Early Initiation Of Breastfeeding Research Articles

Influence of the Quality of Antenatal Care on Early Breastfeeding Initiation and Exclusive Breastfeeding Among Haitian Women

ObjectiveTo assess the influence of the quality of antenatal care on early breastfeeding initiation and exclusive breastfeeding among Haitian women. DesignSecondary analysis of a cross-sectional household survey. SettingHaiti Demographic and Health Survey, 2016 to 2017. ParticipantsWomen (N = 2,489) who were 15 to 49 years of age with children younger than 24 months of age. MethodsWe used multivariable adjusted logistic regression analysis to examine the independent associations between quality of antenatal care and early breastfeeding initiation and exclusive breastfeeding. ResultsThe prevalence of early breastfeeding initiation and exclusive breastfeeding were 47.7% and 39.9%, respectively. Approximately 76.0% of the participants received intermediate antenatal care. The odds of early breastfeeding initiation were greater among participants who received antenatal care of intermediate quality than among those who did not receive antenatal care, adjusted OR (AOR) = 1.58, 95% confidence interval (CI) [1.13, 2.20]. Additionally, maternal age of 35 to 49 years (AOR = 1.53, 95% CI [1.10, 2.12]) was positively associated with early breastfeeding initiation. Factors negatively associated with early breastfeeding initiation were cesarean birth (AOR = 0.23, 95% CI [0.12, 0.42]), birth at home (AOR = 0.75, 95% CI [0.34, 0.96]), and birth in a private facility (AOR = 0.57, 95% CI [0.34, 0.96]). Factors negatively associated with exclusive breastfeeding were employment (AOR = 0.57, 95% CI [0.36, 0.90]) and birth in a private facility (AOR = 0.21, 95% CI [0.08, 0.52]). ConclusionAntenatal care of intermediate quality was positively associated with early breastfeeding initiation among women in Haiti, which highlights the influence that care during pregnancy can have on breastfeeding outcomes.

Spatial patterns and spatially-varying factors associated with childhood acute respiratory infection: data from Ethiopian demographic and health surveys (2005, 2011, and 2016)

BackgroundIn Ethiopia, acute respiratory infections (ARIs) are a leading cause of morbidity and mortality among children under five years. Geographically linked data analysis using nationally representative data is crucial to map spatial patterns of ARIs and identify spatially-varying factors of ARI. Therefore, this study aimed to investigate spatial patterns and spatially-varying factors of ARI in Ethiopia.MethodsSecondary data from the Ethiopian Demographic Health Survey (EDHS) of 2005, 2011, and 2016 were used. Kuldorff’s spatial scan statistic using the Bernoulli model was used to identify spatial clusters with high or low ARI. Hot spot analysis was conducted using Getis-OrdGi statistics. Eigenvector spatial filtering regression model was carried out to identify spatial predictors of ARI.ResultsAcute respiratory infection spatially clustered in 2011 and 2016 surveys year (Moran’s I:-0.011621–0.334486). The magnitude of ARI decreased from 12.6% (95%, CI: 0.113–0.138) in 2005 to 6.6% (95% CI: 0.055–0.077) in 2016. Across the three surveys, clusters with a high prevalence of ARI were observed in the North part of Ethiopia. The spatial regression analysis revealed that the spatial patterns of ARI was significantly associated with using biomass fuel for cooking and children not initiating breastfeeding within 1-hour of birth. This correlation is strong in the Northern and some areas in the Western part of the country.ConclusionOverall there has been a considerable decrease in ARI, but this decline in ARI varied in some regions and districts between surveys. Biomass fuel and early initiation of breastfeeding were independent predictors of ARI. There is a need to prioritize children living in regions and districts with high ARI.

Impact of Birth Companionship on Maternal and Fetal Outcomes in Primigravida Women in a Government Tertiary Care Center.

