Breast feeding practices in slums under guwahati municipal corporation
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TRADITIONAL. BREAST FEEDING PRACTICES IN SLUMS UNDER GUWAHATI MUNICIPAL CORPORATION. Prof.J.N. Sharma Dhrubajyoti Sharma* Dept. Of Paediatrics Gauhati Medical college. INTRODUCTION.

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BREAST FEEDING PRACTICES IN SLUMS UNDER GUWAHATI MUNICIPAL CORPORATION

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TRADITIONAL

BREAST FEEDING PRACTICES IN SLUMS UNDER GUWAHATI MUNICIPAL CORPORATION

Prof.J.N. Sharma

Dhrubajyoti Sharma*

Dept. Of Paediatrics

Gauhati Medical college


INTRODUCTION

  • Breast feeding practices include exclusive breast feeding for 6 months and extended breast feeding up to 2 years or beyond.

  • There are many traditional practices associated with breast feeding of which certain undesirable practices need to be discouraged.


MATERIALS AND METHOD

  • Study was conducted in 15 slums under GMC among 300 mothers who had children from 6 months to 24 months age.

  • Few mothers with children up to 25 to27 months were also included in the present study as per the need.

  • Institution:dept. of Paediatrics Gauhati Medical College.

  • Period of study:from 1st March 2005 to 31st August 2005.

  • Data were collected in pretested proforma using structured questionnaire.

  • Prevailing breast feeding practices, beliefs and factors associated with it were noted.


RESULTS AND OBSERVATIONS

INITIATION OF BREAST FEEDING

(n=300)

Time since birth at initiation

42% initiated within one hour.


HISTOGRAM SHOWING TIME AT INITIATION IN

3 RELIGIONS IN THE PRESENT STUDY

(n=162)

(n=132)

(n=6)

Time since birth at initiation of Breast feeding

59.25% Hindu initiated within 1 hr.

22.72% Muslim initiated within 1hr.

Sikhs initiated after second day.


according to place of delivery and literate-illiterate

84(68.29%)hospital deliveries initiated within 1hr. in contrast with 42(23.72%)home deliveries.(p value<.05)

69(57.02%)literate initiated within 1 hr. in contrast with 57(31.84%)illiterate.(p value<.05)


Source of information for initiation within 1hr.

46% received information from Doctor.12% from Radio/TV and 10% received information from Nurse.

11%know themselves that breast feeding should be initiated within 1hr (experienced).

6%traditionally initiated within 1 hr (no source).


INTRODUCTION OF PRELACTEALS

56.67% introduced prelacteals.


INTRODUCTION OF PRELACTEALS

IN 3 RELIGIONS

42.59% Hindu,71.97% Muslim introduced prelacteals and

100% Sikh introduced prelacteals.


INTRODUCTION OF PRELACTEALS ACCORDING TO PLACE OF DELIVERY AND LITERATE-ILLITERATE

90.39% home deliveries and 8.13% hospital deliveries introduced prelacteals(p value<.05).

69.27%illiterate and 38.01%literate introduced prelacteals(p value<.05).


COLOSTRUM FEEDING WITHIN

4 HRS. OF BIRTH

(n=300)

54% fed colostrums within 4 hrs. of birth.


COLOSTRUM FEEDING WITHIN 4 HRS. IN 3 RELIGIONS

74.07% Hindu and 32.57% Muslim fed colostrums within 4 hrs of birth.

Sikh did not feed colostrums within 4 hrs of birth.


PLACE OF DELIVERY LITERATE-ILLITERATE IN

COLOSTRUM FEEDING WITHIN 4 HRS.

98.37% hospital deliveries and 23.72% home deliveries fed colostrums within 4 hrs of birth(p value <.05).

76.85% literate and 39.1% illiterate fed colostrums within 4 hrs of birth(p value<.05).


REASONS AND BELIEFS FOR NOT FEEDING COLOSTRUMS

40.87% believed that milk is not present in the breast during 1to3 days after birth .

13.13% not fed because colostrum is harmful for the baby.

In 10.94% Panditji advised.


EXCLUSIVE BREAST FEEDING

Duration of Exclusive Breast Feeding

34.67% practiced EBF for 6 months.

36.67% practiced EBF for 7to9 months.

8% for 2-3 months and 6% continued up to 10-12 months.


EBF FOR 6 MONTHS IN SOME

MAJOR COMMUNITIES

(n=82)

(n=50)

(n=49)

(n=41)

(n=43)

(n=13)

51.02%Assamese speaking Hindu.

21% in Assamese speaking Muslim.

24% in Bengali speaking Muslim.


PLACE OF DELIVERY AND LITERATE-ILLITERATE

IN EBF FOR 6 MONTHS

66.67% hospital and 16.38% home deliveries practiced EBF

for 6 months(p value<.05).52.89% literate and 22.34% illiterate

Practiced EBF for 6 months(p value<.05).


SOURCE OF INFORMATION FOR EBF

FOR 6 MONTHS

60% received information from Doctors.14% know themselves(experienced).

6% traditionally practiced EBF for 6 months(no source).


CONTINUED BREAST FEEDING

UPTO OR BEYOND 2 YEARS

N=82.

98% continued up to or beyond 2 years.


SOURCE OF INFORMATION FOR CONTINUED BREAST FEEDING UP TO OR BEYOND 2 YEARS

78% continued for traditional reason(no source).


CONCLUSION

  • Undesirable traditional practices such as- giving prelacteals,late initiation of Breast feeding are still prevalent among the mothers and more so among illiterates and home deliveries.

  • Doctor’s advice, hospital delivery and literacy may play an important role in discouraging such potentially harmful practices.

  • Prevalence of EBF for 6 months is low.

  • Extended Breast feeding is encouraging.


.

thank you...


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