Knowledge, preferences, practices, and attitudes about breastfeeding among postnatal mothers in Uttarakhand, India: a cross-sectional study

Published

2022-06-30

DOI:

https://doi.org/10.47203/IJCH.2022.v34i02.027

Keywords:

Infant, Child, Mother, Breastfeeding, Weaning, Colostrum

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Original Article

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Abstract

Background: Breastmilk is the natural and safest first food for the newborn. It has nutritional, immunological, behavioural, and offers mother-infant bonding. Objective: The objective of the study was to explore the knowledge, practice, and attitudes of mothers towards breastfeeding. Material & Methods: A cross-sectional study was conducted among conveniently selected 950 postnatal mothers attending the immunization clinic and paediatric OPD with their children for vaccination and treatment of other minor illnesses from April 2018 to November 2019 in selected hospitals of Rishikesh, Uttarakhand. Mothers were face-to-face interviewed using structured knowledge, preference, practices, and attitude questionnaires about newborn breastfeeding. Tools were validated and tested for reliability. Results: The average knowledge scores (11.72±1.78) indicated that mothers have good knowledge about breastfeeding. Most mothers (81.45%) fed their babies with colostrum, and 82% were exclusively breastfeeding. It was also reported about top feeds like honey, coconut water, grape water, ghuttee, lactogen among about 20% of the participants. The average score of the Iowa Infant Feeding Attitude Scale (IIFAS) (58.11±6.44) lay in the range of neutral attitudes related to breastfeeding practices among the mothers. Conclusion: Breastfeeding practices were adequate among many mothers, but there were practices of throwing colostrum, topfeed baby and early initiation of weaning. Thus, it is necessary to create awareness among the mothers and their families about the correct practices of feeding the newborn baby; eventually, the attitude will change.

How to Cite

1.
Jelly P, Kodi M, Sharma M, Sharma SK, Sharma R. Knowledge, preferences, practices, and attitudes about breastfeeding among postnatal mothers in Uttarakhand, India: a cross-sectional study. Indian J Community Health [Internet]. 2022 Jun. 30 [cited 2022 Aug. 16];34(2):294-300. Available from: https://iapsmupuk.org/journal/index.php/IJCH/article/view/2256

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References

Shaili V, Parul S, D KS, Jayanti S, Anurag S, Vipul N, et al. A community based study on breastfeeding practices in a rural area of Uttarakhand. Natl J Community Med. 2012;3(2):283–7.

Khan ME. Breast-feeding and weaning practices in India. Asia-Pacific Popul J. 1990;5(1):71–88.

WHO. Breastfeeding can save lives and boost the economy – but mothers need more support [Internet]. WHO. World Health Organization; 2017. Available from: http://www.who.int/life-course/news/commentaries/breastfeeding-can-save-lives/en/

Rollins NC, Bhandari N, Hajeebhoy N, Horton S, Lutter CK, Martines JC, Piwoz EG, Richter LM, Victora CG GT. Why invest, and what it will take to improve breastfeeding practices? Lancet. 2016;387(10017):491–504.

Verma A, Kumari R, Hussain S, Langer B, Gupta R, Singh P. Knowledge and practices regarding breastfeeding: A community-based cross-sectional study in a rural area of Northwest India. Int J Med Sci Public Heal. 2017;6(5):1.

Kumar S, Jha SK, Singh A, Rawat CM, Awasthi S, Bano M SA. Knowledge, Attitude and Practices (KAP) Regarding Breastfeeding: A Community based Cross Sectional Study from Rural Uttrakhand. Hindu. 2015;6(2):17-22.

Mise PJ, Mise AJ, Mise SJ, Siddappa M. Study of breastfeeding practices and problems among postnatal mothers: a hospital based study. Int J Reprod Contraception, Obstet Gynecol. 2017;6(8):3343.

Janani-Shishu Suraksha Karyakram?:: National Health Mission [Internet]. NHM. 2021. Available from: http://www.nhm.gov.in/index1.php?lang=1&level=3&sublinkid=1179&lid=363

Junaid M, Patil S. Breastfeeding practices among lactating mothers of a rural area of central India: a cross-sectional study. Int J Community Med Public Heal. 2018 Nov;5(12):5242.

Newborn and child health; Let’s end preventable neonatal deaths and ensure Every Child ALIVE. [Internet]. Unicef, India. Available from: https://www.unicef.org/india/what-we-do/newborn-and-child-health

Nishimura H, Krupp K, Gowda S, Srinivas V, Arun A, Madhivanan P. Determinants of exclusive breastfeeding in rural South India. Int Breastfeed J. 2018;13(1):1–7.

Reddy SN, Sindhu KN, Ramanujam K, Bose A, Kang G, Mohan VR. Exclusive breastfeeding practices in an urban settlement of Vellore, southern India: Findings from the MAL-ED birth cohort. Int Breastfeed J. 2019 Jun 27;14(1):1–6.

