Professional Documents
Culture Documents
33
Sl.
Demographic variables
Number of samples
Percentage (%)
21-25 years
20
26-30 years
19
63
31-35 years
17
0-2 months
15
50
2-4 months
11
36.7
4-6 months
13.3
Secondary
3.3
Diploma
6.7
Graduate
13
43.3
Post graduate
14
46.7
<Rs.10,000
10
Rs.10,000 Rs.40,000
17
56.7
30
>Rs. 80,000
3.3
One
22
73.33
Two
23.33
Three
3.3
First
24
80
Second
20
No
1
Age of infant
Mothers education
Family income
Parity
Birth order
34
Table 4.1 shows, among 30 working lactating mothers, majority of the mothers
63% (19) aged between 26-30 years and 20% (6) mothers belongs to 21-25 years and
17% (5) mothers aged above 30 years.
Regarding infant age, about 50% (15) of infants belongs to 0-2 months and
36.7 % (11) infants belong to 2-4 months and only 4 infants were aged between 4-6
months.
Majority of the working lactating mothers, 46.7% (14) were post graduates,
43.3 % ( 13) were graduates and 6.7 % ( 2) had diploma degree and only one 3.3%
had secondary education.
Among 30 working lactating mothers, 56.7% (17) mothers earned family
income between Rs.10,000 - Rs.4 0,000 and 30% (9) earned income ranging from
Rs.40,000- Rs.80.000. About 10 % (3) had income less than 10,000. Only one mother
(3.3%) earned more than Rs. 80,000.
Among 30 lactating mothers, majority 73.3% (22) mothers were primi mothers
and 23.33% (7) mothers had history of two pregnancy. Only 3.3%, one mother had
history of four pregnancies
In this study, 80% (24) mothers had their infants as first born child and 20%
(6) mothers had their infants as second child
35
Sl.
Work Profile
Number of
No
1
Percentage (%)
Samples
Nature of work
Professional
17
56.7
Non Professional
13
43.3
Government
6.7
Private
28
93.3
1-6 hours
13.3
6-8 hours
11
36.7
8-10 hours
14
46.7
>10 hours
3.3
15 minutes-30 minutes
10
33.3
30 minutes- 1 hour
16
53.3
1 hour-1 hours
13.3
1 hours- 2 hours
<3months
12
40
3-4 months
15
50
pto 6months
10
Above 6 months
No leave
Duration of work
Maternity leave
36
Table 4.2 reveals, among 30 working lactating mothers, 56.7% (17) mothers
were professional workers and 43.3% (13) were non professionals.
Majority of mothers 93.3% (28) were working in private firm except 6.7% (2)
mothers were government employees.
With regard to duration of work, almost 46.7 % (14) mothers worked for
8-10 hours and another 36.7 % (11) worked for 6-8 hours of work and 13.3% (4)
had1-6 hours of work. Only 3.3 % (1) mothers had working time more than 10 hours.
Majority of mothers, 53.5% (16) mothers had 30 minutes -1 hour of break and
33.3% (10) had only 15- 30 minutes break. Only 13.3 % (4) of mothers reported
break hour for more than up 1 hour.
Out of 30 mothers, half 50% (15) mothers had maternity leave for 3-4 months
and 40% (12) reported maternity leave less than 3 months. Only 10 % (3) mothers
informed that the maternity leave might be extended up to 6 months.
37
Percentage
46.7%
50
45
40
35
30
25
20
15
10
5
0
36.7%
13.3%
3.3%
1-6 hours
6-8 hours
8-10 hours
>10 hours
Working hours
0%
Break hours
18 minutes-30 minutes
13.3%
17 minutes-30 minutes
53.3%
16 minutes-30 minutes
33.3%
15 minutes-30 minutes
10
20
30
40
50
60
Percentage
FIGURE 4.4: Bar diagram percentage distribution of break hours allotted for
the working lactating mothers
38
Sl.No
Previous education
Number of
Percentage
samples
(%)
Yes
13.3
No
26
86.7
100
100
100
100
Individual counseling
100
Previous education
1.1
Topics
secretion
1.2
Through
Table 4.3 shows, only 13.3% (4) working mothers with medical field
experience and class room teaching had previous knowledge regarding benefits of
breast feeding, breast feeding techniques, exclusive breast feeding and factors
influencing breast milk secretion. 86.7% (26) mothers had no previous education
sessions.
