DOI: http://dx.doi.org/10.18203/2349-3291.ijcp20204046

Delayed onset of breastfeeding: what is stopping us?

Ketan Gadhavi, Ruta Deo

Abstract


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.

Keywords


Breastfeeding, Counselling, Early onset breastfeeding

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References


McFadden A, Siebelt L, Marshall J, Gavine A, Girard L, Symon A, et al. Counselling interventions to enable women to initiate and continue breastfeeding: a systematic review and meta-analysis. Int Breastfeed J. 2019;14.

Vieira TO, Vieira GO, Giugliani ER, Mendes CM, Martins CC, Silva LR. Determinants of breastfeeding initiation within the first hour of life in a Brazilian population: cross-sectional study. Britis Med Centr Publ Heal. 2010;10(1):760.

Hassan AA, Taha Z, Ahmed MA, Ali AA, Adam I. Assessment of initiation of breastfeeding practice in Kassala, Eastern Sudan: a community-based study. Int Breastfeed J. 2018;13(1):34.

Örün E, Yalçin SS, Madendag Y, Üstünyurt-Eras Z, Kutluk S, Yurdakök K. Factors associated with breastfeeding initiation time in a Baby-Friendly Hospital. The Turki J Pediatr. 2010;52(1):10.

Sharma IK, Byrne A. Early initiation of breastfeeding: a systematic literature review of factors and barriers in South Asia. Int Breastfeeding J. 2016;11(1):17.

Noble S. Maternal employment and the initiation of breastfeeding. Wiley Online Library. John Wiley Son Ltd. 2007.

Donath SM, Amir LH. Effect of gestation on initiation and duration of breastfeeding. Arch Dis Child Fetal Neonatal Ed. 2008;93:F448.

Chien LY, Tai CJ. Effect of delivery method and timing of breastfeeding initiation on breastfeeding outcomes in Taiwan. Birth. 2007;34(2):123-30.

Earle S.Factors affecting the initiation of breastfeeding: implications for breastfeeding promotion. Heal Promoti Internati. 2002;17(3):205-14.

Yadav R. Knowledge, attitude and practice of mothers regarding early initiation of breast feeding in the obstetric wards of a tertiary care of Rohtak City. Ind J Pharmacol. 2018;65(4):98-101.