Uncovering the Barriers to Exclusive Breast Feeding for Mothers in a Rural Setting in Southern India

Aim:Exclusive breastfeeding (EBF) is very important for the growth and development of the baby. The purpose of this study was to identify the prevalence of EBF practices, to assess the factors associated with those practices, and to find the barriers to EBF practices in the rural community.Materials...

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Main Authors: Supriya Venkatachalapathi, Alexander Mannu, Kathir Subramaniyam, Jaishree Vasudevan, Umadevi Lala
Format: Article
Language:English
Published: Galenos Yayinevi 2021-06-01
Series:Journal of Pediatric Research
Subjects:
Online Access: http://jpedres.org/archives/archive-detail/article-preview/uncovering-the-barriers-to-exclusive-breast-feedin/47465
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author Supriya Venkatachalapathi
Alexander Mannu
Kathir Subramaniyam
Jaishree Vasudevan
Umadevi Lala
author_facet Supriya Venkatachalapathi
Alexander Mannu
Kathir Subramaniyam
Jaishree Vasudevan
Umadevi Lala
author_sort Supriya Venkatachalapathi
collection DOAJ
description Aim:Exclusive breastfeeding (EBF) is very important for the growth and development of the baby. The purpose of this study was to identify the prevalence of EBF practices, to assess the factors associated with those practices, and to find the barriers to EBF practices in the rural community.Materials and Methods:A cross-sectional study based on systematic questioning was carried out involving 252 mothers with children between the ages of 6 and 9 months in the southern Chennai community and the nearby districts of Chengalpattu and Kanchipuram from October 2018 to October 2019. Multiple logistic regression was used to determine factors associated with EBF.Results:Seventy percent (184/252) of mothers following EBF habits had a child older than six months. About 58% of mothers started breastfeeding within one hour of birth, and 32.53% reported colostrum feeding. An apparent shortage of milk (58.82%) was a common problem reported by the mothers leading to EBF discontinuation. Children of working mothers [Odds ratio (OR) 3.32; 95% confidence interval (CI) 1.13, 9.70], urban dwellers (OR 6.67; 95% CI 1.12, 39.66) and children in urban areas (OR 12.47; 95% CI 2.05, 75.90) were less likely to be breastfed exclusively as indicated in the multivariate regression analysis. No relationships were found between the child's gender, method of childbirth, medical advice, or nutritional management before meals and EBF.Conclusion:Working mothers and those living in urban areas were at greater risk of non-compliance with EBF. The national impact of urban sprawl and the impact on EBF activities should be studied in depth.
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spelling doaj.art-81d8defd353c4197a90b505760f2c6272023-02-15T16:11:14ZengGalenos YayineviJournal of Pediatric Research2587-24782587-24782021-06-018218118710.4274/jpr.galenos.2020.2043813049054Uncovering the Barriers to Exclusive Breast Feeding for Mothers in a Rural Setting in Southern IndiaSupriya Venkatachalapathi0Alexander Mannu1Kathir Subramaniyam2Jaishree Vasudevan3Umadevi Lala4 Chettinad Hospital and Research Institute, Department of Pediatrics, TamilNadu, India Chettinad Hospital and Research Institute, Department of Pediatrics, TamilNadu, India Chettinad Hospital and Research Institute, Department of Pediatrics, TamilNadu, India Tagore Medical College and Hospital, Department of Pediatrics, Chennai, India Chettinad Hospital and Research Institute, Department of Pediatrics, TamilNadu, India Aim:Exclusive breastfeeding (EBF) is very important for the growth and development of the baby. The purpose of this study was to identify the prevalence of EBF practices, to assess the factors associated with those practices, and to find the barriers to EBF practices in the rural community.Materials and Methods:A cross-sectional study based on systematic questioning was carried out involving 252 mothers with children between the ages of 6 and 9 months in the southern Chennai community and the nearby districts of Chengalpattu and Kanchipuram from October 2018 to October 2019. Multiple logistic regression was used to determine factors associated with EBF.Results:Seventy percent (184/252) of mothers following EBF habits had a child older than six months. About 58% of mothers started breastfeeding within one hour of birth, and 32.53% reported colostrum feeding. An apparent shortage of milk (58.82%) was a common problem reported by the mothers leading to EBF discontinuation. Children of working mothers [Odds ratio (OR) 3.32; 95% confidence interval (CI) 1.13, 9.70], urban dwellers (OR 6.67; 95% CI 1.12, 39.66) and children in urban areas (OR 12.47; 95% CI 2.05, 75.90) were less likely to be breastfed exclusively as indicated in the multivariate regression analysis. No relationships were found between the child's gender, method of childbirth, medical advice, or nutritional management before meals and EBF.Conclusion:Working mothers and those living in urban areas were at greater risk of non-compliance with EBF. The national impact of urban sprawl and the impact on EBF activities should be studied in depth. http://jpedres.org/archives/archive-detail/article-preview/uncovering-the-barriers-to-exclusive-breast-feedin/47465 breastfeedingexclusivehabitscommunity
spellingShingle Supriya Venkatachalapathi
Alexander Mannu
Kathir Subramaniyam
Jaishree Vasudevan
Umadevi Lala
Uncovering the Barriers to Exclusive Breast Feeding for Mothers in a Rural Setting in Southern India
Journal of Pediatric Research
breastfeeding
exclusive
habits
community
title Uncovering the Barriers to Exclusive Breast Feeding for Mothers in a Rural Setting in Southern India
title_full Uncovering the Barriers to Exclusive Breast Feeding for Mothers in a Rural Setting in Southern India
title_fullStr Uncovering the Barriers to Exclusive Breast Feeding for Mothers in a Rural Setting in Southern India
title_full_unstemmed Uncovering the Barriers to Exclusive Breast Feeding for Mothers in a Rural Setting in Southern India
title_short Uncovering the Barriers to Exclusive Breast Feeding for Mothers in a Rural Setting in Southern India
title_sort uncovering the barriers to exclusive breast feeding for mothers in a rural setting in southern india
topic breastfeeding
exclusive
habits
community
url http://jpedres.org/archives/archive-detail/article-preview/uncovering-the-barriers-to-exclusive-breast-feedin/47465
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