Sharma Nidhi, Oberoi Simmi, Moses Pidakala Mary
Department of Health and Family Welfare, Punjab Civil Medical Services, Punjab, India.
Department of Community Medicine, GMC Patiala, Punjab, India.
J Family Med Prim Care. 2023 May;12(5):990-995. doi: 10.4103/jfmpc.jfmpc_1671_22. Epub 2023 May 31.
The practice of newborns being put to the breasts soon after birth results in a reduction in neonatal mortality. Factors such as antenatal care attendance, delivery at the Baby Friendly Hospital Initiative (BFHI) facility, mode of delivery, number of children, and various socio-cultural practices are found to have a positive impact on the early initiation of breastfeeding. The present study was performed to determine the socio-demographic, maternal, and neonatal factors affecting the early initiation of breastfeeding.
A hospital-based cross-sectional study was performed at the Immunization Clinic and Nursery situated in a government tertiary care hospital for assessing the pattern of breastfeeding initiation. Children born at the hospital and also those reporting to the clinic from outside were included in the study.
Breastfeeding initiation within 1 hour after delivery was only 30%, and 9% did not initiate breastfeeding at all. About half of the reasons for not initiating breastfeeding were related to mothers, followed by 30% related to babies.
Upon regression analysis, it was found that urban residence, higher educational status of the mothers, and those mothers who were not counselled on breastfeeding during antenatal visits had higher odds of not initiating breastfeeding and that was statistically significant.
新生儿出生后尽早进行母乳喂养可降低新生儿死亡率。产前检查次数、在爱婴医院倡议（BFHI）机构分娩、分娩方式、子女数量以及各种社会文化习俗等因素被发现对母乳喂养的早期开始有积极影响。本研究旨在确定影响母乳喂养早期开始的社会人口学、母亲和新生儿因素。
在一家政府三级护理医院的免疫诊所和托儿所进行了一项基于医院的横断面研究，以评估母乳喂养开始的模式。在该医院出生的儿童以及从外部到诊所就诊的儿童被纳入研究。
产后1小时内开始母乳喂养的比例仅为30%，9%的儿童根本没有开始母乳喂养。未开始母乳喂养的原因约有一半与母亲有关，其次30%与婴儿有关。
经回归分析发现，城市居住、母亲教育程度较高以及那些在产前检查期间未接受母乳喂养咨询的母亲，未开始母乳喂养的几率较高，且具有统计学意义。
