32.3.36 Antenatal Breast Feeding Counseling of Mother and Family for Early Initiation of Breast Feeding and Improving of Milk Production is a Major Tool

Original Article

 

Antenatal Breast Feeding Counseling of Mother

Antenatal Breast Feeding Counseling of Mother and Family for Early Initiation of Breast Feeding and Improving of Milk Production is a Major Tool

Bakhtiar Ahmed1, Ubedullah Bahal Kani1, Mumtaaz Ali Bharo2, Kamran Ali1 and Sheraz Ahmed1

ABSTRACT

Objective: To study the Antenatal breast feeding counseling of mother and family for early initiation of breast feeding and improving of milk production is a major tool.

Study Design: Community-based cross-sectional study

Place and Duration of Study: This study was conducted at the This study was conducted at the Department of Pediatrics, Khair Pur Mirs Medical College, Khair Pur Mirs during Jan 2020 to Dec 2020.

Materials and Methods: Three hundred mothers and their family community-based cross-sectional study was conducted in Imran Idris teaching Hospital Sialkot during Jan 2020 to Dec 2020. The Antenatal breast feeding counseling of mother and family was done for early initiation of breast feeding and improving of milk production is a major tool. The informed written consent was taken before taking the data. The permission of Ethical Committee of the institute was taken before collecting the data and get publishing in Medical Journal. The results were made by SPSS version twenty.

Results: The incidence of breast feeding was maximum 160 (53.33%) at age group 16-26 years and was minimum 20 (6.66%) at age group 38-40 years. The mothers visited for antenatal care were 284 (94.6%) and 16 (5.3%) did not visited for antenatal care. The incidence of breast feeding in children was maximum 210 (70%) at age group 1-10 months and was minimum 20 (6.66%) at age group 21-24 months

Conclusion: It was concluded that the practice of early initiation of breastfeeding was low when it is compared to World Health Organization recommendation. World Health Organization suggested that every newborn baby has to feed breast milk within one hour after birth and feed colostrum.

Key Words: Feeding of colostrum, Early initiation, Breast feeding

Citation of article: Ahmed B, kani UB, Bharo MA, Ali K, Ahmed S. Antenatal Breast Feeding Counseling of Mother and Family for Early Initiation of Breast Feeding and Improving of Milk Production is a Major Tool. Med Forum 2021;32(3):143-145.

 

 

INTRODUCTION

Human breast milk is very important feeding for all children1. World Health Organization defines early initiation of breastfeeding as it is the initiation of breast milk feeding within one hour after delivering the
baby.2, 34

Neonatal mortality can be prevented by 33% if early initiation of breastfeeding is practiced by mothers5,6.

 

 

1. Department of Pediatrics, Khair Pur Mirs Medical College, Khair Pur Mirs.

2. Department of Pediatrics, GMMMC Medical College Sukkur.

 

 

Correspondence: Dr. Bakhtiar Ahmed, Associate Professor of Pediatrics Khair Pur Mirs Medical College Khair Pur Mirs.

Contact No: 03342033029

Email: bakhtiarbhanbhro@yahoo.com

 

 

Received:  January, 2021

Accepted:  February, 2021

Printed:      March, 2021

 

 

A study from Zimbabwe revealed that delayed breastfeeding increases the risk of developing neonatal sepsis within the first 1 week of life710.

Colostrum is the first milk that is very important for newborns baby in protection of infections. As the first milk is rich in immunoglobin G, colostrum has a importance in resistance of disease. According to different research, children who didn’t  take first feed as colostrum develop many infections, slow growth, insufficient weight, and progressively weaker1114.

Since research were done in Ethiopia to estimate early initiation feeding of breast milk is not enough and no research done in the research area, the objective of this study to measure early initiation of breastfeeding and colostrum feeding practice among mothers of children aged less than twenty four months in Debre Tabor town.

MATERIALS AND METHODS

Three hundred mothers and their family community-based cross-sectional study was conducted This study was conducted at the Department of Pediatrics, Khair Pur Mirs Medical College, Khair Pur Mirs during Jan 2020 to Dec 2020. The Antenatal breast feeding counseling of mother and family was done for early initiation of breast feeding and improving of milk production is a major tool. The informed written consent was taken before taking the data. The permission of Ethical Committee of the institute was taken before collecting the data and get publishing in Medical Journal. The data was analyzed for results by SPSS version 20.

RESULTS

Table No. 1: Age distribution of mothers in Imran Idris Teaching Hospital Sialkot

Sr. No.

Age of Mother

No of Cases (300)

Percentage %

1

16-26

160

53.33

2

27-37

120

40.00

3

38-40

20

6.66

The incidence of breast feeding was maximum 160 (53.33%) at age group 16-26 years and was minimum 20 (6.66%) at age group 38-40 years (table 1).

Table No.2: Reproductive characteristics of mothers

Variables

Frequency (N)

Percentage %

Having ANC visit

 Yes

284

94.6%

 No

16

5.3%

Total

300

100%

The mothers visited for antenatal care were 284 (94.6%) and 16 (5.3%) did not visited for antenatal care as shown in table 2.

Table No. 3: Age distribution of children

Sr. No.

Age (month)

Cases

Percentage%

1

1-10

210

70%

2

11-20

70

23.33%

3

21-24

20

6.66%

Total

300

100%

The incidence of breast feeding in children was maximum 210 (70%) at age group 1-10 months and was minimum 20 (6.66%) at age group 21-24 months as shown in table 3.

DISCUSSION

The finding of our study showed that the early initiation of breastfeeding was done by seventy six point eight percent of mothers (CI; seventy two percent to eighty one point five percent). This result was coincided to a study done in Mota which shows that the incidence of early initiation of breastfeeding is seventy eight point eight percent. Similarly, a study done in Dembecha district showed that the incidence of early initiation of breastfeeding is seventy three point one percent which is almost coincide  to our finding15.

In our current study, we also assessed colostrum feeding given by mothers and the finding showed that colostrums feeding is given by three-fourths (seventy four point four) of mothers which is resemble to a study done in Mizan Tepi (seventy six point two percent)16. A finding from Gondar shows that colostrum feeding is given by thirty one percent of mothers which is lower than the recent study17. This difference may be due to time difference. In addition to this, higher practice of colostrums feeding in our study is may be due to that the current study was done between urban mothers whereas the back study was conducted among rural mothers18. In contrary to this, the current study is lower than studies done in Raya Kobo19 and Kombolcha20 which show that colostrum feeding is given by eighty six point five percent and eighty eight point six percent mothers respectively. This difference may be due to that socio economic variable between the recent and the back study. The difference also may be due to the fact that beliefs of culture may be are not common for all population. Beliefs of culture are more seen in Debre Tabor population than in Kombolcha and Raya because Debre Tabor societies are more be loving for religion.

CONCLUSION

It was concluded that the practice of early initiation of breastfeeding was low when it is compared to World Health Organization recommendation. World Health Organization suggested that every newborn baby has to feed breast milk within one hour after birth and feed colostrum.

Author’s Contribution:

Concept & Design of Study:

Bakhtiar Ahmed

Drafting:

Ubedullah Bahal Kani, Mumtaaz Ali Bharo

Data Analysis:

Kamran Ali, Sheraz Ahmed

Revisiting Critically:

Bakhtiar Ahmed, Ubedullah Bahal Kani

Final Approval of version:

Bakhtiar Ahmed

Conflict of Interest: The study has no conflict of interest to declare by any author.

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