Public Health Nutrition | |
Breast-feeding initiation and determinants of exclusive breast-feeding – a questionnaire survey in an urban population of western Nepal | |
PR Shankar1  HS Joshi1  MS Rana1  U Ramachandran1  VS Binu1  TS Chandrashekhar1  | |
关键词: Infant nutrition; Exclusive breast-feeding; Complementary food; Bottle-feeding; Nepal; | |
DOI : 10.1017/S1368980007248475 | |
学科分类:卫生学 | |
来源: Cambridge University Press | |
【 摘 要 】
ObjectiveTo assess rates of initiation of breast-feeding and exclusive breast-feeding within 2 months after delivery and to determine the factors influencing exclusive breast-feeding.DesignA health worker-administered questionnaire survey was carried out during the time period 1 August–30 September 2005.SettingImmunisation clinics of Pokhara, a submetropolitan city in western Nepal.SubjectsThree hundred and eighty-five mothers who had delivered a child within the previous 2 months.ResultsThe rates of initiation within 1 h and within 24 h of delivery were 72.7 and 84.4%, respectively. Within 2 months after delivery, exclusive breast-feeding was practised by 82.3% of the mothers. Breast milk/colostrum was given as the first feed to 332 (86.2%) babies but 17.2% of them were either given expressed breast milk or were put to the breast of another lactating mother. Pre-lacteal feeds were given to 14% of the babies. The common pre-lacteal feeds given were formula feeds (6.2%), sugar water (5.9%) and cow's milk (2.8%). Complementary feeds were introduced by 12.7% of the mothers. By logistic regression analysis, friends' feeding practices, type of delivery and baby's first feed were the factors influencing exclusive breast-feeding practice of the mothers.ConclusionsDespite the higher rates of initiation and exclusive breast-feeding, practices such as pre-lacteal feeds and premature introduction of complementary feeds are of great concern in this urban population. There is a need for promotion of good breast-feeding practices among expectant mothers and also the community, especially the families, taking into account the local traditions and customs.
【 授权许可】
Unknown
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