Rate of early initiation of breast-feeding among mothers delivered in a tertiary care maternity centre: a descriptive cross-sectional study

Priyanka Sunil; Geethakumari S.; Swapna K. Gopalan; Namitha P.

doi:10.18203/2349-3291.ijcp20232885

Authors

Priyanka Sunil Government College of Nursing, Thiruvananthapuram, Kerala, India
Geethakumari S. Government College of Nursing, Kollam, Kerala, India
Swapna K. Gopalan Government College of Nursing, Alappuzha, Kerala, India
Namitha P. School of Public Health- Kerala University of Health Sciences, Thiruvananthapuram, Kerala, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20232885

Keywords:

Breastfeeding, Early initiation, Delay in initiation, Newborn

Abstract

Background: Breastfeeding is the first step to the path of a healthy future for a child. The aim of the study was to estimate the rate of early initiation of breastfeeding in a tertiary care maternal and children’s hospital.

Methods: This was a descriptive cross-sectional study conducted among 370 postnatal mothers delivered in a tertiary care maternity centre. Consecutively selected willing mothers having a live baby were included. Early initiation of breastfeeding, socio-demographic, clinical, neonatal and other variables were collected using a validated, structured questionnaire, checklist and record review.

Results: The rate of early initiation among the mothers were 80.8 (95%CI 76.4 to 84.6) and the delay was found among 71 participants. The main reasons for delay were baby shifted to ICU, maternal complications during intra-natal and immediate postnatal period ad baby not given to mother following delivery. Mean time of initiation of breastfeeding was 49 minutes (IQR 46.3 to 55 minutes).

Conclusions: The rate of early initiation of breastfeeding in the setting is very good, but it can still be improved. Nurses are the major group of health workers giving antenatal counselling, but the part of antenatal breast examination need to be improved. They can be empowered as trained lactation managers.

Metrics

Metrics Loading ...

References

United Nations Sustainable Development. Breastfeeding is “smartest investment” families, communities and countries can make UN, 2017. Available at: https://www.un.org/ sustainabledevelopment/ blog/2017/08/ breastfeeding -is-smartest-investment-families-communities-and-countries-can-make-un/. Accessed on 10 August 2023.

UNICEF. Breastfeeding and SDGs Messaging WBW201, 2023. Available atm: https://worldbreastfeedingweek.org/2016/pdf/Breastfeedingand SDGs Messaging%20WBW2016%20Shared. Accessed on 10 August 2023.

UNICEF, WHO. Breastfeeding: A Key to Sustainable Development UNICEF and WHO joint message for World Breastfeeding Week 2016 – World Alliance for Breastfeeding Action, 2023. Available at: https://waba.org.my/archive/breastfeeding-a-key-to-sustainable-development-unicef. Accessed on 10 August 2023.

WHO. Every newborn: an action plan to end preventable deaths. Geneva: WHO; 2014.

UNICEF data. Breastfeeding, 2023. Available at: https://data.unicef.org/topic/nutrition/breastfeeding/. Accessed on 10 August 2023.

NHM. MAA- Mothers’ Absolute Affection: Programme for Promotion of Breastfeeding Operational Guidelines. Ministry of Health and Family Welfare Government of India; 2016.

NHM. One Day Sensitization Module English lowres, 2023. Available at: https://www.nhm.gov.in/MAA/One_Day_Sensitization_Module/e_Day_Sensitization_Module_English_lowres. Accessed on 10 August 2023.

Zong X, Wu H, Zhao M, Magnussen CG, Xi B. Global prevalence of WHO infant feeding practices in 57 LMICs in 2010–2018 and time trends since 2000 for 44 LMICs, 2021. Available at: https://www.thelancet.com/journals/eclinm/article/PIIS2589-5370(21)00251-0/fulltext. Accessed on 10 August 2023.

State Nutrition Profile: Kerala. No.47, September 2021. Available at: https://www.niti.gov.in/sites/default/files/20_Kerala_draft_20210922_SG_v2_JAG_47. Accessed on 10 August 2023. Accessed on 10th August 2023.

