“Breast feeding practice immediately after birth: A study in a tertiary care hospital, Dhaka, Bangladesh”
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 10
Abstract
Human milk is a bioactive fluid that evolves from colostrum to mature milk as the infant matures. Breast milk is the unique source of nutrition that plays an important role in the growth, development and survival of infants. There is still a lack of knowledge in newborn care and particularly about the appropriate interventions including breastfeeding management. Exclusive breastfeeding practice for six months is not so hopeful in South East Asia region and also in our country. The aim of this study is to identify the socio-demographic profile of the mothers and their relation with the time of initiation of breastfeeding. It was a cross-sectional study conducted in the Post natal ward of Gynae and Obs Department, Dhaka Medical College, Dhaka from April 2008- September 2008. A total of 390 newborn babies of 0-7 day’s age old were selected purposively. Data were collected from mothers of the selected babies by structured questionnaire. Among the total 390 mothers 121 (31%) started breastfeeding in the first hour of delivery, 231 (59.2 %) started within 1-12 hours, 30 (7.7 %) within 12-24 hours and 8 (2.1 %) within 48 hours. Prelacteal feeding was given to 118 (30.3 %) babies and the form of prelacteal feeding were misry water (33.9 %), artificial milk (30.5 %), honey (18.6%), plain water (12.7 %) and cow’s milk (4.2%). Colostrum and exclusive breastfeeding was given to 379 (97.2%) and 276 (70.8%) babies respectively. Exclusive breastfeeding was given significantly more (p<0.05) in the group where birth spacing was > 2 years. Significantly higher number of mother with no education gave breastfeeding within one hour (p < 0.05). 93.8 % mothers were housewife and 6.2 % were service holder. Ante-natal check-up was given in 77.4 % of mothers. Medical problem was present in 12.6 % of mothers. Significantly less number of mother with medical problem gave colostrum to their babies (p<0.05). Maternal fever was present in 34.4 % mothers. Prelacteal feeding was given more and exclusive breastfeeding were given less to babies mothers with maternal fever (p<0.05). 33.6 % babies were born by vaginal delivery, 3.1 % by instrumental delivery, and 63.3 % by C/S. Significantly higher number of mothers with vaginal delivery gave breast feeding within one hour of delivery and exclusive breastfeeding than instrumental or C/S deliveries (p < 0.05). Labour was prolonged in 29.5 % of delivery. Less number of mothers had prolonged labour started breastfeeding within 1st hour and gave colostrum (p< 0.05). The present study had 3.6 % newborn with birth weight < 2kg, 79% with 2-3 kg and 17.4 % with > 3 kg. Significantly more number of low birth weight babies were given breastfeeding within 1 hour, colostrum, exclusive breastfeeding and less number of babies were given prelacteal feeding than other babies (p<0.05). Male babies was 49.7% and female babies 50.3 % significantly less number of babies male babies were given colostrum than female babies (p<0.05). The study concludes that 31% mothers started breastfeeding their babies within 1 hour of deliveries, 59.2% started within 1-12 hours of birth, 7.7% within 12-24 hours and 2.1% within 24-48 hours. Colostrum was given by 97.2%, prelacteal feeding by 30.3% and exclusive breastfeeding by 70.8 % of mothers. Mothers with vaginal delivery and without prolonged labour gave breastfeeding earlier and continued exclusive breastfeeding. More babies with low birth weight were given colostrum and breastfeeding earlier and exclusively.
Authors and Affiliations
Dr. Md. Al Mamun Hossain, Prof. Dr. Sayeeda Anwer, Prof. Dr. Abid Hossain Molla, Dr. Syeda Nazmatul Hasnat
Keywords
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