BACKGROUNDThe aim is to study the factors affecting early initiation of breast-feeding and its prevalence in a tertiary care centre and to study the prevalence of prelacteal feeds.
MATERIALS AND METHODSIn this hospital based cross sectional study, 500 mother-child pairs delivered at Government Maternity Hospital, Petlaburz Hyderabad were included. Data collected by interviewing the mothers using a semi-structured questionnaire. Background questions covered demographic, social, economic status and variables related to antenatal care and postnatal care. Results of the selected variables were categorised into two groups which involved first group where mother initiated breast-feeding within first hour (Golden hour) and second group where mothers initiated breast-feeding after one hour after birth.
RESULTSThe prevalence of breast feeding initiation within one hour was 5.6%. There was statistically significant difference in breast-feeding initiation rates between groups comprising Hindus and Muslims, working women and housewives, multiparous and primiparous women, women who received feeding advice and women who have not received feeding advice. Literacy, place of residence, interdelivery interval, mode of delivery, gestational age, sex of the child, birth weight of the child and duration of breast-feeding in the previous pregnancy had no statistically significant influence on initiation of breast-feeding within one hour. Exclusive breast-feeding had a positive influence on breast-feeding initiation rates whereas use of prelacteal feeds had negatively affected the breast-feeding initiation rates.
CONCLUSIONBreast-feeding initiation rates were found to be very low. Practice of use of prelacteal feed was prevalent. Feeding advice increased initiation rates. Exclusive breast-feeding in the previous pregnancy had a positive effect. Antenatal counselling of pregnant women, encouraging breast-feeding in the delivery room, strengthening the anganwadi centres and breast-feeding promotional activities throughout the year will go a long way in achieving increased breast-feeding initiation rates in the golden hour.
KEYWORDSBreast-feeding Initiation Rates, Golden Hour, Prelacteal Feeds.
HOW TO CITE THIS ARTICLE:Rao GM, Taduru KR. Study of factors affecting breast-feeding initiation in the golden hour in a tertiary care centre. J. Evolution Med. Dent. Sci. 2016;5(95):7025-7028, DOI: 10.14260/jemds/2016/1589 BACKGROUND The benefits of breast-feeding for the health and well-being of the mother and babies are well documented. WHO recommends early initiation of breast-feeding (i.e. within one hour of birth). First one hour after birth of a neonate is considered as the golden hour with regard to the initiation of the breast-feeding. Early initiation of breast-feeding refers to the initiation of breast-feeding in this golden hour. A recent trial has shown that early initiation of breast-feeding in the golden hour could reduce neonatal mortality by 22%. (1) The advantages of breast-feeding include nutritional, immunological and ...