First Hour Initiation of Breastfeeding and Exclusive Breastfeeding at Six Weeks: Prevalence and Predictors in a Tertiary Care Setting
| العنوان: | First Hour Initiation of Breastfeeding and Exclusive Breastfeeding at Six Weeks: Prevalence and Predictors in a Tertiary Care Setting |
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| المؤلفون: | Kanya Mukhopadhyay, Bhavneet Bharti, Vineetha Raghavan, Lakhbir Kaur Dhaliwal, Praveen Kumar |
| المصدر: | The Indian Journal of Pediatrics. 81:743-750 |
| بيانات النشر: | Springer Science and Business Media LLC, 2013. |
| سنة النشر: | 2013 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Pediatrics, Breastfeeding, Breast milk, Cohort Studies, Sex Factors, Humans, Medicine, Prospective Studies, Prospective cohort study, Cesarean Section, business.industry, Obstetrics, Infant, Newborn, Infant Formula, Breast Feeding, Infant formula, Pediatrics, Perinatology and Child Health, Cohort, Female, Observational study, business, Breast feeding, Maternal Age, Cohort study |
| الوصف: | To assess the prevalence of first hour breastfeeding initiation and exclusive breastfeeding at 6 wk and identify its barriers in healthy term babies born in a tertiary hospital setting. A prospective observational cohort study was carried out in consecutively selected 400 mothers who delivered (normal, instrumental or cesarean) term healthy babies in a tertiary care hospital setting. All mother-infant dyads were enroled within 48 h of delivery. Breastfeeding was initiated within first hour in 255 out of 400, i.e., 64 % of babies. Cesarean delivery and male gender were strongest risk factors for delayed initiation of breastfeeding [OR (95 % CI) = 1.99 (1.14–3.48) and 34.17 (17.10–70.40) respectively]. Among the babies followed up till 6–8 wk, 83 % were exclusively breastfed. Breast milk substitutes were given in 172/400 (43 %) babies on day one, which emerged as an independent predictor of failure to continue exclusive breastfeeding at 6 wk (OR 2.96; 95 % CI 1.09–8.06). Odds of exclusive breastfeeding were two times higher in babies breastfed within first hour (n = 255/400, 64 %) when compared to babies initiated breastfeeds beyond first hour (n = 145/400, 36 %) (OR 2.01;05 % CI 1.12–3.61). Cesarean section and male gender emerged as significant risk factors for delayed initiation (beyond first hour) of breastfeeding in the index study cohort. In addition, use of breast milk substitute emerged as the only predictor for failure to continue exclusive breastfeeding at six weeks in a tertiary care hospital. |
| تدمد: | 0973-7693 0019-5456 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f85df266ca2b5b47cc65763e9dc105e2Test https://doi.org/10.1007/s12098-013-1200-yTest |
| حقوق: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....f85df266ca2b5b47cc65763e9dc105e2 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 09737693 00195456 |
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