Journal of Tropical Pediatrics Advance Access originally published online on December 12, 2008
Journal of Tropical Pediatrics 2009 55(3):183-188; doi:10.1093/tropej/fmn110
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Breastfeeding Knowledge and Practices amongst Mothers in a Rural Population of North India: A Community-based Study
aDepartment of Pediatrics Postgraduate Institute of Medical Education and Research, Chandigarh, India
bDepartment of Community Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India
Correspondence: Dr Praveen Kumar, Neonatal Unit, Advanced Pediatric Center, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, India. Tel.: +91 172 2755308; Fax: +91 172 2744401. E-mail <drpkumarpgi{at}gmail.com>.
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Abstract |
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Background: National family health survey-3 of India has revealed startling lower exclusive breastfeeding (EBF) rates (16.9%) in the state of Haryana compared with national data (46%). The barriers to breastfeeding in this population are not clearly known. Therefore, a study was conducted in a rural population of the state to study their breastfeeding practices, knowledge regarding usefulness of breastfeeding and factors influencing the breastfeeding practices.
Methods: In six villages of Panchkula district of Haryana, all the mothers of infants between 0–6 months were interviewed using a pretested semi-structured questionnaire. Time at initiation of breastfeeding, duration of EBF and their understanding about the usefulness of breastfeeding were assessed. Position of the baby during breastfeeding and attachment of the baby's mouth to the breast were assessed by direct observation while feeding. Breastfeeding knowledge of the mother was evaluated.
Results: Out of the 77 mothers, 30% and 10% exclusively breastfed their infants till 4 and 6 months of age, respectively. There was ‘good attachment’ in 42% mother–infant pairs and infants were held in ‘correct position’ by 60% mothers. Thirty-nine percent of the mothers had ‘satisfactory’ breastfeeding knowledge. On multivariate logistic regression analysis, lack of breastfeeding counseling was significantly associated with decreased rates of EBF at 4 months and 6 months (p-value 0.01 and 0.002, respectively) and ‘full’ breastfeeding (FBF) at 6 months of age (p-value 0.002).
Conclusions: EBF/FBF practices and breastfeeding knowledge are suboptimal among the rural North Indian mothers. Breastfeeding counseling with emphasis on correct technique can improve the EBF/FBF rates.
Key Words: breastfeeding • knowledge • practices • influencing factors • rural