ABSTRACT
Background: The study was aimed to study the practices related to breastfeeding among newborns in Aligarh and to assess the determinants of breastfeeding practices.Methods: A cross sectional study was carried out in the field practice areas of Department of Community medicine, AMU, Aligarh. All the live births in one-year study duration were included in the study. Verbal consent was obtained prior to the interview. Data was collected by interview technique using semi structured questionnaire and analysed in SPSS 20.Results: A total of 705 newborns were enrolled in the study. 5.3% of the mothers in our study didn't breastfeed their newborns even after 24 hours after the delivery. 6% of the mothers discarded their colostrum and 36.9% of mothers gave prelacteals to their newborns. Almost half of the newborns were exclusively breastfed. There is a significant association between being primiparous and not practicing exclusive breastfeeding (p=0.003). However, no significant association was found between breastfeeding practices and gender, birth order of newborn, age and education of mother.Conclusions: Present study shows that 64.2% of newborns received the right breastfeeding practices which is quite good as per the national average. This study emphasizes the need to address the practices like discarding the colostrum and use of prelacteal feed which are still widely prevalent.
ABSTRACT
Introduction: Initiation of breastfeeding within one hour of birth is an important determinant of successful breastfeeding. National Family and Health Survey -3(NFHS-3) reported that only 23.4% of children <3 years were breastfed within one hour of birth. Objectives: the purpose of this study is to study the determinant of initiation of breastfeeding within one hour of birth. Setting: Tertiary –level neonatal unit. Material and Methods: All mothers admitted in in the postnatal ward were eligible for inclusion; mothers of sick and /or preterm infants were excluded. Enrolled mothers were interviewed between 24 and 72 hours after delivery. Results: The proportion of mothers who initiated breast feeding within one hour of delivery was 32%, between 1-6 hrs were 47% and between 6 to 48 hrs were 21%. Maternal age, education, socioeconomic status, occupation and antenatal or labor room counseling did not influence the initiation of breast feeding within one hour of delivery in univariate analysis. On multivariate analysis, admission in the general ward and delivery by caesarean section were found to be significantly associated with not initiating breastfeeding within one hour (adjusted ORs: 8.79, 2.48 to 31.08, p=0.001 and 6.79, 4.07 to 22.02 p=0.001 respectively). Only about 13% of the infants received prelacteal feeds. Conclusion: Mothers delivering by caesarean section or admitted in the general ward were at high risk of not initiating breastfeeding within one hour. Innovative strategies are required to ensure timely ignition of breastfeeding.