Knowledge, Attitude and Practices about Exclusive Breastfeeding in Grandmothers of Newborns – An Observational Study (original) (raw)
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Knowledge, Attitude and Practices of Mothers Regarding Breastfeeding in a South Indian Hospital
Biomedical and Pharmacology Journal, 2016
Study was conducted to assess the knowledge, attitude and practices of mothers attending a south Indian hospital towards breastfeeding. This cross sectional study was conducted on mothers of children, attending outpatient department of a tertiary care hospital, SRM Medical College, Tamil Nadu. They were administered a pre-designed questionnaire of twenty questions related to breastfeeding. A total of 200 mothers were interviewed over a period of two months. Though many mothers (47.5%) were illiterate their knowledge to start early breastfeeding was good (80%). However, only 34.5% initiated breastfeeding within one hour. Twenty five percentage of mothers felt that colostrum is bad and 10.5% gave prelacteals. Exclusive breastfeeding was given for six months by 72% of mothers. Cow's milk was the most commonly used top milk (23.5%). Knowledge about weaning was good but about demand feeding was poor. Doctors were the preferred counselor (87.5%) and not enough breast milk was the main reason for discontinuing breastfeeding. Mothers had good knowledge about breastfeeding practices. But there is a gap between knowledge and practice which needs to be addressed. Doctors should play a key role in educating nursing mothers as nursing mothers rely heavily on doctors for consultation.
International Journal of Medical Science and Public Health, 2015
Breastfeeding being economical and capable of preventing diseases and allergies is the best nutrition. Breastfeeding is best for gaining weight and reducing chances of infections as compared to top feeds. Children who get mothers' milk grow better with better scholastic performance and have optimal gut development [2]. Breastfeeding is essential for developing countries where malnutrition is prevalent and hygienic conditions are poor. The repeated infection causes diarrhea and recurrent respiratory infections, leading to high infant mortality. In ancient time, breastfeeding was the only source of feeding of newborn, but during industrialization, urbanization and modernization, this practice has gradually declined [3]. Early and exclusive breastfeeding is now recognized as one of the most effective interventions for child survival particularly to address morbidity and mortality related to three Background: Breastfeeding practices remain poor even though efforts are being made to improve various aspects and promote exclusive breastfeeding. The current study was undertaken to find out knowledge and practice of breastfeeding among lactating mothers. Objectives: Find out knowledge and practice of breastfeeding and various factors influencing it in postnatal mothers. Material and Methods: A cross-sectional study was done on lactating mothers attending the postnatal care OPD in a tertiary care center in Bhopal. A pretested structured questionnaire was used to obtain data from 1000 mothers. Information regarding participants' demographics, infant feeding in first 6 months of life, knowledge, and attitude toward breastfeeding was collected. Results: Exclusive breastfeeding was practiced by only 33% mothers, whereas mixed feeding was found to be common (53%). It was found that age of the mother, education of mother, income of the family, parity, and availing antenatal care services (p < 0.0001) were all significantly associated with the practice of breastfeeding. Conclusion: Exclusive breastfeeding was found to be poor in the study group even though the knowledge regarding various aspects of breastfeeding was not very poor.
International Journal of Contemporary Pediatrics, 2019
first 6 months are quite appalling. In India, according to National Family Health Survey (NFHS-4), exclusive breastfeeding rate is 54.9%. Various factors like maternal age, occupation, inadequate knowledge of exclusive breastfeeding, perception of insufficiency of breast milk, beliefs and misconceptions, gestational age of baby, gender and birth weight affect exclusive breast feeding. This study was done to assess ABSTRACT Background: Global Public Health recommends that infants should receive only breastfeeding for first 6 months of life for their optimal growth and development. This study was done to find the rate of exclusive breast feeding and other feeding practices in children up to 6 months of age. Methods: A hospital based longitudinal study was conducted in a tertiary care hospital for a period of one year. Data from 158 mothers who were admitted for safe confinement was collected using structured questionnaire which was administered at every monthly follow up visit following delivery till first six months. Data included sociodemographic factors, psychosocial factors, breastfeeding details, maternal and infant factors. Data was entered in MS-Excel and analysed on SPSS version 18 software. Results: About 82.9% mothers had the knowledge about benefits of breastfeeding. Breastfeeding was initiated within one hour in 74% babies but exclusive breastfeeding for first six months was given only in 42.4% babies. Pre-lacteal feeds were given only in 3.2% babies. Early complementary feeds were started in 57.6% predominantly with cereal based diet. Perceived insufficiency of milk (30.3%) was the major reason mentioned for starting early complementary feeds. Conclusions: There is a wide gap between the knowledge and practice of exclusive breastfeeding. The importance of exclusive breastfeeding should be reinforced at every immunization visit so as to increase the rate of exclusive breastfeeding.
