Breast Feeding Knowledge and Practices among Primiparous Women with Caesarean Section: Impact on Breast Engorgement in Upper Egypt (original) (raw)
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IOSR Journal of Engineering, 2014
Background: Breast feeding is the best way to provide unique biological and emotional effects on mothers and their newborn babies. Objectives: To identify women's awareness about initiation and continuation of breastfeeding among cesarean section and predict the variables which contribute in initiation and continuation of breastfeeding. Methodology: Non probability-a purposive sample of 30 women who had caesarean section and follow them for the first month after birth at Fatima Al-Zahra'a Maternity and Pediatric Teaching Hospital through the period from 16 May to 2 August 2011. Questionnaire developed by the researcher was based on review of literature and related studies and background experience as a tool of data collection. It was consisted of four parts (demographic , reproductive , initiation and continuation of breastfeeding). Content validity was carried out through eleven experts. A pilot study was conducted to test the reliability of the questionnaire and descriptive and inferential statistics were used to analysis of data. Results: Results of the study revealed that 43.3% of study sample initiation of breastfeeding during 24 hours after cesarean section, 76.7% of them had continued breastfeeding, 26% of them had exclusive breastfeeding. Prediction of six variables which contribute in initiation and continuation of breast feeding (age, parity, number of alive children, age at marriage, place of previous delivery and previous initiation of breastfeeding). Conclusions: Most of the study sample did not aware about the exclusive breastfeeding; one quarter of them had discontinuation of breastfeeding due to inadequate of their milk and newborn refused to take the breast during breastfeeding. Recommendations: Reactivated the role of Baby Friendly hospital Initiative in promoting breastfeeding by implementation of ten steps successful breastfeeding and counseling women during pregnancy and immediate postpartum about initiation and maintenance of breastfeeding for six months after birth.
Knowledge, Attitude and Practices of Saudi Women Regarding Breast Feeding at Makkah Al Mukkaramah
Background: Breastfeeding (BF) is the normal way of feeding infants and young children. Breast milk has disease-fighting antibodies that can help protect infants from several types of illnesses. Mothers who breastfeed have a lower risk of some health problems, including breast cancer and type 2 diabetes. Large percentage of saudi women do not breastfeed their infants despite of the fact that, Islam is very clear in encouraging breastfeeding until a child is two years of age. This study aims to assess knowledge, attitude and practices of Saudi women regarding breast feeding. Subjects and Methods: A descriptive design was used in this study. It was conducted at the post-partum department, Heraa General Hospital, Makkah Al-Mukaramh. A convenient sample of 120 mothers were involved in this study. Three tools were used in the present study. The first tool was an interviewing assessment sheet, used to collect socio-demographic data, obstetric history and knowledge regarding BF. The second tool was an attitude scale, that ranged from positive, neutral and negative attitude toward breast feeding.. The third tool was an observational checklist to observe mothers during BF and newborn latching on. Results: The results of this study revealed that, less than one fifth of the mothers (17.5%) had poor knowledge regarding breast feeding, less than one half of them (43.3%) had negative attitude and slightly more than one third of them (35.0%) had average to poor latching on practices. Conclusion and recommendations: older (40-50 years old), highly educated and working mothers had excellent knowledge, positive attitude and good latching on practice. It was recommended to, encourage baby–friendly hospital initiative as one of the strategies to support and promote breastfeeding. Intensify breastfeeding education among mothers, with emphasis on the advantages of the early initiation of breastfeeding.
Eastern Mediterranean Health Journal
Background: The rise in caesarean deliveries constitutes a major public health concern in low-and middle-income countries (LMICs). Evidence on the influence of caesarean delivery on breastfeeding practices in LMICs is currently lacking. Aims: To examine the association between mode of delivery and breastfeeding initiation and prelacteal feeding practices in a nationally representative sample of Egyptian women. Methods: A cross-sectional study was carried out on 3773 women from the 2014 Egypt Demographic and Health Survey. The outcomes of interest were the timing of breastfeeding initiation and prelacteal feeding practices. Descriptive statistics and multivariable logistic regression models were performed. Results: Overall, 25.1% of mothers initiated breastfeeding within 1 hour of birth and 63.5% practised prelacteal feeding within 3 days of birth. Mothers who had caesarean delivery had higher odds of delayed breastfeeding initiation [adjusted odds ratio (AOR) 2.25; 95% confidence in...