39
TABLE
infant feeding
n=30
Sl.
Baseline data
Number of
Percentage
samples
(%)
25
83.3
13.3
3.3
Yes
23.3
No
23
26.7
Occasionally
42.9
Once daily
28.5
Twice daily
28.5
Room temperature
23.3
Refrigerator
Husband
26.67
Family members
20
66.67
Friends
Colleagues
None
6.66
No
1
Practice
of
expressing
and
2.1
Frequency
of
expression
of
breast milk
2.2
40
Table 4.4 shows, among 30 lactating mothers, at the time of data collection,
83.3% (25) mothers were practicing breast milk feeding and 16.7% (4) were
practicing breast milk and formula feeding at one month and three months of infant
life. One mother (3.3%) started to practice cows milk feeding at three months of
infant life.
Out of 30 mothers, only 23.3% (7) mothers practiced expression of breast milk
for infant feeding, using hand expression technique. 42.9% (3) mothers had collected
breast milk once or occassionly.28.5% (2) mothers collected once daily and one
mother (11.28%) collected twice daily. One more mother (11.8%) collects thrice daily.
All the 7 mothers used to store the expressed breast milk in room temperature.
Among 30 mothers, 40% (20) mothers got support from all the family
members for exclusive breast feeding and 26.7% (7) mothers got support from their
husbands. About 6.7% (2) mothers reported no support from their husband, family
members, friends and colleagues.
41
66.67%
70
Percentage
60
50
40
26.67%
30
20
6.66%
10
0%
0%
0
Husband
Family
members
Friends
Colleagues
None
42
Number of
Percentage (%)
samples
1
Yes
3.3
No
29
96.7
<10kms
19
63
11-20kms
26.7
21-30kms
3.3
>30kms
6.7
Two wheeler
30
Four wheeler
6.7
Walking
6.7
Public vehicle
17
56.66
Yes
3.3
No
29
96.7
Yes
3.3
No
29
96.7
Mode of transport
Crche facility
Facilities
for
collection
and
43
Table 4.5 reveals, majority 96.7% (29) mothers reported that there might be
inconvenience to go home for feeding due to time constrains, distance and transport
facility. Only one mother (3.3%) was able to go home for feeding purpose at the time
of data collection
About 63% (19) working mothers had less than 10 kilo meters distance and
26.7% (8) had less than 20 kilo meters of distance. One mother (3.3%) had less than
30 kilo meters and 6.7% (2) mothers had to travel more than 60 kilometers.
Almost more than half of the mothers 56.66% (17), travel by public transport
to their working area and home. 30% (9) mothers had their own two-wheeler vehicle.
About 6.7% (2) mothers had own four wheeler vehicle and another 6.6% (2) mothers
reported walk able distance to their working area.
Almost 96.7% (29) reported no crche facilities for their infants near to their
working area. Only one mother (3.3%) had crche facility near working area.
None of the 30 mothers had facilities for collecting and storing breast milk in
their working area.
44
n= 30
Level of knowledge
Pre test
Post test-II
Adequate
11
36.7
Moderately adequate
11
36.7
18
60
Inadequate
19
63.3
3.3
Table 4.6 depicts among 30 working lactating mothers, more than half of the
mothers 63.3% (19) had inadequate knowledge and 36.7% (11) had moderately
adequate knowledge and none of the mothers had adequate knowledge. After the
video assisted teaching, 36.7% (11) had adequate knowledge and 60% (18) had
moderately adequate knowledge. Only one mother 3.3% (1) had inadequate
knowledge.
