DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20183336

A study on knowledge of breast feeding and effect of antenatal counselling on exclusive breast feeding in primigravida mothers

Kamlesh Tiwari, Neha Savarna, Ishmat Khanam

Abstract


Background: Exclusive breastfeeding up to 6 months of age is very beneficial not only to baby and mothers, but also to the family, society and the whole nation. In spite of best efforts by various organizations at government and NGO levels, the counselling for breast feeding during ante natal period is almost an unaddressed arena, which if proper attention is given, may result in very high incidence of successful breast feeding.

Methods: It is a hospital based prospective study. A total of 150 primiparous mothers (100 study group and 50 control group) were counselled during every antenatal checkup for exclusive breast feeding attending the OPD of Obstetrics & Gynaecology department of Vardhman Institute of Medical sciences, Pawapuri, Nalanda, Bihar from January 2015 to December 2016 and the outcome of counselling was observed during follow up in puerperium for 6 weeks.

Results: Similar profile primiparous mothers in both study and control group, the mothers who were counselled on their antenatal visit for exclusive breast feeding, the success rate was much higher in counselled group than study group (p value 0.0001). It was also observed that the prior information about breast feeding were provided by electronic media, papers and family members and in this regard contribution of health system is minimal.

Conclusions: Every obstetrician and other care givers must include routine care of breast and counselling on breast feeding during antenatal check up to enhance the confidence of primiparous mothers. A few extra minutes spared in counselling on breast feeding has a long-lasting effect on successful breast feeding during the post-natal period.

 


Keywords


Ante natal counselling, Exclusive breast feeding, Role of care givers

Full Text:

PDF

References


The World Health Organization's infant feeding recommendation. Global strategy on IYCF (WHA 55 A55/15, & WHA54 A54/INF.DOC./4)

American Academy of Pediatrics. (2012, February27). Breastfeeding and the use of human milk (policy statement) pediatrics 129, e827-e841 Retrieved April 27, 2017.

World Health Organization. (2001, May1). the world Health Organization's infant feeding recomendation. retrieved June 13, 2012.

John C. Godel Canadian Paediatric Society, First Nation, Inul and Metis Health Committee paediatr Child Health Vitamin D Supplementation Recommendations for Canadian mothers and infants. 2001:12(7):583-9.

Wagner CL, Greer FR. American Academy of Pediatrics Section on Breastfeeding. Breastfeeding and the use of human milk. Pediat. 2012;129(3):e827-41.

Organisation mondiale de la santé. Département santé et développement, World Health Organisation Staff, World Health Organization, UNICEF.. Global strategy for infant and young child feeding. World Health Organization; 2003.

Breastfeeding. Archived from the original on 20 February 2016. Available at www.nhs.uk/conditions/pregnancy-and-baby/vitamins-for-children

Li R, Darling N, Maurice E, Barker L, Grummer-Strawn LM. Breastfeeding rates in the United States by characteristics of the child, mother or family: the 2002 National Immunization Survey. Pediat. 2005;115:31-7.

Agampodi SB, Agampodi TC, Piyaseeli UK. Breastfeeding practices in a public health field practice area in Sri Lanka: a survival analysis. Int Breastfeed J. 2007;11:13.

Cai X, Wardlaw T, Brown DW. Global trends in exclusive breastfeeding. Int Breastfeed J. 2012;28:12.

WHO. The WHO Global Data Bank on Infant and Young Child Feeding. WHO Nutrition for Health and Development; 2009. (Cited 2014 July 21). Available from: http://www.who.int.

Gupta A. BPNI: 10 years of its work. J Indian Med Assoc. 2002;100:512-5.

NRHM. National Rural Health Mission (2005–2012) Mission document. New Delhi: MOHFW, Government of India, New Delhi; Ministry of Health and Family Welfare (MoHFW); 2006.

Magawa R. Knowledge, attitudes and practices regarding exclusive breastfeeding in Southern Africa-Part 2. 2012. (Cited 2014 July 21). Available at http://www.consultancyafrica.com

Sharma E, Seelan S. Knowledge Regarding Breastfeeding Among Primigravida Mothers. International J Rec Sci Res. 2017;8(11):21517-21.

John R. Knowledge, attitude and practices of employed mothers about breast feeding. J Nurs Res. 2005;96(4):21-5.

Rempel LA, Rempel JK. The breastfeeding team: the role of involved fathers in the breastfeeding family. Journal of Human Lactation. 2011;27(2):115-21.

Mbada CE, Olowookere AE, Faronbi JO, Oyinlola-Aromolaran FC, Faremi FA, Ogundele AO, et al. Knowledge, attitude and techniques of breastfeeding among Nigerian mothers from a semi-urban community. BMC Res Notes. 2013;6(1):552.

Ben Slama F, Ayari I, Ouzini F, Belhadj O, Achour N. Exclusive breastfeeding and mixed feeding: knowledge, attitudes and practices of primiparous mothers. East Mediterr Health J. 2010;16(6):630-5.

Ahmad MO, Sughra U, Kalsoom U, Imran M, Hadi U. Effect of antenatal counselling on exclusive breastfeeding. J Ayub Med Coll Abbottabad. 2012;24(2):116-9.

Dhandapany G, Bethou A, Arunagirinathan A, Ananthakrishnan S. Antenatal counseling on breastfeeding–is it adequate? A descriptive study from Pondicherry, India. Int Breastfeed J. 2008;3(1):5.

Mattar CN, Chong YS, Chan YS, Chew A, Tan P, Chan YH, et al. Simple Antenatal Preparation to Improve Breastfeeding Practice. Obstet Gynecol. 2007 109(1):73-80.