Abstract
OBJECTIVES--To evaluate the impact and sustainability of a baby friendly training intervention for staff at an Indian district hospital on initiation of breast feeding and use of prelacteal feeds by mothers. DESIGN--Intervention study with assessment by interviewing mothers. SUBJECTS--172 mothers recruited before the intervention, 195 recruited immediately after the intervention, and 101 recruited six months later. SETTING--District hospital in a small town in Bihar, India. MAIN OUTCOME MEASURES--Age of infant when breast feeding started, use of prelacteal feeds, and colostrum feeding. INTERVENTION--10 day training programme for doctors, nurses, and midwives, explaining the benefits and feasibility of early breast feeding and dangers of prelacteal feeds together with instruction on explaining this information to mothers. RESULTS--Breast feeding was started within 24 hours of birth by 53 (29%) of control mothers, 164 (84%) in the early follow up group, and 60 (59%) in the late follow up group. Prelacteal feeds were used by 165 (96%), 84 (43%), and 78 (77%) respectively. Only 36 mothers in the late follow up group reported receiving education on feeding. Mothers in this group who had received the education were significantly more likely than mothers who received no education to breast feed early (28 (78%) v 11 (17%), P < 0.001) and not use prelacteal feeds (21 (58%) v 2 (3%), P < 0.001). CONCLUSIONS--Training doctors and midwives greatly improves the feeding practices of mothers. However, the impact of the training fell off quickly and refresher training is needed to sustain the improvement.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Anderson S., Shakya K. N., Shrestha L. N., Costello A. M. Hypoglycaemia: a common problem among uncomplicated newborn infants in Nepal. J Trop Pediatr. 1993 Oct;39(5):273–277. doi: 10.1093/tropej/39.5.273. [DOI] [PubMed] [Google Scholar]
- Bathija C. G., Anand R. K. Effect of perinatal motivation on breastfeeding in educated mothers. Indian Pediatr. 1987 Oct;24(10):933–937. [PubMed] [Google Scholar]
- Bradley J. E., Meme J. Breastfeeding promotion in Kenya: changes in health worker knowledge, attitudes and practices, 1982-89. J Trop Pediatr. 1992 Oct;38(5):228–234. doi: 10.1093/tropej/38.5.228. [DOI] [PubMed] [Google Scholar]
- Compston J. E., Horton L. W., Laker M. F., Ayers A. B., Woodhead J. S., Bull H. J., Gazet J. C., Pilkington T. R. Bone disease after jejuno-ileal bypass for obesity. Lancet. 1978 Jul 1;2(8079):1–4. doi: 10.1016/s0140-6736(78)91318-1. [DOI] [PubMed] [Google Scholar]
- Koramoa J. Breast feeding in developing countries. BMJ. 1992 Jul 4;305(6844):54–55. doi: 10.1136/bmj.305.6844.54-b. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Martines J. C., Rea M., De Zoysa I. Breast feeding in the first six months. BMJ. 1992 Apr 25;304(6834):1068–1069. doi: 10.1136/bmj.304.6834.1068. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Singhania R. U., Kabra S. K., Bansal A. Infant feeding practices in educated mothers from upper socio-economic status. Indian Pediatr. 1990 Jun;27(6):591–593. [PubMed] [Google Scholar]
- van den Bosch C. A., Bullough C. H. Effect of early suckling on term neonates' core body temperature. Ann Trop Paediatr. 1990;10(4):347–353. doi: 10.1080/02724936.1990.11747456. [DOI] [PubMed] [Google Scholar]