ABSTRACT
Background: Exclusive breastfeeding is an essential part of early infant feeding. Promotion of EBF is the most effective way to reduce the infant mortality rate. This study was carried out to identify factors affecting EBF among mothers attending Narayana medical college hospital Nellore. Aim and objectives of the study was to know the incidence of lactation failure and to evaluate the factors responsible for lactation failure.Methods: Hospital-based cross-sectional study conducted from July 2018 to September 2018 involving a total of 100 mothers with the help of a proforma containing predesigned questionnaire. Demographic data of mother, obstetric details, mode of delivery, birth weight, details of antenatal advice about breastfeeding and practices, pre-lacteal feeds, current feeding practice, problems encountered during breastfeeding, anatomical problems were noted. The data collected were tabulated and statistically analyzed.Results: At the end of the study, among 100 mothers, 24 mothers are reported to have lactation failure and feeding babies with formula feeds. Among the variables taken into consideration pre-lacteal feeds, problems encountered during breastfeeding, breast diseases showed a statistically significant association with lactation failure. Mean weight gain in breastfeeding mothers and mothers with lactation failure is 11.3 kgs and 10.04 kgs respectively. Mean hemoglobin in breastfeeding mothers and mothers with lactation failure is 10.43 g/dl and 9.91 g/dl respectively.Conclusions: The results provide information about the relation between breastfeeding failure and its association with factors that contribute to it.
ABSTRACT
Background: Three quarters of the world’s population living in developing countries migrated from rural to an urban area.Since the health professionals are concentrated in the urban areas, the existing health services cater to only 20% of the ruralpopulation. Hence, there is an increased risk of bottle feeding in both urban and rural areas. There is a sharp decline in thepractice of breastfeeding and an increase in the number of infants being artificially fed. In India, there is a decrease in theincidence of exclusive breastfeeding.Aim: The aim of the study was to study an intensive educational program for mothers in the antenatal period, immediatepostpartum period and during follow-up for 4–5 months in a tertiary care institute, and to achieve an exclusive breastfeedingrate of 80% among the mothers and study the impact of the intervention program.Methodology: A prospective randomized study was done allocating the mothers into two groups – study and control group.Conclusion: Exclusive breastfeeding has shown a definite decline globally. The practice of breastfeeding is downbut definitely not out. Hence, it becomes our duty as health-care providers to teach mothers about the importance ofbreastfeeding. In the present study, even though a majority of mothers had adequate knowledge about breastfeeding,many of them did not practice what they knew. Hence, we should try to analyze the factors which hinder their breastfeedingpractice.
ABSTRACT
Background: The aim of this study was to determine the clinical profile of neonates admitted with dehydration fever and ascertain the maternal and neonatal factors affecting it.Methods: A observational descriptive study was conducted at Rajarajeswari Medical College and hospital, population included neonates who were admitted in NICU with dehydration fever.Results: The study were conducted among 50 neonates admitted with dehydration fever. Majority of neonates (72%) were diagnosed with dehydration fever on day 3 of life. 84 % neonates were born to primiparous mothers. In the study there was significant difference in mean birth weight, weight at admission and percentage of weight loss between birth weight and weight at admission with respect to symptoms on presentation. Mean % of weight loss was 12.06 when dehydration fever was presented with fever, 11.29 when dehydration fever presented with decreased urine output, 18.44 when presented with both fever and decreased urine output and 12.73 when presented with jaundice these values were statistically significant.Conclusions: Dehydration fever occurs most commonly on day 3 or after, effective measures should be initiated for early diagnosis and prevention of complications like effective breast-feeding counselling, proper techniques, good latching and supplementation of artificial feeds if required and monitoring of daily weight and daily urine output.
ABSTRACT
We report on use of supplementary suckling technique in 62 infants [mean (SD) age 2.5 (1.3) mo] with severe acute malnutrition admitted at our Nutritional rehabilitation Center. It was successful in 34 (55.7%) infants.