Kumar Rakesh, Mundhra Rajlaxmi
Department of Paediatrics, Himalayan Institute of Medical Sciences, Dehradun, Uttarakhand, India.
Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.
Int J Appl Basic Med Res. 2021 Apr-Jun;11(2):64-69. doi: 10.4103/ijabmr.IJABMR_605_20. Epub 2021 Apr 8.
Despite several initiatives taken, exclusive breastfeeding rates remain low. The objective of this study was to evaluate the knowledge, attitude, and practices of breastfeeding and to assess factors associated with breastfeeding practices among postnatal mothers delivering in Garhwal region of Uttarakhand, India.
A cross-sectional study was conducted from March 2018 to August 2018 among postpartum mothers who were selected through convenient nonrandom sampling. A semi-structured questionnaire including the participants' data, knowledge, attitude, and practices was used.
A total of 361 postnatal mothers participated in the study. 88.92% knew that breastfeeding should be continued for 6 months after birth and almost 64.81% initiated breastfeeding within 1 h of birth. 26.59% of the women discarded colostrum. 16.35% of the mothers gave prelacteal feeds, with formula milk being the most common prelacteal feed. 82.82% of the mothers did not receive breastfeeding counseling during antenatal visits. Multiparous women, those undergoing vaginal delivery (VD), and those living in joint family were more likely to initiate breastfeeding within 1 h of birth as compared to primiparous women, those undergoing cesarean section, and those living with nuclear families ( < 0.05). A significant difference was also noted in terms of giving prelacteal feeds in those undergoing cesarean section as compared to VD (23.71% vs. 13.63%, = 0.0217).
This study revealed that the rate of early initiation of breastfeeding is still low.
尽管已采取多项举措，但纯母乳喂养率仍然很低。本研究的目的是评估产后母亲对母乳喂养的知识、态度和行为，并评估印度北阿坎德邦加瓦尔地区分娩的产后母亲中与母乳喂养行为相关的因素。
2018年3月至2018年8月对通过方便非随机抽样选择的产后母亲进行了一项横断面研究。使用了一份包括参与者数据、知识、态度和行为的半结构化问卷。
共有361名产后母亲参与了该研究。88.92%的人知道产后应持续母乳喂养6个月，近64.81%的人在出生后1小时内开始母乳喂养。26.59%的女性丢弃初乳。16.35%的母亲在开奶前喂食，其中配方奶是最常见的开奶前食物。82.82%的母亲在产前检查期间未接受母乳喂养咨询。经产妇、进行阴道分娩的产妇以及生活在大家庭中的产妇比初产妇、进行剖宫产的产妇以及与核心家庭生活在一起的产妇更有可能在出生后1小时内开始母乳喂养（P<0.05）。与阴道分娩的产妇相比，剖宫产产妇在开奶前喂食方面也存在显著差异（23.71%对13.63%，P = 0.0217）。
本研究表明，母乳喂养的早期开始率仍然很低。
