Abstract

Introduction: Exclusive breast feeding up to first six months of life is the safest and healthiest practice for children all over the world. Various factors may affect to the exclusive breast-feeding though it is necessary for promotion of child's health.Objective: The objective of this study was to identify the factors associated with exclusive breast feeding practices among mothers of infant and young children.Methodology: A cross-sectional study was carried out at Gokarna Primary Health Care Centre, Kathmandu. Total 137 mothers having at least one child 0-23 months of age, attending to Maternal and Child Health Clinic were purposively selected for the study. Consecutive sampling was done. All the mothers who meet the criteria during the period of data collection (August to September, 2017) were included in the study. Ethical clearance was obtained from the Institutional Review Committee of Kathmandu Medical College, Kathmandu. Written consent was taken from each respondent and face to face interview technique was used to collect the data using pre-designed structured questionnaire. Data were analyzed using Statistical Package for Social Science 16.0 version. Both descriptive and inferential statistics were used for data analysis.Results: Majority of the respondents (56.9%) had adequate knowledge on exclusive breast feeding, about 54% of the mothers had initiated breast feeding within one hour of delivery and all in all mothers had ever breast fed their child. More than one third (36.5%) of babies were given pre-lacteal fed, around two thirds of babies were breast fed exclusively at least less than one month but only around 40% of the babies had received exclusive breast feeding for six months. Exclusive breast feeding was significantly associated with, normal vaginal delivery, pre-lacteal fed given and having adequate level of knowledge regarding exclusive breast feedingConclusion: On the basis of findings, mode of delivery, pre-lacteal feeding and level of knowledge on exclusive breast feeding were the factors significantly associated with exclusive breast feeding. The practice of exclusive breast feeding for six months of age was not up to the mark. BJHS 2018;3(2)6:413-417.

Highlights

  • Breast milk contains all the required nutrients for an infant up to first six months of life

  • Majority of the respondents (56.9%) had adequate knowledge on exclusive breast feeding, about 54% of the mothers had ini ated breast feeding within one hour of delivery and all in all mothers had ever breast fed their child

  • On the basis of findings, mode of delivery, pre-lacteal feeding and level of knowledge on exclusive breast feeding were the factors significantly associated with exclusive breast feeding

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Summary

Introduction

Breast milk contains all the required nutrients for an infant up to first six months of life It protects against common childhood diseases such as diarrhea and pneumonia, and may have longer-term benefits such as lowering mean blood pressure and cholesterol, and reducing the prevalence of obesity and type-2 diabetes mellitus.[1] Exclusive breast feeding for 6 months has many benefits for the infant as well as mother. It protects against gastrointes nal infec ons which is evidenced in developing and developed countries. About 40% of infants 0–6 months are exclusively breast fed.[2]

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