anantha lakshmi satyavathi devi kommula.pdf

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15 National Journal of Medical and Dental Research, April – June 2014: Volume-2, Issue-3, Page 15-17 Knowledge, Attitude and Practices of Breast Feeding among Mothers in a Slum Area of Amalapuram, East Godavari District, Andhrapradesh Anantha Lakshmi Satyavathi Devi Kommula A , Vani Madhavi Kommula B  A  Assistant Professor, Department of Gynaecology and obsterics, KIMS, Amalapuram,  East Godavari Dis trict,Andhra Prad esh.  B  Associate professor, Department of Community Medicine, KIMS, Amalapuram,  East Godavari Dis trict, Andhra P radesh. Abstract: Background & objecves:  Breast feeding is the fundamental right the infant gets when he is born. Breast feeding pracces vary among dierent regions and communies. T o study the knowledge, atude and pracces of breast feeding among the mothers. Study design: Cross seconal study. Seng: Urban health center catchment area of Konaseema Instute of Medical Sciences, Andhra Pradesh, India. Subjects: 135mothers were parcipated in the study. Study variables: Mother age, educaonal status, me of iniaon of breast feeding, colostrum feeding, duraon of exclusiv e breast feeding. Stascal analysis: It was done using Epi-info version 7.0. Results: Majority (63.2%) were in the age group of 18-21 years, 52.6% were literates.36.3% have knowledge about the me of iniaon of breast feeding, 97.8% have posive atude towards breast feeding. Early iniaon of breast feeding was done by 48.1% of the mothers.94% of mothers given colostrum to their babies. Conclusion: Early iniaon of breast feeding, giving colostrum and exclusive breast feeding for the rst six months need to be reinforced. Key Words: KAP, Breast feeding, Andhra Pradesh. Natl J Med Dent Res 2014; 2(3) : 15-17 Manuscript Reference Number: Njmdr_425_13 Date of submission: 26 June 2013 Date of Editorial approval: 03 July 2013 Date of Peer review approval: 02 August 2013 Date of Publication: 30 June 2014 Conict of Interest: Nil; Source of support: Nil Name and addresses of corresponding author: Anantha Lakshmi Satyavathi Devi Kommula, Assistant Professor, Department of Gynaecology and obsterics, Konaseema Institute of Medical Sciences (KIMS), Amalapuram, District: East Godavari-53 3201, Andhra Pradesh,India.Tel No.08856- 237996-998, Mobile no.919989420676. Email: alsdevi14@ gmail.com Original Article Introduction: Breast feeding is the fundamental right the infant gets when he is born. It was estimated that 14 lakh infant deaths can be averted with exclusive breast feeding [1]. The  benecial effects of breast feeding depend on initiation, its duration, and the age at which the child is weaned [2]. It should  be initiated within 30 minutes of delivery [3]. UNICEF and WHO recommends that child should exclusively breast fed for rst 4 to 6 months of life and continue  breast feeding together with weaning food up to and beyond second year of life [4]. Breast feeding practices vary among different regions and communities [5]. In India breastfeeding appears to be shaped  by the beliefs of a community , which are further inuenced by social, cultural and economic factors. Hence the study with these relationships helps in orienting the  breastfeeding promotional activities and for preventing a decline in initiation and duration of breastfeeding practices. It is also useful for policy makers for interventional

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8/10/2019 Anantha Lakshmi Satyavathi Devi Kommula.pdf

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15

National Journal of Medical and Dental Research, April – June 2014: Volume-2, Issue-3, Page 15-17

Knowledge, Attitude and Practices of Breast Feeding

among Mothers in a Slum Area of Amalapuram, East

Godavari District, Andhrapradesh

Anantha Lakshmi Satyavathi Devi KommulaA, Vani Madhavi KommulaB

 A Assistant Professor, Department of Gynaecology and obsterics, KIMS, Amalapuram,

 East Godavari District,Andhra Pradesh. B Associate professor, Department of Community Medicine, KIMS, Amalapuram,

 East Godavari District, Andhra Pradesh.

Abstract:

Background & objecves: Breast feeding is the fundamental right the infant gets when

he is born. Breast feeding pracces vary among dierent regions and communies.

To study the knowledge, atude and pracces of breast feeding among the mothers.

Study design: Cross seconal study.

Seng:  Urban health center catchment area of Konaseema Instute of Medical

Sciences, Andhra Pradesh, India. Subjects: 135mothers were parcipated in the study.

Study variables: Mother age, educaonal status, me of iniaon of breast feeding,

colostrum feeding, duraon of exclusive breast feeding.

Stascal analysis: It was done using Epi-info version 7.0. Results: Majority (63.2%)

were in the age group of 18-21 years, 52.6% were literates.36.3% have knowledge

about the me of iniaon of breast feeding, 97.8% have posive atude towards

breast feeding. Early iniaon of breast feeding was done by 48.1% of the mothers.94%

of mothers given colostrum to their babies.

