DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20192411

Identification of factors determining the initiation of breastfeeding in postnatal women in a tertiary care centre: an observational study

Manisha Gupta, Neelima Agarwal, Alpana Agrawal

Abstract


Background: The WHO recommends that mothers worldwide to initiate breastfeeding within an hour of delivery to achieve optimal growth, development and health but the breastfeeding rates remain far below the recommended standards. The aim of this study was to find the prevalence of delay in initiation of breast feeding, to identify various factors which determine the initiation of breastfeeding and to correlate their association with delayed onset of breast feeding.

Methods: Hundred and thirty six postnatal women, who delivered in Santosh Medical College and Hospital, Ghaziabad, were recruited in the study. They were interviewed after their informed consent using a pretested structured questionnaire. Socio-demographic and obstetric factors were compared between subjects who initiated breast feeding in less than and more than 1 hours. Frequencies were calculated for different variables. Data was statistically analyzed and p value of <0.05 was taken significant.

Results: The prevalence of delay in initiation of breast feeding in our study was found to be 74.2% (n=101).The mean time of initiation of breast feeding was 18.43 hours. Significant association (p <0.05) was found in various sociodemographic, obstetrical and social factors.

Conclusions: Identifying mothers at risk of delayed breastfeeding initiation should be the target for breastfeeding promotion during prenatal, antenatal as well as postnatal period. Public health officials and health care providers should consider interventions to promote and support early initiation of breast feeding.


Keywords


Breast feeding, Early initiation of breast feeding, Postnatal, Prelacteal feed

Full Text:

PDF

References


World Health Organization (WHO). Protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services. Geneva: World Health Organization (WHO), 2017. Available at: http://www.who.int/nutrition/ publications/ guidelines/ breastfeeding-facilities-maternity-newborn/en/.

Victora CG, Bahl R, Barros AJD, França GVA, Horton S, Krasevec J, et al. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. Lancet. 2016;387(10017):475-90.

Brandtzaeg P. Mucosal immunity: integration between mother and the breast-fed infant. Vaccine. 2003;21(24):3382-8.

Goldman AS. Modulation of the gastrointestinal tract of infants by human milk. Interfaces and interactions. An evolutionary perspective. J Nutr. 2000;130(2S Suppl):426S-31S.

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

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

United Nations Children’s Fund (UNICEF). The state of the world’s children 2016: A fair chance for every child. New York; 2016.

Oakley L, Benova L, Macleod D, Lynch CA, Campbell OM. Early breastfeeding practices: Descriptive analysis of recent Demographic and Health Surveys. Maternal Child Nutrition. 2018;14(2):e12535.

International Institute for Population Sciences (IIPS) and ICF. National Family Health Survey (NFHS-4), 2015-16: India. Mumbai: IIPS; 2017. Available at: http://iipsindia.org.

Wen LM, Baur LA, Rissel C, Alperstein G, Simpson JM. Intention to breastfeed and awareness of health recommendations: findings from first-time mothers in southwest Sydney, Australia. Inter Breastfeeding J. 2009;4(1):9.

Temesgen H, Negesse A, Woyraw W, Getaneh T, Yigizaw M. Prelacteal feeding and associated factors in Ethiopia: systematic review and meta-analysis. Int Breastfeeding J. 2018;13(1):49.

Mutseyekwa MF, Gunguwo H, Mandigo RG, Mundagowa P. Predictors of early initiation of breastfeeding among Zimbabwean women: secondary analysis of ZDHS 2015. Maternal Heal Neonatol Perinatol. 2019;5(1):2.

Ekubay M, Berhe A, Yisma E. Initiation of breastfeeding within one hour of birth among mothers with infants younger than or equal to 6 months of age attending public health institutions in Addis Ababa. Ethiopia newborn services. Int Breastfeed J. 2018;13(1):4.

Nguyen PT, Tran HT, Thai TT, Foster K, Roberts CL, Marais BJ. Factors associated with breastfeeding intent among mothers of newborn babies in Da Nang, Viet Nam. Int Breastfeeding J. 2018;13(1):2.

Chandrashekhar TS, Joshi HS, Binu V, Shankar PR, Rana MS, Ramachandran U. Breastfeeding initiation and determinants of exclusive breastfeeding: a questionnaire survey in an urban population of western Nepal. Pub Heal Nutr. 2007;5:21.

Gavhane S. Knowledge and factors affecting initiation of breast feeding in post-natal mothers in a tertiary care center. Int J Res Med Sci. 2018;6(2):481-5.