Factors associated with the introduction of prelacteal feeds in Nepal: findings from the Nepal Demographic and Health Survey 2011

Khanal, Vishnu; Adhikari, Mandira; Sauer, Kay; Zhao, Yun

doi:10.1186/1746-4358-8-9

Cited by 109 publications

(206 citation statements)

References 31 publications

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“…Similar findings are reported in a studies conducted by Khanal and Misgan Legesse. 16,17 In the present study higher prevalence of pre lacteal feeding practice was seen among mothers belonging to joint family (38.09%), followed by extended family (31.34%), nuclear family (26.66%). Higher level of pre lacteal feeding practice was seen among Muslims (45.31%), followed by Christians (27.27%), others (33.33%) and Hindus (25.6%).…”

supporting

confidence: 47%

Pre lacteal feeding practice among mothers in a rural area of Karnataka: a cross sectional study

Jayarama

Ramaiah

2017

Int J Community Med Public Health

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INTRODUCTIONColostrum, the early breast milk plays a vital role in boosting the immunity of a newborn.1,2 It also helps in building the precious bond between the mother and the child. Apart from the duration of breast feeding and the time at which a child is weaned, the time of initiation of breast feeding also plays a crucial role in determining the health of child. 3In many countries across the world, the practice of giving new born babies substances other than breast milk is a common cultural practice. 4 When the babies are given such fluids, even before lactation has been initiated, it is called pre-lacteal feeding, and the fluids are called prelacteal feeds. 5 Studies have shown that the effects of prelacteal feeding in babies range from lactation failure, shortening of the duration of breast feeding due to the incidence of diarrhoea. 6 ABSTRACT Background: In many countries across the world, the practice of giving new born babies other substances (pre lacteal feeding) even before lactation is a common cultural practice. The objectives of the study were to determine the prevalence of pre lacteal feeding practice among mothers and to identify the factors leading to pre lacteal feeding. Methods: A community based, cross sectional study was conducted among 206 mothers of infants and children younger than 24 months, residing in a rural area of Karnataka. Data regarding pre lacteal feeding practice, type of pre lacteal feed given, reasons for giving pre lacteal feed was collected using a predesigned questionnaire prepared in local language. Institutional ethical committee approval, informed consent from the study participants was taken and anonymity, confidentiality was ensured. Results: Out of 206 study participants, 66 (32.03%) had given pre lacteal feeds to their newborn, while 140 (67.97%) had not given pre lacteal feeds to their newborn. Pre lacteal feeding practice was more among mothers who were illiterates, who belonged to lower socio economic status. This difference in prevalence of pre lacteal feeding practice was found to be statistically significant. Honey, sugar water, religious water, coconut water, jaggery are the different types of pre lacteal feeds given. Customs, insisted by relatives, development of speech, helps in digestion, cleanses digestive system were the reported reasons for giving pre lacteal feeds. Conclusions: Socio demographic factors like education, socio economic status influence pre lacteal feeding practice. Through IEC (Information, education communication) activities awareness regarding ill effects of pre lacteal feeding practice should be created among mothers.

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supporting

confidence: 47%

Pre lacteal feeding practice among mothers in a rural area of Karnataka: a cross sectional study

Jayarama

Ramaiah

2017

Int J Community Med Public Health

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“…Plain water was also reported as a common prelacteal feed in Vietnam 17 and Nepal. 18 In many low and middle-income countries such as the one in which this study was carried out, portable water is often in short supply. Water for household consumption is often contaminated.…”

Section: Discussionmentioning

confidence: 99%

“…Conversely, other authors have found that delivery by Caesarean section, instrumental vaginal delivery or even episiotomy was associated with women's use of prelacteal feeds for their newborns. 7,18 However, the finding of 50% of the women who had operative delivery giving prelacteal feeds shows that birth attendants and women need to be aware that operative deliveries are not contraindications to early initiation of breastfeeding, and practices could be changed to promote early initiation of breastfeeding.…”

Section: Factors Associated With Use Of Prelacteal Feedsmentioning

confidence: 99%

Factors associated with prelacteal feeding practices in a rural northern Nigerian setting

