Abstract
Abstract
Background
Despite established benefits, exclusive breastfeeding (EBF) rate remains poor in India. This study measured the rate of early initiation of breastfeeding and EBF up to 42 days postpartum period and the reasons associated with early interruption of it.
Methods
In this study we followed a cohort 319 mother-newborn dyads, on a scheduled day of each week for six postpartum weeks (42 postpartum days), during May 2017 – March 2019. We used standard maternal 24 h recall method to collect data on newborn feeding practices. Additionally, using content the analysis method, we analysed the data captured through open ended question on current breastfeeding practice and reasons to identify the sociocultural facilitators/barriers of exclusive breastfeeding .
Results
Of the retained 306 newborns, early initiation of breastfeeding rate was 60% (184/306), whereas, EBF rate was 47% (143/306). Mothers’ educational level did not emerge as a risk for unsuccessful breastfeeding practices, whereas, father being not the major earner of the family (Relative risk [RR] 2.4; 95% Confidence interval [CI] 1.7,3.3), mothers who did not believe that effect of breastfeeding is longstanding (RR 1.8; 95% CI 1.3, 2.1) emerged as a risk for unsuccessful EBF practices. Lack of self-conviction about EBF among mothers; significant family members’ influence; cultural beliefs; emerged as major socio-environmental barriers of early interruption of exclusive breastfeeding. Repeated counselling by the healthcare provider particularly focusing on exclusive breastfeeding, supportive family environment in terms of the elders being aware of the positive health outcomes of it, and prior positive experience emerged as the socio-environmental facilitators for successful EBF until 42 postpartum days.
Conclusions
We conclude that the socio-environmental causes need to be addressed through the present healthcare delivery system for ensuring better infant feeding outcome.
Publisher
Springer Science and Business Media LLC
Subject
Obstetrics and Gynecology,Pediatrics, Perinatology and Child Health
Reference21 articles.
1. National Family Health Survey 3, India. Available from: rchiips.org/National Family Health Survey/National Family Health Survey 3.shtml [Last accessed on May 02, 2019].
2. National Family Health Survey 4, India. Available from: rchiips.org/National Family Health Survey/National Family Health Survey3.shtml [Last accessed on May 02, 2019].
3. India State-Level Disease Burden Initiative Malnutrition Collaborators. The burden of child and maternal malnutrition and trends in its indicators in the states of India: the global burden of disease study 1990-2017. Lancet Child Adolesc Health. 2019;3(12):855–70. https://doi.org/10.1016/S2352-4642(19)30273-1 Last accessed on May 06, 2019.
4. Patel A, Bucher S, Pusdekar Y, Esamai F, Krebs NF, Goudar SS, et al. Rates and determinants of early initiation of breastfeeding and exclusive breastfeeding at 42 days postnatal in six low and middle-income countries: a prospective cohort study. Reprod Health. 2015;12(Suppl 2):S10. https://doi.org/10.1186/1742-4755-12-S2-S10.
5. The World Health Organization's infant feeding recommendation. Available from: https://www.who.int/nutrition/topics/infantfeeding_recommendation/en/#:~:text=list%20of%20publications-,1,vitamins%2C%20minerals%20and%20medicines). (Last accessed on August 21, 2020).
Cited by
6 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献