A study to assess the knowledge regarding expressed breast milk among working mothers attending outpatient departments in a selected hospital at Mangaluru, Karnataka, India

Akshata N. Naik; Lygia V. Halder; G. Prathiba; R. Kanagavalli

doi:10.18203/2320-1770.ijrcog20252933

Authors

Akshata N. Naik Department of Obstetrical and Gynaecological Nursing, ZNC, Mangaluru, Karnataka, India
Lygia V. Halder Department of Obstetrical and Gynaecological Nursing, ZNC, Mangaluru, Karnataka, India
G. Prathiba Department of Medical Surgical Nursing, ZNC, Mangaluru, Karnataka, India
R. Kanagavalli Department of Community Health Nursing, ZNC, Mangaluru, Karnataka, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20252933

Keywords:

Assess, Expressed breast milk, Knowledge, Out-patient departments, Working mothers

Abstract

Background: Breastfeeding is the gold standard for infant feeding. Breastfeeding is essential for child survival and health. Employment is one of the most common barriers to discontinue breast feeding after childbirth. Expressed breast milk (EBM) serves as a practical solution for mothers who cannot be physically present to breastfeed due to work commitments. The aim of the study was to assess the knowledge regarding EBM and find the association between knowledge and their sociodemographic variables among working mothers attending outpatient departments in a selected hospital at Mangaluru, Karnataka, India.

Methods: A non-experimental descriptive study. Purposive sampling technique was used to select 30 working mothers. Data was collected using a structured knowledge questionnaire. Data was analysed using descriptive and inferential statistics.

Results: The study findings showed that the mean knowledge score with standard deviation was 12.76±3.58 and the mean knowledge score percentage was 42.5% regarding EBM. There was no significant association between mother’s knowledge level and sociodemographic variables.

Conclusions: The study highlights the urgent need for educational programs and support systems to empower working mothers with the right knowledge regarding EBM and ensuring better nutrition and growth for their infants.

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References

Dutta DC. Textbook of Obstetrics and Gynaecological Nursing. 9th ed. New Delhi: Jaypee Brothers Medical Publishers. 2018;421.

Datta P. Textbook of Child Health Nursing. 3rd ed. New Delhi: Jaypee Brothers Medical Publishers. 2016;68-9.

Reddy SA, Vishwanath L. Principles and practice of Obstetrics and Gynaecology Nursing I and II.; Hyderabad: Elsevier Publications. 2023;223-5.

Rao K. Textbook of midwifery and obstetrics for nurses. New Delhi: Elsevier, A division of Red Elsevier India private Ltd. 2011;264-6.

Bhaskar N. Obstetrical and Gynaecological Nursing. Hyderabad: Emmess medical Publications. 2019;78.

UNICEF, WHO. Global Breastfeeding Scorecard Methodology 2023. New York; Geneva: UNICEF, World Health Organization; 2023. Available at: https://www.globalbreastfeedingcollective.org/globalbreastfeeding-scorecard. Accessed on 12 July 2025.

Ding G, Wen C, Chen Y, Vinturache A, Zhang Y. Prevalence of Exclusive Breastfeeding Among US Children. JAMA Netw Open. 2024;7(9):e2436644. DOI: https://doi.org/10.1001/jamanetworkopen.2024.36644

U.S. Centers for Disease Control and Prevention. Breastfeeding Report Card 2022. Available at: https:/ www.cdc.gov/breastfeeding data/breastfeeding report card/index.html. Accessed on 12 July 2025.

Reddy NS, Dharmaraj A, Jacob J, Sindhu KN. Exclusive breastfeeding practices and its determinants in Indian infants: findings from the National Family Health Surveys 4 and 5. Int Breastfeed J. 2023;18(1):69. DOI: https://doi.org/10.1186/s13006-023-00602-z

Aggarwal R, Garg P, Verma M, Bindal P, Aditi A, Kaur I, et al. Decadal trends in the exclusive breastfeeding practices among working Indian mothers: a multi-level analysis. Int Breastfeed J. 2024;19(1):83. DOI: https://doi.org/10.1186/s13006-024-00695-0

World Health Organization. Guidelines on expression, storage, and handling of expressed breast milk. Geneva: World Health Organization. 2023. Available at: https://www.who.int/tools/elena/review-summaries/breastfeeding support--methods-of-milk-expression-for-lactating women. Accessed on 12 July 2025.

Centers for Disease Control and Prevention. Supporting evidence: Maternity care practices. Breastfeeding Report Card. 2024. Available at: https://www.cdc.gov/breastfeeding/data/reportcard/index.html. Accessed on 12 July 2025.

Ward JW. Breastfeeding and Work: A Balancing Act. UN Chronicle. 2023. Available at: www.un.org/en/un-chronicle/breastfeeding-and-work-balancing. Accessed on 12 July 2025.

Attahiru A, Awosan KJ, Oche MO, Kaoje AU, Yusuf T, Ango UM. Breastfeeding support and determinants of expressed breast milk feeding practice among working mothers in Sokoto, Nigeria. Int J Contemp Med Res. 2018;5(8):1-8. DOI: https://doi.org/10.21276/ijcmr.2018.5.8.18

Amin U. Handling, storage and use of expressed breastmilk among working mothers of infants in Anantnag, Kashmir. Nurs J India. 2022;113(3):110-5. DOI: https://doi.org/10.48029/NJI.2022.CXIII303

Tank N, Yadav R, Jeenath JD. Effectiveness of structured teaching programme on knowledge regarding the expressed breast milk among postnatal working mothers in selected area in Junagadh District. Gujarat, Asian J Nurs Educ Res. 2021;11(1):23-4. DOI: https://doi.org/10.5958/2349-2996.2021.00006.9