Effectiveness of Educational Package on Knowledge and Practices Regarding Breastfeeding Techniques (original) (raw)
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IP International Journal of Medical Paediatrics and Oncology, 2019
Introduction: Breastfeeding is a special gift from a mother to her baby. It is the normal way of providing young infants with the nutrients they need for healthy growth and development. To achieve millennium development goals, it is expected to reduce the neonatal mortality by two third of present rate. A newborn baby has only three demands. They are warmth in the arms of its mother, food from her breasts and security in the knowledge of her presence. Breastfeeding satisfies all three. Material and Method: A quasi experimental study using posttest comparison group design was conducted to evaluate the effectiveness of educational package on breastfeeding in terms of knowledge, attitude and practices among sixty primi mothers selected by using purposive sampling technique in selected Hospitals of District Ambala, Haryana. Assessment of knowledge, attitude and practice was done by using structured knowledge questionnaire, attitude scale, observational checklist and reliability was 0.65, 0.87, and 0.96 respectively. Educational package I was administered at latent phase of labour and educational package II was administered to the mother postnatal. Mother was supported for correct technique till the time she gained proficiency and gave one correct demonstration for breast feeding. Posttest for knowledge and attitude was taken on second day and posttest for practice was taken on third day after delivery. Follow up was done on 6th week through telephonic interview method. Findings: Findings of the study indicated that mean knowledge score (20.63+4.08), mean attitude score (38.57+4.85) and mean practice score (16.73+1.96) in the experimental group was significantly higher than mean knowledge score (11.53+4.61), mean attitude score (28.83+5.62), mean practice score (11.93+4.06) respectively in the comparison group. Positive non-significant correlation was found between knowledge, attitude and practice score of primi mothers in the experimental group. Findings also indicated that period of gestation, type of family, income of family had impact on knowledge whereas type of family, place of residence, income of family had impact on attitude of primi mothers in experimental group. Results of the follow up showed that all of the mothers in the experimental group were still giving breast milk to the new born babies where as in the comparison group, 30% of the mothers had started giving top feeds to the new born babies stating the reason of non-suckling behavior of the baby and reduced lactation.
*Suman Moun Khatkar, & **Sonia Devi, Research Scholar (Nursing), Shri JJT University,Jhunjhunu, Rajasthan, India.***Dr. Santosh Gurjar, Principal, RPIITs Karnal, Haryana, India., 2020
Breastfeeding has many health and developmental advantages for infant and mothers. Breastfeeding remains the simplest, healthiest and least expensive feeding method that fulfills the infant's needs. In the study the aim was assess the knowledge regarding breastfeeding among postnatal mother and develop self-instructional module at civil hospital Haryana.A descriptive study was conducted to assess the knowledge regarding breastfeeding among postnatal mothers at civil hospital Jind, Haryana. 30 samples were selected by means of convenient sampling technique. Data was collected with the help of self structured knowledge questionnaire. Data analyzed by Descriptive(Mean, Median, Mode, Standard Deviation) and Inferential technique. A little above one half of the total sample 16 (53.33%) have Average level of knowledge among post-natal mothers regarding breast feeding followed by good level of knowledge were 14 (46.67 %). None of the postnatal mother have low level of knowledge. There is no significant relationship between breastfeeding knowledge and selected demographic variables (age, education status, religion, residence, income, knowledge on breastfeeding and its source). The study shown that assess knowledge regarding breastfeeding among postnatal mothers with view to self-instructional module.
International Journal of Medical Science and Public Health, 2015
Background: Successful lactation is determined by the early initiation of breast-feeding and continuation of lactation, which in turn is determined by positioning, an important aspect to get neonates to latch on to the breast. Objective: To explore the knowledge, attitude, and practices (KAP) of postnatal mothers in the immediate postpartum period regarding the techniques of breast-feeding and to reassess their KAP following education. Materials and Methods: This observational study was conducted in a teaching hospital in a coastal district of Karnataka, which involved 118 postnatal mothers within the first week of delivery who were breast-feeding. The study was done as per the standard KAP methodology using a preformatted structured questionnaire involving 12 questions, which were evaluated under various domains such as initiation of feeding, latching, maternal positioning, and postfeed techniques. Assessment was done with the help of a scoring system carried out before and after education, and the results were analyzed with appropriate statistical tests. When the participants answered more than minimum specified number of questions correctly for each domain, the score was considered satisfactory, and the percentage of such women were calculated both pre-and posteducation; any improvement in the performance domain-wise and total scores were noted. Result: The KAP mean scores of participant women at the time of recruitment with different demographic variables were compared in various domains of breast-feeding techniques, and it was found that educated women having antenatal care at higher centers and who received information regarding breast-feeding techniques before delivery showed higher scores (P < 0.001). The mean scores of these domains were also compared before and after administering lactational education, and it was found that such a training session improved KAP of postnatal women in all the domains significantly (P < 0.001). Conclusion: Implementation of training programs for breast-feeding women in various techniques of breast-feeding, especially with regard to latching and maternal positioning, can improve the knowledge and attitude of postnatal mothers and aid in better practices of feeding, which in turn promotes comfortable and successful lactation.
