Publication: The Determinants of Early Initiation of Breastfeeding Practice among Mothers Attending a Tertiary Hospital, Kathmandu
Date
2019
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Paediatric Society (JNPS)
Abstract
Abstract:
Introduction: Breastfeeding is the best way of providing ideal food for the optimal growth and development of an infant. Early initiation of breastfeeding (EIBF) within one hour of birth is one of the cost effective strategies to reduce neonatal mortality. The aim of the study was to find out the determinants of breastfeeding practice.
Methods: This was a descriptive cross-sectional study conducted among 207 mothers who have child from birth to 12 months in Maternal and Child Health (MCH) Clinic of tertiary care referral hospital. The mothers for the study were selected using probability sampling technique. Variables were analysed using a multivariate logistic regression model to identify the determinants of EIBF.
Results: The prevalence of EIBF in the study population was 47.3%. Caesarean delivery (AOR: 3.449, CI: 1.224-9.719, p = 0.019), mothers who have done more than one postnatal visit (AOR: 2.824, CI: 1.126-7.079, p = 0.027) and low birth weight babies (AOR: 7.973, CI: 1.571-40.465, p = 0.027) were more likely to delay initiation of breastfeeding.
Conclusions: Less than half newborn receive breast milk within the first hour of birth. Mothers delivered by caesarean section, who have done more than two postnatal visit and low birth weight babies were more likely to delay initiation of breastfeeding. These are the major determinants of initiation of breastfeeding. Existing breastfeeding promotion program should be strengthened within the existing health care system.
Description
Sharada Acharya
National Academy of Medical Sciences, Bir Hospital Nursing Campus, Gaushala, Kathmandu, Nepal
Chitra Khanal
Ministry of Health and Population, Ramshahpath, Kathmandu, Nepal
Akriti Shree Dahal
National Academy of Medical Sciences, Bir Hospital Nursing Campus, Gaushala, Kathmandu, Nepal
Mankeshari Maharjan
National Academy of Medical Sciences, Bir Hospital Nursing Campus, Gaushala, Kathmandu, Nepal
Bhagawati Bhandari
National Academy of Medical Sciences, Bir Hospital Nursing Campus, Gaushala, Kathmandu, Nepal
Keywords
breastfeeding, caesarean section, determinants, early initiation, infant