Conclusion: Early iniaon of breast feeding, giving colostrum and exclusive breast

feeding for the rst six months need to be reinforced.

Key Words: KAP, Breast feeding, Andhra Pradesh. 

Natl J Med Dent Res 2014; 2(3) : 15-17

Manuscript Reference

Number: Njmdr_425_13

Date of submission: 26 June 2013

Date of Editorial approval: 03 July 2013

Date of Peer review approval: 02 August 2013

Date of Publication: 30 June 2014

Conict of Interest: Nil; Source of support: Nil

Name and addresses of corresponding author:

Anantha Lakshmi Satyavathi Devi Kommula,

Assistant Professor,

Department of Gynaecology and obsterics,

Konaseema Institute of Medical Sciences (KIMS),

Amalapuram, District: East Godavari-533201,

Andhra Pradesh,India.Tel No.08856- 237996-998,

Mobile no.919989420676.

Email: alsdevi14@ gmail.com

iginal Article

Introduction:

Breast feeding is the fundamental right the

infant gets when he is born. It was estimatedthat 14 lakh infant deaths can be averted

with exclusive breast feeding [1]. The

 benecial effects of breast feeding depend

on initiation, its duration, and the age at

which the child is weaned [2]. It should

 be initiated within 30 minutes of delivery

[3]. UNICEF and WHO recommends that

child should exclusively breast fed for

rst 4 to 6 months of life and continue

 breast feeding together with weaning

food up to and beyond second year of life

[4]. Breast feeding practices vary among

different regions and communities [5]. InIndia breastfeeding appears to be shaped

 by the beliefs of a community, which are

further inuenced by social, cultural and

economic factors. Hence the study with

these relationships helps in orienting the

 breastfeeding promotional activities and

for preventing a decline in initiation and

duration of breastfeeding practices. It is also

useful for policy makers for interventional

8/10/2019 Anantha Lakshmi Satyavathi Devi Kommula.pdf

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16

National Journal of Medical and Dental Research, April – June 2014: Volume-2, Issue-3, Page 15-17

 programmes.

Material and Methods:

The present study is a cross sectional community based study,

carried out in the urban health center catchment area which

is attached to Konaseema Institute Of Medical Sciences,

Amalapuram, East Godavari district, Andhrapradesh, India

during March to June 2013.Our urban health center total

 population is 14,925 which consists of 33 colonies. Out of

which four were selected randomly they are Vaddigudem,

Janakipeta, Uppar colony, AMG colony. Mothers who are

having a child between 12-14 months of age of both sexes

from these colonies were included in the study.

Approval from the Institutional Ethics Committee was

taken prior to the study initiation and written consent

was taken from the participants those who are willing to

 participate, after explaining the objectives and procedure

of the study. All mothers were subjected to a pre tested,

semi structured questionnaire. By interviewing them data

was collected on the background information, knowledge,

attitude and their breast feeding practices. The data was

 processed and statistical analysis was done using Epi-info

version 7.0.

Results and Discussion:

One hundred and thirty ve mothers were participated in

the study. Among them majority (63.2%) were in the age

group of 18-21 years, education wise 52.6% were literates.

Knowledge regarding breast feeding only 36.3% have

knowledge about time of initiation breast feeding, 65.2%

know the importance of colostrum feeding, 47.4% know

the correct duration of breast feeding, 63.7% know the

 benets to the child, but only 10.4% know the benets

to the mother by giving breast milk. (Table 1) In a study

in the urban slums of Karnataka 41.7% of mothers were

informed about breast feeding.6 In an another study in the

rural population of north India they found that 39% of themothers had satisfactory knowledge about breast feeding.7 

Table 1

 Knowledge about breast feeding

Characteristics Yes No

Time of initiation of

 breast feeding

49 (36.3%) 86 (63.7%)

Colostrum feeding 88(65.2%) 47 (34.8%)

Duration of breast feeding 64 (47.4%) 71 (52.6%)

Benets to the child 86 (63.7%) 49 (36.3%)

Benets to the mother  14 (10.4%) 121 (89.6%)

Majority of them (97.8%) have positive attitude towards

 breast feeding where as in another study 70.2% had good

and very good attitude in this regard.8 89.6% have positive

attitude regarding colostrum feeding, where as 56.3% have

negative attitude towards exclusive breast feeding. (Table

2)

Table 2

Attitude regarding breast feeding

Characteristics Positive Negative

About breast feeding 132 (97.8%) 3 (2.2%)

Colostrum feeding 121(89.6%) 14(10.4%)

Exclusive breast

feeding

59 (43.7%) 76 (56.3%)

Duration of breast

feeding

89(65.9%) 46(34.1%)

