Knowledge, attitude and practice of mothers in breast feeding: A hospital based study
DOI:
https://doi.org/10.3126/jmcjms.v10i1.44628Keywords:
Breast feeding, Colostrum, Exclusive breast feeding, KAP, WeaningAbstract
Background and Objectives: Breastfeeding (BF) is a socially constructed and controlled practice. Although breastfeeding is a common practice in Nepal, proper breastfeeding is on the decline due to several factors. The impact of knowledge and attitude about breastfeeding practice, i.e., duration of breastfeeding, proper techniques, proper time of weaning is poorly understood. So, this study is designed to assess the knowledge, attitude and practice of mothers in breastfeeding.
Material and Methods: This is an observational descriptive cross sectional study carried out among 220 mothers of under 2 years old children attending the pediatric out-patient department (OPD) at Janaki Medical College teaching hospital (JMCTH), Janakpur, Nepal. Mothers were interviewed using pre-designed questionnaire constructed after proper literature review.
Results: All mothers have idea that they have to breast feed their babies, but they did not have adequate knowledge on the appropriate way of breastfeeding. Only, 12.27% knew that they have to initiate breast feeding within 1 hour of birth, 15% had idea on pre-lacteal feed, 5% had idea on importance of colostrum, 10% knew the meaning of exclusive breast feeding, and 0% of the mothers had idea on importance of night feeding. Only 7.27% have knowledge on method on maintaining aseptic precaution during breastfeeding. Only 20.90% were practicing exclusive breast feeding, 70% mothers were practicing night feeds, 15% mothers practiced feeding one side at a time and 15% mothers were practicing appropriate attachment and positioning during BF. None of the mothers got any advice regarding breast feeding during antenatal care (ANC) visits. Only 15% mothers got proper method of breastfeeding advice after birth. 30% practiced burping after breastfeeding. 30% underwent practice of proper food to increase breast milk secretion.
Conclusion: Undesirable cultural practices such as late initiation of breastfeeding after birth, giving pre-lacteal feeds, delay in introduction of weaning foods, not exercising exclusive breastfeeding practice are still prevalent. The maternal knowledge, attitude and practice (KAP) in breastfeeding is still inadequate with a big gap between actual and desired practices and there is urgent need of mother educational program in this society.
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References
Foster R., Infant feeding practices and child health in Bolivia. Journal of Biopsychology Sci.1998, 30:107-125.
WHO. WHA (World Health Assembly) Global Nutrition Targets 2025: Breastfeeding Policy Brief 2014. http://www.who.int/nutrition/topics/globaltargets_breastfeeding_policybrief. pdf.
A, Kamarul T, Hossain G. Exclusive breastfeeding practice during first six months of an infant's life in Bangladesh: a country based cross-sectional study. BMC Pediatr. 2018;18:93.
UNICEF. Breastfeeding: A Mother’s Gift, for Every Child .2018.UNICEF: United Nations Children’s Fund. https://www.unicef.org/publications/index_102824. html. Accessed 23 Jun 1019.
Idris SM, Tafang AGO, Elgorashi A. Factors influencing exclusive breastfeeding among mother with infant age 0-6 months. International Journal of Science and Research. 2015;4(8):28–33.
Mohammad K., et al. Knowledge, attitude and practice of breastfeeding in the north of Jordan: a cross-sectional study. International Journal of Breastfeeding, 2006, 1:4, 1-6.
Gupta A., Protection, Promotion and Support of breastfeeding in South Asia, Nepal Pediatric Society and SAARC conference. 2002, 14-16 March:1-4
Serenius F., et al. Patterns of breast feeding and weaning in Saudi Arabia. Actapediatrica, 1998, 346:121-129.
Ministry of Health, New ERA and ORC Marco, Nepal Demographic Health Survey 2006; 171-176
Wright AL., et al. Increasing breast-feeding rates to reduce infant illness at the community level. Pediatrics; 1998, 101:837-844.
Macías YF, Glasauer P. Guidelines for assessing nutrition related knowledge, attitudes, and practices: food and agricultural organisation of the United Nations; Rome; 2014
Cascone D, Tomassoni D, Napolitano F, Giuseppe GD. Evaluation of knowledge, attitudes, and practices about exclusive breastfeeding among women in Italy. Int J Environ Res Public Health. 2019; 16:2118.