Exclusive breastfeeding knowledge, practices and determinants among mothers in rural areas, Egypt
International Journal Of Community Medicine And Public Health
Background: Objective of the study was to explore exclusive breastfeeding knowledge and practice of among mothers of children less than 2 years in rural areas in Beni-Suef governorate and factors that determine them.Methods: A community-based cross-sectional study was conducted in rural areas, Beni-Suef governorate over 6 months (February 2019-July 2019) using a designed well-structured questionnaire.Results: The mean breastfeeding knowledge score of enrolled mothers was 7.87±2.2 out of 15. (74.5%) of mothers recruited in this study obtained their knowledge from their mothers, families, and friends. Only 40.4% of the mothers have exclusively breastfed their children. While 57% of participants added food or fluids before 6 months and 37.6% added additional artificial feeding. Mothers’ age, education, occupation, marital status, the order of last-child, mode of delivery, place of delivery and monthly family income were independently associated with exclusive breastfeeding in univariat...
International Journal of Advances in Medicine
Background: Breastfeeding is the best way of providing nutrition for the healthy growth and development of infants. It is an essential part of the reproductive process with important inferences for the health of mothers. Exclusive breastfeeding for 6 months is the recommended way for infants nourishing. Complementary foods should be introduced after the age of 6 months, and breastfeeding should continue until the age of 2 years. This study was conducted to measure the prevalence of exclusive breastfeeding and to identify the most common obstacles confronting the practice between mothers attending El-Darrassa PHC centre.Methods: A descriptive cross-sectional study included all mothers attending the PHC centre. The data was collected by a questionnaire. The descriptive method and inferential statistics were used for data analysis.Results: The prevalence of breastfeeding was 97%, while the prevalence of exclusive breast-feeding was 51%. The obstacles facing breastfeeding were: 38% decr...
Clinics in Mother and Child Health, 2015
Background: Breast-milk is the optimum form of nutrition for the first 6 months of life. Breastfeeding and its impact on child survival in developing countries have been well documented. The aim of the present study was to identify causes of failed breastfeeding reported by women who attended their one month postpartum follow up. Methods: The present work is an exploratory survey that included a random sample of 3500 women who consented to share in this questionnaire. It included questions about the demographic data of the patients and Yes/No questions as regards antenatal preparation for breast feeding, problems faced with breastfeeding, factors influencing the decision to continue/stop breastfeeding. The study was conducted over four years during the time between July 2007 and July 2011. Nominal data were expressed as frequency and percentage, while numerical data were expressed as mean, standard deviation and range. Chi square test was used to compare nominal data. P values less than 0.05 were considered significant. Cox proportional hazards regression analysis model was used for determining the predictors for failed breast feeding. Results: At one month postpartum, only 78% [n=2502] of the mothers who had initiated breastfeeding [n=3210] were still breastfeeding their babies. 45% of those continuing to breast feed [n=1126] were exclusively breast feeding. Among those who stopped breastfeeding, the following reasons were given; concerns about baby's weight gain/ loss [n=361; 51%], baby not latching to the breast and preferring bottle feeding [n= 226; 32%], painful breastfeeding [n=64; 9%] preparing to return back to work [n=40; 5.6%], fear from obesity [n=7; 0.9%] and fear from breast disfigurement [n=3; 0.4%]. Seven women (0.9%) lost their babies. Cox regression analysis identified three risk factors for failed breastfeeding; younger maternal age, p=0.01, higher rate of employment p=0.03 and low birth weight of the baby p=0.04. Nonsignificant differences included; mode of delivery, parity, socioeconomic status, educational level, separation from the baby at the time of delivery and sex of the baby. Conclusions: From the present work we conclude that many of the problems associated with discontinuation of breastfeeding can be avoided by counseling and health education.
