Effectiveness of baby friendly hospital initiative implementation on timely initiation of breast feeding - a comparative study
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20170733Keywords:
Breast feeding, Initiation, Benefits, Exclusive breast feedingAbstract
Background: Breast milk is unquestionably the best milk for new born baby. As per UNICEF and WHO, immediate initiation and exclusive breast feeding for six months are essential for reducing infant and neonatal mortality and malnutrition and improving young child survival. In a study conducted by Indian Association of Pediatrics (IAP) in 2009 showed that there has been an alarming decline in breast feeding practices over years. This created great concern and Ministry of Health and Family Welfare decided to revive the BFHI programme, a global movement that aims to give every baby the best start in life by creating a health care environment where breast feeding is the norm. We, the Department of Obstetrics and Gynaecology, Sree Avittom Thirunal Hospital, Government Medical College, Trivandrum, Kerala conducted a study to compare the breast-feeding practices prior to and after implementation of BFHI programme.
Methods: This was a comparative study done in 2013 -14 among 320 post-natal mothers delivered at SAT hospital before and after BFHI implementation to study the improvement in Breast feeding practices.
Results: The revamping programme of BFHI brought significant change in timely initiation of breast feeding within one hour of delivery. Knowledge of mothers increased in the post implementation group. Proactive approach from the part of health workers also showed significant improvement.
Conclusions: The campaign has initiated a positive response highlighting the benefits of breast feeding and dangers of bottle or animal milk feeding. A well-organized community awareness programme involving obstetrician, pediatrician and other health personnel will help in promotion of breast feeding through periodic review of the status and progress of the programme.
References
Mathew MA, Kamath SS, Ban KV. Baby friendly Hospital initiative – A Guide Book for promotion of breast feeding: Indian Academy of Pediatrics, Kerala state Branch NRHM.
Hanson LA. Breast Feeding Provides Passive and likely long lasting Active immunity. Ann Alle, Asthma and Immuno. 1998;81(6):523-34.
Slade HB, Schwartz BA. mucosal immunity; the Immunology of Breast milk: J Allergy clin, immunol. 1987:80(3pt 1):348-58.
Cunningham AS, Jelliffe DB, Jelliffe EF. Breast feeding and health in the 1980’s; global epidemiologic review; J pediatr. 1991;118(5):659-66.
Goldman AS. the immune system of human milk: anti-microbial, anti-inflammatory and immunomodulatory properties. Pediatr Infect Dis J. 1993;12(8):664-71.
Oddy WH. A Review of the Effect of breast feeding on respiratory infections, atopy and childhood asthma. J asthma. 2004;41(6):605-21.
Dujits L, Jaddoe VWV, Hopman A, Henriette A. Moll – prolonged and Exclusive breast feeding reduces the risk of infectious diseases in infancy – peadiatarics. 2010;126(1).
Quigley MA, Kelly YJ, Sacker A. Breast feeding and hospitalization for diarrheal and respiratory infections in the United Kingdom, Millennium cohort study. Pediatrics. 2007;119(4):837-45.
Vennemann MM, Bajanowski T, Brinkmann B, Jorch G, Mitchell EA. Does Breast feeding the risk of sudden infant death syndrome. Pediatrics. 2009;123(3).
Pittman G. BF linked to lower risk of SIDS. 2011. Available at: www.reuters.com.
Bakermans-Kranenberg MJ, Van Lizendoorn MH, Juffer F. Meta-analysis of sensitivity and attachment intervention in early childhood. Psychol Bull. 2003;129:195-250.
Oddy WH, Kendall GE, Blair E, De Klerk NH. Breast feeding and Cognitive development in children; Adv Exp Med Biol. 2004;554:365-9.
Chowdhury R. Breast feeding and Maternal Health outcomes: A systematic review and meta-analysis. Acta Paediatr. 2015;104(467):96-113.
Dietrich CM, Felice JP, Katheleen M. Breast feeding and health outcome for the mother - infant Dyad. Pediatric clinic of North America. 2013.
Debas AK, Kohli A, Walker N, Edmend K. Time to initiation of breast feeding and neonatal mortality and morbidity – a systematic review; BMC public health. 2013;(Supp 3):519.
Edmand KM, Zandah C, Maria A. Delayed breast feeding initiation increases risk of neonatal mortality. Off J Amer Acad Ped. 2006;117:380-6.
Palmer EL, Gary GW Jr, Black R, Martin ML. Antiviral Activity of Colostrum and Serum Immunoglobulins A and G. J. Med. Virol. 1980;5:123-9.
Julius M. Mcgill University, Montreal science News. Available at: https://www.mcgill.ca/ channels/ section/ science_fac/ channel_news.
Setegn T, Gerbab M, Belachew T. Determinants of timly initiation of Breast feeding among mothers in Goba Woreda, South East Ethiopia: A cross sectional study. BMC Public Health. 2011;11:217.
Patel A, Banerjee A, Kalaetwad A. Timely initiation of breast feeding and pre lacteal feeding rates in hospital delivered babies in India. 2011;70:52-8.
Babapurmath CR, Kumaraswami SA. Breast feeding and the first baby feeds – correlation of initiation pattern to mode of delivery. Indian pediatrics. 1995;32:1300-1.
Mathur GP. Breast feeding in babies delivered by cesarean section. Indian Pediatrics. 1993;30(11):1285-90.
Murrah HJ. Cesarean section as persistent barrier to early initiation of breast feeding. Indian journal of Midwifery. 2002;20(2):124-31.
Bear K, Tigger B. Breast feeding – nursing practice. 1993;18(6):56-8.
Ingram J. Good positioning and support from fathers and families. Midwifery. 2002;18(2):87-101.
