DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20190199

Exclusive breast feeding reduces diarrhoeal episodes among children: results from a cross-sectional study among the mothers of under-five children in Kolkata

Nibedita Banerjee, Arup Chakraborty, Arista Lahiri, Kalidas Biswas

Abstract


Background: Breast feeding is of utmost importance for optimal child growth. This study aims to determine the knowledge on breast feeding among the mothers of under five children and to find out the association between the proportion of exclusive breast feeding and the incidence of diarrhoeal disease.

Methods: An institution based cross sectional descriptive study was conducted among ninety (90) mothers of under five children who attended the immunization clinic of a tertiary care hospital with the help of a pre-designed, pre-tested, semi-structured schedule. Mothers were selected by systematic random sampling and interview done after obtaining written consent.

Results: The mean age of the respondent mothers were 25.78 years. Among them 77.8% were staying in the nuclear family with the mean education up to 8th standard, 94.4% of home maker. The mean education of fathers was 9th standard with majority (77.8%) occupied either in service or in other occupation. Average no of children per family was 1.3. Majority of mothers’ younger children (66.7%) were male. Majority (66.7%) mothers had heard the term colostrum and 88.3% knew that colostrum has anti-infective property and nutritionally superior. Sixty (66.67%) mothers had exclusively breast fed their children. Out of not exclusively breastfed children 36.67% experienced diarrhoea.

Conclusions: Though majority mothers knew about breastfeeding, yet the proportion not having proper knowledge was high. The statistical analysis showed exclusive breast feeding to be highly protective against developing diarrhoeal episodes. In order to generate better breastfeeding practices, addressing the knowledge gap is needed.

 


Keywords


Breast feeding, Diarrhoea, Knowledge, Under-five children

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References


UNICEF. Infant and young child feeding, nutrition section program, New York, 2012.

UNICEF. Division of Communication. Tracking progress on child and maternal nutrition: a survival and development priority. Unicef; 2009.

Edmond KM, Zandoh C, Quigley MA, Amenga-Etego S, Owusu-Agyei S, Kirkwood BR. Delayed breastfeeding initiation increases risk of neonatal mortality. Pediatrics. 2006;117(3):e380-6.

Mullany LC, Katz J, Li YM, Khatry SK, LeClerq SC, Darmstadt GL, Tielsch JM. Breast-feeding patterns, time to initiation, and mortality risk among newborns in southern Nepal. J Nutr. 2008;138(3):599-603.

Charan J, Biswas T. How to calculate sample size for different study designs in medical research? Indian J Psychological Med. 2013;35(2):121.

Ministry of Human Resource Development, Department of Women and Child Development (Food and Nutrition Board), Government of Indian. National Guidelines on Infant and Young Child Feeding. Wcd.nic.in. 2004. Available at: http://www.wcd.nic.in/sites/default/files/nationalguidelines.pdf. Accessed on 19 November 2018.

Sethi V, Kashyap S, Seth V. Infant feeding practices in a relocated slum--a pilot study. Indian Pediatrics. 2003;40(6):579.

Kumar L, Shahnawaz K, Varma G, Choudhary SK, Gupta A, Singh JB. Knowledge, attitude and practices of nourishing mothers about breast feeding, attending urban health centre: A cross-sectional study from Kishanganj, Bihar. J Evol Med Dent Sci. 2014;3(7):1681-90.

Shetty SB, Shetty K. KAP study of factors promoting breastfeeding in nursing mothers and pregnant women. Nitte University J Health Sci. 2013;3(3):34-7.

Shaili V, Parul S, Kandpal SD, Jayanti S, Anurag S, Vipul N. A community based study on breastfeeding practices in a rural area of Uttarakhand. Natl J Community Med. 2012;3(2):283-6.

Al-Binali AM. Breastfeeding knowledge, attitude and practice among school teachers in Abha female educational district, southwestern Saudi Arabia. Int Breastfeeding J. 2012;7(1):10.

AL-Azzawi SI, Hussein KA, Shaker NZ. Knowledge, attitude and practices (KAP) of mothers toward infant and young child feeding in primary health care (PHC) centers, Erbil city. Kufa J Nurs Sci. 2012;2(2):118-26.

Hanieh S, Ha TT, Simpson JA, Thuy TT, Khuong NC, Thoang DD, et al. Exclusive breast feeding in early infancy reduces the risk of inpatient admission for diarrhea and suspected pneumonia in rural Vietnam: a prospective cohort study. BMC Public Health. 2015;15(1):1166.

Qureshi K, Mølbak K, Sandström A, Kofoed PE, Rodrigues A, Dias F, et al. Breast milk reduces the risk of illness in children of mothers with cholera: observations from an epidemic of cholera in Guinea-Bissau. Pediatric Infect Dis J. 2006;25(12):1163-6.

Arifeen S, Black RE, Antelman G, Baqui A, Caulfield L, Becker S. Exclusive breastfeeding reduces acute respiratory infection and diarrhea deaths among infants in Dhaka slums. Pediatrics. 2001;108(4):67.