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Breast feeding practices in slums under guwahati PowerPoint Presentation

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Slide 1 - BREAST FEEDING PRACTICES IN SLUMS UNDER GUWAHATI MUNICIPAL CORPORATION Prof.J.N. Sharma Dhrubajyoti Sharma* Dept. Of Paediatrics Gauhati Medical college TRADITIONAL
Slide 2 - INTRODUCTION Breast feeding practices include exclusive breast feeding for 6 months and extended breast feeding up to 2 years or beyond. There are many traditional practices associated with breast feeding of which certain undesirable practices need to be discouraged.
Slide 3 - MATERIALS AND METHOD Study was conducted in 15 slums under GMC among 300 mothers who had children from 6 months to 24 months age. Few mothers with children up to 25 to27 months were also included in the present study as per the need. Institution:dept. of Paediatrics Gauhati Medical College. Period of study:from 1st March 2005 to 31st August 2005. Data were collected in pretested proforma using structured questionnaire. Prevailing breast feeding practices, beliefs and factors associated with it were noted.
Slide 4 - RESULTS AND OBSERVATIONS INITIATION OF BREAST FEEDING 42% initiated within one hour. Time since birth at initiation (n=300)
Slide 5 - HISTOGRAM SHOWING TIME AT INITIATION IN 3 RELIGIONS IN THE PRESENT STUDY 59.25% Hindu initiated within 1 hr. 22.72% Muslim initiated within 1hr. Sikhs initiated after second day. (n=162) (n=132) (n=6) Time since birth at initiation of Breast feeding
Slide 6 - according to place of delivery and literate-illiterate 84(68.29%)hospital deliveries initiated within 1hr. in contrast with 42(23.72%)home deliveries.(p value<.05) 69(57.02%)literate initiated within 1 hr. in contrast with 57(31.84%)illiterate.(p value<.05)
Slide 7 - Source of information for initiation within 1hr. 46% received information from Doctor.12% from Radio/TV and 10% received information from Nurse. 11%know themselves that breast feeding should be initiated within 1hr (experienced). 6%traditionally initiated within 1 hr (no source).
Slide 8 - INTRODUCTION OF PRELACTEALS 56.67% introduced prelacteals.
Slide 9 - 42.59% Hindu,71.97% Muslim introduced prelacteals and 100% Sikh introduced prelacteals. INTRODUCTION OF PRELACTEALS IN 3 RELIGIONS
Slide 10 - INTRODUCTION OF PRELACTEALS ACCORDING TO PLACE OF DELIVERY AND LITERATE-ILLITERATE 90.39% home deliveries and 8.13% hospital deliveries introduced prelacteals(p value<.05). 69.27%illiterate and 38.01%literate introduced prelacteals(p value<.05).
Slide 11 - COLOSTRUM FEEDING WITHIN 4 HRS. OF BIRTH 54% fed colostrums within 4 hrs. of birth. (n=300)
Slide 12 - COLOSTRUM FEEDING WITHIN 4 HRS. IN 3 RELIGIONS 74.07% Hindu and 32.57% Muslim fed colostrums within 4 hrs of birth. Sikh did not feed colostrums within 4 hrs of birth.
Slide 13 - 98.37% hospital deliveries and 23.72% home deliveries fed colostrums within 4 hrs of birth(p value <.05). 76.85% literate and 39.1% illiterate fed colostrums within 4 hrs of birth(p value<.05). PLACE OF DELIVERY LITERATE-ILLITERATE IN COLOSTRUM FEEDING WITHIN 4 HRS.
Slide 14 - REASONS AND BELIEFS FOR NOT FEEDING COLOSTRUMS 40.87% believed that milk is not present in the breast during 1to3 days after birth . 13.13% not fed because colostrum is harmful for the baby. In 10.94% Panditji advised.
Slide 15 - Duration of Exclusive Breast Feeding EXCLUSIVE BREAST FEEDING 34.67% practiced EBF for 6 months. 36.67% practiced EBF for 7to9 months. 8% for 2-3 months and 6% continued up to 10-12 months.
Slide 16 - (n=49) (n=82) (n=50) (n=41) (n=43) (n=13) 51.02%Assamese speaking Hindu. 21% in Assamese speaking Muslim. 24% in Bengali speaking Muslim. EBF FOR 6 MONTHS IN SOME MAJOR COMMUNITIES
Slide 17 - PLACE OF DELIVERY AND LITERATE-ILLITERATE IN EBF FOR 6 MONTHS 66.67% hospital and 16.38% home deliveries practiced EBF for 6 months(p value<.05).52.89% literate and 22.34% illiterate Practiced EBF for 6 months(p value<.05).
Slide 18 - SOURCE OF INFORMATION FOR EBF FOR 6 MONTHS 60% received information from Doctors.14% know themselves(experienced). 6% traditionally practiced EBF for 6 months(no source).
Slide 19 - CONTINUED BREAST FEEDING UPTO OR BEYOND 2 YEARS 98% continued up to or beyond 2 years. N=82.
Slide 20 - SOURCE OF INFORMATION FOR CONTINUED BREAST FEEDING UP TO OR BEYOND 2 YEARS 78% continued for traditional reason(no source).
Slide 21 - CONCLUSION Undesirable traditional practices such as- giving prelacteals,late initiation of Breast feeding are still prevalent among the mothers and more so among illiterates and home deliveries. Doctor’s advice, hospital delivery and literacy may play an important role in discouraging such potentially harmful practices. Prevalence of EBF for 6 months is low. Extended Breast feeding is encouraging.
Slide 22 - . thank you...
 

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