Determinants of Exclusive Breastfeeding in South Gujarat Region of India

Chudasama, Rajesh K; Patel, Panna C; Kavishwar, Abhay

doi:10.4021/jocmr2009.06.1242

Cited by 35 publications

(44 citation statements)

References 8 publications

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“…Chudasama et al reported prevalence of EBF to be 37% in Gujrat, India [24]. Another study from India among rural women in Tamil Nadu showed the prevalence to be 34% [25] which is similar to our study.…”

Section: Discussionsupporting

confidence: 90%

Prevalence of exclusive breastfeeding and associated factors among mothers in rural Bangladesh: a cross-sectional study

et al. 2014

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BackgroundExclusive breastfeeding (EBF) means that the infant receives only breast milk for the first six months of life after birth. In Bangladesh, the prevalence of EBF remained largely unchanged for nearly two decades and was 43% in 2007. However, in 2011, a prevalence of 64% was reported, an increase by 21 percentage points. The reasons for this large change remain speculative at this point. Thus to investigate the issue further, this study was conducted. The objective was to assess the prevalence of EBF and associated factors among mothers having children aged 0–6 months in rural Bangladesh.MethodsA cross-sectional study was conducted in Mirzapur Upazilla (sub district) among 121 mothers of infants aged 0–6 months. Eligible mothers were identified and randomly selected using the demographic surveillance system’s computerized database that is updated weekly. A semi-structured questionnaire was used for interviews that inquired information on socio-demographic characteristics, obstetric, health service, breastfeeding related factors (initiation of breastfeeding, prelacteal feeding and colostrum feeding) and economic factors. EBF prevalence was calculated using 24 hour recall method. In multivariate analysis, a logistic regression model was developed using stepwise modeling to analyze the factors associated with EBF.ResultsThe prevalence of EBF in the last 24 hours preceding the survey was 36%. Bivariate and multivariate analysis revealed no significant association between EBF and its possible predictors at 0.05 level of alpha. However, there was some evidence of an association between EBF and having a caesarean delivery (OR = 0.47, 95% CI: 0.21, 1.06). In multivariate analysis, type of delivery: caesarean (AOR = 0.45, 95% CI: 0.19, 1.03) and wealth quintile: richer (AOR = 2.40, 95% CI: 0.94, 6.16) also showed some evidence of an association with EBF.ConclusionThe prevalence of EBF in Mirzapur (36%) is lower than the national figure (64%). Prelacteal feeding was not uncommon. These findings suggest that there is a need for breastfeeding support provided by health services. Hence, promotion of EBF during the first six months of life needs to be addressed and future breastfeeding promotion programmes should give special attention to those women who are not practicing EBF.

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Section: Discussionsupporting

confidence: 90%

Prevalence of exclusive breastfeeding and associated factors among mothers in rural Bangladesh: a cross-sectional study

et al. 2014

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“…For instance, it has been found that maternal age less than 20 years can increase the risk of early weaning by 6 times. 33 Lower maternal education level has been identified as a potential risk factor to interrupt the EBF. 34 The mothers, who are employed, would have inadequate time for baby care and usually are separated from their children during working hours; therefore, working commitment can disrupt EBF.…”

Section: Discussionmentioning

confidence: 99%

“…This has also been previously reported in India. 33 The potential explanation may be related to insufficient knowledge and skills for proper breastfeeding, as well as the misperception that the EBF may have unfavorable effects on the physical fitness and postpartum recovery.…”

Section: Discussionmentioning

confidence: 99%

Factors influencing exclusive breastfeeding among Iranian mothers: A longitudinal population-based study

Saffari¹,

Pakpour²,

Chen³

2016

Health Promot Perspect

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Background: Exclusive breastfeeding (EBF) contributes to the health and survival of the newborns. Many factors influence the EBF behavior. This study aimed to identify the determinant factors in order to improve the practice of EBF among Iranian mothers. Methods: A longitudinal study was carried out in 1445 mothers with newborns in Qazvin city, Iran (September 2015-March 2016). Demographic variables as well as the constructs of theory of planned behavior (TBP) were measured by questionnaires. Bivariate analysis using Pearson and Spearman correlation tests with analysis of variance were used to investigate the associations among the variables. Both hierarchal multiple regression and logistic regression were applied to identify potential determinative factors for the EBF. Results: Nearly, 80% (CI: 77.97-82.63%) of the participants had the intention of EBF. All TPB constructs, moral norms, and self-identity were significantly correlated with each other (r: 0.09- 0.40, P < 0.01). Some demographic variables such as age, income, employment and primiparity were also correlated with the EBF (r: 0.11-0.15, P < 0.05). The constructs of the TPB were able to predict the EBF behavior, which account for 49% of the variance in the predicting factors (df = 8, F = 7.70). The self-identity and moral norms accounted for an additional 15% of the variance (df = 10, F = 3.16). Younger mothers with lower socio-economic status were at higher risk of EBF cessation. The intention has a greater impact on the initiation of EBF than perceived behavioral control (PBC) but not for the maintenance of EBF (OR, 2.88 [CI: 2.38-3.48] & 1.13 [CI:1.03- 1.23] vs. OR, 1.27 [CI:1.15-1.39] & 2.66 [CI: 2.02-3.49]). Conclusion: The interventions to promote knowledge, attitude and behavioral control towards the EBF should be considered especially in the young mothers with low socio-economic status.

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“…It is a complex procedure involving both the psychological and physiological processes which in turn is governed by a lot of social, economic and other cultural factors (Figure 1). These factors affect breastfeeding and exclusive breastfeeding in different directions and to varying degrees depending on culture [36][37][38][39][40].…”

Section: Conceptual Frame Workmentioning

confidence: 99%

Knowledge and Practices of Exclusive Breastfeeding among Women in Rural Uttar Pradesh

Verma¹,

Dixit²

2016

J Neonatal Biol

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Determinants of Exclusive Breastfeeding in South Gujarat Region of India

Cited by 35 publications

References 8 publications

Prevalence of exclusive breastfeeding and associated factors among mothers in rural Bangladesh: a cross-sectional study

Prevalence of exclusive breastfeeding and associated factors among mothers in rural Bangladesh: a cross-sectional study

Factors influencing exclusive breastfeeding among Iranian mothers: A longitudinal population-based study

Knowledge and Practices of Exclusive Breastfeeding among Women in Rural Uttar Pradesh

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