Ministry of Health and Family Welfare. National Family Health Survey-5, 2019-20, 2020. Available at: http://rchiips.org/nfhs/NFHS- /Kerala. Accessed on 10 August 2023.

Joseph R, John JJ, David A, Sankar L, Darvin D, Yashik M. Potential Determinants and Effects of Exclusive Breastfeeding Among Infants at a Tertiary Care Center, Kerala, India. Cureus. 2022;14(3):e23185.

Kuchi S, Sahu S, John J. Too little and too late. Initiation of breast feeding in Odisha, India: An observational study. J Family Med Prim Care. 2021;10(4):1592-5.

Mary JJF, Sindhuri R, Kumaran AA, Dongre AR. Early initiation of breastfeeding and factors associated with its delay among mothers at discharge from a single hospital. Clin Exp Pediatr. 2022;65(4):201-8.

Aguayo VM, Gupta G, Singh G, Kumar R. Early initiation of breast feeding on the rise in India. BMJ Glob Health. 2016;1(2):e000043.

Krishnendu M, Devaki G. Knowledge, Attitude and Practice Towards Breasfeeding Among Lactating Mothers in Rural Areas of Thrissur District of Kerala, India: A Cross-Sectional Study. Biomed Pharmacol J. 2017;10(2):683-90.

Koya S, Babu GR, Deepa R, Iyer V, Yamuna A, Lobo E, Prafulla S, et al. Determinants of Breastfeeding Practices and Its Association With Infant Anthropometry: Results From a Prospective Cohort Study in South India. Front Public Health. 2020;8:492596.

Saraswathy K, Venkatesan L. Facilitators and Barriers in Initiation of Breastfeeding within an Hour of Child Birth among Women at Selected Community. Int J Nurs Edu. 2020;12(3):55-61.

Haricharan KR, Vardhan K, Naidu R. Knowledge, attitude and practise of breast feeding among postnatal mothers at rural tertiary hospital. Pediatric Review: Int J Pediatric Res. 2017;4(2):113-9.

19. Government of India. Health and Family Welfare statistics in India, 2019. Available at: https://main.mohfw.gov.in/sites/default/files/HealthandFamilyWelfarestatisticsinIndia201920. Accessed on 10 August 2023.

Namasivayam V, Dehury B, Prakash R, Becker M, Avery L, Sankaran D, et al. Association of prenatal counselling and immediate postnatal support with early initiation of breastfeeding in Uttar Pradesh, India. Int Breastfeed J. 2021;16(1):26.

Indian Paediatrics. Skilled Counseling in Enhancing Early and Exclusive Breastfeeding Rates: An Experimental Study in an Urban Population in India, 2019. Available at: https://www.indianpediatrics.net/fe118. Accessed on 10 August 2023.

Patel A, Pusdekar Y. Antenatal and Postnatal Counseling Support for Improving Breastfeeding Practices. Indian Pediatr. 2019;56(2):107-8.

Sharma M, Anand A, Goswami I, Pradhan MR. Factors associated with delayed initiation and non-exclusive breastfeeding among children in India: evidence from national family health survey 2019-21.

Hobbs AJ, Mannion CA, McDonald SW, Brockway M, Tough SC. The impact of caesarean section on breastfeeding initiation, duration and difficulties in the first four months postpartum. BMC Pregnancy Childbirth. 2016;16:90.

Getaneh T, Negesse A, Dessie G, Desta M, Temesgen H, Getu T, et al. Impact of cesarean section on timely initiation of breastfeeding in Ethiopia: a systematic review and meta-analysis. Int Breastfeed J. 2021;16(1):51.

Mise PJ, Mise AJ, Mise SJ, Siddappa M. Study of breastfeeding practices and problems among postnatal mothers: a hospital based study. Int J Reprod Contracep Obst Gynecol. 2017;6(8):3343-6.