Knowledge and Practice on Breastfeeding among Mothers of Infant
Journal of Food Science and Technology Nepal, 2014
This descriptive explorative study was carried out with the aim of finding out the current status on breastfeeding among mothers of infants in Kanti Children Hospital, Maharajgunj, Kathmandu. A total of 100 mothers attending maternal and child health (MCH) Clinic of Kanti Children’s hospital were selected on the first come first basis. A semi- structured questionnaire was used to collect data that assess the knowledge and actual practices of mothers regarding breastfeeding. The study finding revealed that 52% responded has correct meaning of exclusive breastfeeding. Regarding the initiation of breastfeeding only 41% respondents fed their babies correctly within 1 hour. Twenty six percent of them had given Prelacteal feeding from 52.6% of mothers from rural and 20.8% mothers from urban area. Only 12% of respondents had knowledge about expressing breast milk (EBM) and among them only 8.3% practiced it. Regarding the duration of exclusive breastfeeding (EBF), 34% respondents had given ...
In South Asia, only 24% -26% of babies born in India, Pakistan and Bangladesh are breastfed within 1 hour while the corresponding rate for Sri Lanka is 75% and National Family Health Survey (NFHS-3) data show ABSTRACT Background: Breast feeding is the best way of infant feeding. Physiologically, immunologically, psychologically best method and it is most vital for reducing infant mortality. Early human milk promotes gut maturation and immune activation. Therefore the objective of the study was to assess the knowledge, attitude and practice of breast feeding among postnatal mothers at Mandya Institute of Medical Sciences (MIMS), Mandya. Methods: The data of the cross-sectional study includes demographic profile, knowledge among mothers regarding breast feeding and their attitude and practice towards breast feeding. Results: Out of 138 postnatal mothers, 84 were primiparous (60.9%) and 54 (30.1%) were multiparous. And 56 (40.6%) had vaginal delivery and 82 (59.4%) had caesarian delivery. It was found that 124 (89.8%) has not received antenatal counselling regarding breast feeding. It shows that 15.84% received prelactal feeds. Out of 82 cesarean deliveries, 35 (42.58 %) feed baby within 2 hours and in case of vaginal deliver only 23 (41.07%) breast fed within half an hour Reason for delayed feeding was found to be separation of baby in case of vaginal delivery 28.5% and fatigue in case of cesarean section (40.24%). Conclusions: In our study, it was found that, majority of them have not received antenatal counselling regarding breast feeding. Even though they have knowledge about breast feeding within appropriate time of delivery, still they are not practicing the same. It shows that, there is a gap between knowledge and practice. Intervention measures are needed to increase the attitude and practice of breast feeding.
Knowledge, Attitude and Practice towards Exclusive Breastfeeding among Mothers in Pokhara-Lekhnath
Journal of Gandaki Medical College, 2018
Background: Exclusive breastfeeding means that the infant receives only breast milk. Infants should be exclusively breastfed for the first six months of life to achieve optimal growth, development and health. Thereafter, to meet their evolving nutritional requirements, infants should receive nutritionally adequate and safe complementary foods, while continuing to breastfeed for up to two years or beyond. Breastfeeding is an unequalled way of providing ideal food for the healthy growth and development of infants; it is also an integral part of the reproductive process with important implications for the health of mothers. Objective: To assess the knowledge, attitude and practice of pregnant women on exclusive breastfeeding. Methods: The quantitative descriptive research design was used for this study. Purposive sampling technique was used to select the subjects in community setting. Total 140 subjects were taken as a sample and self-administered structured questionnaire on knowledge, attitude and practice of exclusive breast feeding among reproductive age group women was used to collect data. Results: The study shows that out of 140 women, 48 (34.3%) belonged to 26-30 age group, 136 (97.14%) were married, 109 (77.9%) women followed Hindu caste, 67 (47.9%) women belonged to Dalit group, 129 (92.1%) women were housewife, 73 (52.1%) women had taken primary education, 68 (48.6%) had monthly income >20000, 116 (82.9 %) had ≤3 children. Among 140 women, 69 (49.3%) had good knowledge and fair knowledge whereas only 2 (1.4%) had poor knowledge. Regarding attitude 122 (87.1%) thought that EBF was better than other artificial feeding, 75 (53.6%) believed that first milk should be discarded, 108 (77.1%) agreed that EBF is enough for child up to 6 months, 77 (55%) didn't feel comfortable with extra feeding other than breast milk, 51 (36.4) stated that they were not comfortable because of insufficient amount to meet child's demand, 100 (71.4%) agreed that child less than six months who is exclusively breastfed were healthier than child who took additional foods. Out of 140 women, 139 (99.3%) breastfed her last child, 83 (59.3%) started breastfeeding within 1 hr after delivery, 77 (55%) breastfed on demand of baby, 91 (65%) had not given anything before initiating breastfeeding, 25 (17.9%) had given plain water before breast milk after delivery, 107 (76.4%) had given breast milk only starting from birth to six months of age. | Original Article Conclusions: The study revealed that there was good level of knowledge and practice among women in the reproductive age group in Pokhara-Lekhnath. Hence the study strongly suggests that there was appropriate level of knowledge about exclusive breast feeding among mother of reproductive age group in Pokhara-Lekhnath which will help in enhancing the growth and development of child.
