Predictors of breastfeeding problems in the first postnatal week and its effect on exclusive breastfeeding rate at six months: experience in a tertiary care centre in Northern India

Suresh, Sithara; Sharma, Kamlesh; Saksena, Manju; Thukral, Anu; Agarwal, Ramesh; Vatsa, Manju

doi:10.4103/0019-557x.146292

Cited by 32 publications

(23 citation statements)

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“…Maternal perception of insufficient breastmilk was the most frequently reported challenge to sustaining EBF, according to mothers, facility and community-based health providers. Recent evidence corroborates these findings on perceived insufficient breastmilk [8,[19][20][21][22], which has been associated with breastfeeding cessation and early introduction of foods and liquids prior to the recommended six months of age [23][24][25][26][27]. In addition, these findings point to inadequate maternal dietary intake as the primary reported cause of decreased breastmilk quantity.…”

Section: Discussionmentioning

confidence: 54%

Strengthening counseling on barriers to exclusive breastfeeding through use of job aids in Nampula, Mozambique

Kavle

Picolo²,

Buccini

et al. 2019

PLoS ONE

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IntroductionWhile the Government of Mozambique has galvanized action around exclusive breastfeeding (EBF) as a national priority, only 43% of Mozambican children under six months of age are exclusively breastfed. In the absence of skilled lactation support, challenges mothers experience with breastfeeding may inhibit initiation, exclusivity and duration. There is insufficient evidence on how to strengthen health providers' competencies to address breastfeeding challenges in low-and middle-income countries. The objectives of this study were to 1) assess EBF challenges, from the perspectives of health providers and mothers; 2) ascertain the quality of health provider counseling to address EBF challenges; and 3) gain an understanding of the usefulness of job aids to improve counseling within routine health contact points in Nampula, Mozambique.

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Section: Discussionmentioning

confidence: 54%

Strengthening counseling on barriers to exclusive breastfeeding through use of job aids in Nampula, Mozambique

Kavle

Picolo²,

Buccini

et al. 2019

PLoS ONE

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“…This finding is in agreement with a study done in Mauritius [ 29 ]. An Indian study has documented the absence of any association between breast problems and EBF, however it was done at single healthcare facility [ 30 ]. Our finding underscores the need for proper education on optimal breastfeeding techniques and practices to avoid breast problems and the subsequent impact on exclusive breastfeeding.…”

Section: Discussionmentioning

confidence: 99%

Determinants of exclusive breastfeeding in infants less than six months of age in Hawassa, an urban setting, Ethiopia

et al. 2017

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BackgroundThe World Health Organization (WHO) recommends exclusive breastfeeding (EBF) for the first six months of life. However, the proportion of EBF in Ethiopia is 58%. The EBF practice and factors affecting it have not been studied in Hawassa, Southern Ethiopia. The aim of this study was to assess the prevalence and determinants of EBF practice among infants less than six months age in Hawassa city, Ethiopia.MethodsA total of 529 mothers with infants aged 0–6 months were involved in this study between November 2015 and January 2016. Trained interviewers collected data from the mothers of the infants. Exclusive breastfeeding was assessed based on infant feeding practice in the prior 24 h. Multivariable logistic regression analysis was conducted.ResultsInfants aged 0–5.9 months were studied with comparable gender composition (51.4% females). The exclusive breastfeeding prevalence was 60.9% (95% CI 56.6, 65.1). Mothers with infants aged 0–1.9 months and 2–3.9 months practiced EBF more likely than mothers with infants aged 4–6 months (Adjusted odds ratio [AOR] 3.59; 95% CI 2.07, 6.2) and (AOR 2.08; 95% CI 1.23, 3.5), respectively. Married mothers practiced EBF more likely than singles (AOR 2.04; 95% CI 1.03, 4.06). Housewives practiced EBF more likely than employed mothers (AOR 2.57; 95% CI 1.34, 4.9). Mothers who had a vaginal birth were more likely to practice EBF than mothers who gave birth via Cesarean section (AOR 2.8; 95% CI 1.7, 4.6). Mothers who gave birth at a healthcare facility were more likely to practice EBF than mothers who gave birth at home (AOR 8.8; 95% CI 5.04, 15.4). Mothers without a breast complication practiced exclusive breastfeeding more than mothers with breast complications (AOR 2.05; 95% CI 1.5, 4.1).ConclusionsThis study showed a low prevalence of exclusive breastfeeding. Younger infants, babies born to married women, who are housewives, having a vaginal birth in a health facility, and whose mother’s breasts were healthy, were predictors for EBF. The promotion of an institutional delivery, optimal breastfeeding practices, and designing strategies to better support employed mothers are recommended.

