Jennifer H Gladius, Muthukumar K
Assistant Professor in Biostatistics, Department of Community Medicine, Karpaga Vinayaga Institute of Medical Sciences and Research Centre, GST Road, Chinna Kolambakkam, Palayanoor Post, Madurantagam TK, PIN: 603 308 Tamilnadu, India.
J Clin Diagn Res. 2012 Nov;6(9):1514-7. doi: 10.7860/JCDR/2012/4430.2546.
The World Health Organization and the National guidelines on infant and young child feeding recommend the practice of exclusive breastfeeding of infants for the first 6 months after their birth. The objective of this study was to estimate the prevalence of the early initiation of and exclusive breast feeding.
A cross sectional, descriptive study was done. 79 infants and children who attended the under five clinic in the Rural Health Training Centre (RHTC), Pulipakkam Village, were chosen for the study by convenient sampling. This study was conducted by interviewing 79 mothers of the children in the ages of 0-24 months, who attended the under five clinic of RHTC, Pulipakkam. The data was collected by using a pre tested, structured questionnaire to obtain the information on the breast feeding and the hygienic feeding practices among mothers. The statistical analysis was done by the authors by using the SPSS, version 16. The significance in the differences were evaluated by using the Chi square test and the relationship between the variables were evaluated by using Kendall's tau correlation. A p value of <0.05 was considered as statistically significant.
The prevalence of the early Initiation of breast feeding was 97.5% and the prevalence of exclusive breast feeding in the study population was 68%. Inadequate exclusive breast feeding and the lack of hygienic feeding practices among the mothers were significantly associated with an increased incidence of upper and lower respiratory tract infections and gastro intestinal infections in the infants and the children.
The education of the antenatal mothers on the benefits of breast feeding and hygienic feeding practices and making all hospitals baby friendly have to be focused on, in order to achieve 80% exclusive breast feeding as per the national guidelines on infant and young child feeding. We need to strengthen the MCH services in the study area in order to achieve 100% immunization.
世界卫生组织以及国家婴幼儿喂养指南建议婴儿出生后的前6个月应进行纯母乳喂养。本研究的目的是估算纯母乳喂养的早期开始率和纯母乳喂养率。
开展了一项横断面描述性研究。通过方便抽样，选取了在普利帕克姆村农村卫生培训中心5岁以下门诊就诊的79名婴幼儿参与研究。本研究通过对79名年龄在0至24个月、在普利帕克姆农村卫生培训中心5岁以下门诊就诊的儿童的母亲进行访谈来进行。通过使用预先测试的结构化问卷收集数据，以获取母亲们关于母乳喂养和卫生喂养习惯的信息。作者使用SPSS 16版进行统计分析。使用卡方检验评估差异的显著性，使用肯德尔秩相关检验评估变量之间的关系。p值<0.05被认为具有统计学显著性。
母乳喂养的早期开始率为97.5%，研究人群中的纯母乳喂养率为68%。母亲们纯母乳喂养不足以及缺乏卫生喂养习惯与婴幼儿上、下呼吸道感染和胃肠道感染的发病率增加显著相关。
为了根据国家婴幼儿喂养指南实现80%的纯母乳喂养率，必须重点关注对产前母亲进行母乳喂养益处和卫生喂养习惯的教育，并使所有医院成为爱婴医院。为了实现100%的免疫接种率，我们需要加强研究地区的妇幼保健服务。
