Prevalence and determinants of cessation of exclusive breastfeeding among primi-para rural Indian mothers

Abstract

Background: Breast milk is first, natural and nutritious food for newborn that promote sensory and cognitive development as well as protect against infectious and chronic diseases. The aim and objective of the study was to estimate the prevalence and to point out determinants of cessation of exclusive breastfeeding among rural primi-para mothers.Methods: This is a hospital based cross sectional study conducted at rural tertiary health centre located Western Maharashtra, India in the month of November-December 2017. A total of 140 breastfeeding primi-para mothers were enrolled and interviewed by utilizing pretested questionnaire include socio-demographic data, obstetric and breastfeeding history after written consent. Data were analyzed for inferential statistics using SPSS Version 21.Results: Among 140 eligible mothers, max. 84.2% were in age group 18-24 years with high proportions, 72.8% housewives, 90% literate and 75.7% with joint family structure. Max. 92.1% mothers were institutionally delivered. The overall prevalence of cessation of exclusive breastfeeding was 22.85% with gradual and sudden cessation was 20% and 2.85% respectively. Maternal determinants like insufficient breast milk secretion (37.5%), maternal sickness (12.5%) were highly contributed for cessation of breastfeeding whereas, infant illness, 12.5% respectively. The nuclear family structure, caesarean delivery and low birth weight baby were significantly associated with cessation of exclusive breastfeeding. The risk of cessation of exclusive breastfeeding is of 4.5 and 2.5 times higher with maternal nuclear family structure and infant with low birth weight.Conclusions: Prevalence of cessation of exclusive breastfeeding was low among primi-para mothers residing in rural area of western Maharashtra, India. The nuclear family structure, low birth weight baby have had significant effect on cessation of exclusive breastfeeding.

Cessation of Exclusive Breastfeeding and Determining Factors at the University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia

“…(17.24-25.76). The magnitude in this study was in line with the study conducted in India (22.85%) [28] and slightly lower than Southeast Ethiopia (28.7%) [24], Tigray (29.8%) [27], and Canada (28.4%) [31]. This slight difference could be t these studies were community-based and conducted before four years of this study and the study conducted in Canada was longitudinal.…”

“…EBF has also great benefits for maternal health outcomes like reducing the risk of breast and ovarian cancer, type two diabetes, postpartum depression, and have a long duration of amenorrhea or as a natural family planning method [16]. Studies showed that factors like younger mothers [17][18][19], low level of educational status [18][19][20][21], mothers who smoke [17,18], low parity [19,[21][22][23], employed mothers [24,25], breast problem (cracked nipple) [23], initiate of breastfeeding after one hour and had no antenatal care (ANC) visits [26], had no postnatal care (PNC) visits [26,27], and cesarean delivery [25,28] are some of the independent factors that push mothers to give up exclusive EBF.…”

Exclusive breastfeeding practice and associated factors among first time mothers in Bahir Dar city, North West Ethiopia, 2016: A cross sectional study.

“…A mother living in nuclear family was less likely to practice exclusive breast feeding. The finding is in parallel with the study done in rural Indian mothers [48] in which mothers from nuclear family had high risk of cessation of exclusive breastfeeding than mothers from joint family. This might be because mothers from nuclear family lack support from members of extended family.…”

Factors Associated with Time to Cease Exclusive Breastfeeding Among Infants Aged 6–9 Months, Kirkos Sub-City, Addis Ababa, Ethiopia: Survival Analysis

“…32 In this, the median time to cease EBF was higher than studies revealed from Indonesia, 33 Australia, 34 Kinshasa, 35 Botswana, 36 Colombia, 37 and Saudi. 38 The rate of early EBF discontinuation was 45.8%, which was higher than the studies revealed from southern Ethiopia 30.4%, 39 northwest Ethiopia 21.5%, 40 northeastern pastoralist parts of Ethiopia 35.5%, 12 Addis Ababa 42.4%, 41 mini Ethiopian demographic health survey 41%, 10 Taiwan 40.1%, 42 Kinshasa 2.8%, 35 India 22.85%, 43 Indonesia 21.3%, 33 and Kenya 2%. 44 This finding was lower than the study revealed from southern Ethiopia 48%, 45 Dukem Central Ethiopia 75.7%, 46 Nepal 50.5%, 47 Tanzania 68.7%, 48 Saudi 60%, 49 and Australia 49%.…”