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INTRODUCTION@#In the Philippines, several health policies have been tailored to promote breastfeeding. Statistics show that despite efforts, breastfeeding prevalence remains low. This study aims to determine the demographics and associated barriers and enablers of breastfeeding among mothers living in Metro Manila. @*METHODS@#The study used a cross-sectional analytical design through an online self-administered questionnaire on barriers and enablers answered by mothers between 15-49 years old, residing in Metro Manila.@*RESULTS@#A total of 761 responses were included in the fnal analysis. Only age was found to be signifcantly associated with the practice of breastfeeding. Barriers identifed were 1) seeing breastfeeding as timeconsuming, 2) development of sore or tender nipples, 3) previously failed breastfeeding attempts, 4) poor latching on, and 5) not enough breastmilk production. Enablers identifed were 1) seeing the practice as a good way to bond with the child, 2) presence of breastfeeding areas at work or school, 3) previous success in breastfeeding experience, 4) support from hospital staff or midwives, 5) having knowledge on whom to contact when challenged with breastfeeding, and 6) knowledge of the benefts of breastfeeding on infant and maternal health.@*CONCLUSION@#Barriers and enablers towards breastfeeding may be target points for improvement of interventions aiming to increase prevalence of breastfeeding among mothers in Metro Manila.
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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.
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Background: Anemia is one of the most common nutritional problems in India. Anemia is significantly influenced by dietary factors. Objective was to study the association between breast feeding practices and occurrence of moderate to severe anemia in children aged 6-60 months in relation to those without anemia, admitted to SAT Hospital.Methods: Case control study done at SAT Hospital. 85 moderates to severe anemic children and 85 non anemic children were enrolled in the study. Detailed history was taken including dietary history stressing infant and young child feeding practices. Physical examination was done including anthropometric measurements. Relevant haematological investigations were done.Results: Highest percentage of cases 76.4 % were from the age group 6 months to 24 months. Out of 85 cases 58.8% were with exclusive breastfeeding<6 months and among controls is 37.6%. Association of lack of exclusive breastfeeding for 6 months and anemia is statistically significant. Lack of timely introduction of complementary feeding, poor score for infant and young child feeding practices, male gender, lack of iron rich foods, small for gestational age babies were also significantly associated.Conclusions: Maximum number of anemic children were belonging to 6 months to 24 months, Lack of exclusive breastfeeding for 6 months was a major risk factor for developing anemia in children. Lack of timely introduction of complimentary feeding at 6 months and poor infant and young child feeding practices were significant risk factors for developing nutritional anemia.
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Background: Lactation mastitis is a painful, debilitating condition that if not well managed, can mislead women into prematurely stopping breastfeeding and by so doing deprive the child of optimal feeding. The World Health Organization (WHO) estimates that about 10% of breastfeeding mothers worldwide develop mastitis, though incidence may vary between 2.6% and 33%. Objective: The aim of this study is to determine the prevalence and risk factors of lactation mastitis among breastfeeding mothers in three hospitals in Cameroon. Patients and Methods: This was an observational, cross-sectional prospective study of 245 breastfeeding women in three hospitals in Douala and Limbe during the period January 1, 2012 to December 31, 2012. Participants who had opted for breastfeeding were recruited and invited to complete a baseline questionnaire before discharge from hospital. Cases of mastitis were either reported directly to the researchers or diagnosed clinically. Regular telephone follow-up interviews were done for women diagnosed with mastitis. Results: A total of 37 (15%) women were diagnosed with mastitis. Seventy-one percent (174/245) of them were not aware of breastfeeding techniques and did not practice standard breastfeeding habits. 42% practiced poor breastfeeding hygiene. Conclusion: Approximately one in seven women is likely to have mastitis during breastfeeding. Most of the women are not aware of breastfeeding techniques and practice substandard breastfeeding hygiene that predisposes them to mastitis and to possible premature cessation of breastfeeding. In such circumstances, the method’s nutritional, immunological and economic benefits are lost.
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Background: Faulty or lack of intranatal care can lead to a number of morbidities in the neonatal period. Newborn care in any community is influenced by cultural practices prevalent in that area apart from medical and economic causes. In India, morbidity and mortality of mother and child directly or indirectly is governed by the customs prevalent in their society. Infant feeding and rearing practices vary across communities, depending on social customs. This study was planned to give us an insight about the neonatal rearing and feeding practices among mothers and the factors influencing their practices in Punjab. Methods: This facility based one point cross sectional descriptive study was done in Pediatrics wards and postnatal wards of Guru Gobind Singh Medical College, Faridkot. The newborn rearing practices were interviewed from the families accompanying the babies with age less than four weeks using structured questionnaire. Results: 965 babies were enrolled for the study. The mean age of the mother was 28.3 ± 3.5 years and 51% of the mothers practiced exclusive breastfeeding. High proportion of neonates (70%) was given prelacteals feeding, honey being most common. Oil massage to the baby was practiced by 99% of the mothers. Bath after 24 hours of delivery was given to 74% newborns. 89% of the babies were vaccinated after birth. Conclusions: People like to follow their rituals and customs eliminating potentially harmful practices should be tried keeping those in mind. The strengthening of the information, education and the communication to improve the existing neonatal rearing practices is the need of the day.
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Breastfeeding is an unequalled way of providing ideal food for the infants. The benefits of breastfeeding practices to infants and mothers are well documented. However, information on breastfeeding practices and its effect on body mass index (BMI) of mothers are scarce, particularly in Ekiti State of Nigeria. Therefore, the present study is designed to assess breastfeeding practices and its association with BMI of mothers. A descriptive and cross-sectional study was conducted among breastfeeding mothers that attended postnatal clinic of the state specialist hospitals and maternity centers in the study location. The specialist hospital and two-third of the nine maternity centers were purposively selected because of their health facilities and personnel. The mother-child pairs (200 respondents) were randomly selected from the study locations. Information on demographic characteristic, socio-economic parameters, nutritional knowledge of breastfeeding and dietary intakes of mothers were collected using questionnaires. BMI of mothers was determined as described by World Health Organization. Age distribution of mothers was between 25-34 years; and almost half of respondents had good educational background and were engaged in different occupations. The respondent monthly income ranged between = N = 3500 - 26000 ($26.92 - $200); and their dietary intakes varied between starchy and protein-based food. The result also showed that the respondent consumed enough nutrients to meet up the recommended daily allowance for protein, carbohydrate, fat, zinc, magnesium, sodium and phosphorous requirements. The BMI classifications showed that over three-fifth of respondents were normal, while the remaining were underweight (6%) and overweight/obese (26.5%). Also, large proportion of respondents engaged in exclusive breastfeeding and with good knowledge of breastfeeding practices. Statistically, exclusive breastfeeding practices had no correlation between the BMI and frequency of breastfeeding. The study, therefore, concluded that mothers had good knowledge of breastfeeding practice; and that there was no association between breastfeeding practices and BMI.