Knowledge, Attitude and Practice of Postnatal Mothers for Early Initiation of Breast Feeding in The Obstetric Wards of a Tertiary Care Hospital of Vadodara City


  • Shwetal Bhatt Medical College Baroda, Vadodara
  • Pooja Parikh Medical College Baroda, Vadodara
  • Neha Kantharia The Maharaja Sayajirao University of Baroda, Vadodara, Gujarat
  • Amit Dahat Medical College Baroda, Vadodara
  • Rahul Parmar Medical College Baroda, Vadodara


Early initiation, Breast feeding, Postnatal Mothers


Background: Despite its known advantages, breastfeeding rates are low world over. Large number of factors affects breastfeeding. The aim was to study maternal and neonatal factors that affect early initiation of breastfeeding in the perinatal period and to evaluate the knowledge, attitude and practice of postnatal mothers for early initiation of breast feeding in the obstetric wards.

Methods: A cross sectional study carried out from October 2010 to December 2010. Study conducted in 175 Post natal mothers from the maternity wards of a tertiary care hospital in Vadodara city. Mothers were interviewed within 5 days after the birth of the child. Data was collected using a structured questionnaire with some open and close ended questions and data was analyzed by Epi Info 3.2 (window based) software.

Results: Most common causes of delay in initiating breastfeeding were caesarian section and fatigue (29.7% and 21.1% respectively). 32.6% mothers initiated breastfeeding within one hour of delivery. Incidence of early initiation of breastfeeding in mothers less than 21 years of age was 29.4%, 24.6% in illiterate mothers and 25% in those delivering by caesarian section. Early initiation of breastfeeding was maximum (46.7%) in the first and minimum (24.3%) in the third shift of work of health care workers.

Conclusion: Lack of adequate information, maternal education level, socioeconomic factors, etc. influences the early breast feeding practices which can be overcome by proper support, care and counseling provided by health care staff.


MoSPI: MDDG – India Country Report 2009-Mid Term Statistical Appraisal.

Hurst N. Breastfeeding. Manual of Neonatal Care, 7th ed. Lippincott Williams & Williams, 2011:263-268.

Kramer MS, Kakuma R. The Optimal Duration of Exclusive Breastfeeding: A Systematic Review. Geneva: World Health Organization, 2002.

Millenium Development Goals, Human Rights and World Ethics. Paper presented at the annual meeting of the ISA’s 49th Annual Conventtion Bridging Multiple Divides Hilton San Francisco, USA, March 26, 2008

Lauer JA, Barros AJ, de Onis M. Deaths and years of life lost due to suboptimal breastfeeding among children in the developing world: a global ecological risk assessment. Public Health Nutrition 2006; 9:673-685

The state of the world's breastfeeding: report card. Initiation of breastfeeding within 1 hour. New Delhi: International Baby Food Action Network Asia. Available at: http://www.worldbreastfeedingtrends. org/reportcard/RC-IB.pdf. Accessed on 1 Feb 2010.

World Health Organization, UNICEF. Global Strategy for Infant and Young Child Feeding. Geneva; 2003

Chaparro CM, Lutter C. Beyond Survival: Integrated Delivery Care Practices for Long-term Maternal and Infant Nutrition, Health and Development. Wash-ington DC: Pan American Health Organization; 2007.

United Nations Children’s Fund. Tracking Progress on Child and Maternal Nutrition. New York: UNICEF; 2009.

Family Health Survey (NFHS-3),

Evidence for the ten steps to successful breastfeeding: Family and Reproductive health. Division of Child Health and Development. World health Organization, Geneva.

Jellife DB, Jellife EP. Breastfeeding: world significance in obstetric practice. J Trop Pediatr 1983; 29: 130-132.

Kearney MH, Cronenwett LR, Reinhardt R. Cesarean delivery and breastfeeding outcomes. Birth 1990; 17: 97- 103.

Ahmed FU, Rehman ME & Alam MS (1996) Prelacteal feeding influencing factors and relation to Establishment of lactation. Bangladesh Med Res Counc Bull, 22 (2): 60-64.




How to Cite

Bhatt S, Parikh P, Kantharia N, Dahat A, Parmar R. Knowledge, Attitude and Practice of Postnatal Mothers for Early Initiation of Breast Feeding in The Obstetric Wards of a Tertiary Care Hospital of Vadodara City. Natl J Community Med [Internet]. 2012 Jun. 30 [cited 2023 Sep. 30];3(02):305-9. Available from:



Original Research Articles