45
60%
70
63.3%
Percentage
60
50
36.7%
40
36.7%
30
Pre test
20
Post test-II
10
3.3%
0%
Adequate
Moderately
adequate
Inadequate
Knowledge level
FIGURE 4.6: Bar diagram showing knowledge on exclusive breast feeding among
working lactating mothers in pre test and post test-II
46
n=30
Sections
Knowledge
Knowledge
Knowledge
Knowledge
Knowledge
Knowledge
on basics of
on
on
on storing
on thawing
breast
exclusive
collection
of
technique
feeding
breast
of breast
expressed
feeding
milk
breast milk
level
Adequate
3.3
17
56.7
6.6
3.3
16.6
16.6
26.7
30
12
40
13.7
24
80
16.6
19
63
17
56.7
21
70
16.6
18
60
17
56.7
23.3
20
10
33.3
10
33.3
12
23.3
15
50%
14
46.7
15
50
6.6
20
26.7
10
33.3
knowledge
Pre- Moderate
test
adequate
knowledge
Inadequate
knowledge
Adequate
knowledge
Moderate
Post
test
-II
adequate
knowledge
Inadequate
knowledge
47
Table 4.7 depicts, section wise knowledge level of working lactating mothers
Knowledge on basics of breast feeding:
Among 30 working lactating mothers, majority of 80% (24) mothers had
inadequate knowledge and 16.6% (5) had moderately adequate knowledge and 3.3% (1)
mother had inadequate knowledge. After video assisted teaching, 16.6% (5) gain
adequate knowledge, 33.3% (10) had moderately adequate knowledge and 50% (15)
had inadequate knowledge
Knowledge on exclusive breast feeding:
More than half of the mothers, 56.7% (17) had adequate knowledge, 26.7% (8)
had moderately adequate knowledge and 16.6% (5) had inadequate knowledge
regarding exclusive breast feeding. On post test, 60% (18) had adequate knowledge,
33.3% (10) mothers had moderately adequate knowledge. Only 6.6% (2) had
inadequate knowledge.
Knowledge on collection of breast milk:
Almost 63% (19) mothers had inadequate knowledge, 30% (9) had moderately
adequate knowledge and 6.6% (2) had adequate knowledge. After the intervention,
56.7% (17) had adequate knowledge, 40% (12) had moderately adequate knowledge
and only 3.3% (1) had inadequate knowledge.
Knowledge on storing of breast milk:
During pre-test, more than half of the mothers 56.7% (17) had inadequate
knowledge, 40% (12) had moderately adequate knowledge. 3.3% (1) had adequate
knowledge. After the intervention, 50% (15) had moderately adequate knowledge,
23.3% (7) had adequate knowledge and 26.7% (8) had inadequate knowledge.
Knowledge on thawing technique:
Majority, 70% (21) had inadequate knowledge, 16.6% (5) had adequate
knowledge and 13.7% (4) had moderately adequate knowledge. On post test, 20% (6)
mothers had adequate knowledge, 46.7% (14) had moderately adequate knowledge, and
about 33.3% (10) had inadequate knowledge.
48
n= 30
Pre-test
Sl. No
Levels of attitude
Favorable
16.7
17
56.7
Moderately favorable
25
83.3
13
43.3
Un favorable
Table 4.8 shows, about 16.7% (5) had favorable attitude towards exclusive
breast feeding and 83.3% (25) had moderately favorable attitude. During post test,
56.7% (17) has favorable attitude and 43.3% (13) had moderately favorable attitude.
None of them had unfavorable attitude in pre test and post test.
TABLE 4.9: Skill level on expressing breast milk among working lactating
mothers during pre test and post test-I
Sl.
n=30
Skill level
Pre test
Post test- I
No
f
Adequate
13
43.3
29
96.7
Fair
15
50
3.3
Inadequate
6.7
Table 4.9 shows, with regard to skill in expressing breast milk, 43.3% (13) had
adequate skill and 50% (15) had fair skill. Only 6.7% (2) had inadequate skill. On post
test, majority of the mothers, 96.7% (29) had adequate skill, 3.3% (1) had fair skill and
none of them had inadequate skill.