Jimoh

Adaji

Adelaiye

et al. 2017

South African Journal of Clinical Nutrition

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Introduction:Prelacteal feeding practice contravenes the recommendation of World Health Organisation that breastfeeding be initiated within an hour of childbirth. Consequently, the health, social, emotional and economic benefits of optimal breastfeeding are limited. Therefore, to break this vicious cycle of prelacteal feeding and suboptimal breastfeeding, factors associated with the practice must be identified. Objective: To assess prelacteal feeding practices and its associated factors in a rural community with the view to generate data for community-level interventions that will promote optimal breastfeeding. Methods: Data was collected during a community-based surveillance for maternal, newborn and child health project in Tsibiri, a rural community in north-western Nigeria. The survey questionnaire was uploaded into mobile devices running on an android operating system. Trained female interviewers collected the data over a period of one week in 2011. Results: A total of 270 out of 309 interviewed women had experienced childbirth and were included in the analysis. Majority (85.2%) of respondents utilised prelacteal feeds for their newborns. Plain water was the most common prelacteal feed (44.7%). Prelacteal feeding was associated with births assisted by unskilled birth attendants (AOR 5.322, 95%CI 1.634-17.333); while operative delivery reduced the likelihood of the practice (AOR 0.168,. No statistically significant association was found between use of prelacteal feed and women's age, education or access to income. Conclusion: The predominance of prelacteal feeding practices underscores the need for innovative strategies that create awareness among mothers and health care providers, with emphasis on health facility deliveries, advantages of breastfeeding and risks of prelacteal feeding.

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“…11 Caste/ethnicity was based on the caste system in Nepal, and was divided into three major groups based on available literature and similarities between the caste/ethnic groups: disadvantaged/dalit, disadvantaged/aadibasi/janajati, and advantaged/ upper caste (Brahmin and Chhetri). 12,13 Dietary diversity was coded into three categories: low, medium, and high on the basis of food items consumed by pregnant women from 16 food groups as recommended by FAO. 14 The consumption of food from ≤3 food groups, 4-5 food groups, and ≥6 food groups was considered as low, medium and high dietary diversity respectively.…”

Section: Figure 1 Sampling Strategymentioning

confidence: 99%

“…14,15 Spousal violence was defined as any experience of physical, sexual, verbal, and psychological harm or suffering among pregnant women occurring in public or private life adapted from NDHS 2011. 12 Stress was measured by the General Health Questionnaire (GHQ-12), validated instrument (sensitivity: 85% and specificity: 79%) to measure a minor psychiatric disorders in many countries and translated into different languages, including Nepali. [16][17][18] Information on attendance to a mothers' group meeting was categorized as attended and not attended.…”

Section: Figure 1 Sampling Strategymentioning

confidence: 99%

Factors Associated with Smokeless Tobacco Use among Pregnant Women in Rural Areas of the Southern Terai, Nepal

Singh

Acharya

Kadel

et al. 2017

J Nepal Health Res Council

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INTRODUCTIONTobacco use is one of the major public health threats worldwide. 1 In 2010, smokeless tobacco use was attributable to 1.7 million Disability Adjusted Life Years(DALYs) lost and over 62,000 deaths in 113 countries, of which 85% of this burden was in South East Asian countries. 2Tobacco consumption among pregnant women have several adverse consequences on maternal and child health.3 Several studies among pregnant women from Nepal and India showed that illiteracy, urban residence, manual occupation, husband's smoking habit, being divorced, and Terai heritage were associated with increased risk of smokeless tobacco use. 4-7Background: Tobacco use among women during pregnancy leading to poor maternal and child health outcomes has been well documented. However, factors influencing use of smokeless tobacco in Nepal has not yet been well established. This study aims at exploring the factors related to smokeless tobacco use among pregnant women in rural southern Terai of Nepal. Methods:A community-based cross-sectional study was performed at 52 wards within 6 Village Development Committee in Dhanusha district of Nepal. A total of 426 expectant mothers in their second trimester were selected using a multistage cluster sampling method. Descriptive and regression analyses were done to explore the factors that influence smokeless tobacco use. Results:In a total of 426 pregnant mothers, one in five used tobacco in any form. Among the users, 13.4% used smokeless tobacco. Pregnant mothers who were smoking tobacco (AOR 6.01; 95% CI (1.88-19.23), having alcohol consumption (AOR 3.86; 95% CI (1.23-12.08), stressed (AOR 5.04; 95% CI (1.81-14.03), non-vegetarian (AOR 3.31;(1.84-13.03), not attending regular mothers' group meetings (AOR 4.63; (1.41-15.19), and not-exposed to mass media (AOR 5.02; (1.89-13.33) were significantly associated with smokeless tobacco use. Similarly, mothers of age group 20-34 years, dalit, aadibasi and janajati, hill origin, no education and primary education were more likely to use smokeless tobacco than their counterparts.Conclusions: Factors such as smoking tobacco, alcohol consumption, stress, and poor education were found to be significantly associated with smokeless tobacco use among pregnant women in southern Terai of Nepal. This requires an immediate attention develop an effective strategy to prevent and control smokeless tobacco use among pregnant women in southern Terai of Nepal.

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Factors associated with the introduction of prelacteal feeds in Nepal: findings from the Nepal Demographic and Health Survey 2011

Cited by 109 publications

References 31 publications

Pre lacteal feeding practice among mothers in a rural area of Karnataka: a cross sectional study

Pre lacteal feeding practice among mothers in a rural area of Karnataka: a cross sectional study

Factors associated with prelacteal feeding practices in a rural northern Nigerian setting

Factors Associated with Smokeless Tobacco Use among Pregnant Women in Rural Areas of the Southern Terai, Nepal

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