Studies have shown that the support provided by birth companions during labour and childbirth improves maternal and neonatal outcomes and helps women in having a positive childbirth experience. To study the role of birth companionship on maternal and foetal outcomesalong with their satisfaction rates in primigravidas supported by birth companions compared to those receiving routine care in the labour room. The study was a prospective comparative observational study. One hundred fifty primigravida women were randomly divided into two groups, one group (n = 75) who were allowed a female companion of their choice (A) and the other group (n = 75) who did not have a birth companion receiving routine standard care as routinely practised in our hospital. The data was entered in MS Excel Sheet and analysis was done using the statistical package for social sciences (SPSS) version 21.0 (IBM Corp., Armonk, NY). A p-value of <0.05 was considered statistically significant. Spontaneous vaginal births were significantly higher in group A (Group A: mean = 67; SD = 89.3%, Group B: mean = 57; SD = 76 %; p = 0.03) along with a favourable trend in a shorter duration of the first stage of labour (9.96±1.09 vs 11.95±3.11 hours) and decreased need of augmentation (Group A; mean = 10; SD = 13.3, Group B:mean = 23; SD = 30.7; p = 0.01). Maternal satisfaction was significantly higher in group A (Group A: mean = 60; SD = 80, Group B: mean = 44; SD = 58.7; p <0.01) and in the early initiation of breastfeeding (Group A: mean = 70; SD = 93.3, Group B: mean = 55; SD = 73.3; p <0.01). No statistical difference was observed between the mean duration of labour, mode of delivery, and NICU stay of the baby. Companionship during labour may improve outcomes for women and infants, including increased spontaneous vaginal birth, shorter labour duration, a low five-minute Apgar score, and higher satisfaction rates with childbirth experiences.

Health facility delivery and early initiation of breastfeeding: Cross-sectional survey of 11 sub-Saharan African countries.

Early initiation of breastfeeding (EIB) remains one of the promising interventions for preventing neonatal and child deaths. EIB is positively associated with healthcare delivery or childbirth. Meanwhile, no study in sub-Saharan Africa (SSA) appears to have investigated the relationship between health facility delivery and EIB; thus, we assessed the correlation between health facility delivery and EIB. We used data from the Demographic and Health Survey (DHS) of 64,506 women from 11 SSA countries. The outcome variable was whether the respondent had early breastfeeding or not. Two logistic regression models were used in the inferential analysis. With a 95% confidence interval (CI), the adjusted odds ratios (aORs) for each variable were calculated. The data set was stored, managed, and analyzed using Stata version 13. The overall percentage of women who initiated early breastfeeding was 59.22%. Rwanda recorded the highest percentage of early initiation of breastfeeding (86.34%), while Gambia recorded the lowest (39.44%). The adjusted model revealed a significant association between health facility delivery and EIB (aOR = 1.80, CI = 1.73-1.87). Compared with urban women, rural women had higher likelihood of initiating early breastfeeding (aOR = 1.22, CI = 1.16-1.27). Women with a primary education (aOR = 1.26, CI = 1.20-1.32), secondary education (aOR = 1.12, CI = 1.06-1.17), and higher (aOR = 1.13, CI = 1.02-1.25), all had higher odds of initiating early breastfeeding. Women with the richest wealth status had the highest odds of initiating early breastfeeding as compared to the poorest women (aOR = 1.33, CI = 1.23-1.43). Based on our findings, we strongly advocate for the integration of EIB policies and initiatives with healthcare delivery advocacy. Integration of these efforts can result in drastic reduction in infant and child mortality. Essentially, Gambia and other countries with a lower proclivity for EIB must reconsider their current breastfeeding interventions and conduct the necessary reviews and modifications that can lead to an increase in EIB.

A Cross-sectional Study: Assessment of Optimal Breastfeeding Practices among Tribal Women Having Children 0–23 Months of Age Residing in an Island of Sundarbans, West Bengal

Context: Tribal population is vulnerable to all inequities of the society and less penetrated by the service providers. Breastfeeding, 0–23 months old children is important for their development and is boon for their health. Objective: The objective of this study is to estimate the prevalence of optimal breastfeeding practices (OBFs) and elicit its predictors. Materials and Methods: This descriptive cross-sectional study was conducted in the tribal area of Sunderbans, West Bengal, among mothers having children 0–23 months of age, from May 2021 to September 2021. Participants were selected by the cluster sampling technique. OBFs were assessed by initiation of breastfeeding within 1 h of birth, exclusive breastfeeding till 6 months of age, and continuation of breastfeeding along with complementary feed till 23 months of age. Iowa Infant Feeding Attitude Scale was administered to assess attitude toward breastfeeding. Statistical analysis was done using multivariable logistic regression. Results: The mean age of the study participants was 24.8 ± 4.1 years. Early initiation of breastfeeding was done by 76.5% of the participants, but continuation beyond 6 months of age by 70.9%. OBFs were shown by 25.5% of the participants, which has a significant association with the knowledge about the breastfeeding practices (adjusted odds ratio [aOR]: 2.14; 95% confidence interval [CI]: 1.52–3.01) and maternal education (aOR: 3.78; 95% CI: 1.17–12.17). Conclusion: This study showed that only one-fourth of the participants have OBFs. This situation must be addressed with imparting proper knowledge about the importance of breastfeeding. Support group of women in the community should be formulated to aid mothers in continuation of breastfeeding.