49
90
83.3%
80
Percentage
70
56.7%
60
50
43.3%
40
Pre test
30
Post test-II
16.7%
20
10
0%
Favorable
Moderately
favorable
0%
Un favorable
Attitude level
FIGURE 4.7: Bar diagram showing attitude level of working lactating mothers on
exclusive breast feeding during pre test and post test-II.
96.7%
100
90
Percentage
80
70
50%
60
50
43.3%
pre test
40
post test-I
30
20
3.3%
10
6.7%
0%
0
Adequate
Fair
Inadequate
Skill level
FIGURE 4.8 Bar diagram showing skill level on expressing breast milk among
working lactating mothers during pre test and post test-I
50
TABLE 4.10 Comparison of pre test and post test knowledge, attitude and skill level
of working lactating mother through student t test.
n= 30
Sl.
Test
Pre test
Post test
no
Table
value value
95%
CI
value
Mean
SD
Mean
SD
12.63
4.36
21.4
3.092
3.65
(-10.95, -6.84)
51.63
7.004
(-6.25,-1.41)
Knowledge
on
exclusive
9.31
breast
feeding
2
Attitude on
exclusive
breast
feeding
Skill level
on
expression
36.033 7.073
45.36
2.774
of breast
milk
Statistically Significant **p<0.001; *p<0.01.
51
8.294 3.65
(-11.48,-7.11)
Null hypothesis H01: There will be no significant improvement in the knowledge and
attitude on exclusive breast feeding and skill performance in expressing breast milk
among lactating working mothers.
Table 4.10 depicts, the mean post test knowledge score (21.4) with SD 3.092
was greater when compared with mean pre test knowledge score (12.63) with SD 4.36.
The paired t test was computed. The calculated t value was 9.31 at df (29) was higher
than the table value (3.59) which is significant at p< 0.001. Hence research hypothesis H1
(Page No: 7) is accepted and null hypothesis (H01) is rejected.
The mean post test attitude score (55.46) was greater with SD 9.433 when
compared with mean pre test knowledge score (51.63) with SD 7.004. The calculated
t value was 2.75 at df (29) was higher than the table value (2.75) which is significant at
p<0.01. Hence research hypothesis H1 (Page No: 7) is accepted null hypothesis (H01) is
rejected.
The mean post test skill score (45.366) with SD 2.77 was greater when
compared with mean pre test skill score (36.033) with SD 7.073. The calculated t
value was 8.294 at df (29) was higher than the table value (3.65) which is significant at
p<0.001. Hence research hypothesis H1 (Page No: 7) is accepted and null hypothesis
(H01) is rejected.
Hence the video assisted teaching was found to be effective for improving the
knowledge, attitude and skill of working lactating mothers.
52
Variables
Knowledge score
0-13
14-40
21-25 years
26-30years
10
31-35years
Graduates
Post graduates
10
Professional
11
Non professional
11
Primi
10
Multi
Yes
11
No
11
Chi square
Table
P value
value
Age of the
mother
47.433
13.82
0.001**
3.59
3.84
0.5
0.314
3.84
NS
8.99
6.63
0.01*
1.138
3.84
0.5
Education status
of the mother
Nature of work
Parity
Previous
education
level
of
pre
test
at
p<0.001
47.433)
and
p=0.01
respectively. This depicts the mothers with 31 -35 years and 26 -30years had
more association with knowledge level. Among 13 multi parity mothers, 9 had good
knowledge level and it also shows an association. Thus, as the age and parity increases
the knowledge level also increases. There is no association between other demographic
variables and knowledge level. Hence research hypothesis
parity of the mother. (Page No 7).
