Title: Infant Feeding Practices in A Well Baby Clinic of A Tertiary Hospital in North Kerala

Authors: Dr Kavitha Pavithran, Dr Anil kumar Aalinkeel, Dr Ravikumar Payora

 DOI:  http://dx.doi.org/10.18535/jmscr/v4i6.34

Abstract

Aim and objective:  To study the infant feeding practices among mothers accompanying infants in a well baby clinic. To evaluate the association between educational status and religion of mother and the feeding practice.

Methods: A clinic based cross-sectional descriptive study among mothers accompanying infants for immunization and check up during a period of six months. Data was collected using a pre tested questionnaire 

Results: A total of 432 mothers and their infants were enrolled in the study. 19.8% of infants were given prelacteal feeds. All the babies received colostrum. 92.5% were initiated breast feeding within one hour after delivery. 97% of the mothers practiced breast feeding on demand. 72% of babies who were less than 6 months of age were exclusively breast fed.  Among babies older than 6 months 71.6% were started on early complementary feeding and 2.1% of them were not on complementary feeding. Early initiation of breast feeding was significantly more in mothers with higher educational status. Exclusive breast feeding was less and artificial feeds usage was more in mothers with higher educational status.  Religion also showed significant association with type and time of first feed. 

Conclusion: Despite higher rate of early initiation of breast feeding, colostrum feeding and demand feeding, exclusive breast feeding was comparatively low. Early initiation of complementary feeding was also noted.  Knowledge and practice of infant feeding varied with religion and educational status of the mother                                                                                                                                                                               

Key words colostrum, complementary feeding, exclusive breast feeding, infant feeding practices, prelacteals

References

    

1.      Mahmood SE, Srivastava A, Shrotriya VP, Mishra P.  Infant feeding practices in the rural population of north India. Journal of Family Community Medicine 2012 May-Aug; 19(2):130-135

2.      International Institute for Population Sciences (IIPS), India and Macro International. National Family Health Survey (NFHS-3), 2005-6: India:Volume 1. Mumbai:IIPS;2007

3.      Census 2011 http://www.censusindia. gov.in/2011-prov-results/data_files/india/ Final_PPT_2011_chapter6.pdf  accessed on 1.06.2016

4.      Aggarwal A, Verma S, Faridi MMA, Dayachand. Complementary feeding –Reasons for inappropriateness in timing, quantity and consistency. Indian J Pediatr 2008;75(1);49-53

5.      Kumar D, Goel NK, Kalia M, Swami HM, Singh R. Gap between awareness and practices regarding maternal and child health among women in an urban slum community. Indian J Pediatr 2008;75(5):455-458

6.      Sasikala M.K, Jyothi Conjeevaram, Chandrasekhar V, Susmitha K.M A Study on Infant Feeding Practices Among Mothers in the Rural Field Practice Area of a Teaching Hospital in South India. National J of research in community medicine. Oct-Dec 2015;4(4):344-348

7.      Roy S, Dasgupta A, Pal B. Feeding practices of children in an urban slum of Kolkatta. Indian J Community Med 2009Oct;34(4):362-363

8.      Raval D, Jankar DV, Singh MP. A study of breast feeding practices among infants living in slums of  Bhavnagar city Gujarat, India. Healthline2011;July-Dec;2(2)

9.      Kulkarni RN, Anjaneya S, Gujar R. Breast feeding practices in an urban community of Kalamboli, Navi Mumbai. Indian community Med. Oct-Dec 2004;24(4)

10.  Meshram, I. I., Laxmaiah, A., Venkaiah, K., & Brahmam, G. N. V. (2012). Impact of feeding and breastfeeding practices on the nutritional status of infants in a district of Andhra Pradesh, India. National Medical Journal of India, 25(4), 201.

11.  Ashwini S, Katti SM, Mallapur MD. Comparison of breast feeding practices among urban and rural mothers. A cross-sectional study. Int J Med Public Health 2014,4:120-4 available at http://www.ijmedph.org/text.asp? DOI:10.4103/2230-8598.127172 accessed on 1.6.16

12.  Sethi V, Kashyap S, Seth V, Effect of nutrition education of mothers in infant feeding practices, Indian J pediatr 2003; 70:463-466

13.  Goyle A, Jain P, Vyas S, Saraf H, Shekhawat N. Colostrum and prelacteals feeding practices followed by families of pavement and road side squatter settlements. Indian J Prev. Soc.Med.2004;35(1&2):58-62

14.  Dhir SK,Batta M. Int J community Medicine and Public Health.2015 Nov;2(4):435-440

15.  Deshpande JD, Giri PA, Phalke DB, Phalke VD, Kalakoti P, Syed MM. Socio-cultural practices in relation to breastfeeding, weaning and child rearing among Indian mothers and assessment of nutritional status of children under five in rural India.AMJ.2010;3:618-24

16.  Rasania SK, Singh SK, Pothi S, Bhalia S, Sachdev. Breast feeding practices in a maternal and child health centre in Delhi. Health and Population Perspectives and issues 2003;26(3):110-115

17.  Joseph N, Unnikrishnan B, Naik VA, Mahantshetti N S, Mallapur M D, Kotian SM, Nelliyanil M. Infant rearing practices in south India: A longitudinal study. J Family Med Prim Care 2013;2:37-43

18.  .Bhavana R.Hiremath et.al. A Cross-sectional study on breast feeding practices in a rural area of NorthKarnataka.Int J Cur Res, Nov 2013/Vol 05(21),13-17.

19.  . Vyas Shaili,Sharma Parul,Kandpal S D,Semwal Jayanti, Srivastava Anurag, Nautiyal Vipul. A Community based study on breastfeeding practices in a rural area of Uttarakhand.National Journal of Community Medicine Vol 3, Issue 2 April-june 2012 

Corresponding Author

Dr Kavitha Pavithran

Department of Pediatrics,  A.C.M.E Pariyaram, Kannur. Kerala. 670503

Email: This email address is being protected from spambots. You need JavaScript enabled to view it. Phone: 9446454969