Exclusive breastfeeding in Peru and its associated factors: A multivariate regression analysis.

Objective: To determine the prevalence and associated factors of exclusive breastfeeding in Peru. Methods: Cross-sectional analytical study, based on the databases of the 2020 Peruvian Family Health Demographic Survey. We included 41 258 women aged 15-49 years who had at least one child in the last 5 years. Pearson’s Chi-square test and the crude prevalence ratio (cPR) and adjusted prevalence ratio (aPR) were used for the bivariate analysis; and Poisson regression was used for the multivariate analysis. The STATA version 14 program was used. Results: Exclusive breastfeeding had a prevalence of 70.43%. The sociodemographic factors associated were being from the highlands [aPR: 1.39; 95% CI: 1.35-1.43] and rural area [aPR: 1,95; IC95 %: 1,93-1,96]. Regarding obstetric factors, exclusive breastfeeding training [aPR: 1.05; 95% CI: 1.03-1.06] increases the probability of compliance, while excessive bleeding in labor [aPR: 0.97; 95% CI: 0.94-0.99] and postpartum breast infection [aPR: 0.94; 95% CI: 0.91-0.97] reduce it. Among neonatal factors, having a macrosomic child and early initiation of breastfeeding [aPR: 0.73; 95%CI: 0.68-0.80] are associated with exclusive breastfeeding. Conclusions: In Peru, exclusive breastfeeding has a high prevalence, moreover, its success is significantly associated with different sociodemographic, obstetric and neonatal factors.

Determinants of length for age Z scores among children aged 6-23 months in Central Java, Indonesia: a path analysis.

Length for Age Z (LAZ) score determinants are complex and vary among different areas, but it is important for designing effective and efficient strategies to decrease stunting prevalence among children under 2 years. This study aimed to investigate the determinants of LAZ scores among children under 2 years in Central Java, Indonesia. This study was conducted on the 2021 Indonesian Nutritional Status Study (INSS) dataset, which was a cross-sectional survey. Data on 3,430 children aged 6-23 months from Central Java province were derived from the 2021 INSS data. After missing data elimination, 3,238 subjects were included in the analysis. Determinant factors included direct and indirect factors. Direct factors were the mother's age, birth weight Z score (BWZ), birth length Z score (BLZ), exclusively breastfed history, dietary diversity scores (DDS), empty calorie drink consumption, unhealthy snacks consumption, and infections. Indirect factors were early initiation of breastfeeding (EIBF) and posyandu (integrated health post) utilization. Underlying factors were socioeconomic status (SES) and the mother's education. Bivariate analyses and multiple linear regressions were conducted. A path analysis with a hypothesized model based on the UNICEF conceptual framework was also performed. Stunting, wasting and underweight proportions among the subjects were 19.1%, 7.6% and 12.3%, respectively. The mean LAZ scores were -0.95 ± 1.22; the mother's age was 29.7 ± 5.95 years; BWZ was -0.47 ± 0.97; BLZ was -0.55 ± 1.05; and DDS was 4.45 ± 1.51. The infection proportion among the subjects was 28%. BWZ and BLZ were positively correlated to LAZ scores, with r = 0.267 (p < 0.01) and r = 0.260 (p < 0.01), respectively. The mother's age was negatively correlated to LAZ scores with r = -0.041 (p < 0.05). Maternal education was positively correlated to SES but had no direct effect on LAZ scores. LAZ score determinants of BLZ (p < 0.001) and SES (p < 0.001) showed positive direct associations with LAZ scores, but the mother's age (p = 0.039), exclusively breastfed history (p < 0.001), and empty calorie drinks consumption (p < 0.001) had negative associations with LAZ scores. To prevent stunting among children aged 6-23 months in Central Java, Indonesia, intervention programs to increase the nutritional status of women at child-bearing age and nutrition education on child feeding practices should be conducted more efficiently and effectively.