Breastfeeding Practice Knowledge of Mothers Who Delivered at Srinagarind Hospital
2013
Background and Objective: Mother’s knowledge about breastfeeding is a key factor. Exclusively breastfeeding practice for a period of six months is good for babies and mothers. The aim of this study was to explore breastfeeding knowledge among mothers who delivered at Srinagarind Hospital Methods: This study was a descriptive study. The studied population were 2,339 mothers who delivered at Srinagarind Hospital during I September 2010- 29 February 2012. A sample of 248 subjects was systematically randomized selected. A questionnaire was administered via telephone interview. It was developed and included information relation to demographic data, knowledge of breastfeeding and mother recommendations. The results were analyzed by descriptive statistics including percentage, frequencies, median, interquartile range and 95% confidence intervals. Results: The response rate was 89.9% (223/248). The study revealed that 73.5% (95%CI: 67.15, 79.10) of the respondents had a high level of know...
International Journal of Multidisciplinary Research and Development, 2017
The objectives to assess the knowledge and practice of post-natal mothers regarding lactation management before and after intervention and to determine the effectiveness of structured teaching programme. To associate the finding with demographic variable. A quasi experimental one group pretest post-test design was used. Total 60 post-natal mothers were selected by nonprobability purposive sampling technique .Data collection was done by using questionnaire and observation check list. Demographic data shows that 70 % post-natal mothers were from age group of 18 to 25 of years, 53% mothers had no formal education, 70% post-natal mothers lived in rural area, 92% mothers had undergone LSCS and 88% of mothers were house maker. In pretest 71.6% post-natal mothers had poor knowledge were as in post test 91.6% post-natal mothers had good knowledge about lactation management. Mean score of pretest was 6.5 which had increased to 21.85 in posttest and p-valve for it was 0.00 which suggest improvement in knowledge. 83% mothers had poor practices before intervention, 70% had good practices after intervention. Mean score of before intervention observation was 1.3 which had increased to 8.6 in after intervention and p-valve for it was 0.00 which suggest improvement in practices.
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 of mothers in breast feeding: A hospital based study
Janaki Medical College Journal of Medical Science
Background and Objectives: Breastfeeding (BF) is a socially constructed and controlled practice. Although breastfeeding is a common practice in Nepal, proper breastfeeding is on the decline due to several factors. The impact of knowledge and attitude about breastfeeding practice, i.e., duration of breastfeeding, proper techniques, proper time of weaning is poorly understood. So, this study is designed to assess the knowledge, attitude and practice of mothers in breastfeeding. Material and Methods: This is an observational descriptive cross sectional study carried out among 220 mothers of under 2 years old children attending the pediatric out-patient department (OPD) at Janaki Medical College teaching hospital (JMCTH), Janakpur, Nepal. Mothers were interviewed using pre-designed questionnaire constructed after proper literature review. Results: All mothers have idea that they have to breast feed their babies, but they did not have adequate knowledge on the appropriate way of breastfe...
Knowledge and practice of mothers regarding breast feeding: A hospital based study
Background: Although breastfeeding is a common practice in Nepal, proper breastfeeding is on the decline due to several factors. The impact of knowledge about breastfeeding practice, i.e., duration of breastfeeding, proper techniques, proper time of weaning is poorly understood. Objective: To assess the knowledge and actual practices of mothers regarding breastfeeding. Methods: Cross sectional study was carried out on 200 mothers of under 1 year old children who attending the pediatric Out Patient Department, well baby clinic and immunization clinic at BPKIHS, Dharan. Mothers were interviewed using pre-designed questionnaire. Result: All mothers knew that they had to breast feed their babies, but they did not have adequate knowledge about the appropriate way of breastfeeding. 10% knew that they have to initiate breast feeding within ½ hour of birth, 10% had idea on prelacteal feed, 25% had idea on importance of colostrums, 15% knew the meaning of exclusive breast feeding, and 15% of the mothers had idea on importance of night feeding. 41.5% mothers initiated breast feeding within ½ hour of birth, 33% mothers gave prelacteal feed, colostrum was fed by 95%, 15% were practicing exclusive breast feeding, 90% mothers were practicing night feeds, 15% mothers practiced feeding one side at a time, 60% mothers were practicing inappropriate attachment and positioning, None of the mothers got any advice regarding breast feeding during ANC visits. Conclusion: Undesirable cultural practices such as giving prelacteal feeds, late initiation of breastfeeding after birth, delay in introduction of weaning foods and avoiding exclusive breastfeeding are still prevalent among the mothers. The maternal knowledge towards breast feeding was inadequate and there was a big gap between actual and desired practices.
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.