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“…Despite these benefits, less than 40% of infants in resource limited settings are breastfed within an hour of birth [11]. Similarly, despite the recommendation for EBF up to age six months, global rates of EBF at six months of age are low [12] and EBF rates fall within a few weeks after birth [13,14]. Identifying barriers and facilitators to EIBF and EBF is important in order to develop feasible and sustainable strategies by which to improve global coverage of these key public health interventions.…”

Section: Introductionmentioning

confidence: 99%

Rates and determinants of early initiation of breastfeeding and exclusive breast feeding at 42 days postnatal in six low and middle-income countries: A prospective cohort study

et al. 2015

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BackgroundEarly initiation of breastfeeding after birth and exclusive breastfeeding through six months of age confers many health benefits for infants; both are crucial high impact, low-cost interventions. However, determining accurate global rates of these crucial activities has been challenging. We use population-based data to describe: (1) rates of early initiation of breastfeeding (defined as within 1 hour of birth) and of exclusive breastfeeding at 42 days post-partum; and (2) factors associated with failure to initiate early breastfeeding and exclusive breastfeeding at 42 days post-partum.MethodsProspectively collected data from women and their live-born infants enrolled in the Global Network’s Maternal and Newborn Health Registry between January 1, 2010-December 31, 2013 included women-infant dyads in 106 geographic areas (clusters) at 7 research sites in 6 countries (Kenya, Zambia, India [2 sites], Pakistan, Argentina and Guatemala). Rates and risk factors for failure to initiate early breastfeeding were investigated for the entire cohort and rates and risk factors for failure to maintain exclusive breastfeeding was assessed in a sub-sample studied at 42 days post-partum.ResultA total of 255,495 live-born women-infant dyads were included in the study. Rates and determinants for the exclusive breastfeeding sub-study at 42 days post-partum were assessed from among a sub-sample of 105,563 subjects. Although there was heterogeneity by site, and early initiation of breastfeeding after delivery was high, the Pakistan site had the lowest rates of early initiation of breastfeeding. The Pakistan site also had the highest rate of lack of exclusive breastfeeding at 42 days post-partum. Across all regions, factors associated with failure to initiate early breastfeeding included nulliparity, caesarean section, low birth weight, resuscitation with bag and mask, and failure to place baby on the mother’s chest after delivery. Factors associated with failure to achieve exclusive breastfeeding at 42 days varied across the sites. The only factor significant in all sites was multiple gestation.ConclusionsIn this large, prospective, population-based, observational study, rates of both early initiation of breastfeeding and exclusive breastfeeding at 42 days post-partum were high, except in Pakistan. Factors associated with these key breastfeeding indicators should assist with more effective strategies to scale-up these crucial public health interventions.Trial registrationRegistration at the Clinicaltrials.gov website (ID# NCT01073475).

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Predictors of breastfeeding problems in the first postnatal week and its effect on exclusive breastfeeding rate at six months: experience in a tertiary care centre in Northern India

Cited by 32 publications

References 1 publication

Strengthening counseling on barriers to exclusive breastfeeding through use of job aids in Nampula, Mozambique

Strengthening counseling on barriers to exclusive breastfeeding through use of job aids in Nampula, Mozambique

Determinants of exclusive breastfeeding in infants less than six months of age in Hawassa, an urban setting, Ethiopia

Rates and determinants of early initiation of breastfeeding and exclusive breast feeding at 42 days postnatal in six low and middle-income countries: A prospective cohort study

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