Antenatal and perinatal service delivery associations with breastfeeding outcomes in Nepal: Analysis of the 2016 Nepal Demographic and Health Survey

Infant and Young Child Feeding (IYCF) breastfeeding guidelines of the World Health Organization (WHO) have been promoted in Nepal since the early 1990s. This study investigated whether antenatal and perinatal service delivery in Nepal are associated with early initiation of breastfeeding and age-appropriate feeding practice (exclusive breastfeeding to six months; introduction of complementary foods at six months with continued breastfeeding to two years). Data from the 2016 Nepal Demographic and Health Survey (NDHS) were analysed using multivariable logistic regression. The unit of analysis was an interviewed woman and her last-born child aged 0-23 months. We examined number of antenatal visits, place and type of delivery, infant-mother skin-to-skin contact post-delivery, and breastfeeding observation and counselling by a healthcare provider within two days post-delivery. Of 1938 mother-infant dyads, 1073 (55.4%) commenced breastfeeding within one hour of delivery and 1665 (85.9%) were engaged in age-appropriate feeding. Breastfeeding within one hour of delivery was associated with infants delivered vaginally (aOR: 4.76, 95% CI: 2.96-7.65), infant-mother skin-to-skin contact post-delivery (aOR:2.10, 95% CI: 1.63-2.72) and observation of breastfeeding by a healthcare provider within two days post-delivery (aOR: 1.58, 95% CI: 1.20-2.08). Age-appropriate feeding was lowest amongst mothers with infants aged 4-5 months (40.8%) compared to those with infants aged 0-1 month (aOR: 0.158, 95% CI: 0.083-0.302). Antenatal and perinatal service delivery were not significantly associated with age-appropriate feeding. Further promotion of infant-mother skin-to-skin contact post-delivery (including after caesarean delivery) and observation of early breastfeeding may increase the rate of breastfeeding within one hour of delivery. Promotion of exclusive breastfeeding in antenatal and perinatal services and additional postnatal support should be considered to increase exclusive breastfeeding of infants to six months. These improvements may be achieved through enhanced implementation of the Baby Friendly Hospitals Initiative and effective training and sufficient practice for skilled birth attendants.

Literature Review: Factors affecting the implementation of Early Initiation of Breastfeeding (EIBF) in maternity and breastfeeding mothers

&lt;p&gt;&lt;strong&gt;&lt;em&gt;Background: &lt;/em&gt;&lt;/strong&gt;&lt;em&gt;Early initiation of breastfeeding (EIBF) is the process of direct skin contact between the mother and the baby within the first hour after delivery. EIBF affects the welfare and survival of newborns. Implementation of early breastfeeding initiation globally according to WHO is 42% and the low implementation of EIBF is influenced by several factors.&lt;/em&gt;&lt;/p&gt;&lt;p&gt;&lt;strong&gt;&lt;em&gt;Objectives: &lt;/em&gt;&lt;/strong&gt;&lt;em&gt;To identify factors that influence the implementation of Early Breastfeeding Initiation (EIBF) in mothers who give birth and breastfeed based on empirical studies in the last five years.&lt;/em&gt;&lt;/p&gt;&lt;p&gt;&lt;strong&gt;&lt;em&gt;Methods: &lt;/em&gt;&lt;/strong&gt;&lt;em&gt;The research method in this study was a literature review with the type of narrative literature review by using flowcharts to determine screening studies that were adjusted to the research objectives. A search for literature reference sources was carried out from August 2021 to March 2022 with secondary data. Research reference sources are 31 international articles using 3 databases, namely PubMed, Sciencedirect, and Springer.&lt;/em&gt;&lt;em&gt;&lt;/em&gt;&lt;/p&gt;&lt;p&gt;&lt;strong&gt;&lt;em&gt;Results: &lt;/em&gt;&lt;/strong&gt;&lt;em&gt;The results of the study show that the mother's knowledge can be influenced by the availability of EIBF information, and the level of education of the mother. Parity has an influence on EIBF, because it is related to the mother's experience of breastfeeding. In caesarean delivery, it is influenced by post-delivery factors such as caesarean incision pain, the effect of anesthesia, and the mother's perception of milk production, whereas in normal delivery there are conditions of the mother's health that can affect the implementation of EIBF. Social support (husband, family and health workers) can encourage mother's confidence in the implementation of EIBF.&lt;/em&gt;&lt;em&gt;&lt;/em&gt;&lt;/p&gt;&lt;strong&gt;&lt;em&gt;Conclusions: &lt;/em&gt;&lt;/strong&gt;&lt;em&gt;There are several factors that influence and relate to the mother's knowledge, parity, type of delivery, social support, and health services on the success of EIBF in the implementation of EIBF in labor and breastfeeding mothers&lt;/em&gt;.

