Effect of lactation counselling on breast feeding: randomized control trial


  • Ramesh Choudhary Department of Pediatrics, SMS Medical College, Jaipur, Rajasthan, India
  • Chetan Meena Department of Pediatrics, SMS Medical College, Jaipur, Rajasthan, India
  • Sunil Gothwal Department of Pediatrics, SMS Medical College, Jaipur, Rajasthan, India
  • S. Sitaraman Department of Pediatrics, SMS Medical College, Jaipur, Rajasthan, India
  • Sheela Sharma Department of Pediatrics, SMS Medical College, Jaipur, Rajasthan, India
  • Dilip Raj Verma Department of Preventive and Social Medicine, SMS Medical College, Jaipur, Rajasthan, India




Breast feeding, Breast feeding rates, Lactation counselling


Background: Breastfeeding for a newborn is a standard of care. Breast feeding rates are documented low in our country. Objective of present study was to find out the effect of lactation counselling on breast feeding rates.

Methods: It was an open lable randomized control trial and conducted at Department of Pediatrics and Obstetrics of a tertiary care hospital of Northern India. Eligible subjects were 3rd trimester mothers admitted for delivery. Student t test and chi square test were used.

Results: Breast feeding counseling (intervention) group resulted in early imitation, higher breast-feeding rates at discharge and follow up.

Conclusions: Breast feeding counselling improves initiation, breast feeding rates at discharge and beyond. This study also emphasizes that lactation counselling is useful. Every opportunity of counselling should be availed by health care workers to promote breast feeding.


Tiwari S, Bharadva K, Yadav B, Malik S, Gangal P, Banapurmath CR et al. IYCF chapter of IAP. Infant and Young Child Feeding Guidelines: Recommendation. Indian Pediatr. 2016;53:703-13.

World Breastfeeding Trends Initiative. Arrested development: fourth assessment of India’s policy and programmers on infant and young child feeding. 2015. Available at http://bpni.org/report/WBTi-India-Report-2015.pdf. assessed 25/06/2017

Travasso C. Low rates of breast feeding in India require national action says report. BMJ. 2015;351:h4832.

Kotecha PV. Information, Education and Communication in the Promotion of Breastfeeding. Solution Exchange for MCH Community Newsletter. Breastfeeding Month Special. 2008:4-5.

Kushwaha KP, Sankar J, Sankar MJ, Gupta A, Dadhich JP, Gupta YP, et al. Effect of peer counselling by mother support groups on infant and young child feeding practices: the Lalitpur experience. PLoS ONE. 2014;9(11):e109181.

Rai PL, Sharma N, Gaur A, Shingwekar AG. Effect of counseling on breast feeding practices. Indian J Child Health. 2014;1(2):54-60.

Edmond KM, Zandoh C, Quigley MA, Amenga-Etego S, Owusu-Agyei S, Kirkwood BR. Delayed breastfeeding initiation increases risk of neonatal mortality. Pediatrics. 2006;117(3):e380-6.

Gupta A, Dadhich JP, Faridi MM. Breastfeeding and complementary feeding as a public health intervention for child survival in India. Indian J Pediatr. 2010;77(4):413-8.

Edmond KM, Kirkwood BR, Amenga-Etego S, Owusu-Agyei S, Hurt LS. Effect of early infant feeding practices on infection-specific neonatal mortality: An investigation of the causal links with observational data from rural Ghana. Am J Clin Nutr. 2007;86(4):1126-31.

Salariya EM, Easton PM, Cater JI. Duration of breast-feeding after early initiation and frequent feeding. Lancet. 1978;2(8100):1141-3.

Nankunda J, Tumwine JK, Soltvedt A, Semiyaga N, Ndeezi G, Tylleskär T. Community based peer counsellors for support of exclusive breastfeeding: Experiences from rural Uganda. Int Breastfeed J. 2006;1:19.

Vaidya K, Sharma A, Dhungel S. Effect of early mother-baby close contact over the duration of exclusive breastfeeding. Nepal Med Coll J. 2005;7(2):138-40.

Haider R, Ashworth A, Kabir I, Huttly SR. Effect of community-based peer counsellors on exclusive breastfeeding practices in Dhaka, Bangladesh: A randomised controlled trial. Lancet. 2000;356(9242):1643-7.

Perez-Escamilla R, Segura-Millán S, Pollitt E, Dewey KG. Effect of the maternity ward system on the lactation success of low-income urban Mexican women. Early Hum Dev. 1992;31(1):25-40.

Dennis CL, Hodnett E, Gallop R, Chalmers B. The effect of peer support on breast-feeding duration among primiparous women: A randomized controlled trial. CMAJ. 2002;166(1):21-8.

Agre F. The relationship of mode of infant feeding and location of care to frequency of infection. Am J Dis Child. 1985;139(8):809-11.

Holmes GE, Hassanein KM, Miller HC. Factors associated with infections among breast-fed babies and babies fed proprietary milks. Pediatrics. 1983;72(3):300-6

Ekström A, Widström AM, Nissen E. Duration of breastfeeding in Swedish primiparous and multiparous women. J Hum Lact. 2003;19(2):172-8.

Haroon S, Das JK, Salam RA, Imdad A, Bhutta ZA. Breastfeeding promotion interventions and breastfeeding practices: A systematic review. BMC Public Health. 2013;13 Suppl 3:S20.

Imdad A, Yakoob MY, Bhutta ZA. Effect of breastfeeding promotion interventions on breastfeeding rates, with special focus on developing countries. BMC Public Health. 2011;11(Suppl 3):S24.

Ogbonna C, Okolo SN, Ezeogu A. Factors influencing exclusive breast-feeding in Jos, Plateau State, Nigeria. West Afr J Med. 2000;19(2):107-10.

Ekanem A, Ekanem AP, Asuquo A, Eyo VO. Attitude of working mothers to exclusive breastfeeding in Calabar municipality, Cross River State, Nigeria. J Food Res. 2012;1(2):71-5.

Kumar V, Kumar L, Diwedi P. Morbidity related to feeding pattern in privileged urban and under privileged rural infants. Indian Pediatr. 1981;18(10):743-9.






Original Research Articles