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Determinants of exclusive breastfeeding in South gujarat region of India.

Chudasama RK, Patel PC, Kavishwar AB - J Clin Med Res (2009)

Bottom Line: Risk factors for early weaning were primiparity (OR = 3.01, 95% CI = 2.01- 4.51), consecutive delivery interval less than 24 months (OR = 1.79, 95% CI = 1.09 - 2.92), maternal age below 20 years (OR = 6.49, 95% CI = 2.69 - 15.61), and paternal occupation as labor (OR = 2.02, 95% CI = 1.36 - 3.00).Exclusive breastfeeding practices are not in a better situation than at national level.Exclusive breastfeeding; Weaning; Antenatal care; Postnatal care; Education.

View Article: PubMed Central - PubMed

Affiliation: Department of Community Medicine, P D U Medical College, Rajkot, India.

ABSTRACT

Objective: To estimate the situation of breastfeeding in Surat among infants and to determine variables associated to major risks for early weaning.

Design and settings: Mothers coming to the well baby clinic for immunization of infants at Government Medical College and Hospital were interviewed using pretested questionnaire.

Subjects: Mothers with their infants who have not completed one year of age.

Methods: In this cross sectional study, 498 mothers were selected for study from May to September, 2008. Survival analysis was the method used to calculate the prevalence and the median duration of breastfeeding. The Chi-square test was performed to compare the proportions; significance level was set at 5%. Odds ratio was used to measure the significance of association, with a 95% confidence interval. Logistic regression analysis was used to identify the risk factors for early weaning.

Results: The median length of exclusive breastfeeding was 6 months. Risk factors for early weaning were primiparity (OR = 3.01, 95% CI = 2.01- 4.51), consecutive delivery interval less than 24 months (OR = 1.79, 95% CI = 1.09 - 2.92), maternal age below 20 years (OR = 6.49, 95% CI = 2.69 - 15.61), and paternal occupation as labor (OR = 2.02, 95% CI = 1.36 - 3.00).

Conclusions: Exclusive breastfeeding practices are not in a better situation than at national level. The factors related to early weaning denote a weak breastfeeding support given by maternal and infant health services.

Keywords: Exclusive breastfeeding; Weaning; Antenatal care; Postnatal care; Education.

No MeSH data available.


Related in: MedlinePlus

Survival curve showing survival probability for duration of exclusive breastfeeding
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Figure 1: Survival curve showing survival probability for duration of exclusive breastfeeding

Mentions: On the basis of life table technique, Figure 1 shows survival probability for duration of exclusive breastfeeding among study infants. The life table technique allows us to consider children who are still being breastfed at the time of interview of mothers, and also to know the proportion of children that remain being breastfed by the end of each month of their life. So, it allows a longitudinal approach to the cross sectional data collected. In relation to exclusive breastfeeding, we observed that this was a universal practice immediately after birth and it continues for first three months of life. By the end of fourth month, more than 80% children were still exclusively breastfed, which further drops to 70% by the end of the fifth month. At the end of 6 months, only 37% children were exclusively breastfed. The median length of exclusive breastfeeding (age in which half of the children received only the mothers milk) was found 6 months (with 95% confidence interval 5.81 6.189) in present study.


Determinants of exclusive breastfeeding in South gujarat region of India.

Chudasama RK, Patel PC, Kavishwar AB - J Clin Med Res (2009)

Survival curve showing survival probability for duration of exclusive breastfeeding
© Copyright Policy - open access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3318851&req=5

Figure 1: Survival curve showing survival probability for duration of exclusive breastfeeding
Mentions: On the basis of life table technique, Figure 1 shows survival probability for duration of exclusive breastfeeding among study infants. The life table technique allows us to consider children who are still being breastfed at the time of interview of mothers, and also to know the proportion of children that remain being breastfed by the end of each month of their life. So, it allows a longitudinal approach to the cross sectional data collected. In relation to exclusive breastfeeding, we observed that this was a universal practice immediately after birth and it continues for first three months of life. By the end of fourth month, more than 80% children were still exclusively breastfed, which further drops to 70% by the end of the fifth month. At the end of 6 months, only 37% children were exclusively breastfed. The median length of exclusive breastfeeding (age in which half of the children received only the mothers milk) was found 6 months (with 95% confidence interval 5.81 6.189) in present study.

Bottom Line: Risk factors for early weaning were primiparity (OR = 3.01, 95% CI = 2.01- 4.51), consecutive delivery interval less than 24 months (OR = 1.79, 95% CI = 1.09 - 2.92), maternal age below 20 years (OR = 6.49, 95% CI = 2.69 - 15.61), and paternal occupation as labor (OR = 2.02, 95% CI = 1.36 - 3.00).Exclusive breastfeeding practices are not in a better situation than at national level.Exclusive breastfeeding; Weaning; Antenatal care; Postnatal care; Education.

View Article: PubMed Central - PubMed

Affiliation: Department of Community Medicine, P D U Medical College, Rajkot, India.

ABSTRACT

Objective: To estimate the situation of breastfeeding in Surat among infants and to determine variables associated to major risks for early weaning.

Design and settings: Mothers coming to the well baby clinic for immunization of infants at Government Medical College and Hospital were interviewed using pretested questionnaire.

Subjects: Mothers with their infants who have not completed one year of age.

Methods: In this cross sectional study, 498 mothers were selected for study from May to September, 2008. Survival analysis was the method used to calculate the prevalence and the median duration of breastfeeding. The Chi-square test was performed to compare the proportions; significance level was set at 5%. Odds ratio was used to measure the significance of association, with a 95% confidence interval. Logistic regression analysis was used to identify the risk factors for early weaning.

Results: The median length of exclusive breastfeeding was 6 months. Risk factors for early weaning were primiparity (OR = 3.01, 95% CI = 2.01- 4.51), consecutive delivery interval less than 24 months (OR = 1.79, 95% CI = 1.09 - 2.92), maternal age below 20 years (OR = 6.49, 95% CI = 2.69 - 15.61), and paternal occupation as labor (OR = 2.02, 95% CI = 1.36 - 3.00).

Conclusions: Exclusive breastfeeding practices are not in a better situation than at national level. The factors related to early weaning denote a weak breastfeeding support given by maternal and infant health services.

Keywords: Exclusive breastfeeding; Weaning; Antenatal care; Postnatal care; Education.

No MeSH data available.


Related in: MedlinePlus