DOI: http://dx.doi.org/10.18203/2349-3291.ijcp20221314

Exclusive breastfeeding practice and type of illness among exclusive breastfeeding children less than 2 years of age: a study in a tertiary care hospital, Rajshahi, Bangladesh

Nur A. Zannat, M. Belal Uddin, Laila S. Sharmin, M. Tariqul I. Khan, M. Masudul H. Khan

Abstract


Background: Exclusive breastfeeding can be defined as a practice whereby the infants receive only breast milk and not even water, other liquids, tea, herbal preparations, or food during the first six months of life, with the exception of vitamins, mineral supplements, or medicines. The aim of the study was to observe exclusive breastfeeding practice and type of illness among exclusively breastfed children under two years of age in Bangladesh.

Methods: This descriptive study was conducted at the outpatient department of Rajshahi medical college hospital, Rajshahi, Bangladesh during the period from April 2017 to April 2018. The total number of children in this study was 312. Data was collected via standard questionnaire, mother interview, and anthropometric measurements such as weight, height, MUAC, and dietary history of both mother and children. Data were analyzed by SPSS software.

Result: In this study, 87.18% (272) of respondents replied to the questionnaires, but 12.8% of respondents did not answer the required questions. From the total number of children, 35.12% completed their immunization, 63.17% had an ongoing immunization schedule. Only 1.71% of children did not receive any immunization. At the time of the study, 63.6% of respondents had positive feedback on the early initiation of breast milk within 1 hour. After 6 months of age, it was observed that 83.3% of respondents continued breastfeeding along with other food. 60.6% of respondents have completed at the proper time of weaning (6-7 months). 15.63% have early weaning food.

Conclusions: Among exclusively breastfed babies, initiation within 24 hours was higher. Observing the type of illness, it was seen that most of the children had cough and cold and some had respiratory tract infections, diarrhoea, fever and other diseases.


Keywords


Breastfeeding, Exclusive, Children, Illness, Immunization, Pneumonia

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References


Agnarsson I, Mpello A, Gunnlaugsson G, Hofvander Y, Greiner T. 2001. Infant feeding practices during the first six months of life in a rural area in Tanzania. East Afr Med J. 2001;78(1):9-13.

Arifeen S, Black RE, Antelman G, Baqui A, Caulfield L, Becker S. Exclusive breastfeeding reduces acute respiratory infection and diarrhea deaths among infants in Dhaka slums. Pediatr. 2001;108(4):E67.

Baker EJ, Sanei LC, Franklin N. 2006. Early Initiation of and Exclusive Breastfeeding in Large-scale Community-based Programmes in Bolivia and Madagascar. J Health Popul Nutr. 24(4):530-9.

Bandura A. Better breastfeeding, healthier lives. Pediatr. 1977;13(1) 52-7.

Begum KA, Amin MR, Jahan K. Feeding Pattern of Severely Malnourished children in Bangladesh. IOSR. 1997;13(1,2):52-7.

Info for health. Population Reports Series L No.14, Baltimore, USA, 2009. Available at: http://www.infoforhealth.org/pr/l14/. Accessed on 01 April 2022.

Brown K, Black R, Lopez de Romana G, Creed de Kanashiro H. 1989. Infant-feeding practices and their relationship with diarrheal and other diseases in Huascar (Lima), Peru. Pediatr. 2001;83(1):31-40.

Chandrashekhar TS, Joshi HS, Binu VS, Shankar PR, Rana MS, Ramachandran Ul. 2006. Breastfeeding initiation and determinants of exclusive breastfeedinga questionnaire survey in an urban population of western Nepal. Public Health Nutrition: 2007;10(2);192–97.

Currò V, Lanni R, Scipione F, Grimaldi V, Mastroiacovo. Randomized controlled trial assessing the effectiveness of a booklet on the duration of breastfeeding. Arch Dis Child; 20011;76:500-3.

Dearden K, Altaye M, de Maza I, de Oliva M, Stone-Jimenez M, Morrow A L, and Burkhalter BR. Determinants of optimal breast-feeding in peri-urban Guatemala City, Guatemala. RPan Am J Public Health. 2003;12(3);45-6

The Breast-feeding Self-Efficacy Scale: psychometric assessment of the Short Form. J Obstet Gynecol Neonat Nurs. 2001;32:734-44.

CSA. Ethiopia Demographic and Health survey (EDHS) 2005. In: macro CsAaO, editor. Addis Ababa, Ethiopia and Calverton, Maryland USA: Central statistical Agency and ORS macro; 2006.

CSA. Ethiopian demographic and health survey (EDHS) 2011. In: Agency CS, eds. Addis Ababa, Ethiopia:

G., Zeleke H. Exclusive breastfeeding practice and associated factors among mothers in Motta town, East Gojjam zone, Amhara Regional State, Ethiopia, 2015: A cross-sectional study. Int Breastfeed J. 2017; 12(12): 45-9.

Teka B, Assefa H, Haileslassie K. Prevalence and determinant factors of exclusive breastfeeding practices among mothers in Enderta woreda, Tigray, North Ethiopia: A cross-sectional study. Int Breastfeed J. 2015;10(2):54-9/

Arage G, Gedamu H. Exclusive breastfeeding practice and its associated factors among mothers of infants less than six months of age in debre tabor town, northwest ethiopia: a cross-sectional study. Ad Public Health. 2016;2016:1-7.

Setegn T, Belachew T, Gerbaba M, Deribe K, Deribew A, Biadgilign S. Factors associated with exclusive breastfeeding practices among mothers in Goba district, south east Ethiopia: a cross-sectional study. Int Breastfeed J. 2012;7(17):1-8.

Radhakrishnan S, Balamuruga SS. Prevalence of exclusive breastfeeding practices among rural women in Tamil Nadu. Int Health Allied Sci. 2012;1(2):64.

El-Gilany A-H, Shady E, Helal R. Exclusive breastfeeding in al-Hassa, Saudi Arabia. Breastfeed Med. 2011;6(4):209-13.

Jones JR, Kogan MD, Singh GK, Dee DL, Grummer-Strawn LM. Factors associated with exclusive breastfeeding in the United States. Pediatr. 2011:2011-841.

Tan KL. Factors associated with exclusive breastfeeding among infants under six months of age in peninsular Malaysia. Int Breastfeed J. 2011;6(1):1.

Sapna S, Ameya A, Rooma S, Aarti P, Rashid A, Narayan K. Prevalence of exclusive breastfeeding and its correlates in an urban slum in western India. Int J Science Med Edu. 2009;3(2):14-8.

WHO. Fifty-fifth world health assembly, provisional agenda item 13.10 Infant and young child nutrition Global strategy on infant and young child feeding, 2022. Available at: https://apps.who.int/. Accessed on 20 February 2022.