Breast feeding Status of Infants Born in a Baby Friendly Hospital Up to 180 days of life

Nanda Lal Das, Md Shafiul Alam, Md Fazlul Kader Khan, K. T. Islam, Md. Shahadat Hossain Khan, Md Shaiful Azam, R. Rana, Farzana Afrooz, Sajani Islam, Anwesa Sarker, S. Khatun
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Abstract

Background : Initiation of breast-feeding (BF) within 1 hour after birth has been associated with reduced neonatal mortality. Baby Friendly Hospital Initiative has profound effects on appropriate practice of BF and thus helps to reduce infant mortality and morbidity. Objective : This study was conducted in the Department of Gynae and Obstetrics and Department of Paediatrics of Shaheed Suhrawardy Medical College Hospital (ShMCH), Dhaka, to observe the rate of exclusive breast feeding and home-based compliance. Methodology : Hundred (100) term babies of normal birth weight irrespective of sex, born in ShSMCH by normal vaginal delivery (NVD) or caesarian section were included. Data was collected from the mother with a pretested questionnaire at the postnatal period, at 6th week, 14th week and 6th month (180 days) of age. Result : The mean age of studied newborn (100) was 20±19.5 hours. All the infants started breast feeding after birth and among them 56% initiated with in 1 hour. Difficulty in breast feeding was found in 36(36.0%) infants, which was resolved mostly (94%) by nurse. Exclusive breastfeeding (EBF) was found in 100% of infants during discharge from hospital. During 1st and 2nd follow up we found 95 (95.0%) and 89 (89.0%) infants respectively were exclusively breastfed. In 3rd follow up at completed 6th month (180 days) 78 (78.0%) infants were exclusively breast fed. In our study 5 (5%) and 6 (6%) infants received supplementary food in 1st follow up and in 2nd follow up respectively. In the last follow up the number were 11 (11%) and the total number was 22 (22%). Conclusion : Exclusive breast feeding up to completion of 6 months (180 days) was found in 78.0% of infants. Maternal and relative’s misperception of baby’s crying due to insufficient breast milk and joining to job outside home were the causes of introduction of formula milk in the 1st, 2nd and 3rd visit respectively. Northern International Medical College Journal Vol. 12 No.2 Jan 2021, Page 530-534
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在爱婴医院出生的婴儿直至生命180天的母乳喂养状况
背景:出生后1小时内开始母乳喂养(BF)与新生儿死亡率降低有关。爱婴医院倡议对适当的BF做法产生了深远的影响,从而有助于降低婴儿死亡率和发病率。目的:本研究在达卡沙希德苏赫拉瓦迪医学院附属医院(ShMCH)的妇产科和儿科进行,观察纯母乳喂养率和家庭依从性。方法:纳入100例正常出生体重的足月婴儿,不论性别,在ShSMCH正常阴道分娩(NVD)或剖腹产出生。在产后、6周、14周和6个月(180天)时通过预测问卷从母亲处收集数据。结果:新生儿平均年龄(100)为20±19.5小时。所有婴儿在出生后开始母乳喂养,其中56%在1小时内开始母乳喂养。36例(36.0%)患儿出现母乳喂养困难,多数(94%)患儿由护士解决。100%的婴儿出院时采用纯母乳喂养(EBF)。在第一次和第二次随访中,我们分别发现95例(95.0%)和89例(89.0%)的婴儿被纯母乳喂养。在第3次随访中,在完成第6个月(180天)时,78例(78.0%)婴儿接受纯母乳喂养。在我们的研究中,第1次随访中有5例(5%)和第2次随访中有6例(6%)婴儿接受补充食物。末次随访11例(11%),总22例(22%)。结论:纯母乳喂养至6个月(180天)的婴儿占78.0%。在第1次、第2次和第3次访问中,母亲和亲属因母乳不足而对婴儿啼哭产生误解和外出工作分别是引入配方奶的原因。《北方国际医学院学报》12卷第2期,2021年1月,530-534页
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