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\ 1 ,c .rt I I?*. ;;cs- Indian Journal of Community Medicine Vol. XXV, No.2. Apr.-Jun., 2000
number of mothers having their children aged 6 weeks to 4 Table III: Period of continuation of breast feeding
months was about 180. according to literacy status of mothers (having
Table I: Distribution of all mothers according to time children aged 12-24 months) (n=600).
of initiation of breast feeding (n=1200).
Literacy status Before 6 6-12 After 12 Total
Time of hours Number Percentage months months months
No.( %) No.(%) No.(%)
O-6 47 3.9
7-12 416 34.7 Illiterate 109(27.2) 242(60.3) 50( 12.5) 401
13-18 610 50.8 Primary/Middle 43(32.6) 74(56.0) l5( I I .4) I32
19-24 127 10.6 High school 2q41.7) 25(52.0) 3(6.3) 48
Table I shows that 85.5% of the mothers initiated Total 181(30.2) 348(58.0) 71(11.8) 6 0 0
breast feeding between 7- I8 hours after delivery and it was
started by 100% mothers within 24 hours. Kar et al’ and df = 6, x*=57.4, p<.OOl
Dutta Banik’ have reported that 5 I .3% and 42.9% of infants Table IV: Period of continuation of breast feeding
were put to breast within a span of 24 hours after delivery. according to socio-economic status of mothers (n=600).
Table II: Distribution of all mothers according to
source of knowledge of breast feeding (n=1200). Socio-economic Before 6 6-12 After 12 Total
status months months months
Source Number Percentage
No.(%) No.(%) No.(%)
Family members 660 55.0
Table V: Reasons of discontinuation of breast feeding Table V shows that out of mothers who discontinued
in relation to duration (n=600). before 6 months, 61.9% had insufficient milk and 33.1%
Reasons Duration of breast feeding had developed breast infections. After 6 months,
Before 6 6-12 Total discontinuation was mostly a part of the weaning process
months months No.(%) (79.9%), pregnancy (15.80/o), and babies’ illnesses (4.3%).
No.(%) No.(%)
Karl and Kumar3 also commented insufficient milk to
InsuffIcIent milk I 12(61.9) - 112(21.2)
Breast infection 60(33.1) - 60(1 1.3) be the commonest reason of discontinuation.
Weaning 278(79.9) 278(52.6)
The help of WHO criteria4 of indicators of breast
Pregnancy ’ ‘: - 55( 15.8) 55( 10.4)
Illness of baby 9(5.0) l5(4.3) 24(4.5) feeding practices was taken for categorising the feeding
practices and accordingly the children aged 6 weeks to 4
Total IX I ( 100.0) 348( 100.0) 529( 100.0)’
months have been divided into three groups, (i) exclusive
‘Mothers of 71 children continued breast feeding after 12 breast feeding, (ii) complimentary feeding and (iii) bottle
months. feeding.
Table VI: Association between prevalence of diarrhoea and breast feeding practices in children aged 6 weeks to 4
months (n=lgO).
Table VI shows that the mean number of episodes of women should be particularly focussed in avoiding
diarrhoea among cxcluslvely breast fed children was nil and non-human milk with or without bottle upto the age of 4
that of bottle fed was 1.25. the difference between them months and also on timely weaning practices.
being highly significant (Z = 17.8, p-&01). Similarly, the
References:
mean numhcr ofcpisodes m case of complimentary feeding
group was 0.66. which was also significantly different from 1. Kar M, De R: Breast feeding practices-impression
that of exclusively breast fed children (Z=l8.3, p<.ClOl). from an Urban Community. Indian Journal of Public
Similar observations were also made by Kaur’. Health I99 I ; 35(4): 93-5.
The study shows that there needs a lot to be done to 2. Dutta Banik ND: Breast feeding and weaning
improve the feeding practices in all sections of the society, practices of Indian pre-school children. Indian
particularly the mothers having higher education and Journal of Community Medicine, 1987; 12(3):
socio-economic status. The health education to the pregnant 109-16.
3 Kumar S, Slngh S, N&h LM et al Changmg trend; in 4 Kaur P, Kaur N Breast feeding practices in Varanasi
breast teedlng attltudc and practices m India - need for District (U P ) Indian Journal ot Public Health, 1996,
appropi late intervention Indian J o u r n a l o f 40(4) 52-3.
Commumty Medicme, 1987, 12(3) 124-36
obsclvatlon was that neally 40% of pregnancies were teen maternal and child health and proved to be lcarnmg
age pregndncles, ovel 59% 01 deliveries were InstItutIonal experience for fdCUlty of community medlclne and the
and the lest wete home deliveries, two fifth ot home health teams The fmdmgs were shared with the local health
dehvel ies were conduLtcd by untrained personnels Nearly authorltles and the vlllagc community Data of MICS was
25% of new born were glvcn breast fecdlng wlthm an hour also used In teaching and training of undergraduate
ot delivery and veiy high plop01 tlon (68%) of children were studrnts These raplds surveys should be undcl t&n quite
exLlu\lvely b r e a s t ted upto t o u r m o n t h s o f hfe frequently by the health care delivery system to get a feed
Complementary ‘oodb were started at right age by 42% Of back of the system