53
Variables
No
Attitude score
Chi
Table
P value
0-55
56-75
square
value
21-25 years
55.113
13.82
0.001**
26-30years
16
31-35years
Graduates
14
0.033
3.84
NS
Post graduates
10
Primi
19
0.638
3.84
0.5
Multi
Yes
0.883
3.84
0.5
No
21
Age of the
mother
Education status
of the mother
Parity
Previous
education
good knowledge and proves as the age increases, the mothers develops desirable
attitude. There is no association between any other variables and attitude level. Hence
research hypothesis
54
Variables
Skill competency
Chi
Table
score
square
value
42.08
13.82
0.001**
0.222
3.84
NS
3.415
3.84
0.10
3.091
3.84
0.10
No
0-35
36-75
21-25 years
26-30years
10
31-35years
Graduates
Post graduates
First
10
12
Second
Yes
no
15
11
P value
Age of the
mother
Education status
of the mother
Infant birth
order
Previous
education
with advancing age (26-30years). There is no association between any other variables
and attitude level. Hence research hypothesis
(PageNo7).
55
Participants
Follow up-I
Follow up-II
Follow up-III
no
Nature
Two weeks
rejoining for
rejoining for
after rejoining
work
work
for work
Phone attended
29
96.7
29
96.7
29
96.7
Indented to
23
77
0 .7
24
82.75
25
86.2
3.3
13.33
13.33
13.33
3.3
3.3
3.3
work
Starts to work
Extended
leave
temporarily
Extended
leave for more
than 6 months
2
56
Base line
Follow up-I
Follow up-II
Follow up-III
information
Two weeks
rejoining for
after rejoining
work
for work
1 month
2 months
31.03
17.24
6.89
3 months
13
44.82
13
44.82
17.24
4months
20.68
31.03
15
51.72
5months
3.44
6.89
24.13
6months
Grand mother
21
72.41
21
72.41
21
2.41
Other relatives
13.8
13.8
13.8
Home maid
13.8
13.8
13.8
Yes
17
58.62
23
79.31
28
96.55
No
12
41.37
20.68
3.44
Caretaker of
infant in mothers
absence
Conveys video
information to
the caretaker
57
Table 4.15, shows, Among 29 mothers, 72.41% (21) mothers responded that the
grandmothers take care of the child in their absence. 13.8% (4) reported other family
members like sister or aunt
home maid for taking care of the infant. These rates were constant for all the follow
ups.
At the time of first follow up only 58.62% (17) mothers conveyed the video
information to the care takers. The rate increased to 79.31% (28) during second follow
up. Almost 96.55% (28) mothers conveyed information to the care take by third follow
ups.
Regarding percentage distribution of infant age, during the first follow up, majority of
infants 44.82% (13) were aged 3 months.31.03% (9) infants aged 2 months, 20.68% (6)
infants grouped in 4 months. Only 3.44% (1) infant were in 5 months. None of them
were in one month and 6 months of age
During the second follow up, 44.82% (13) infants were aged 3 months.31.03%
(9) infants were aged 4 months. 17.24% (5) infants were aged 2months. Only 6.89% (2)
infants aged 5 months.
At the time of third follow up, 51.72% (15) infants were 4 months.24.13% (7)
infants were aged 5 months. Only 17.24% (5) were aged 3months and 6.89% (2) infants
were 2months.
58
TABLE 4.16: Frequency and percentage distribution of mothers going home for
break hours during phone follow up in post test- III
Sl.
Base line
Follow up-I
Follow up-II
Follow up-III
No
information
One week
Two weeks
rejoining for
work
for work
for work
n=29
n= 24
n= 24
Yes
37.5
10
41.6
No
29
100
15
62.5
14
58.33
Going home in
break hours for
feeding
Table 4.16 shows, during the first follow up, only 2 mothers start to work and
none of the mothers were going home for feeding.
During the second follow up, 37.5% (9) mothers were able to go home during
break hours for infant feeding and 41.4% (10) mothers responded that they were able to
go home during the break hours.
59
Sl.
Follow up-I
Follow up-II
Follow up-III
One week
Two weeks
before
rejoining for
after
rejoining for
work
rejoining for
No
work
work
20
68.96
13
44.82
13
44.82
3.44
3.44
3.44
3.44
20.68
13
44.82
11
37.93
6.89
6.89
6.89
3.44
Sangu feeding
17.24
3.44
6.89
3.44
13.49
13.79
Bottle feeding
13.49
14
48.27
16
55.17
3.44
3.44
Method of administering
expressed breast milk /
formula feed
60
Table 4.17 reveals, during first follow up about 68.96% (20) of infants received
exclusive breast feeding. 20.68% (6) of infants received breast milk and formula feed.
