Adherence and Early Initiation of Breastfeeding in Institutional Deliveries – Prospective Observational Cohort Study.

Early Initiation of Breastfeeding in Institutional Deliveries

Abstract

Background: Aim: 1. To assess the effect of early initiation of breastfeeding within 1hour on sustain exclusive breastfeeding, 2. To assess the correct position, attachment and effective suckling in the breastfeeding of infants as practiced by mothers, 3. To assess the educational background of mother as factor for adherence to breast feeding, 4. Involvement of various healthcare personnel in successful breastfeeding. Subjects and Methods: An observational, prospective cohort study was done at KBNIMS and GIMS Hospital in Kalaburagi from March 2018 to August 2018. Mother-newborn units were observed for mother's and baby's position, attachment and quality assessed by fish bone diagram (Ishikawa). Data thus collected were analysed using Chi-Square test. Results: The results of the study revealed that the highest percentage (47.8%) of the sample their age were ranged between (18-21) years, (49%) of them were graduated from primary school and less, (91%) initiate their breastfeeding during 24 hours in previous baby, In primipara average latch score was 4 and in multipara it was 8 whereas score of 7 in normal vaginal and score of 4 in lscs. Conclusion: Neonatal and infant deaths can be decreased to significant level if breast feeding is initiated within 1 hour. LATCH score is excellent tool for caregivers at all level in hospital. Early initiation will help to sustained and maintain breastfeeding till 6 months of age and avoid top feeding by the mother.