DOI: http://dx.doi.org/10.18203/2349-3291.ijcp20184688

The first golden hour of breastfeeding: where do we stand?

Suneetha Bollipo, Deepthi Pagali, Harsha B. Korrapolu, Mohammed Abdul Rahman

Abstract


Background: Breastfeeding is the corner stone of child survival, nutrition and development and maternal health. The World Health Organization recommends that all neonates be breastfed within one hour of birth. Early initiation of breast feeding (EIBF) is a sentinel indicator for successful breastfeeding. The aim of this study is to assess the practice of early initiation of breastfeeding among babies delivered in our tertiary care teaching unit and to list out the reasons for delay in implementation.

Methods: This study is done on 409 postnatal mothers who delivered in our hospital. All the mother-baby dyads enrolled were interviewed within 12 hours of delivery. Data was collected through clinical records and interview of mothers.

Results: EIBF is seen only in 19.8% of babies. Median time of initiation of breast feed is 110 minutes. Primiparous mothers had a delay in initiation of feed (p<0.01). The mothers who received practical support from health care providers had successful EIBF(p< 0.01). The main reasons for delay in feeding were lack of early, uninterrupted skin to skin contact between baby and mother and the separation of mother - baby dyads immediately after delivery.

Conclusions: EIBF rate in our centre is extremely low compared to the national standards of 44.6%. Several gaps in EIBF need to be addressed and a strict institutional protocol need to be followed. Periodic review of EIBF rates needs to be done by every institute to achieve a global target of > 90%.


Keywords


Early initiation of breastfeeding, Infant mortality, Sentinel indicator, Skin to skin contact

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References


NEOVITA Study Group. Timing of initiation, patterns of breastfeeding, and infant survival: prospective analysis of pooled data from three randomised trials. The Lancet Global Health. 2016;4(4):e266-75.

Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services; the revised baby friendly hospital initiative; World Health Organization; Publication 2017.

United Nations Children’s Fund (UNICEF), World Bank Group (WBG), World Health Organization (WHO), United Nations (UN) for the UN Inter-agency Group for Child Mortality Estimation (UN IGME). Levels and trends in child mortality. New York: UNICEF, 2015.

Edmond KM, Zandoh C, Quigley MA. Delayed breastfeeding initiation increases risk of neonatal mortality. Pediatrics 2006;117: e380-6.

Mullany LC, Katz J, Li YM. Breastfeeding patterns, time to initiation, and mortality risk among newborns in southern Nepal. J Nutr. 2008;138:599-603.

Garcia CR, Mullany LC, Rahmathullah L. Breastfeeding initiation time and neonatal mortality risk among newborns in South India. J Perinatol. 2011;31:397-403.

Debes AK, Kohli A, Walker N. Time to initiation of breastfeeding and neonatal mortality and morbidity. A systematic review. BMC Public Health 2013;13(3):S19.

Bhutta ZA, Das JD, Rizvi A. Evidence-based interventions for improvement of maternal and child nutrition. What can be done and at what cost? Lancet 2013;382:452-77.

WHO. 3 in 5 babies not breastfed in the first hour of life. WHO. Breastfeeding within an hour after birth is critical for saving newborn lives, 2018. Available at: http://www.who.int/news-room/detail/31-07-2018-3-in-5-babies-not-breastfed-in-the-first-hour-of-life.

International Baby Food Action Network. Baby Milk Action. How the IMS Act has helped India. IBFAM. 2014. Available at http://www.babymilkaction.org/wp-content/uploads/2014/10/How-the-IMS-Act-has-helped-India.pdf

Gupta A, Dadhich JP, Faridi MMA. Breast feeding and complementary feeding as a public health intervention for child survival in India. Ind J Pediatr. 2010;7(4):412-7.

Ranjana F, Lakshminarayana J, Ramnath T, Singh Madhu B. Health and nutritional status infant feeding practices of working women in Jodhpur city. Ann Arid Zone. 2002;41:183-9.

Gladius JH, Muthukumar K. A cross-sectional descriptive study to estimate the prevalence of early initiation and exclusive breast feeding in the rural health training centre of a medical college in Tamil Nadu, southern India. J Clin Diagnostic Res. 2012;6(9):1514-7.

Patel A, Banerjee A, Kaletwad A. Factors associated with prelacteal feeding and timely initiation of breastfeeding in hospital-delivered infants in India. J Hum Lact. 2013;29(4):572-8.

El Mouzan MI, Al Omar AA, Al Salloum AA, Al Herbish AS, Qurachi MM. Trends in infant’s nutrition in Saudi Arabia: compliance with WHO recommendations. Ann Saudi Med. 2009;29(1):20-3.

El Gilany AH, Sarraf B, Al Wehady A. Factors associated with timely initiation of breastfeeding in Al-Hassa province, Saudi Arabia. Eastern Mediterranean Health Journal. 2012;18(3):250-4.

Raghavan V, Bharti B, Kumar P, Mukhopadhyay K, Dhaliwal L. First hour initiation of breastfeeding and exclusive breastfeeding at six weeks: Prevalence and predictors in a tertiary care setting. Indian J Pediatr. 2014;81:743‑50.

Bhatt S, Parikh P, Kantharia N, Dahat A, Parmar R. Knowledge, attitude and practice of postnatal mothers for early initiation of breast feeding in the obstetric wards of a tertiary care hospital of Vadodara city. Nat J Community Med. 2012;3:305‑9.

Babu RA, Keepanasseril A, Kanimozhi K. Practice of early initiation of breastfeeding among postnatal mothers in a tertiary hospital in South India. Int J Adv Med and Health Research. 2018;5(1):18.

Babu RA, Keepanasseril A, Kanimozhi K. Practice of early initiation of breastfeeding among postnatal mothers in a tertiary hospital in South India. Int J Adv Med and Health Res. 2018;5(1):18-20.

National Health Mission. National Guidelines on Lactation Management Centres in Public Health Facilities. Ministry of Health and Family Welfare Government of India. Available at: hmbaind.org/guidelines/ NATIONAL GUIDELINES Lactation Management Centres.pdf