Almost 6.89% (2) infants received breast milk and cows milk. 3.44% (1) infant was
started feeding with cows milk. None of them depended on formula feed alone.
At the time of second follow up, the breast milk only rate decreased to 44, 82%
(13). About 37.93% (11) infants were introduced to formula feed along with breast milk.
Two mothers introduced cows milk along with breast milk. One infant on cows milk
were continuing same in this follow up.
In the third follow up, the infants continuing breast milk only and cows milk
with breast milk remains same. The rate of infants feeding with breast milk and formula
feed became 37.93%. (11) The infants on formula feed only and cows milk only was
3.44% (1) in each.
Table 4.17 shows, for administering the expressed breast milk or formula feed.
17.24% (5) care takers used sangu and 13.49% (4) used bottle for feeding, during the
first follow up. The use of bottles were increased to 48.27% (16) in the second follow up
and further increased to 55% in the third follow up. The use of cup and spoon 13.49%
(4) for feeding remains same during second and third follow up.
61
68.96%
70
60
Percentage
50
44.82%
44.82%
44.82%
37.93%
40
30
Follow up-I
20.68%
20
Follow up-II
10
0
3.44%
3.44%
3.44%
3.44%
6.89%
6.89% 6.89%
Follow up-III
0
3.44%
Type of feed
Figure 4.9: Bar diagram showing percentage distribution of type of infant feed practiced by working lactating mothers during
post test- III
62
Sl.
n=29
Follow up-I
Follow up-II
Follow up-
One week
III
before
rejoining for
Two weeks
rejoining for
work
after
No
work
rejoining for
work
22
75.86
21
72.41
17.24
3.44
10.34
10
34.48
13.79
10.34
10
34.48
3.44
3.44
3.44
3.44
3.44
10.34
6.89
3.44
6.89
3.44
10.34
20.68
27.5
3.44
17.24
3.44
23
79.3
16
55.17
18
62.06
3.44
3.44
3.44
3.44
3.44
3.44
6.89
3.44
27
93.10
26
89.65
25
86.20
Frequency of feedings
Breast milk
times)
None
Formula feed
times)
None
Cows milk
times)
None
63
Table 4.18 shows; the frequency of breast milk feeding in the first follow up was
more than 10 times among 75.86% (22) of mothers. During the third follow up it is
reduced to 17.24% (5). Thirty four percent of mothers were use to feed 8-10 times in the
third follow up.
The use of formula feed in the first follow up was none among. Seventy nine
percent (23) mothers and 10.34% (3) mothers used 4-8 times, 2(6.89%) used often. In the
second follow up, the number of mothers not using formula feeds were reduced to 16
(55.17%) but it was raised to 62% (18) during third follow up. About 27.5% (8) of
mothers were practicing formula feeding for their infants in the third follow up.
One mother, (3.4%) were feeding her infant with cows milk from the first follow
up. Only one mother was feeding occasionally. In the third follow up, a total of 4
mothers practiced cows milk for their infant feeding and majority 86% (25) were not
used cows milk.
64
Sl.
Follow up-I
Follow up-II
Follow up-
One week
One week
III
before
after rejoining
Two weeks
rejoining
for work
after
No
for work
rejoining
for work
Yes
10
34.48
18
62.06
16
55.17
No
19
65.51
11
37.93
13
44.82
Hand expression
80
13
72.2
10
62.5
Pump expression
20
16.6
25
11.11
12.5
5.55
6.25
Twice a day
10
50
56.25
Once a day
22.2
18.75
Occasionally
90
22.2
18.75
Steel containers
10
100
14
77.77
67.25
22.22
43.75
1.1
Method
of
expressing
breast milk
1.2
Frequency
of
expressing
breast milk
1.3
Container
used
for
65
Regarding expression of breast milk Table 4.19 shows, in the first follow up, only
10 (34.48%) mother were expressing. Most of them 90% (9) express occasionally.
