Breast feeding practices: positioning and attachment among postnatal mothers - a hospital based cross sectional study in Nagpur, Maharashtra

Deepika Nair B. R.; Subhash B. Thakre; Uday W. Narlawar; Ajaya Krishnan P.; Shubhangi S. Bembade

doi:10.18203/2394-6040.ijcmph20244034

Authors

Deepika Nair B. R. Department of Community Medicine, Government Medical College Nagpur, Maharashtra, India
Subhash B. Thakre Department of Community Medicine, Government Medical College Nagpur, Maharashtra, India
Uday W. Narlawar Department of Community Medicine, Government Medical College Nagpur, Maharashtra, India
Ajaya Krishnan P. Department of Community Medicine, Government Medical College Nagpur, Maharashtra, India
Shubhangi S. Bembade Department of Community Medicine, Government Medical College Nagpur, Maharashtra, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20244034

Keywords:

Breastfeeding, Positioning, Attachment, Post natal mothers

Abstract

Background: Breastfeeding is a critical aspect of infant care, contributing significantly to the overall health and well-being of newborns. Despite the established benefits of breastfeeding, challenges persist, with proper positioning and attachment playing pivotal roles in ensuring its success. This study aims to evaluate breastfeeding techniques among postnatal mothers and identify the factors that influence proper positioning and attachment during breastfeeding.

Methods: A cross-sectional study was conducted among 265 mothers and infants in a tertiary health care centre in central India. Breastfeeding techniques were assessed using a checklist aligned with the Integrated Management of Neonatal and Childhood Illness guidelines. The key outcome variables included the percentage of mothers demonstrating proper positioning, correct attachment, and effective suckling. Data analysis was conducted using Epi Info software, with relevant statistical tests applied to interpret the results.

Results: The proportion of mothers having correct breastfeeding position, attachment and effective suckling was 51.7%,75.8% and 74.7% respectively. Maternal educational status, parity, family type and education on breastfeeding technique are identified as significant factors associated with proper breastfeeding techniques. Term babies and those with a normal birth weight show significantly better attachment and more effective suckling compared to preterm and low birth weight infants.

Conclusions: The findings emphasize the need for targeted education and support to enhance breastfeeding practices, contributing to improved maternal and infant health outcome.

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References

Chouhan Y, Siddharth R, Sakalle S, Mahawar P, Bhaskar P, Gupta D, et al. A cross-sectional study to assess breastfeeding positioning and attachment among mother infant pairs in Indore. Ann Community Health. 2020;8:31-6.

Dave VR, Shah VR, Sonaliya KN, Solanki AK. Assessment of Breastfeeding Practices: Findings from Urban Slum Area at Ahmedabad City, India. Education. 2014;30(35):14-93.

Nancy S, Sindhuri R, Arunagirinathan A, Dongre AR. Breastfeeding positioning and attachment among postnatal mothers: A mixed methods study in a tertiary care hospital in Puducherry, South India. Indian Journal of Community Medicine. 2022;47(1):120-4.

Gupta SA, Sharma M, Ekka A, Verma N. Effect of health education on breastfeeding initiation techniques among postnatal mothers admitted in a tertiary care centre of Raipur city, Chhattisgarh. Int J Community Med Public Health. 2018;5(10):4340-4.

Davra K, Chavda P, Pandya C, Dave D, Mehta K. Breastfeeding position and attachment practices among lactating mothers: An urban community-based cross-sectional study from Vadodara city in western India. Clinical Epidemiology and Global Health. 2022;15:101009.

Shrivastava PR, Saha I, Nandy S. A study on feeding practice of under 6 months infants attending the Nutrition Clinic of a tertiary care hospital of West Bengal, India. Epidemiology, Biostatistics, and Public Health. 2013;10(4):1.

Nalini A. A quality improvement study on breastfeeding initiation rate within 1 hour of life in inborn neonates in a tertiary care centre. International Journal of Contemporary Pediatrics. 2020;7(2):252.

Nagendra K, Shetty P, Rudrappa S, Jaganath S, Nair R. Evaluation of breast feeding techniques among postnatal mothers and effectiveness of intervention: Experience in a tertiary care centre. Sri Lanka Journal of Child Health. 2017;46(1):1.

Dongre AR, Deshmukh PR, Rawool AP, Garg BS. Where and how breastfeeding promotion initiatives should focus its attention? A study from rural wardha. Indian journal of community medicine. 2010;35(2):226-9.

Thakre SB, Thakre SS, Ughade SM, Golawar S, Thakre AD, Kale P. The Breastfeeding Practices: The Positioning and Attachment Initiative Among the Mothers of Rural Nagpur. Journal of Clinical & Diagnostic Research. 2012;6(7):1.

Prajapati AC, Chandwani H, Rana B, Sonaliya KN. A community based assessment study of positioning, attachment and suckling during breastfeeding among 0-6 months aged infants in rural area of Gandhinagar district, Gujarat, India. Int J Community Med Public Health. 2016;3(7):1921-6.

Parashar M, Singh S, Kishore J, Patavegar BN. Breastfeeding attachment and positioning technique, practices, and knowledge of related issues among mothers in a resettlement colony of Delhi. ICAN: Infant, Child, & Adolescent Nutrition. 2015;7(6):317-22.

Nagendra K, Shetty P, Rudrappa S, Jaganath S, Nair R. Evaluation of breast feeding techniques among postnatal mothers and effectiveness of intervention: Experience in a tertiary care centre. Sri Lanka Journal of Child Health. 2017;46(1):1.

Aswathaman N, Sajjid M, Kamalarathnam CN, Seeralar AT. Assessment of breastfeeding position and attachment (abpA) in a tertiary care centre in Chennai, India: an observational descriptive cross-sectional study. Int J Contemp Pediatr. 2018;5:2209-16.

Degefa N, Tariku B, Bancha T, Amana G, Hajo A, Kusse Y, et al. Breast feeding practice: positioning and attachment during breast feeding among lactating mothers visiting health facility in Areka Town, Southern Ethiopia. International Journal of Pediatrics. 2019;2019(1):8969432.