February 2019 · Volume 8 · Issue 2 Page 462
International Journal of Reproduction, Contraception, Obstetrics and Gynecology
Nagar NS et al. Int J Reprod Contracept Obstet Gynecol. 2019 Feb;8(2):462-466
www.ijrcog.org
pISSN 2320-1770 | eISSN 2320-1789
Original Research Article
Study on breastfeeding practices among rural women in the field
practice areas of a tertiary care teaching hospital
Noopur S. Nagar
1
, Ebbie Thomas
2
*, Shashwat S. Nagar
2
, Naresh R. Godara
2
INTRODUCTION
Breastfeeding is one of the most important determinants
of child survival, birth spacing, and prevention of
childhood infections. The importance of breastfeeding
has been emphasized in various studies.
1,2
The
importance of exclusive breastfeeding and the
immunological and nutritional values of breast milk has
been demonstrated.
3,4
The initiation of breastfeeding and
timely introduction of adequate, safe, and appropriate
supplementary foods along with continued breastfeeding
are crucial for the growth and development of infants and
children.
5
The beneficial effects of breastfeeding depend
on breastfeeding initiation, its duration, and the age at
1
Department of Obstetrics and Gynecology,
2
Department of Community Medicine, Parul Institute of Medical Sciences
and Research, Vadodara, Gujarat, India
Received: 17 December 2018
Accepted: 11 January 2019
*Correspondence:
Mr. Ebbie Thomas,
E-mail: ebbiethomas@gmail.com
Copyright: © the author(s), publisher and licensee Medip Academy. This is an open-access article distributed under
the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial
use, distribution, and reproduction in any medium, provided the original work is properly cited.
ABSTRACT
Background: Breastfeeding is one of the most important determinants of child survival, birth spacing, and prevention
of childhood infections. The beneficial effects of breastfeeding depend on breastfeeding initiation, its duration, and
the age at which the breast-fed child is weaned. Data from NFHS-4 suggest that in India, in Gujarat where only 56%
of infants are exclusively breastfed and 50% of infants are initiated with breastfeeding within one hour of birth. This
study was planned to identify the gaps in breastfeeding practices so that necessary interventions can be designed and
thereby implemented. The objective is to study the breastfeeding practices of mothers having children below 2 years
of age in the field practice areas of the medical college and to associate the findings of these practices with the socio-
demographic characteristics of the population.
Methods: The study conducted was a community based cross-sectional one in the six villages of RHTC of PIMSR.
The study was conducted by surveying a total of 204 mothers to study their breastfeeding practices which were
categorized into ‘good’ and “not so good’ practices. From this the total score was calculated and associated with
socio-demographic variables.
Results: Majority of the mothers were in the age group 18-22 and educated up to ‘primary’ and most of them were
from social class IV and V. Only 23% of the mothers had adequate knowledge of exclusive breastfeeding. About 70%
practiced both early initiation of breastfeeding and feeding colostrum whereas nearly 80% practiced exclusive
breastfeeding.
Conclusions: It is concluded from the study that even though the practice of breastfeeding was found quite good, the
gaps in the knowledge and practice must be addressed through health education and support through peer and health
groups. Documenting the success stories will go a long way for community education and behavioral change in
communication at the community level for adequate breastfeeding practices.
Keywords: Breastfeeding, Colostrum, NFHS-4, Supplementary feeding
DOI: http://dx.doi.org/10.18203/2320-1770.ijrcog20190268