Majority 80% (8) were using hand technique for expression of breast milk.
During second follow up, the number of mothers practicing expression of breast
milk was increased to 62% (18). Among 18 mothers, 13(72.2%) were using hand
expression, 3 (16.6%) were using pump and 11.11% (2) were using both hand and pump.
Half of the mothers 50% (9) expresses twice a day.
During third follow up, 55.17 % (16) mothers were expressing breast milk for
infant feeding. Out of them, 6% of mother expresses more than thrice a day. Majority
56.25% (9) mothers were expressing twice a day. Sixty two percent (10) of mothers were
expressing with hand expression.
Regarding containers used, all the 10 mothers were used steel containers during
first follow up. In the third follow up, 67.25% (9) were using steel containers and the
remaining were using feeding or pump bottle.
66
Sl.
Follow up-I
Follow up-II
Follow up-III
One week
Two weeks
before
rejoining for
after rejoining
rejoining
work
for work
for work
n=18
n=16
No
n=10
Steel containers
10
100
14
77.77
56.25
22.22
43.75
Room temperature
10
100
14
77.77
11
68.75
Refrigerator
5.55
6.25
Both
16.6
25
16.6
22.22
11.11
22.22
33.33
22.22
16.6
11.11
Within 1 hour
10
100
22.22
11.11
Duration
of
storing
67
Table 4.20 shows, all the mothers who used to express milk during first follow
up, were storing the milk in steel containers in room temperature for less than 1 hour.
Among 18 mothers who express breast milk during second follow up, 77.77%
(14) stored the expressed breast milk in steel container, in room temperature. 22% (4)
mothers were storing in feeding or pump bottle. 16.6% (3) of mother used to store
expressed milk in both room temperature and refrigerator. Majority 33.33% (6) of the
mothers utilized the expressed milk within 2-4 hours.
During the third follow up, 56.25% (9) of mothers stored expressed breast milk
in steel container.43.75% (7) of mothers stored in feeding or pump bottle and majority of
mothers 68.75% (11) stored the expressed breast milk in room temperature. The majority
of mothers 66.66% (12) fed the child within 6 hours only 22.22% (4) mothers stored the
expressed breast milk for more than six hours.
68
Sl.
No
Difficulties faced
Follow up-I
One week
before
rejoining for
work
Follow up-II
One week
after
rejoining for
work
Follow upIII
Two weeks
after
rejoining
for work
f
%
3.44
24.13
24.13
3.44
20.6
20.6
27.55
12
41.37
12
41.37
3.44
10.34
10.34
6.89
17.24
17.24
3.44
3.44
6.89
Medical complaints
3.44
3.44
3.44
6.89
10.34
(Mastitis)
8
Table 4.21 depicts, during the first follow up, the major problem faced by the
mother in practicing exclusive breast feeding were poor secretion (28%).
In the second follow up, the 41.37%(12) mothers responded poor milk
secretion and 24.13%(7) responded more working hours as major problem and around
20.6%(6) of mothers perceived lack of facilities for collection and storage of breast
milk. Seventeen percent (5) mothers reported difficulty in expressing breast milk.
During the third follow up, poor milk secretion 41.37% (12) continues as the
major problem in the working mothers. The percentage of other perceived problems like
more working hours and lack of facilities for collection and storage and difficulty in
expression of breast milk remain same.
69
45
40
Percentage
35
30
25
Follow up-I
20
Follow up-II
15
Follow up-III
10
5
0
Working hours No facilities for
are more.
collection and
storage of
expressed breast
milk
Poor family
support
Medical
complaints
(Mastitis)
Others ( own
convenience)
Figure 4.10 Line graph showing percentage distribution of difficulties faced by mothers in practicing exclusive breast feeding during
post test- III
70
TABLE 4.22 Assessment of infant feeding pattern and practice of exclusive breast feeding in first phone follow up during post test- III
n=29
Sl.
