant and mother. Early Nutrition and its Later Consequences: New Opportunities: Perinatal Programming of Adult Health‑EC Supported Research. Dordrecht: Springer Netherlands; 2005. 16‑23.
Brion MJ, Lawlor DA, Matijasevich A, Horta B, Anselmi L, Araújo CL, et al. What are the causal effects of breastfeeding on IQ, obesity and blood pressure? Evidence from comparing high‑income with middle‑income cohorts. Int J Epidemiol. 2011;40:670‑80.
Wolf JB. Is breast really best? Risk and total motherhood in the national breastfeeding awareness campaign. J Health Polit Policy Law. 2007;32:595‑636.
Victora CG, Bahl R, Barros AJ, França GV, Horton S, Krasevec J, et al. Breastfeeding in the 21st century: Epidemiology, mechanisms, and lifelong effect. Lancet. 2016;387:475‑90.
Zhou Q, Li M, Wang X, Li Q, Wang T, Zhu Q, et al. Immune‑related microRNAs are abundant in breast milk exosomes. Int J Biol Sci. 2012;8:118‑23
Jackson KM, Nazar AM. Breastfeeding, the immune response, and long‑term health. J Am Osteopath Assoc. 2006;106:203‑7.
Oddy WH, Kendall GE, Li J, Jacoby P, Robinson M, de Klerk NH, et al. The long‑term effects of breastfeeding on child and adolescent mental health: A pregnancy cohort study followed for 14 years. J Pediatr. 2010;156:568‑74.
Crenshaw JT. Healthy birth practice #6: Keep mother and baby together‑ it’s best for mother, baby, and breastfeeding. J Perinat Educ. 2014;23:211‑7.
Labbok MH. Effects of breastfeeding on the mother. Pediatr Clin North Am. 2001;48:143‑58.
Hauck FR, Thompson JM, Tanabe KO, Moon RY, Vennemann MM. Breastfeeding and reduced risk of sudden infant death syndrome: A meta‑analysis. Pediatrics. 2011;128:103‑10.
Bartick M, Reinhold A. The burden of suboptimal breastfeeding in the United States: A pediatric cost analysis. Pediatrics. 2010;125:e1048‑56.
Binns CW. Encourage and support breastfeeding. J Home Eco Institute Australia. 2004;11:28-38.
Labbok M, Krasovec K. Toward consistency in breastfeeding definitions. Studies Fam Plann. 1990;21:226-30.
Binns CW, Scott J. Breastfeeding: reasons for starting, reasons for stopping and problems along the way. Breastfeed Rev. 2002 Jul;10(2):13.
Uruakpa F.O, Ismond M.A.H, Akobundu E.N.T. Colostrum and its benefits: a review. Nutrition Res. 2002;22:755-76.
Reshma, Sujatha R. Cultural practices and beliefs on newborn care among mothers in a selected hospital of Mangalore taluk. NUJHS. 2014;4:56-60.
Global strategy for infant and young child feeding. Geneva: World Health Organization, 2003. http:// www.who.int/child-adolescent-health/ New_Publications/NUTRITION/gs_iycf.pdf (4 July 2008, date last accessed).
National guidelines on infant and young child feeding. Ministry of women and child development (Food and Nutrition board), 2006. Available at http://wcd.nic.in/nationalguide lines.pdf. Accessed on 29 September 2007.
Government of India and United Nations Children’s Fund. Multi indicator survey 2000 in India. New Delhi: Government of India, 2001;11-12.
Salariya EM, Easton PM, Carter JI. Duration of breast feeding after early initiation and frequent feeding. Lancet. 1978;2:1141-3.
Lawson K, Tullock MI. Breast feeding duration, and postnatal practices. J Adv Nurs. 1995;22:841-9.
Peeyush Grover, Pragti Chhabra. Neonatal care practices in urban villages. Indian Medical Gazette. 2012
Ayse Beser, Sevcan Topcu, Aysegul Coskun, Nilay Erdem, Ruveyda Gelisken, Derya Ozer. Traditional child care practices among mothers with infants less than 1 year old. Deuhyo ED. 2010;3:137-45.
Laroia N, Sharma D. The religious and cultural bases for breastfeeding practices among the hindus. Breastfeed Med. 2006;1:94-8.
Prasad B. Practices of prelacteals and initiation of breastfeeding in developing countries. J Institute Med. 1994;16:222-8.
United Nations Children's Fund Web site. The Baby-friendly Hospital Initiative: Revised and updated materials 2006.
Kumar S, Nath LM, Reddaiah VP. Breast feeding practices in a resettlement colony and their implications for promotional activities. Indian J Pediatr. 1989;56:239-42.
Okolo SN, Adewunmi YB, Okonji MC. Current breast feeding knowledge, attitude and practices of mothers in five rural communities in the Savannah region of Nigeria. J Trop Pediatr. 1999;45:323-6.
Kameswararao AA. Breastfeeding behaviour of Indian women. Indian J Community Med. 2004;29:62-4.
Gatrad A, Sheikh A. Muslim birth customs. Arch Dis Child Fetal Neonatal Ed. 2001;84:6-8.
Akuse RM. Why healthcare workers give prelacteal feeds. Eur J Clin Nutr. 2002;56:729-34.
Al-Jassir MS. Infant feeding in Saudi Arabia: Mothers' attitudes and practices. East Mediterr Health J. 2006;12:6-13.
Allisyn C.M, Nuzhat C. Newborn care practices among slum dwellers in Dhaka, Bangladesh: a quantitative and qualitative exploratory study. BMC Pregnancy Childbirth. 2009;9:45-50.
Purani C, Patel P, Gupta K, Mehariya KM, Holda A. Knowledge, awareness, and practice of postnatal care among mothers. Indian J Child Health. 2015;2(2):83-5.
Khanal V, Adhikari M, Sauer K, Zhao Y. Factors associated with the introduction of prelacteal feeds in Nepal: findings from the Nepal Demographic and Health Survey 2011. Int Breastfeed J. 2013;8:9-11.
MO Oche, AS Umar, H Ahmed. Knowledge and practice of exclusive breastfeeding in Kware, Nigeria. Afr Health Sci. 2011;11:518-23.
Centers for Disease Control and Prevention (CDC) (2012) Breastfeeding Report Card, United States, 2012.
Al-Sahab B, Lanes A, Feldman M, Tamim H. Prevalence and predictors of 6-month exclusive breastfeeding among Canadian women: a national survey. BMC Pediatr. 2010;10(1):20.
Kok SY, Lui HK. Practice of breastfeeding and factors that affect breastfeeding in Hong Kong. Hong Kong Med J. 2006;12(6):432-6.
WHO Indonesia’s breastfeeding challenge is echoed the world over. Bull World Health Organ 2014;92:234-5.
Patel A, Badhoniya N, Khadse S, Senarath U, Agho KE, Dibley MJ. South Asia Infant Feeding Research Network (SAIFRN)*. Infant and young child feeding indicators and determinants of poor feeding practices in India: secondary data analysis of National Family Health Survey 2005-06. Food Nutr Bull. 2010;31(2):314-33.
