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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Assessment of Knowledge and Practices of Mothers about Infant Feeding: A Hospital Based Study
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Assessment of Knowledge and Practices of Mothers about Infant Feeding: A Hospital Based Study

机译：评估婴儿喂养的母亲的知识和做法：基于医院的研究

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Exclusive Breast Feeding (EBF) is one of the most efficacious and cost effective intervention for reduction of child morbidity and mortality. Institutional delivery with maternal counselling and training is accepted as an effective modality to implement EBF. However, EBF rates have remained unacceptable despite high proportion of institutional deliveries in India.Aim: To estimate EBF rate amongst institutional deliveries, and the factors affecting breastfeeding practices among these mothers.Materials and Methods: This was a cross-sectional hospital based study. Institutionally, delivered infants attending Paediatrics Out-Patient Department (OPD) and immunisation clinic, who had received complete vaccination till 14 weeks, were included. All mother-baby pairs satisfying inclusion criteria were recruited after written informed consent. Institutional ethics committee approved the study. Infant and Young Child Feeding (IYCF) guidelines and Integrated Management of Neonate and Child Illness (IMNCI) Feeding Assessment Questionnaire based proforma was used to access breastfeeding knowledge and practices amongst recruited subjects. Chi-square test was used to assess the relationship between background characteristics of subjects and feeding practices. Further these associations were tested using multiple logistic regression models with each associated factor.Results: A total of 500 mother and baby dyad were recruited. Only 64 (12.8%) mothers initiated breastfeeding within 1 hour of birth; 12.6% babies never received breastfeeding. A 17.6% discarded colostrum considering it bad or indigestible for their babies. Prelacteal feeding in first six months of birth was practiced by 47.6% mothers. Scheduled and on-demand breastfeeding was higher amongst mothers living in nuclear families as compared to those in joint families (90.4% vs. 80.7%; p=0.003).Conclusion: Inspite of institutional delivery and multiple contacts with health personnel, EBF rate is still low. Many faulty practices, like withholding colostrum and prelacteal feeding are still prevailing in the society. Effective and repeated counselling is required in each contact with care givers for successful EBF.
机译：独家母乳喂养（EBF）是减少儿童发病率和死亡率最有效和成本效益的干预措施之一。母亲咨询和培训的机构交付被认为是实施EBF的有效态度。然而，尽管印度的机构交付量很高，EBF率仍然是不可接受的。瞄准：估计机构交付中的EBF率，以及影响这些母亲中母乳喂养行为的因素。材料和方法：这是一个十字架基于医院的研究。在机构上，包括在14周内接受完全疫苗的儿科门诊部门（OPD）和免疫诊所的发行婴儿。在书面知情同意后，所有母婴对均满足纳入标准的招标。制度伦理委员会批准了该研究。婴儿和幼儿喂养（IYCF）新生儿和儿童疾病的指导方针和综合管理（IMNCI）饲养评估问卷的形式的形式，用于访问招聘科目之间的母乳喂养知识和实践。 Chi-Square测试用于评估受试者和饲养实践的背景特征之间的关系。进一步使用每个相关因子使用多个逻辑回归模型测试这些关联。结果：招募了总共500名母婴。只有64（12.8％）母亲在出生后1小时内发起母乳喂养; 12.6％的婴儿从未接受过母乳喂养。考虑到他们的婴儿，17.6％丢弃了初乳，考虑到它对他们的婴儿不好或难以消化。前六个月的出生前期喂养的母亲是由47.6％的母亲练习。与联合家庭中的母亲（90.4％与80.7％; P = 0.003）相比，定期和按需母乳喂养更高。结论：结论：机构交付的机构交付和与卫生人员的多个联系人EBF率仍然很低。许多错误的做法，如预扣初乳和前期饲养仍然是在社会中的盛行。每次接触都有有效和重复的咨询，与护理人员成功的EBF。

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