No
infants
Breast
Expressed
Formula
Breast
Cows
Breast
Bottle
Mothers
feeding
breast milk
feed only
feeding
milk
feeding
feeding
going
only
feeding
+formula
only
+cows
home
milk
for
feed
break
1
1 month
2 months
3 months
13
4 months
5 months
6 month
29
20
10
(68.96%)
(34.48%)
(0%)
(20.68%)
(3.44%)
(0%)
(0%)
(0%)
TOTAL
71
Table 4.22 reveals the number of infants in each month of age and their feeding
pattern during first follow up. Here majority of infants belongs to second and third month
of age.
Total of 68.96% (20) mothers were feeding their infants with breast milk only.
34.48% (10) mothers were feeding the infants with expressed breast milk, and 20.68%
(6) infants were fed with both breast feeding and formula feed. Only 3.44% (1) mother
started to feed cows milk. None were using bottle for feeding. Among 29 mothers, only
2 mothers started to work in the first follow up and none of the mothers were going home
for feeding during break hours.
The mean exclusive breast feeding duration in the first follow up was 3.05
months.
72
TABLE 4.23 Assessment of infant feeding pattern and practice of exclusive breast feeding in the second phone follow up during post
test- III
n=29
Sl.
Age of
Number
Breast
Expressed
Formula
Breast
Cows
Breast
Bottle
Mothers
No
the
of
feeding
breast
feed only
feeding +
milk only
feeding +
feeding
going
infants
infants
only
milk
cows milk
formula feed
home for
feeding
break
1 month
2 months
3 months
13
4 months
5 months
6 months
29
14
18
12
10
(48.27%)
(62.06%)
(0%)
(41.37%)
(3.44%)
(6.89%)
(34.48%)
(31.03%)
TOTAL
73
Table 4.23 shows, the number of infants in each month of age and their feeding
pattern during first follow up. Here majority of infants belongs to third and fourth month
of life.
Over all 48.27% (14) mothers were feeding their child with breast milk only.
Among the working lactating mothers 62.08% (18) mothers were expressing breast milk
for their infants. 41.37% (12) mothers introduced formula feed along with breast milk
and 6.89% (2) mothers were feeding the child with cows milk and breast milk. Only one
mother withheld breast feeding to the infant. Almost 34.48% (10) mothers were using
bottle for feeding the infants. Among the 24 mothers, who started to work, 31.03% (9)
mothers reported going home during break for infant feeding.
The mean exclusive breast feeding duration in the second follow up was 3.42
months.
74
TABLE 4.24 Assessment of infant feeding pattern and practice of exclusive breast feeding in the third follow up during post test- III
n=29
Sl.
No
Breast
Expressed
Formula
Breast
Cows
Breast
Bottle
Mothers
of
feeding
breast milk
feed only
feeding
milk only
feeding
feeding
going
infants
only
feeding
+formula
+cows
home for
feed
milk
break
1 month
2 months
3 months
4 months
15
10
10
5 months
6 months
29
14
16
11
16
11
(48.27 %)
(55.17%)
(3.44%)
(37.93%)
(3.44%)
(6.89%)
(55.17%)
(37.93%)
TOTAL
75
Table 4.24 shows, the number of infants in each month of age and their feeding
pattern during first follow up. Here majority of infants belongs to four months of age.
Nearly half mothers 48.27% (14) continued practicing exclusive breast milk
feeding and 55.17% (16) mothers were practicing expression of breast milk for infant
feeding. 37.93% (11) mothers were feeding the infant with both breast milk and formula
feed. Two (6.88%) mothers withheld breastfeeding for their infant. The usages of feeding
bottle were further increased to55.16%. Among the 25 mothers, who started to work,
37.93% (11) mothers responded that they were able to go home for feeding during break
hours.
The mean exclusive breast feeding duration in the third follow up was 4.2
months. This shows that continuous reinforcement and education can improve the rate of
exclusive breast feeding.
76