Hamze L, Mao J, Reifsnider E. Knowledge and attitudes towards breastfeeding practices: a cross-sectional survey of postnatal mothers in China. Midwifery. 2019;74: 68–75.
Bashir A, Mansoor S, Naikoo MY. Knowledge, attitude, and practices of postnatal mothers regarding breastfeeding: a cross-sectional study. International Journal of Medical Science and Public Health. 2018;7(9):725
Mehta Y. A study on knowledge and practice of mothers regarding breast feeding in selected rural areas of Nepal, 2001.
Ghais P., et al. Belief and Practices concerning breast feeding, nursing journal of India, 2000 July; Vol. 7: 148 – 152.
Kim TD, Chapman RS. Knowledge attitude and practice about exclusive breastfeeding among women in chililab in Chilinh town Haiduong province Vietnam. Journal of Health Research 2013, 27:1.
Singh J, BhardwarV, Kumra A. Knowledge, attitude, and practice towards exclusive breastfeeding among lactating mothers: Descriptive crosssectional study. International Journal of Medical and Dental Sciences 2018, 7(1):1586.
Swigart TM. BonvecchioA, Theodore FL, ZamudioHaas S, Villanueva-Borbolla MA, thrasher JF. Breastfeeding practices, beliefs, and social norms in lowresource communities in Mexico: insights for how to improve future promotion strategies. PLoS One. 2017; 12:e0180185.
Ayed AAN. Knowledge, attitude, and practice regarding exclusive breastfeeding among mothers attending primary health care centers in Abha city. International Journal of Medical Science and Public Health. 2014; 3(11):1355–63.
Maonga AR, Mahande MJ, Damian JD, Msuya SE. Factors affecting exclusive breastfeeding among women in Muheza district Tanga northeastern Tanzania: a mixed method community based study. Matern Child Health J. 2016;20:77–87.
Arts M, Geelhoed D, Schacht C, Prosser W, Alons C, Pedro A. Knowledge, beliefs, and practices regarding exclusive breastfeeding of infants younger than 6 months in Mozambique: a qualitative study. J Hum Lact. 2011;27(1): 25–32.
Monteiro JCS, Dias FA, Stefanello J, Reis MCG, Nakano AMS, GomesSponholz FA. Breastfeeding among Brazilian adolescents: practice and needs. Midwifery. 2014;30:359–63.
Ouyang YQ, Su M, Redding SR.A survey on difficulties and desires of breastfeeding women in Wuhan, China.Midwifery. 2016;37:19–24.
Jahanpour O, Msuya SE, Todd J, Stray-Pedersen B, Mgongo M. Increasing trend of exclusive breastfeeding over 12 years period (2002-2014) among women in Moshi. Tanzania BMC Pregnancy Childbirth. 2018;18:471.
Government of Nepal minister of Health and Population, family welfare,annual report department of health services, 2019/20, 26, 23-126.
Yadav DK, Gupta N, Shrestha N. Infant and young child feeding practices among mothers in rural areas of Mahottari district of Nepal. J-GMC-N. 2013; 6(2):29–31.
Chaudhary RN, Shah T,Raja S. Knowledge and practice of mothers regarding breast feeding: A hospital based study, Health Renaissance. 2011; Vol 9 (No.3);194-200.
Takahashi K, Ganchimeg T, Ota E, Vogel JP, Souza JP, Laopaiboon M, et al. Prevalence of early initiation of breastfeeding and determinants of delayed initiation of breastfeeding: secondary analysis of the WHO global survey. Sci Rep. 2017;7:44868.
Ouyang YQ, Su M, Redding SR.A survey on difficulties and desires of breastfeeding women in Wuhan, China.Midwifery. 2016; 37:19–24.
Col Jain S, Col Thapar RK, Brig Gupta R.K. Complete coverage and covering completely: breastfeeding and complementary feeding: knowledge, attitude, and practices of mothers. Med J Armed Forces India 2018, 74:28–32.
Hailemariam TW, Adeba E, Sufa A. Predictors of early breastfeeding initiation among mothers of children under 24 months of age in rural part of West Ethiopia. BMC Public Health 2015, 15:1076.
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