PENERAPAN MOBILISASI DINI PADA ASUHAN KEBIDANAN IBU NIFAS UNTUK MEMPERCEPAT PENURUNAN TINGGI FUNDUS UTERI DI PUSKESMAS TANJUNG BALAI KARIMUN

The postpartum period is a critical period for both the mother and the baby. The government has issued programs and technical policies to prevent post partum bleeding, namely at least 4 visits during the puerperium, postpartum visits, postpartum gymnastics, increased maternal nutrition, early initiation of breastfeeding (IMD) and early mobilization. Early mobilization is very important for mothers during the puerperium to accelerate the process of uterine involution. The purpose of writing is to apply early mobilization in midwifery care to accelerate the decrease in the height of the uterine fundus. The type of research used in the preparation of practice reports is descriptive research using the case study method. Data collection methods are participatory observation, interviews, measurements, documentation. The results of the application of midwifery care to Ny. A in the form of early mobilization for postpartum mothers shows that early mobilization helps accelerate the decrease in the height of the uterine fundus. Early mobilization by post partum mothers in the first 6 hours after delivery can help speed up the return of the uterus to its original shape. This is made possible because of the movements made by the mother which help to improve blood circulation and expel lochia so that it helps speed up the process of uterine involution.

Early Breast-Feeding Initiation Using Point of Care Quality Improvement Model at Tertiary Care Hospital in AJK

Early Breast-Feeding Initiation Using Point of Care Quality Improvement Model at Tertiary Care Hospital in AJK

PENGETAHUAN DAN SIKAP IBU TERHADAP INISIASI MENYUSUI DINI (IMD) DI PMB LISMARINI PALEMBANG

Background: Early Initiation of Breastfeeding is the process of breastfeeding babies immediately after birth, where babies are allowed to find their own mother's nipple (not thrust into the nipple). The purpose of this study was to obtain an overview of the knowledge, attitudes of mothers and the role of midwives towards early breastfeeding initiation (IMD) at BPM Lismarini Palembang. Method: This study used a descriptive survey method with a "Quantitative approach. The population taken was all postpartum mothers at BPM Lismarini Palembang totaling 46 respondents. The research sample used "Saturated Sampling", which is taking all the existing population. Results: Univariate data analysis obtained respondents who did IMD as many as 33 (71.7%), and who did not do IMD as many as 13 (28.3%). While the knowledge of respondents was found to be good knowledge as many as 25 (54.3%), those with less knowledge were 21 (45.7%), and the attitude of respondents was found to be positive as many as 35 (76.1%), who were negative as many as 11 (76.1%). Conclusion: postpartum women in Lismarini midwife Palembang have initiated breastfeeding with good knowledge and attitude.

DOES KANGAROO MOTHER CARE IMPROVE BREASTFEEDING PRACTICES? A SINGLE INSTITUTION EXPERIENCE ON HEALTHY TERM NEONATES

Early initiation of breastfeeding following birth has several advantages such as weight gain, improved immune status and better development. However, for exclusive breastfeeding to be successful, appropriate latching is necessary. Several studies across the globe have noted that improper feeding techniques have resulted in early breastfeeding cessation.Kangaroo mother care is a tool to help provide skin-to-skin contact, especially in preterm infants, to develop bonding, prevent hypothermia and allow adequate breastfeeding. KMC is seldom practiced in healthy term neonates. However, we propose that KMC can help improve breastfeeding practices in this subgroup of infants. The aim of this study is to compare the LATCH scores in term neonates that receive KMC (group A) and dont receive KMC (group B).

