No abstract

No abstract

Background: exclusive breast feeding practice is major pillar in preventing infant mortality. This study was undertaken to know the knowledge and attitude of antenatal mothers towards breast feeding.Methods: this is a cross sectional study in our hospital in which 264 antenatal mothers were included after verbal consent. Antenatal mothers were explained about the study, their knowledge and attitude regarding breast feeding is assessed by questionnaire. Study will be analysed by appropriate statistical analysis.Results: In total of 264 antenatal mothers, most of them were between 20-25 years, majority in third trimester. Among them 68.2% knows breast feeding should be initiated within first hour of delivery, 90.2% is for no prelacteal feeds and 95.8% wants to feed colostrum. Only 42.4% wants to continue breastfeeding for two years. About 62.9% of antenatal mothers wants to supplement the child with food after six months.81.8% knows breast feeding is not only helpful to the baby but also it prevents breast cancer in mother later in life. 21.2% wants to feed complimentary feeds as early as 3 months.Conclusions: our study on knowledge  of  breast feeding among antenatal mothers shown most of  them are against prelacteal feeds and wants to feed colostrums, but initiation of breast feeding within first hour of birth and weaning after six months and continuation of breast milk up to two years is lagging. Multiple educational sessions, visual aids, pamphlets, electronic media, counseling during antenatal period and in early post natal period is necessary to inculcate appropriate knowledge on breast feeding.

Background: Maternal mortality is a quality health care of that area. We planned a study on maternal mortality ratio (MMR) to understand the causes leading to maternal mortality in Mandya district, Karnataka, India after the introduction of national rural health scheme in past five years. Methods: It is a retrospective analysis of case records. We collected records of MMR occurred from Jan 2011 to Dec 2015 over a period of five years from district health office. Results: MMR from Jan 2011 to Dec 2015 is 38.25/lakh live births the same was 106.9 (in 2001-05) and 95.89 (2006-10). MMR commonly seen between 20-29years and most of them died within 24 hours of admission. Postpartum haemorrage (PPH), eclampsia and amniotic embolism are still the leading causes, anaemia plays a major role (10% direct and 37.5% indirect cause) of maternal mortality. Conclusions: Introduction of NRHM certainly helped to reduce MMR in our district. MMR by Anaemia, PPH and eclampsia are largely preventable on early recognition and aggressive treatment by skilled birth attendants.