Khan Moazzam Ali, Qureshi Zubia, Khan Kauser Aftab, Gill Fouzia Nadeem
Ghazi Khan Medical College, Dera Ghazi Khan, Pakistan.
Apex Consulting Pakistan.
J Ayub Med Coll Abbottabad. 2016 Oct-Dec;28(4):750-754.
Proper breastfeeding practices are effective ways for reducing childhood morbidity and mortality. The objective of the present study was to determine the patterns and explore the determinants associated with breast feeding practices among the nursing women in Dera Ghazi Khan.
A cross sectional study was conducted on randomly selected lactating mother infant pairs in Dera Ghazi Khan. Structured questionnaire was used for data collection. Analysis was done by using SPSS, chi square test was applied to see the association between breast feeding practices and its determinants such as knowledge of breast feeding practices.
Majority 372 (93%) of mothers mentioned that they had ever breastfed the youngest child. About 292 (73%) mothers gave colostrum to the child, and 48 (12%) exclusively breastfed. Weaning babies before four month of age was practiced by 84 (21%) of the mothers, 120 (55%) mothers started weaning at 4-6 months of child age, while 72 (18%) started to give additional food after baby turned six months old. Out of total 276 (69%) mothers reported that they had knowledge regarding breast feeding. Significant association was found between knowledge of breastfeeding and initiation and Exclusive Breast Feeding (EBF) practices (p-values <0.05). Income, family type, mode of delivery and assistance for child were significantly associated with initiation of breastfeeding within one hour after birth (p-value <0.001).
Breast feeding practices in the studied area were not up to the mark. There is a strong need to improve the breastfeeding practices by Behavior Change Communication.
正确的母乳喂养方式是降低儿童发病率和死亡率的有效途径。本研究的目的是确定德拉加齐汗地区哺乳期妇女的母乳喂养模式,并探究与母乳喂养方式相关的决定因素。
在德拉加齐汗地区对随机选取的哺乳期母婴对进行横断面研究。使用结构化问卷收集数据。采用SPSS进行分析,应用卡方检验来观察母乳喂养方式与其决定因素(如母乳喂养知识)之间的关联。
大多数372名(93%)母亲表示她们曾母乳喂养最小的孩子。约292名(73%)母亲给孩子喂了初乳,48名(12%)进行纯母乳喂养。84名(21%)母亲在孩子4个月前断奶,120名(55%)母亲在孩子4至6个月时开始断奶,而72名(18%)母亲在孩子6个月后开始添加辅食。在总共276名(69%)母亲中,有报告称她们了解母乳喂养知识。母乳喂养知识与开始母乳喂养及纯母乳喂养(EBF)方式之间存在显著关联(p值<0.05)。收入、家庭类型、分娩方式和育儿协助与出生后一小时内开始母乳喂养显著相关(p值<0.001)。
研究地区的母乳喂养方式未达标准。迫切需要通过行为改变沟通来改善母乳喂养方式。