Factors For Cessations of Exclusive Breast Feeding at End Of 6 Weeks in Healthy Term and Late Preterm Neonates Born in A Hospital Set Up in North India
Keywords:
Exclusive Breast Feeding, Cessation of breast feeding, PrimiparousAbstract
Background: Millions of deaths can be averted by scaling up exclusive breast feeding, EBF rate. By end of 2 months only 69% of mothers and by 4-6 months only one quarter of mothers are giving EBF to their babies. Factors influencing non-initiation or early cessation of exclusive breastfeeding had already been evaluated under NFHS data but only for babies born in community settings, these factors need to be investigated for the neonates born out of community settings.
Objectives: To identify risk factors for early cessation of exclusive breast-feeding.
Setting: Teaching Hospital in north India.
Subjects: Mothers giving birth to term or late pre-term healthy neonates were enrolled within 48 h after delivery and followed up till 6th postnatal week.
Results: A total of 350 mothers were enrolled. At the end of 1st, 2nd and 6th week the proportion of EBF decreased to 95%, 93.3% and 75.8% respectively. Risk factors associated with early cessation of exclusive breastfeeding were cesarean section at end of six weeks was primiparous mothers (RR: 1.95, 95%CI: 1.01-3.79).
Conclusion: First time mothers need more counseling on exclusive breast-feeding.
References
Bhandari N, Bahl R, Majumdar J. Effect of community based promotion of exclusive breast feeding on diarrheal illness & growth: a cluster randomized control trial. Lancet 2003; 361: 1418-23.
International Institute for Population Sciences (IIPS) and Macro International. 2000. National Family Health Survey (NFHS-3), 1998-99: India. Mumbai IIPS. Available at http://nfhsindia.org, Last assessed on 16th Oct 2010.
International Institute for Population Sciences (IIPS) and Macro International. 2007. National Family Health Survey (NFHS-3), 2005–06, Volume 1: India. Mumbai IIPS Available at http://nfhsindia.org, Last assessed on 16th Oct 2010.
International Institute for Population Sciences (IIPS) and Macro International. 2007. National Family Health Survey (NFHS-3), 2005–06, Volume 2: India. Mumbai IIPS. Available at http://nfhsindia.org, Last assessed on 16th Oct 2010.
Hall R, Mercer A, Teasly S. A breast-feeding assessment scores to evaluate the risk for cessation of breast-feeding by 7-10 days of age. J Pediatric 2002; 141:659-64.
Mcleod D, Pullon S, Coobston T. Factors influencing continuation of breast feeding in a cohort of women. J human lactation 2002; 18: 335-43.
Dewey KG Nommesen LA, Heinig J & Cohen RJ. Risk factors for suboptimal infant breastfeeding behavior, delayed onset of lactation & excess neonatal weight loss. Pediatrics2003; 112(3): 607-19.
Ertem IO, Votto N, Leventhal JM. The timing and predictors of the early termination of breast-feeding. Pediatrics 2001; 107: 543-8.
Taveras EM, Capra AM, Braveman PA. Clinician support and psychological risk factors associated with breastfeeding discontinuation. Pediatrics 2003; 112: 108-15.
Kuan SW, Britto M, Decolongon J. Health system factors contributing to breastfeeding success. Pediatrics1999; 104:e28-32.
Labarere J, Baudino NG, Ayral AS. Efficacy of breastfeeding support provided by trained clinicians during on early, routine preventive visit. A prospective, randomized, open trial of 226 mother infant Pairs. Pediatrics 2005;115 :e139-46.
Taveras EM, Li R, Strawn LG and Richardson M. Opinions and practices of clinicians associated with continuation of exclusive breastfeeding. Pediatrics 2004; 113:e283-90.
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