Jelly P, Sharma SK, Saxena V, Arora G, Sharma R. Exploration of Breastfeeding Practices in India: A Systematic Review. J Holist Nurs Midwifery. 2022;32(1):58–68.

Mora A de la, Russell DW, Dungy CI, Losch M, Dusdieker L. The Iowa infant feeding attitude scale: analysis of reliability and validity 1. J Appl Soc Psychol. 1999;29(11):2362–80.

Iliadou M, Lykeridou K, Prezerakos P, Tzavara C, Tziaferi S. Reliability and Validity of the Greek Version of the Iowa Infant Feeding Attitude Scale Among Pregnant Women. Mater Socio Medica. 2019;31(3):160.

Kumar S, Jha SK, Singh A, Rawat CMS, Awasthi S, Bano M, et al. Knowledge , Attitude and Practices ( KAP ) Regarding Breastfeeding?: A Community based Cross Sectional Study from Rural Uttrakhand. Heal J. 2015;6(2):2–7.

Naseem A, Mazher N. A study to evaluate the knowledge, attitude and practices of exclusive breast feeding among primi mothers of healthy term neonates in a tertiary care hospital and predictors of failure of establishment of exclusive breast feeding in first six months. Int J Contemp Pediatr. 2016;3(3):810–4.

Bashir A, Mansoor S, Yousuf Naikoo M. Knowledge, attitude, and practices of postnatal mothers regarding breastfeeding: A cross-sectional study. Int J Med Sci Public Heal. 2018;7(11):725.

Vijayalakshmi P, Susheela,D. M. Knowledge , Attitudes and Breast Feeding Practices of Postnatal Mothers?: A Cross Sectional Survey. Int J Health Sci (Qassim). 2015;9(4):363–72.

Hema K T, Akhtar F, Aggarwal S, Rawat C. Knowledge and Practices regarding Breastfeeding and Complementary Feeding among migrant mothers of Haldwani block, District Nainital, Uttarakhand. India J Appl Res. 2017;7(9):17–9.

Al Ketbi MI, Al Noman S, Al Ali A, Darwish E, Al Fahim M, Rajah J. Knowledge, attitudes, and practices of breastfeeding among women visiting primary healthcare clinics on the island of Abu Dhabi, United Arab Emirates. Int Breastfeed J. 2018;13(1):1–14.

Abie BM, Goshu YA. Early initiation of breastfeeding and colostrum feeding among mothers of children aged less than 24 months in Debre Tabor, northwest Ethiopia: A cross-sectional study. BMC Res Notes. 2019 Jan;12(1):65.

Amele EA, Demissie BW, Desta KW, Woldemariam EB. Prelacteal feeding practice and its associated factors among mothers of children age less than 24 months old in Southern Ethiopia. Ital J Pediatr. 2019 Jan;45(1):1–8.

Kumari SM V, Sudha Rani G, Rao BB. A Study on Infant Feeding Practices in Rural Areas of Warangal District, State of Telangana, India. Int J Contemp Med Res ISSN. 2015;4(4):789.

Chaudhary R, Shah T, Raja S. Knowledge and practice of mothers regarding breast feeding: a hospital based study. Heal Renaiss. 1970;9(3):194–200.

Bala K, Sahni B, Bavoria S, Narangyal A. Knowledge, attitude, and breast-feeding practices of postnatal mothers in Jammu: A community hospital based cross sectional study. J Fam Med Prim Care. 2020;9(7):3433.

Rathaur V, Pathania M, Pannu C, Jain A, Dhar M, Pathania N, et al. Prevalent infant feeding practices among the mothers presenting at a tertiary care hospital in Garhwal Himalayan region, Uttarakhand, India. J Fam Med Prim Care. 2018;7(1):45.

Bindu A, Noushadali A. K, Kutty P. M. Knowledge, attitude, and practice of breast feeding mothers in a tertiary care centre: a descriptive study. Int J Pediatr Res. 2017;4(12):706-712.doi:10. 17511/ijpr.2017.12.03.

Gangwal M, Nair BT, Singh VK. Knowledge, attitude and practices regarding breastfeeding and infant milk substitutes among mothers of upper middle-class society in a baby friendly hospital initiative accredited hospital of New Delhi, India. Int J Contemp Pediatr Gangwal M al Int J Contemp Pediatr. 2020;7(1):173–9.

Attia Mohammed B, Abdullah Soliman S. Mothers’ Attitudes toward Breastfeeding and Their Association with Infants’ Characteristics. J Nurs Heal Sci. 2018;7(3):60–9.

Shoman AE, Emam HM, Environment C. Evaluation of Lactation Management Education Program among Nursing Mothers Attending a Primary Health Care Unit in Suez Governorate, Egypt. Egypt J Community Med. 2018;36(3):49–60.

Cox KN, Giglia RC, Binns CW. The influence of infant feeding attitudes on breastfeeding duration: Evidence from a cohort study in rural Western Australia. Int Breastfeed J. 2015;10(1):1–9.

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