DOI: http://dx.doi.org/10.18203/2349-3291.ijcp20194751

Evaluation of factors responsible for lactation failure-hospital based study

Sravya Sree Sreekantham, Piduru Pratima, Uma Mahesh Ramisetty, Gangadhar Belavadi

Abstract


Background: Exclusive breastfeeding is an essential part of early infant feeding. Promotion of EBF is the most effective way to reduce the infant mortality rate. This study was carried out to identify factors affecting EBF among mothers attending Narayana medical college hospital Nellore. Aim and objectives of the study was to know the incidence of lactation failure and to evaluate the factors responsible for lactation failure.

Methods: Hospital-based cross-sectional study conducted from July 2018 to September 2018 involving a total of 100 mothers with the help of a proforma containing predesigned questionnaire. Demographic data of mother, obstetric details, mode of delivery, birth weight, details of antenatal advice about breastfeeding and practices, pre-lacteal feeds, current feeding practice, problems encountered during breastfeeding, anatomical problems were noted. The data collected were tabulated and statistically analyzed.

Results: At the end of the study, among 100 mothers, 24 mothers are reported to have lactation failure and feeding babies with formula feeds. Among the variables taken into consideration pre-lacteal feeds, problems encountered during breastfeeding, breast diseases showed a statistically significant association with lactation failure. Mean weight gain in breastfeeding mothers and mothers with lactation failure is 11.3 kgs and 10.04 kgs respectively. Mean hemoglobin in breastfeeding mothers and mothers with lactation failure is 10.43 g/dl and 9.91 g/dl respectively.

Conclusions: The results provide information about the relation between breastfeeding failure and its association with factors that contribute to it.


Keywords


Exclusive breastfeeding, Lactation failure, Pre-lacteal feeds

Full Text:

PDF

References


Infant and young child feeding guidelines Indian Paediatrics volume 53, 2016. Available at: https://www.indianpediatrics.net/aug2016/703.pdf. Accessed 15 August 2016.

Understanding lactation and lactation failue : fight the curse of insufficient breast milk SJAMS, Available at: Sch.J.App.Med.Sci.,2015.http://saspublisher.com/wp content/uploads/2016/01/SJAMS-39B-3289-3301-r.pdf. Accessed on 4 August 2019.

Human milk banking guidelines indian paediatrics volume 51, 2014. Available at: https://www.indianpediatrics.net/june2014/469.pdf Accessed 15 June 2014.

World Health Organization. Infant and young child nutrition: global strategy on infant and young child feeding. Geneva. 2002; (Fifty-fifth World Health Assembly, A55/15). Available at: http://webitpreview.who.int/entity/nutrition/publications/ gs_infant_feeding_text_eng.pdf. Accessed on 23 October 2018.

National guidelines on Lactation Management Centres in public health facilities June 2017. Available at: https://nhm.gov.in/index1.php?lang=1&level=4&sublinkid=1187&lid=465. Accessed June 2017.

National guidelines on infant and young child feeding. Ministry of Human Resource Development. Department of Women and Child Development (Food and Nutrition Board). Government of India. 2004; p. 2-3. Available at: http://wcd.nic. in/nationalguidelines.pdf. Accessed on 10 June 2019.

Clinical update on lactation insufficiency Medical journal of Islamic world academy of sciences. Available at: https://www.journalagent.com/ias/pdfs/IAS_21_1_19_28.pdf. Accessed on 10 June 2019.

Madhavi N, Manikyamba D. Evaluation of factors responsible for the failure of exclusive breastfeeding for the first 6 months-hospital based study. Inter J Contem Medi Res. 2016;3(6):1701-4.

Sneha Pitre, Renie Raju, Pranalini Pardeshi, Bhagyashree Jogdeo. Factors responsible for lactation failure among mothers. Nation J Advan Res. 2016;2(4):27-31.

Zanardo V, Pigozzo A, Wainer G, Marchesoni D, Gasparoni A, Di Fabio S, et al. Early lactation failure and formula adoption after elective caesarean delivery: cohort study. Arch Dis Child-Fetal Neonat Ed. 2013 Jan 1;98(1):F37-41.