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BREAST FEEDING PRACTICES IN SLUMS UNDER GUWAHATI MUNICIPAL CORPORATION

TRADITIONAL. BREAST FEEDING PRACTICES IN SLUMS UNDER GUWAHATI MUNICIPAL CORPORATION. Prof.J.N. Sharma Dhrubajyoti Sharma* Dept. Of Paediatrics Gauhati Medical college. INTRODUCTION.

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BREAST FEEDING PRACTICES IN SLUMS UNDER GUWAHATI MUNICIPAL CORPORATION

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  1. TRADITIONAL BREAST FEEDING PRACTICES IN SLUMS UNDER GUWAHATI MUNICIPAL CORPORATION Prof.J.N. Sharma Dhrubajyoti Sharma* Dept. Of Paediatrics Gauhati Medical college

  2. INTRODUCTION • Breast feeding practices include exclusive breast feeding for 6 months and extended breast feeding up to 2 years or beyond. • There are many traditional practices associated with breast feeding of which certain undesirable practices need to be discouraged.

  3. MATERIALS AND METHOD • Study was conducted in 15 slums under GMC among 300 mothers who had children from 6 months to 24 months age. • Few mothers with children up to 25 to27 months were also included in the present study as per the need. • Institution:dept. of Paediatrics Gauhati Medical College. • Period of study:from 1st March 2005 to 31st August 2005. • Data were collected in pretested proforma using structured questionnaire. • Prevailing breast feeding practices, beliefs and factors associated with it were noted.

  4. RESULTS AND OBSERVATIONS INITIATION OF BREAST FEEDING (n=300) Time since birth at initiation 42% initiated within one hour.

  5. HISTOGRAM SHOWING TIME AT INITIATION IN 3 RELIGIONS IN THE PRESENT STUDY (n=162) (n=132) (n=6) Time since birth at initiation of Breast feeding 59.25% Hindu initiated within 1 hr. 22.72% Muslim initiated within 1hr. Sikhs initiated after second day.

  6. according to place of delivery and literate-illiterate 84(68.29%)hospital deliveries initiated within 1hr. in contrast with 42(23.72%)home deliveries.(p value<.05) 69(57.02%)literate initiated within 1 hr. in contrast with 57(31.84%)illiterate.(p value<.05)

  7. Source of information for initiation within 1hr. 46% received information from Doctor.12% from Radio/TV and 10% received information from Nurse. 11%know themselves that breast feeding should be initiated within 1hr (experienced). 6%traditionally initiated within 1 hr (no source).

  8. INTRODUCTION OF PRELACTEALS 56.67% introduced prelacteals.

  9. INTRODUCTION OF PRELACTEALS IN 3 RELIGIONS 42.59% Hindu,71.97% Muslim introduced prelacteals and 100% Sikh introduced prelacteals.

  10. INTRODUCTION OF PRELACTEALS ACCORDING TO PLACE OF DELIVERY AND LITERATE-ILLITERATE 90.39% home deliveries and 8.13% hospital deliveries introduced prelacteals(p value<.05). 69.27%illiterate and 38.01%literate introduced prelacteals(p value<.05).

  11. COLOSTRUM FEEDING WITHIN 4 HRS. OF BIRTH (n=300) 54% fed colostrums within 4 hrs. of birth.

  12. COLOSTRUM FEEDING WITHIN 4 HRS. IN 3 RELIGIONS 74.07% Hindu and 32.57% Muslim fed colostrums within 4 hrs of birth. Sikh did not feed colostrums within 4 hrs of birth.

  13. PLACE OF DELIVERY LITERATE-ILLITERATE IN COLOSTRUM FEEDING WITHIN 4 HRS. 98.37% hospital deliveries and 23.72% home deliveries fed colostrums within 4 hrs of birth(p value <.05). 76.85% literate and 39.1% illiterate fed colostrums within 4 hrs of birth(p value<.05).

  14. REASONS AND BELIEFS FOR NOT FEEDING COLOSTRUMS 40.87% believed that milk is not present in the breast during 1to3 days after birth . 13.13% not fed because colostrum is harmful for the baby. In 10.94% Panditji advised.

  15. EXCLUSIVE BREAST FEEDING Duration of Exclusive Breast Feeding 34.67% practiced EBF for 6 months. 36.67% practiced EBF for 7to9 months. 8% for 2-3 months and 6% continued up to 10-12 months.

  16. EBF FOR 6 MONTHS IN SOME MAJOR COMMUNITIES (n=82) (n=50) (n=49) (n=41) (n=43) (n=13) 51.02%Assamese speaking Hindu. 21% in Assamese speaking Muslim. 24% in Bengali speaking Muslim.

  17. PLACE OF DELIVERY AND LITERATE-ILLITERATE IN EBF FOR 6 MONTHS 66.67% hospital and 16.38% home deliveries practiced EBF for 6 months(p value<.05).52.89% literate and 22.34% illiterate Practiced EBF for 6 months(p value<.05).

  18. SOURCE OF INFORMATION FOR EBF FOR 6 MONTHS 60% received information from Doctors.14% know themselves(experienced). 6% traditionally practiced EBF for 6 months(no source).

  19. CONTINUED BREAST FEEDING UPTO OR BEYOND 2 YEARS N=82. 98% continued up to or beyond 2 years.

  20. SOURCE OF INFORMATION FOR CONTINUED BREAST FEEDING UP TO OR BEYOND 2 YEARS 78% continued for traditional reason(no source).

  21. CONCLUSION • Undesirable traditional practices such as- giving prelacteals,late initiation of Breast feeding are still prevalent among the mothers and more so among illiterates and home deliveries. • Doctor’s advice, hospital delivery and literacy may play an important role in discouraging such potentially harmful practices. • Prevalence of EBF for 6 months is low. • Extended Breast feeding is encouraging.

  22. . thank you...

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