Early initiation of breast feeding was done by 48.1% of the

mothers, among them 67.7% were literates and it is found

statistically signicant. (Table 3) In a study in urban slums

of Chandigarh 58.9% initiated breast feeding with in six

hours of birth.9 Where as in an another study from South

India only 28% initiated early breast feeding.10 In a study in

the urban slum of Nagpur they found that mothers who had

received knowledge about breast feeding during antenatal

 period were less likely to cause delay in initiation of breast

feeding.11

Table 3

Initiation of breast feeding in relation to mother’s

education

S.No Time Illiterate Literate

X2 =13.82,

 p = 0.003

1 <1hr 21 44

2 1-6 hr 27 15

3 < 1 day 11 5

4 > 1 day 5 7

Majority of the mothers (94%) given colostrum to their

 babies (Table 4), where as in an another study 15.4%

 babies had not received colostrum.12  The common reason

the mothers are telling that colostrum was not good for the

child.

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17

National Journal of Medical and Dental Research, April – June 2014: Volume-2, Issue-3, Page 15-17

Table 4

 Colostrum feeding in relation to mother’s education

(n=135)

Illiterate Literate Total

Colostrum given 58 69 127 (94.1%)

Colostrum not

given

6 2 8 (5.9%)

X2 =1.29, p= 0.222

Majority of the mothers (67.4%) breast fed their babies

for more than one year. Among them illiterate mothers

(75.8%) are more compared to literate mothers, and it is

found statistically signicant. (Table 5) In an another study

in Delhi 83.5% of children are breastfed till one year of

age.13 

Table 5

 Duration of breast feeding in relation to mother’s

education

Illiterate Literate Total

< 1 year 10 34 44 (32.6%)

> 1year 69 22 91(67.4%)

X2 =34.19, p= 0.000

Conclusions:

Majority of the literate mothers are doing early initiation

of breast feeding. Early initiation of breast feeding, giving

colostrum and exclusive breast feeding for the rst six

months need to be reinforced through IEC activity by all

healthcare personnel specially grass route workers i.e.,

ANM and ASHA, creating awareness in the community by

celebrating breast feeding week.

References:

1. Blake RE, Allen LH, Bhutta A. Maternal and child

health under nutrition: Global and regional exposures

and health consequences. Lancet 2008; 371: 243-260.

2. Victoria CG, Smith PG, Vaughan JP, Nobre LC,

Lombardi C, Teixeira AM, et al. Evidence for protection

against infant deaths from infectious diseases in Brazil

Lancet. 1987; 2:319–322.

3. World Health Organization. UNICEF, Ten steps to

 promote successful breastfeeding Mother and Child

Health Division. Geneva: 1989

4. Bhavana Singh. Knowledge, attitude practice of breast

feeding –a case study. European journal for scientic

research 2010; 40 ( 3): 404-422.

5. Iskandar MB, Costello C, Nasution Y. Initiation and

Duration of Breast feeding in Indonesia. Asia Pac

Popul J. 1990; 5:89–112.

6. Sima Roy .et.al.Feeding Practices of Children in an

Urban Slum of Kolkata. Indian journal of community

medicine 2009; 34(4) : 362-363.

7. Kishore MS, Kumar P, Aggarwal AK. Breastfeeding

knowledge and practices amongst mothers in rural

 population of north India: a community based study.

Journal of Tropical Paediatrics, 2009;55( 3): 183-188.

8. Abdurrahman Charkazi, Sayyede Zeynab Miraeiz,

Atena Razzaghnejad. Breast feeding status during

rst two years of infants life and its risk factors based

on BASNEF model structures in Isfahan. Journal of

education and health promotion 2013; (2): 10-15.

9. Dinesh Kumar,Neeraj Agarwal, H.M Swami.

Sociodemographic correlates of breast feeding in

urban slum of Chandigarh. Indian Journal of Medical

Science 2006; 60 (11) :461-468.

10. Mohd. Shafee, Leena MS, Rana Firdous, Jogdand

GS. Knowledge, attitude and practices of mothers

regarding breast feeding in south India. Indian Journal

of Maternal and Child Health 2011; 13(2):1-8.

11. Sangole SS, Durge PM. Breast feeding practices of

mothers in urban slum, Nagpur. Indian journal of

Preventive and Social Medicine 2002; 28 (1&2) :26-

28.

12. Syed E. Mahmood, Anurag Srivastava, Ved P.

Shrotriya, Payal Mishra. Infant feeding practices in therural population of north India.Journal of Family and

Community medicine2012; 19(2): 130-135.

13. Vijay L. Grover, Pragati Chhabra and O.P. Aggarwal.

Knowledge, attitude and practices of breast feeding

in rural area of east Delhi: Health and population

 perspectives and issues 1997; 20(2):49-56.