Abstract
Introduction: The practice of breast feeding is popular since ancient times. Though some mothers understand the importance of breast feeding, but others are less knowledgeable on the benefits of breastfeeding and complementary feeding. We planned this study to assess the knowledge, attitude and various patterns practiced (KAP) by antenatal and post-natal mothers.
Methods: This questionnaire based study was carried out among antenatal and postnatal mothers admitted at MGMSC Khaneri, a Hospital draining the rural and tribal population. Information on maternal KAP on exclusive breast feeding (EBF) was collected through structured questionnaire from a total of 102 mothers. Data regarding demographic characteristics of the mothers, as well as KAP on breastfeeding was collected and evaluated.
Results: A total 102 mothers were included in this study. Out of them, 49 (48%) were antenatal fullterm primi-para and 53 (52%) were multipara with prior experience of breast feeding. The age ranged from 18 to 35 years with a mean age of 26 years. Maximum (84.3%) of them were from joint family with middle class socio-economic status. Amongst lactating mothers approximately 83.3% mothers initiated breastfeeding within one hour of delivery and 95.1% mothers continued EBF for 6 months. Most of the lactating mothers learned the practice of breast feeding from elders while 51.9% received counseling from medical staff. Pre-lacteals were given by 7.8% mothers. The majority of mothers knew about breast feeding and had a positive attitude towards EBF. Regarding recommended duration, maternal & neonatal benefits of EBF, mothers were less knowledgeable.
Conclusion: The majority of mothers knew about EBF and had a positive attitude towards EBF but did not know the recommended duration or maternal and neonatal benefits of breast feeding. Breastfeeding counseling and health education on nutrition to the mother by health workers should be promoted during antenatal visits.
Keywords: Breastfeeding, Knowledge, Practices, Attitude, Lactating mothers.
References
- Exclusive breastfeeding [Internet]. WHO. World Health Organization; 2017. Available from: (Accessed 4 May 2016). http://www.who.int/nutrition/topics/exclusive_breastfeeding/en/.
- New Bulletin of World Health Organization, International Journal of Public Health.82 (4) April,2004.
- Evidence for Nutrition Actions (eLENA) [Internet]. WHO. World Health Organization; 2017 Available from: http://www.who.int/elena/titles/exclusive_breastfeeding/en/ (Accessed 4 Apr 2016).
- The data repository [Internet]. WHO. World Health Organization; 2016. Available from: http://www.who.int/gho/database/en/ (Accessed 10 March Apr 2016).
- WHA Global Nutrition Targets 2025: Breastfeeding Policy Brief [Internet]. 2014. Available from: http://www.who.int/nutrition/topics/globaltargets_breastfeeding_policybrief.pdf (Accessed 15 Jan 2016).
- International Institute for Population Science, Mumbai for Government of India. National Family Health Survey-3 (NFHS-3); 2005-06. 2005;3:2005.
- Naseem A, Mazher N. A study to evaluate the knowledge, attitude and practices of exclusive breast feeding among primi mothers of healthy term neonates in a tertiary care hospital and predictors of failure of establishment of exclusive breast feeding in first six months. Int J Contemp Pediatr. 2016;3(3):810-81.
- Lakshmi A, Devi S, B VMK. Knowledge, attitude and practices of breast feeding among mothers in a slum area of Amalapuram, East Godavari District, Andhrapradesh. 2014;2(3):15-7
- Elmougy AM, Matter MK, Shalaby NM, El-Regal ME, Abu Ali WH, Aldossary SS et al. Knowledge, attitude and practice of breastfeeding among working and non-working mothers in saudi arabia.Egyptian Journal of Occupational Medicine, 2018;42(1):133-150.
- Kramer MS and Kakuma R (2012): Optimal duration of exclusive breastfee-ding. Cochrane Database Syst Rev;(8): CD003517.
- WHO (2009): Baby-Friendly Hospital Initiative Revised, updated and expanded for integrated care. Geneva: WHO Press 2009. URL: http://apps.who.int/iris/ bitstream/10665/43593/1/9789241594967_eng. pdf (Last accessed March) 1, 2017).
- Mohamed MJ, Ochola1 S, Owino VO. Comparison of knowledge, attitudes and practices on exclusive breastfeeding between primiparous and multiparous mothers attending Wajir District hospital, Wajir County, Kenya: a cross-sectional analytical study. International Breastfeeding Journal. 2018;13:11.
- Kishore MSS, Kumar P, Aggarwal AK. Breastfeeding Knowledge and Practices amongst Mothers in a Rural Population of North India: A Community-based Study. Journal of Tropical Pediatrics. 2008;55: 183-8.
- Elmougy AM, Matter MK, Shalaby NM, El-Regal ME, Abu Ali WH, Aldossary SS et al. Knowledge, attitude and practice of breastfeeding among working and non-working mothers in saudi arabia. Egyptian Journal of Occupational Medicine, 2018;42(1):133-150.
- WHO (2016): Infant and young child feeding. Fact sheet. Updated September 2016. URL: http://who.int/mediacentre/factsheets/fs342/en/ (Last accessed March 1, 2017).
- Al-Binali AM (2012): Breastfeeding knowledge, attitude and practice among school teachers in Abha female educational district, southwestern Saudi Arabia. Int Breastfeed J;7(1):10.
Corresponding Author
Dr Nidhi Jindal
MGMSC Khaneri, Tehsil-Rampur, Distt.-Shimla (H.P.) Pin-172001, India
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