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Indian Journal of Community Medicine

Breast Feeding Practices in a Rural ICDS Block of Khallikote, South Orissa

Author(s): Suvra Pathi, B.C. Das

Vol. 30, No. 4 (2005-10 - 2005-12)

The study to assess breast feeding practices constituted 383 infants, of them 152 were in the age group of 0-6 months and 231 between 6 months to 1-year age. Maximum number of mothers (51.4%) received antenatal care from health worker (Female), followed by 19.8% by Health Assistant (Female) and trained Dais (6.6%). 11.8% mothers did not receive antenatal care.

The main source of knowledge regarding exclusive breast feeding came from anganwadi workers (16.8%), followed by health workers (Female) (12.55%), trained Dais (3.67%), Medical Officers (4.69%) and Mass Media (2.36%). 37.18% did not have any knowledge of Exclusive Breast Feeding (EBF).

The main cause of non-exclusive Breast Feeding was inadequate or no milk secretion (69.3%). The other reasons were child's health (9.3%) and mother's health (3.6%). Some of the mother's were unaware of the benefits of EBF (4.5%) and hence did not practise it. Boiled water (58.6%) was the main feed given along with breast feeding. This was followed by Water and Honey (11.7%), Animal Milk (19.9%) and Powdered milk (9.6%).

The time of initiation of breast-feeding after the birth of the baby was more between 24-48 hrs in (41.51%) followed by those initiating between 12-24 hrs (18.54%). Most (86.4%) babies were given some or the other prelacteal feeds (boiled water, misri added boiled water, Honey). The type of inaugural feeds given by the mothers revealed that more number of mothers preferred giving boiled water to the infant, accounting for 37.60%. Honey and boiled water in 10.97% and cows milk and goats milk in 9.1%.

There was no significant difference as per the literacy status and knowledge regarding colostrum. The literacy status of the mother had no significant relationship with the pattern of breast-feeding adopted by the mothers.

It was seen that there was no significant difference as regards parity of the mother with respect to exclusive breast-feeding. The mothers with a higher socio-economic status who exclusively breast-fed their child for the stipulated time were less in number (9.62%) as compared to mothers with a low socio-economic status (65.38%) and this was found to be highly significant. Maximum mothers (42.9%) exclusively breast-fed their child for 1-2 months. Only 8.6% mothers continued with EBF for the scheduled 4-6 months. Majority of the lactating women (82.2%) were aged 18-35 years. Majority of the mothers had a domiciliary delivery (94.5%).

The source of knowledge regarding exclusive breast-feeding showed 37.18% of mothers were not aware at all. 28.71% stated it to be from Anganwadi worker and health worker (F). The main reason put forth by mothers for not giving an exclusive breast-feeding was inadequate milk or no milk secretion (69.3%).

Suvra Pathi, B.C. Das
Deptt. of Community Medicine,
M.K.C.G. Medical College,
Berhampur, Orissa

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