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Harsukh Educational Charitable Society International Journal of Community Health and Medical Research

Volume 2 Issue 2 April-June 2016

Original Articles

Influence of Place and Mode of delivery on Initiation of Breast feeding Practices in Urban and Rural Area of District Ambala, Haryana
Harshdeep Joshi, Yash Mitra , Gurmeet Singh

Background- Optimal breast feeding practices especially early initiation of breast feeding help giving the best start to new born baby’s life. A recent estimate by the World Health Organization estimated that worldwide only 35% of children between birth and 5th month of their life are breastfed exclusively. NFHS-III Data from India showed that the percentage of children who started breast feeding within one hour of birth and percentage of infants weaned by 6 to 9 months of age was just 24.5% and 58.8% respectively.Aim of the study to evluate influence of place and mode of delivery on breast feeding initiation. Materials And Methods- - It was community based cross- sectional study conducted among 1267 children between age group of 0-24 months in the urban and rural field practice areas of Department of Community Medicine, Maharishi Markandeshwar Institute of Medical Sciences and Research, Mullana, district Ambala, Haryana. A self designed semi structured questionnaire was used to assess Mother’s knowledge , trends and determinants of infant and young child feeding practices.Results- The striking finding of the study was that significant number of mothers 33.2% opting for institutional delivery had put their babies on breast feeding within one hour compared to 9.7% who delivered at home and this difference was statistically significant (p<0.001) .A significant difference (p<0.001) was observed among mothers (38.6 % ) who delivered normally initiated breast feeding within one hour whereas majority of the mothers i.e 49.5% who initiated breast feeding beyond one hour and within first 24 hours delivered by Cesarean section. Conclusion-Birth type matters in breastfeeding. Accounting for this difference in women electing to have scheduled cesaren section can allow them to be more adequately informed regarding the benefits of lactation. Key words: Breast feeding; Delivery; Caesarean

 
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