Intervention Study to Improve Knowledge and Attitude of Lac-tating Mother about Breast Feeding In a Rural Area of Hapur

Nitin Kumar  Pathak; Pankaj  Kumar

doi:10.5455/njcm.20200203095038

Authors

Nitin Kumar Pathak Rama Medical College Hospital & Research Centre, Hapur
Pankaj Kumar G S Medical College, Pilkhuwa, Hapur

DOI:

https://doi.org/10.5455/njcm.20200203095038

Keywords:

Breast Feeding, Lectation, Lactating mother, Intervention, feeding

Abstract

Introduction: Breastfeeding is an important public health strategy for improving infant and child morbidity and mortality, improving maternal morbidity, and helping to control health care costs. Breastfeeding is associated with a reduced risk of otitis media, gastroenteritis, respiratory illness, sudden infant death syndrome, necrotizing enterocolitis, obesity, and hypertension. This study was done to assess the knowledge attitude of lactating mothers.

Methodology: A cross-sectional pre and post test KAP, descriptive study was carried out among mothers of children less than two years of age, attitudes, Knowledge towards breastfeeding. An intervention was done by showing a documentary film to lactating mother.

Results: The number of correct responses about Knowledge, attitude, practice increased significantly after the intervention.

Discussion: Statistically significant difference was found between attitude scores and age, employment. Mothers older than 25 years and housewife had more positive attitudes toward breast feeding.

Conclusion: Due to low level of knowledge among Indian lactating mothers, it is important to provide prenatal education to mothers on breast feeding. We also recommend strengthening the public health education campaigns to promote breast feeding

References

Ghosh rohini , child mortality in India : a complex situa-tion,world jurnal of pediatrics, fab2012 volume 8,issue 1,pp 11-18

Bhutta ZA, Darmstadt GL, Hasan BS, Haws RA. Communi-tybased interventions for improving perinatal and neonatal health outcomes in developing countries: a review of the evidence. Pediatrics 2005;115:519–617.

Das NP, Dey D. Understanding the causative factors behind stalling of infant mortality in India during the recent period. Demography India 2003;2:249–273

James DCS, Lessen R, Position of American Dietetic Associ-ation: Promoting and supporting breastfeeding. J Am Diet Assoc. 2009, 109 (11): 1926-1942.

Kramer MS, Kaulma R: The optimal duration of exclusive breastfeeding: A systematic review. World HealthOrganiza-tion,Website.http://www.who.int/nutrition/publications/optimal_duration exc_bfeeding_review_eng.pdf (Cited on 17 July2019 )

Nabulsi N: Why are breastfeeding rates low in Lebanon? a qualitative study. BMC Pediatr. 2011, 11: 75-10.1186/1471-2431-11-75.

A documentary film developed by bodhi health education available on https://www.youtube.com/ watch?v=fbNsWj 226Xc [cited on 21 July 2019 ]

Simard I, O’Brien HT, Beaudoin A, Turcotte D, Damant D, Ferland S, et al. Factors influencing the initiation and dura-tion of breastfeeding among low-income women followed by the Canada prenatal nutrition program in 4 regions of quebec. J Hum Lact. 2005;21:327–37.

Oche MO, Umar AS, Ahmed H. Knowledge and practice of exclusive breastfeeding in Kware, Nigeria. Afr Health Sci. 2011;11:518–23.

Tiwari R, Mahajan PC, Lahariya C. The determinants of ex-clusive breastfeeding in urban slums: a community based study. J Trop Pediatr. 2009;55:49–54.

Bandyopadhyay M. Impact of ritual pollution on lactation and breastfeeding practices in rural West Bengal, India. Int Breastfeed J. 2009;4:2.

Kuzma J. Knowledge, attitude and practice related to infant feeding among women in rural Papua New Guinea: a de-scriptive, mixed method study. Int Breastfeed J. 2013;8:16.

NDHS. Nigerian Demographic and Health Survey. National Population Commission; Federal Republic of Nigeria:2008. (Citedon17July2019) Avaialble from: www.unicef.org/ ni-geria/ng_publications_Nigeria_DHS_2008.

Ulak M, Chandyo RK, Mellander L, Shrestha PS, Strand TA. Infant feeding practices in Bhaktapur, Nepal: a cross-sectional, health facility based survey. Int Breastfeed J. 2012;10:1.

Otsuka K, Dennis CL, Tatsuoka H, Jimba M. The relation-ship between breastfeeding self-efficacy and perceived in-sufficient milk among Japanese mothers. J Obstet Gynecol Neonatal Nurs. 2008;37:546–55.

Imdad A, Yakoob MY, Bhutta ZA. Effect of breastfeeding promotion interventions on breastfeeding rates, with spe-cial focus on developing countries. BMC Public Health. 2011;13:3.

IYCF. National guideline on Infant and Yong Child Feed-ing. 2nd edition. 2006.

Oche MO, Umar AS. Breastfeeding Practices of Mothers in a Rural Community of Sokoto, Nigeria. Niger Postgrad Med J. 2008;15:101–4.

Chaudhary RN, Shah T, Raja S. Knowledge and practice of mothers regarding breast feeding: a hospital based study. Health Renaissance. 2011;9:194–200.

Raval D, Jankar DV, Singh MP. A study of breast feeding practices among infants living in slums of Bhavnagar city, Gujarat. India Health line. 2011;2:78–83.

Chandrashekhar TS, Joshi HS, Binu V, Shankar PR, Rana MS, Ramachandran U. Breastfeeding initiation and deter-minants of exclusive breastfeeding-a questionnaire survey in an urban population of western Nepal. Public Health Nutr. 2007;10:192–7.

Agarwal S, Srivastava K, Sethi V. Maternal and New-born Care Practices Among the Urban Poor in Indore, India: Gaps, Reasons and Possible Program Options. Urban Health Resource Center; New Delhi: 2007.

Ekanem IA, Ekanem AP, Asuquo A, Eyo VO. Attitude of working mothers to exclusive breastfeeding in Calabar mu-nicipality, cross river State, Nigeria. Journal of Food Re-search. 2012;1:71–75.

Holbrook EK, Mary CW, Melvin BH, Janet MW. Maternal sociodemographic characteristics and the use of the Iowa In-fant Attitude Feeding Scale to describe breastfeeding initia-tion and duration in a population of urban, Latina mothers: a prospective cohort study. Int Breastfeed J. 2013;8:7.

Mbada EC AE, Joel OF, Folasade CO-A, Funmilola AF, Abiola OO, et al. Knowledge, attitude and techniques of breastfeeding among Nigerian mothers from a semi-urban community. BMC Research Notes. 2013;6:552..

Hale R. Infant nutrition and the benefits of breastfeeding. Br J Midwifery. 2007;15:368–71.

James DC, Lessen R. Position of the American Dietetic As-sociation: Promoting and supporting breastfeeding. J Am Diet Assoc. 2009;109:1926–42.

Dubois L, Girard M. Social determinants of initiation, dura-tion and exclusivity of breastfeeding at the population lev-el. The results of a longitudinal study of child development in Quebec (ELDEQ 1998–2002) Can J Public Health. 2003; 94: 300–5.

Khassawneh MYK, Zouhair A, Ahmad A. Knowledge, atti-tude and practice of breastfeeding in the north of Jordan: a cross-sectional study. Int Breastfeed J. 2006;1:17.

Shi LZJ, Wang Y, Guyer B. Breastfeeding in rural China: as-sociation between knowledge, attitudes, and practices. J Hum Lact. 2008;24:377–85.