DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20213474

Perception and practice of early initiation of breastfeeding and associated factors among postnatal mothers in East Sikkim

Nisha Rakhi Tirkey, Barkha Devi, Sonam Zangmu Sherpa

Abstract


Background: Breastfeeding is the most desirable method for achieving a normal growth and development of the child. Breastfeeding practice is multifactorial, and number of variables influence mothers’ decisions and ability to breastfeed. This study aimed to assess the perception and practice regarding early initiation of breastfeeding and factors associated with breastfeeding among hospitalized postnatal mothers in East Sikkim.

Methods: The descriptive study was carried out among 80 postnatal mothers who delivered term healthy babies either through normal vaginal delivery (n=34) or lower segment caesarean section (n=38), selected through purposive sampling technique and were interviewed within six hours of postpartum. Data were collected over a period of one month through an interview schedule to get information on feeding practice, perception and the factors responsible for delayed breastfeeding. Data analysis was done using Statistical package for social sciences (SPSS) version 16. Chi square test was used to examine the factors associated with perception and practice of early initiation of breastfeeding (within one hour of birth).

Results: The result shows that early initiation of breast feeding within one hour of birth was done by 36% of mothers after the delivery and few adopted prelacteal feeding (19%) where as 86% had positive perception towards it. The factors that mostly influenced early initiation of breastfeeding were planned pregnancy (100%) and support from family members during pregnancy and delivery (100%). There was a statistically significant association between mother’s educational status and information regarding early initiation of breastfeeding and influencing factors like breastfeeding education during antenatal period and guidance from the health professional (p<0.05).

Conclusions: Early initiation of breastfeeding within one hour was found extremely low which is an alarming. The findings also suggest the need of breastfeeding promotion programs among the mothers who are less educated. Such breastfeeding promotion programmes could be implemented through network of community-based workers.

 


Keywords


Breastfeeding, Breast milk, Early initiation of breastfeeding, Postnatal mother, Colostrum

Full Text:

PDF

References


World Health Organization. Global strategy for infant and young child feeding. 2013. http://www.who.int/nutrition/publications/gs_infant_feeding_text_eng.pdf. Accessed on

Jones G, Steketee RW, Black RE, Bhutta ZA, Morris SS. How many child deaths can we prevent this year? The Lancet. 2003;362(9377):65-71.

Victora CG, Barros AJD. Effect of breastfeeding on infant and child mortality due to infectious diseases in less developed countries: a pooled analysis. The Lancet. 2000;355(9202):451-55.

Colostrum. https://www.sciencedaily.com/terms/colostrum.htm. Accessed on

National Family Health Survey – 4 (2015 -16). India. Fact Sheet_ http://rchiips.org/NFHS/pdf/NFHS4/India.pdf. Accessed on

Boccolini CS, Carvalho ML, Oliveira MI, Pérez-Escamilla R. Breastfeeding during the first hour of life and neonatal mortality. J Pediatr (Rio J). 2013;89(2):131-6.

Srikanth L, Subbiah K, Srinivasan S. Beliefs and practices of newborn feeding in tribal areas of India: a decennary review. Int J Community Med Public Health. 2017;4:281-5.

Singh K, Srivastava P. The effect of colostrum on infant mortality: urban rural differentials. Health Popul Perspect. 1992;15:94-100.

Edmond KM, Kirkwood BR, Amenga-Etego S, Owusu-Agyei S, Hurt LS. Effect of early infant feeding practices on infection specific neonatal mortality: an investigation of the causal links with observational data from rural Ghana. Am J Clin Nutr. 2007;86:1126-31.

Mullany LC, Katz J, Li YM, Khatry SK, LeClerq SC, Darmstadt GL et al. Breast-feeding patterns, time to initiation, and mortality risk among newborns in southern Nepal. J Nutr. 2008;138(3):599-603.

Stevens EE, Patrick TE, Pickler R. A history of infant feeding. J Perinat Educ. 2009;18(2):32-9.

Kamath SP , Garg D , Khan MK, Jain A , Baliga SB. Perceptions and Practices regarding Breastfeeding among Postnatal Women at a District Tertiary Referral Government Hospital in Southern India. Scientifica (Cairo). 2016.

TIS Staffer. Breastfeeding could prevent child deaths. Lancet. 2017;8.

Less than 50% are breastfed in first hour of birth in India / Delhi news – Times of India/ https://timesofindia.indiatimes.com/city/delhi/Less-than-50-are-breastfed-in-first-hour-of-birth-in-India/articleshow/48766517.cms. Accessed on

Rogers NL, Abdi J, Moore D, Nd'iangui S, Smith LJ, Carlson AJ et al. Colostrum avoidance, prelacteal feeding and late breast-feeding initiation inrural Northern Ethiopia. Public Health Nutr. 2011;14(11):2029-36.

Kamath SP, Garg D, Khan MK, Jain A, Baliga BS. Perceptions and Practices regarding Breastfeeding among Postnatal Women at a District Tertiary Referral Government Hospital in Southern India. Scientifica (Cairo). 2016;2016:5430164.

Babu RA, Keepanasseril A, Kanimozhi K. Practice of early initiation of breastfeeding among postnatal mothers in a tertiary hospital in South India. Int J Adv Med Health Res. 2018;5:18-20.

Kumar D, Agarwal N, Swami HM. Socio-demographic correlates of breast-feeding in urban slums of Chandigarh. Indian J Med Sci. 2006;60(11):461-6.

Ahmed AE, Salih OA. Determinants of the early initiation of breastfeeding in the Kingdom of Saudi Arabia. Int Breastfeed J. 2019;14:13.

Das N, Chattopadhyay D, Chakraborty S, Dasgupta A. Infant and Young ChildFeeding Perceptions and Practices among Mothers in a Rural Area of West Bengal,India. Ann Med Health Sci Res. 2013;3(3):370-5.

Chea N, Asefa A. Prelacteal feeding and associated factors among newborns in rural Sidama, south Ethiopia: a community based cross-sectional survey. Int Breastfeed J. 2018;13:7.

Bhatt S, Parikh P, Kantharia N, Dahat A, Parmar R. Knowledge, attitude and practice of postnatal mothers for early initiation of breast feeding in the obstetric wards of a tertiary care hospital of Vadodara city. Natl J Community Med. 2012;3:305‑9.

Hinson TD, Skinner AC, Lich KH, Spatz DL. Factors That Influence BreastfeedingInitiation Among African American Women. J Obstet Gynecol Neonatal Nurs. 2018;47(3):290-300.