RESUMO
Background: Prelacteal feeding leads to delay in initiation of breastfeeding and prevention of the initial bonding between the mother and the baby, even lactation failure and shortening of the duration of breastfeeding. Prelacteal feeds have lesser nutrient value, and unfortunately, due to different customs and misbelieves, the habit of prelacteal feeding is common in our society. Infant and Young Child Feeding Guideline discourages prelacteal feeding practices and encourages optimal breastfeeding practices. Objectives: This study was carried out with the objective to find out the prevalence of prelacteal feeding and association of demographic, antenatal, and intranatal factors with prelacteal feeding practice in Jamnagar district of Gujarat. Materials and Methods: This study was carried out in 2015–2016 in four talukas of Jamnagar district with a sample size of 423 mother-infant pairs calculated with an appropriate formula using prevalence of prelacteal feeding. Out of this, 400 samples with adequate response were analyzed. Multistage sampling was done and mothers who gave valid consent were taken as respondent. Chi-square and Spearman correlation tests were used for statistical analysis. Results: We have found 20% prevalence of prelacteal feeding in Jamnagar district of Gujarat. Lower prevalence of prelacteal feeding practice was observed among general caste (14.4%), among socio-economic Class-I (11.5%), among mothers with education up to graduate level (8.6%), among employed mothers (10.3%), and among high birth order newborns. Increasing number of antenatal care (ANC) is correlated with decreasing prevalence of prelacteal feeding (Corelation coefficient = 0.943, P < 0.01). Conclusion: Increasing education level, betterment in socio-economic condition, increasing ANC services, increasing number of health facilities available for delivery care, trained delivery assistant, etc., have a significant role in decreasing prelacteal feeding custom.
RESUMO
Introduction: Infant and young child feeding practices directlyaffect the nutritional status of children under two years of ageand ultimately, impact child survival. The present study wasundertaken to assess the prevalence of infant and young childfeeding practices and associated factors among the mothershaving children less than 24 months.Methodology: This cross sectional study was carried out inthe urban slums of Dibrugarh town, Assam, among childrenbetween 0 - 23 months. Sample size was calculated as 180.Infant and child feeding practices were collected byinterviewing mother by house to house visit on predesignedand pretested Performa.Results: Out of 180 children of 0-23 month, prevalenceinitiation of BF within 1 hour of birth was 84.4% (152).Prevalence of giving prelacteal feed and colostrums were 10%(18) and 86% (155) respectively. Exclusive breast feeding wasgiven to 70% (99) of the children, complementary feeding wasstarted in 80% (114) of the children at 6 months. Initiation ofbreast feeding within 1 hour of birth and giving colostrums weresignificantly associated with place and type of delivery andutilization of number of antenatal checkup. Giving prelactealfeed was associated with place of delivery and utilization ofantenatal check up by their mother. Exclusive breast feedingwas associated with sex of the child, mother’s educationalstatus and place of delivery. Boys were more likely to bestarted with complementary feeding at 6 months as comparedwith girls.
RESUMO
Background: Under nutrition being a major problem in Nepal, it is necessary to meet the minimum dietary standard which is essential for growth and development of young children, so promotion of infant and young child feeding practices among children is important intervention.Methods: A descriptive, cross sectional study was conducted among mothers of children of Bardia and Kailali districts of under 2 years and data was collected using the pre-tested questionnaire.Results: The study shows 30.3 percent of the mothers initiated breastfeeding within an hour of birth, 47.9 percent gave colostrums, 25.5 percent were practicing exclusive breastfeeding at 6 or more months,60 percent mothers fed anything else as prelacteal feed before breast feeding, 60 percent of mothers started complementary feeding between 3-6 months, 47.9 percent of mothers used anything from a bottle with a nipple yesterday or last night, 74.8 percent of mothers were currently breast feeding their children, 58 percent used iodized salt and 70.05 percent revealed that their child received Vit A within last six months.Conclusions: The present study showed that late initiation of breast feeding and practice of prelacteal feeds among home delivered mothers being high. The frequency of complementary feeding ranged was less and early/late weaning are still widely prevalent, use of bottle feeding is high, use of iodized salt is still low. There is a need to educate the mothers regarding proper infant/child feeding practices.
RESUMO
Background: The objective was to know the impact of mother education on feeding practices of infants. Methods: Observational analytic cross sectional study. We used Semi-structured, pre-tested questionnaire to interview 355 mothers of infants, aged one and half to 12 months, who came in OPD of Department of Paediatrics UPRIMS and R, Saifai for immunization or some problem. Results: Total 267 (75.2 %) out of 355 women had initiated breast feeding within 24 hours of birth. 172 (48.5%) mothers exclusively breast fed their infants. Total 166 (46.8%) practiced Prelacteal feed. Out of 166 subjects, 121 (34.1%) practiced for 7 days and 41 (12.7%) beyond the 7 days. There were highly significant relationship found between education level of mothers with type of breast feeding, in the form of exclusive or non- exclusive breast feeding and Prelacteal feeding practices ( p <. 05). Relation between education level of mother with time of initiation of breast feeding since birth was not found statistically significant (p >0.05), but an important pattern of initiation of breast feeding was seen at the different level of mothers education. Conclusion: Ritual and customary factors have much impact then mother’s education on breast feeding practices of infants. Apart from education, breast feeding awareness programme should be increased including both literate and illiterate mothers.
RESUMO
Background: It is a common misbelief that milk comes only on the second or third day of life. Prelacteal feeds are often given to a newborn for fear that he may be hungry or may become dehydrated. Objectives: 1. To study the prelacteal feeding practices in rural community. 2. To study some factors related to prelacteal feeding. Materials & Methods: The present cross sectional study was conducted in three adopted villages of Department of P.S.M., S.R.T.R. Medical College, Ambajogai, Maharashtra. 306 mothers with youngest child in age group of 4-24 months were included in the study. The information was collected by interviewing the mothers with the help of pretested, pre-designed proforma. Results: Out of these 306, 123 (40.2%) mothers offered various prelacteal feeds to their children. More number of illiterate mothers offered prelacteal feeds as compared to literate mothers. Significant number of mothers from joint families gave prelacteals as compared to mothers from nuclear families. 81 (62.79%) of 129 home delivered mothers practiced prelacteal feeding as compared to 42 (23.73%) of 177 hospital delivered mothers where chi square was significant. Prelacteal feeding was more prevalent in mothers of lower socioeconomic status than the upper one. Maximum i.e. 19 (15.45%) mothers gave cow’s milk as prelacteal feed followed by cow’s milk and honey (13.01%) and goat’s milk (10.57%). Conclusion: About 40% mothers followed prelacteal feeding which is a harmful practice. There is a need of health education, motivation, postnatal help to such mothers.