Healthcare providers perceptions regarding the presence of Birth Companion during childbirth at a tertiary care hospital in India

BackgroundDespite an increase in institutional births and a fall in maternal mortality, the satisfaction of women with their birthing experience in public health institutions is low. Birth Companion (BC) is an important part of the Labour Room Quality Improvement Initiative introduced by the Government of India in 2017. Despite mandates, its implementation has been unsatisfactory. Little is known about the perception of healthcare providers about BC.MethodsWe conducted a facility-based, cross-sectional quantitative study with doctors and nurses in a tertiary care hospital in Delhi, India to gauge their awareness, perception and knowledge about BC. Following universal total population sampling, the participants were administered a questionnaire, which was completed by 96 of 115 serving doctors (response rate of 83%), and 55 of 105 serving nurses (response rate of 52%).ResultsMost (93%) healthcare providers were aware of the concept of BC, WHO’s recommendation (83%) and Government’s instructions (68%) on BC during labour. A woman’s mother was the BC of choice (70%) closely followed by her husband (69%). Ninety-five percent of providers agreed that the presence of a BC during labour will be beneficial, in providing emotional support, boosting the woman’s confidence, providing comfort measures, helping in the early initiation of breastfeeding, reducing post-partum depression, humanizing labour, reducing the need for analgesia and increasing chances of spontaneous vaginal births. Yet, support for the introduction of BC in their hospital was low due to institutional barriers like overcrowding, lack of privacy, hospital policy, risk of infection; privacy issues and costs.ConclusionsWidespread adoption of the concept of BC would require, besides directives, a buy-in by the providers, and action on their suggestions. These include greater funding for hospitals, creating physical partitions to ensure privacy, sensitization and training of health providers and BC, incentivizing hospitals and birthing women, formulation of guidelines on BC, standards setting and a change in institutional culture.

Early initiation of breast feeding and associated factors among mother-baby dyads with immediate skin-to-skin contact: cross-sectional study based on the 2016 Ethiopian Demographic and Health Survey data

ObjectiveThe study aimed to assess the practice of early initiation of breast feeding (EIBF) and associated factors among mother-baby dyads who practiced immediate skin-to-skin contact in Ethiopia.DesignCross-sectional study.SettingThe study was...

Effect of Early Initiation of Breast Feeding on the Prevention of Postpartum Depression among Puerperal Women: An Interventional Program.

Effect of Early Initiation of Breast Feeding on the Prevention of Postpartum Depression among Puerperal Women: An Interventional Program.

“FACTORS AFFECTING INITIATION OF BREASTFEEDING IN LBW AND VLBW BABIES; GROWTH OUTCOMES AT 6 MONTHS OF CORRECTED AGE WITH REFERENCE TO KMC”

LBW infants has higher risk of early infectious disease and growth retardation during infancy and childhood. Advances in NICU in perinatal care has improved survival of LBWto prevent long-term complications. Feeding practices like exclusive breastfeeding along with KMC support child. The objective is to determine factors affecting initiation of breastfeeding in LBW, VLBW babies and describe role of KMC regarding growth at 6 months of corrected age. Methodology:This is prospective study conducted on infants admitted at NICU and followed up for 6months. Parameters like weight, length and head circumference were done to all admitted babies in NICU. KMC was given one group. Results: In our study, 90 babies divided as two groups, Group A (45 babies)- KMC is given; Group B (45 babies)-KMC not given. Mean Birth weight in Group A(1.77kg) and Group B (1.58kg) respectively. Main factors affecting initiation of breastfeeding in babies were LSCS (63.3% and 48.9%), RDS (55.6% and 38.9%) respectively. Rates of exclusive breastfeeding is signicantly increased in Group A (92.2%) than Group B (72.2%). At 6 months of corrected gestational age, mean weight in Group A (5.68kg) is signicantly more than in Group B (4.88kg). Conclusion: LBW babies are more prone for growth retardation, can be prevented by early initiation of breastfeeding and good newborn care. Factors affecting initiation of breastfeeding in LBWand VLBWbabies are LSCS, RDS. KMC care helps to increase exclusive breastfeeding rates and improve growth outcome

Newborn Care Practices and Associated Factors Influencing Their Health in a Northern Rural India

