Postpartum breast complications and breast-feeding practices in a baby-friendly hospital in Bangladesh

Authors

  • Rifat Ara Department of Gynaecological Oncology, National Institute of Cancer Research and Hospital (NICRH), Dhaka, Bangladesh
  • Shahana Previn Department of Gynaecological Oncology, National Institute of Cancer Research and Hospital (NICRH), Dhaka, Bangladesh
  • Dilruba Yeasmin Department of Gynaecological Oncology, National Institute of Cancer Research and Hospital (NICRH), Dhaka, Bangladesh
  • Farhana Haque Department of Gynaecological Oncology, National Institute of Cancer Research and Hospital (NICRH), Dhaka, Bangladesh
  • Tohmina Akhter Department of Gynaecological Oncology, National Institute of Cancer Research and Hospital (NICRH), Dhaka, Bangladesh
  • Rumana Afroz Department of Gynaecological Oncology, National Institute of Cancer Research and Hospital (NICRH), Dhaka, Bangladesh
  • Sayeba Akhter Department of Gynaecological Oncology, Popular Diagnostic Dhanmondi, Dhaka, Bangladesh

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20241416

Keywords:

Postpartum, Breast complications, Breast-feeding practices, Baby-friendly hospital

Abstract

Background: Breastfeeding is essential for health of both infants and mothers, but it often encounters challenges such as postpartum breast complications. These issues can adversely affect maternal health and significantly hinder success of breastfeeding practices. Aim of study was to assess postpartum breast complications and breast-feeding practices.

Methods: This cross-sectional study was conducted in department of obstetrics and gynaecology, Dhaka medical college hospital, Dhaka, Bangladesh from February 2006 to July 2006. Two hundred patients in the postnatal ward who delivered their babies at DMCH were randomly selected.

Result: Among 200 postnatal women, 33.5% experienced breast problems. Women with breast problems were designated as group A and women without breast problems were designated as group B. Most women in groups A and B were aged between 21-30 years with average 24.8 years for both groups. Antenatal check-ups were similar across groups, with breastfeeding advice given to 55.2% in group A and 64.7% in group B pre-lacteal feeds were given to 19.4% of group A and 21.8% of group B neonates, while colostrum was fed to the majority. Most neonates were breastfed within 2 hours. Good breastfeeding position and attachment were observed in most cases. Exclusive breastfeeding was more common in group B (73.7%) than in group A (58.2%). Breast problems in group A included engorgement, lactation insufficiency, and nipple issues.

Conclusions: The study reveals that postpartum breast complications, notably breast engorgement and lactation insufficiency, significantly affects the breastfeeding effectiveness of new mothers.

References

Jordan S, Emery S, Bradshaw C, Watkins A, Friswell W. The impact of intrapartum analgesia on infant feeding. Int J Obstetr Gynaecol. 2005;112(7):927-34.

Neville MC, Neifert MR. An introduction to lactation and breast-feeding. In Lactation: Physiology, Nutrition, and Breast-Feeding, Boston, MA: Springer US. 1983;3-20.

Mannan HR, Islam MN. Breast-feeding in Bangladesh: patterns and impact on fertility. Asia-Pacific Population J. 1995;10(4):23-38.

WHO S. Infant and young child nutrition: Global strategy on infant young child feeding. 55th World Health Assembly. 2002. Available at: https://www.who.int/publications/i/item/924156221. Accessed on 10 March, 2024.

Mannan HR, Islam MN. Breast-feeding in Bangladesh: patterns and impact on fertility. Asia-Pacific Population J. 1995;10(4):23-38.

Decherny AH, Nathan L. Postpartum hemorrhage and the abnormal puerperium in: Current Obstetrics and Gynecologic diagnosis and treatment, 12th edi, McGraw Hill Education. 2003;531-52.

Prentice A, Prentice AM, Lamb WH. Mastitis in rural Gambian mothers and the protection of the breast by milk antimicrobial factors. Transactions Royal Society Trop Med Hygiene. 1985;79(1):90-5.

Queenan JT. Breastfeeding: It's an important gift. Obstetr Gynecol. 2003;102(1):3-4.

Fairbank L, Lister-Sharpe D, Renfrew MJ, Woolridge MW, Sowden AJ, O’Meara S. Interventions for promoting the initiation of breastfeeding (protocol for a Cochrane Review). The Cochrane Library. 2002;4(25):1-171.

Department of Health. Improvement, expansion and reform: the next three years priorities and planning framework 2003-2006. 2002. Available at: http://www.DH.gov.uk/planning 2003-2006/index.htm. Accessed on 12 March, 2024.

Greiner T. Breast feeding in Bangladesh: A Review of the Literature. Bangladesh J Nutr. 1997;10(1):xx.

Evans M, Heads J. Mastitis: incidence, prevalence and cost. Breastfeed Rev. 1995;3(2):65-71.

Murthy DP, SenGupta SK, Muthaiah AC. Benign breast disease in Papua New Guinea. Papua and New Guinea Medical Journal. 1992;35(2):101-5.

Kaufmann R, Foxman B. Mastitis among lactating women: occurrence and risk factors. Social Sci Med. 1991;33(6):701-5.

Isbister C. Acute mastitis: a study of 28 cases. Med J Aus. 1952;2(23):801-8.

Lavender T, Baker L, Smyth R, Collins S, Spofforth A, Dey P. Breastfeeding expectations versus reality: a clusterrandomised controlled trial Int J Obstetr Gynaecol. 2005;112(8):1047-53.

Sikorski J, Renfrew MJ, Pindoria S, Wade A. Support for breastfeeding mothers: a systematic review. Paediatr Perinatal Epidemiol. 2003;17(4):407-17.

Forster D, McLachlan H, Lumley J, Beanland C, Waldenström U, Amir L. Two mid‐pregnancy interventions to increase the initiation and duration of breastfeeding: a randomized controlled trial. Birth. 2004;31(3):176-82.

Hannan A, Rahman A, Hassan MQ, Rahman AT, Begum RA, Rahman F. Surveillance on breastfeeding and weaning situation and child and maternal health in Bangladesh: 12th round survey. Bangla Breastfeeding foundation (BBF). 2005;8.

Kvist LJ, Rydhstroem H. Factors related to breast abscess after delivery: a population‐based study. Int J Obstetr Gynaecol. 2005;112(8):1070-4.

Fetherston C. Risk factors for lactation mastitis. J Human Lactation. 1998;14(2):101-9.

Escott R. Positioning, attachment and milk transfer. Breastfeeding Rev. 1989;1(14):31-7.

Gunther M, Morris D, Ferreira J. Discussion on the breast in pregnancy and lactation. Proceedings Royal Society Med. 1958;51(5):305-11.

Riordan JM, Nichols FH. A descriptive study of lactation mastitis in long-term breastfeeding women. J Human Lactation. 1990;6(2):53-8.

Marshall BR, Hepper JK, Zirbel CC. Sporadic puerperal mastitis: an infection that need not interrupt lactation. JAMA. 1975;233(13):1377-9.

Campbell S, Lees C, editors. Obstetrics by ten teachers, 20th edi, Arnold Publishers, London. 2000.

Downloads

Published

2024-05-29

Issue

Section

Original Research Articles