Breastfeeding Medicine, 2012
Background: Despite the proven effectiveness of the Ten Steps to Successful Breastfeeding of the Baby-Friendly Hospital Initiative (BFHI), its impact on community practices in Egypt has yet to be assessed. The aim of this investigation was to evaluate the knowledge, attitudes, and practice (KAP) of Egyptian mothers towards the Ten Steps. We interviewed 1,052 breastfeeding mothers with infants less than 24 months of age from 12 governorates representing Upper Egypt (UE) and Lower Egypt (LE). Results: Marked regional variations are noted in the KAP of the samples from UE and LE. These differences can be explained to some extent by socioeconomic factors. Hospital delivery, lower parity, and a higher level of education were characteristic of mothers in LE compared with UE. More mothers in UE did not know about the protective effects of breastfeeding to the mother. In LE, 75% delayed breastfeeding initiation until after the first hour compared with 61% in UE, with the mothers reporting that they did not experience skin-to-skin care in the first hours after birth. Nipple pain was given as a cause for supplementation in 56% of mothers in UE and 36% in LE (p < 0.001). Maintaining milk by expression is practiced by 42.8% of mothers in LE and 12% in UE. Two-thirds of the mothers in both UE and LE offer herbal drinks, and one-third feed infant milk formula before 6 months. Offering pacifiers is more common in LE, and feeding by bottle is more common in UE, being pressured by the mother's social network. Conclusions: To increase the impact of BFHI on community breastfeeding practices, BFHI should focus on involving the family members with the mother throughout the implementation of the Ten Steps while encouraging maternal support groups and taking cultural differences into account.
Breast Engorgement among Women with Caesarean Section: Impact of Nursing Intervention
Education, Society and Human Studies, 2020
Background: Breast engorgement is defined as enlarged & filling of breast with milk. It is one of the most significant problems confronting nursing women, especially primiparous, in the first week of motherhood. The aim of the study was to investigate the impact of nursing intervention on relieve of breast engorgement among women with caesarean section. Design and setting an interventional study was conducted in postnatal unit of Beni-Suef University hospital. Sample was simple random sample comprised a total of 90 Primiparae’s cesarean section mothers; 45 in the interventional group & 45 in the control group. Tools of Data Collection were interview questionnaire sheet, knowledge assessment sheet and observational & Engorgement assessment scale. The study revealed that, the nursing intervention was more effective and contributed rapid recovery from breast engorgement especially among the older, educated, housewives, high social class's women and those who were rural dwellers. The study recommended that Prevention is a key element in reducing breast engorgement potentially among nursing mothers. So, primiparous mothers should learn about preventive measures for breast engorgement. Teaching mother how to express both breasts simultaneously to yield the most volume and to decrease time spend pumping each consecutively is the responsibility of health care providers.
https://www.ijhsr.org/IJHSR\_Vol.6\_Issue.3\_March2016/33.pdf, 2016
Background: The immunological and nutritive values of breast milk are most suited for an infant. With the increase in the incidence of caesarean section, problems in breastfeeding in the first 24-48 hours have increased because of pain, discomfort, exhaustion and sedation effects of anesthesia. Materials and methods: A descriptive, cross-sectional study was conducted among 30 mothers of BPKIHS, Dharan, who had undergone cesarean section to assess knowledge and practice related to breastfeeding. Knowledge regarding breastfeeding was assessed by self-prepared structured interview schedule and practice was observed using observational checklist. Results: The study revealed that 50% of the respondent had knowledge about breastfeeding above median score (IQR) [7.5(6-9)]. Only 11.11% of respondents breastfed their infants effectively. Most of the mothers (83%) initiated feeding after one hour of birth. The reasons for delayed initiation were late shifting, pain and discomfort and inadequate milk secretion. The main problems during breastfeeding were pain and discomfort at incision site, inadequate milk secretion, pain in breast during sucking and poor sucking by the infant. Colostrum was fed by 93% of the mothers whereas 17% of the mothers fed prelacteal feeds. There was significant association of knowledge score and education (p-0.02) and there was a significant association between effectiveness of breastfeeding and age group (p-0.007). Conclusion: Maternal knowledge regarding breastfeeding is inadequate. In our context, still there is persistence of cultural belief related to prelacteal feeds. The mothers are not able to practice effective techniques of breastfeeding. There is difficulty in initiation and establishment of breastfeeding after cesarean section.
Breast Feeding Technique Education to Onset of Lactation of Caesarean Section-Delivered Mother
2016
Introduction. The woman that did her delivery by caesarean section would have slower onset of lactation compared to normal delivery, because surgical procedure would resist breast milk production process. This study aimed to analyze the effectivity of breastfeeding technique education related to lactation onset of caesarean section-delivered mother in Mataram City General Hospital. Method. This research was a quasi-experimental research. This research was held in Mataram City General Hospital. There were 24 intervention and 24 control samples. The independent variable was breastfeeding technique education, and the dependent variable was onset of lactation of caesarean section-delivered mother. Other variables measured were age, occupation, education, number (times) of giving birth, and caesarean section delivery. Sample collection technique was using consecutive sampling and data analysis was using univariable and bivariable chi-square. Result. There was signifi cant relation betwee...