In developing countries, neonatal mortality is the most neglected health issue by the health system, leading to its emergence as a public health problem. A study was undertaken to assess the influence of factors and newborn care practices influencing newborn health in the rural area of Bareilly district. The descriptive cross-sectional study was organized in the rural areas of Bareilly. Study participants were selected based on the mothers who gave birth to a baby during the last six months. The mothers who delivered in that area within six months were included and, using the semi-structured questionnaire, data were collected. Data were analyzed using Microsoft Excel and SPSS 2021 version for windows. Out of 300 deliveries, nearly one-quarter of the deliveries, 66 (22%), were happening in homes, and most of the deliveries, 234 (78%), happened in hospitals. It was observed that unsafe cord care practices were observed more among nuclear families, 8 (53.4%), than joint families, 7 (46.6%), and it was found to be statistically insignificant. The Unsafe feed was given 48 (72.7%) more commonly among home deliveries than institutional deliveries 56 (23.9%). Mothers' initiation of delayed breastfeeding was nearly the same in both home and hospital deliveries. Delayed bathing was observed in nearly three-fourths of mothers, 125 (70.1%), aged 24-29 years, followed by 29 (16.8%) in the age period of 30-35 years. The practice of essential newborn care still needs to improve in Bareilly; there is a need to create awareness among the mothers and family members on newborn and early neonatal care aspects, such as promoting exclusive and early initiation of breastfeeding and delayed bathing practices.

Pemberian Biskuit Tepung Ikan Teri (Stolephorus Commersonii) dan Tepung Daun Kelor (Moringaolefera) terhadap Peningkatan Kadar Volume ASI dan Berat Badan Ibu Nifas di Kota Palu

The puerperium or puerperium period is the period after labor is completed up to 6 weeks or 42 days. During the puerperium, the reproductive organs will slowly experience changes as they were before pregnancy. This change in the reproductive organs is called involution. Based on the 2018 Riskesdas data, the process of starting breastfeeding mostly occurs 1-6 hours after birth (35.2%) and &lt;1 hour (early breastfeeding initiation) at 34.5%. Meanwhile, the lowest breastfeeding initiation occurred at 7-23 hours after birth, which was 3.7%. It can be seen that the coverage of exclusive breastfeeding in 2020 decreased by 1.10% compared to coverage in 2019 (57.77%). Almost all Puskesmas in the Palu City area have exclusive breastfeeding coverage &gt;50%, and refer to the 2020 Ministry of Health Strategic Plan target of 40%. This study aims to analyse the influence of biscuits and flour from flour anchovies kelor against the increasing volume of breastfeeding on the parturition.The specific objectives of this study were: 1) making biscuits from anchovy flour and Moringa flour, 2) Determining the serving size of biscuits per serving, 3) Analyzing the effect of giving biscuits from anchovy flour and Moringa flour to increase the volume of breast milk in postpartum mothers. The research design used a quasi-experimental one group pre and post-test. The used the test t pairs, One at the research is mother parturition Palu in some 20 mother parturition .The subject of study is population research which were selected purposively on inclusion and exclusion. This research result indicates that any impact of biscuits flour anchovies (stolephorus commersonii) and flour leaves kelor (moringaolefera) against weight mother parturition ( p 0,006 ) and volume breastfeeding worth (p 0,000 ).

Pemberian Kolostrum dan ASI Eksklusif pada Bayi Baru Lahir

Early breastfeeding initiation is one way for babies to get colostrum, colostrum is the first liquid secreted by the breast glands, one of the causes of low nutrition is the level of IMD including colostrum feeding, colostrum is an antibody that is ready to protect the baby when the baby's condition is very weak. Colostrum is given when the first milk comes out, after that it is transitional breast milk, breast milk is given to babies for 6 months without any additional food, and can be given for 2 years. Exclusive breastfeeding is the best supplementary food and is a natural nutrient that is needed in the process of growth and development of the baby. The provision of colostrum and exclusive breastfeeding is still relatively low due to many mothers who do not understand and lack of knowledge about colostrum and exclusive breastfeeding. The purpose of this community service is to provide information about the importance of giving colostrum and exclusive breastfeeding to newborns. The method used in this community service activity begins with the opening and introduction of the speakers, then continued with the delivery of counseling material about colostrum and exclusive breastfeeding, question and answer sessions to participants and finally closing. With this activity, it can increase the knowledge of mothers about the provision of colostrum at the time of the first milk discharge and the importance of exclusive breastfeeding until the age of 6 months.