International Journal of Medical Science and Public Health, 2014
Background: Exclusive breastfeeding for 6 months is viewed as a major public health intervention to reduce the child mortality, particularly, in the neonates and infants. Aims & Objectives: To study the knowledge, attitude and practice regarding exclusive breastfeeding as well as to identify its determinants and explore barriers against it among mothers in Abha City. Materials and Methods: A cross sectional study was adopted. It included all mothers, who have a child aged 6-12 months, attending primary health care centers within the Abha city. An Arabic validated questionnaire was used for data collection. It comprises 3 parts as follows: personal characteristics, knowledge about breast feeding and attitude toward breastfeeding. Results: A total of 600 women, with children aged between 6 months and 12 months, from those registered in PHCC in Abha were included in the study. Their age ranged between 18 and 47 years with a mean of 31.4±5 years. Most of them were Saudi (88.2%) and university graduated (78.7%). Overall mothers' breastfeeding knowledge was good among more than half of them (55.3%) and excellent among 30.7% of them while it was unsatisfactory among 14% of the mothers. Positive attitude towards breastfeeding was reported among 62.2% of the participants while negative attitude was reported among more than one-third of them (37.8%). Breastfeeding in the first 6 months was practiced by 24.7% of the participated mothers. Of them, only 7.3% practiced exclusive breast feeding. In the multivariate analysis, governmental workers had significant double probability of not practicing exclusive breastfeeding as opposed to house wives (adjusted OR= 1.9, 95%CI= 1.02-4.3). Women delivered by caesarean section were at double risk for non-practicing exclusive breastfeeding compared to those delivered normally (adjusted OR= 2.1, 95%CI= 1.2-10.4). Women who did not have breastfeeding education were at higher risk of not practicing exclusive breastfeeding than those have it (adjusted OR=1.9, 95%CI=1.06-11.2). Work-related problems (46.2%), insufficient breast milk (34.2%), maternal health problems (14.9%) and neonatal health problems (9.7%) are the commonly reported barriers against exclusive breastfeeding. Conclusion: Breastfeeding exclusivity among our sample is suboptimal, compared to the current WHO recommendations, despite the relatively higher level of knowledge. Irrespective of maternal educational status, many misconceptions are prevalent regarding breastfeeding practices that need special emphasis in health education campaigns.
International Journal of Community Medicine and Public Health, 2016
The World Health Organisation (WHO)/United Nation Children Fund (UNICEF) jointly recommend that women exclusively breastfed their infants for the first 6 months and continue to breastfed into the second year of life or longer. The importance of breastfeeding, especially EBF, is well established for the infant, the mother and the family. 1 In those settings when infant formula is used, they are introduced early and over-diluted. METHODS This cross sectional and hospital based study was conducted by Department of Community Medicine, Geetanjali Medical College and Hospital, Udaipur during the period of Jan 2016-March 2016. For the study, 500 mothers from post natal ward who had nursed their children in last five years were interviewed after taking verbal consent and using pre-tested questionnaire. Permission was sought from concerned authorities for this study explaining them the purpose of exercise and fixing time and place. Clearance was obtained from the Ethical committee of the College for the study.
International journal of reproduction, contraception, obstetrics and gynecology, 2016
Background: Mother's milk undoubtedly represents the best nourishment for the child during first months of life. The benefits of breastfeeding (BF) specially, exclusive breastfeeding (EBF), are well established. No artificial feed can replace breast milk, its specific nutrients and protection against diseases. All women should be encouraged to exclusively breastfeed their infants up to 6 months of age and thereafter to continue along with appropriate and adequate complementary foods, for up to 2 years of age. Methods: In the present study, we aimed to study knowledge, attitude and the feeding practices in a tertiary care centre. The descriptive study was conducted in Obstetrics and
Annals of Global Health, 2019
Background Breastfeeding is commonly practiced by a majority of mothers in developing countries, though there are widespread misconceptions about optimal breastfeeding traditions. Breast milk is the first natural food for a baby that provides all the energy and nutrients that the infant needs for the first few months of life. Breastfeeding has both short-term and major long-term effects on the health, nutrition, and development of the child and mother's health. Appropriate breastfeeding practices prevent child mortality and morbidity from diarrhea, respiratory and other infections, otitis media, necrotizing enterocolitis, and sudden infant death syndrome [1]. The maternal benefit of breastfeeding in birth spacing by promoting lactational amenorrhea and reduction in breast and ovarian cancer has been well established [1]. Optimal breastfeeding practices include exclusive breastfeeding for the first six months of life, early initiation of breastfeeding within one hour of life, and continued breastfeeding for up to and beyond two years of age [2]. World Health Organization (WHO) also recommends providing colostrum from the beginning and timely initiation of nutritionally adequate, safe, age-appropriate complementary feeding at six months of life. Nearly half