E-ISSN 2277-338X | ISSN 2320-4664
 

Original Research 


A cross-sectional study to investigate factors related to the time of initiation of breastfeeding in Jamnagar district of Gujarat, India

Bhavesh R Kanabar, Vishal G Vagadiya, Dipesh V Parmar.

Abstract
Background: Early initiation of breastfeeding (EIBF) and exclusive breastfeeding for the first 6 months of life prevents around 20% newborn deaths and 13% under-five deaths. EIBF is predominately associated with socioeconomic, health related, and individual factors. Very few studies in Gujarat and probably none in Jamnagar district have been conducted to know factors related to the timing of initiation of breastfeeding.

Objectives: This study was carried out with the objective to find out the prevalence of EIBF and association of demographic, antenatal, and intranatal factors with prelacteal feeding practice in Jamnagar district of Gujarat.

Materials and Methods: This study was carried out in 2015–2016 in four talukas of Jamnagar district with a sample size of 426 mother-infant pairs calculated with appropriate formula using prevalence of EIBF. Out of this, 400 samples with adequate response were analyzed. Multistage sampling was done and mothers who gave valid consent were taken as respondent. Chi-square, Fisher exact, and Pearson correlation tests were used for statistical analysis.

Results: The prevalence of EIBF was 62% in Jamnagar district. About 94.8% newborn of 15–19 years aged mothers, 96.4% newborns of mothers of Class-V socio-economic class, 87.5% newborns of illiterate mothers, 96.5% newborns of farmer mothers, and 77.4% of 1st birth order newborns received breastfeeding within 1 h of their birth. The proportion of newborn receiving breastfeeding within 1–4 h after birth increased significantly with increasing number of antenatal care (ANC) visits (P < 0.01). Among mothers with prolonged labor, 43.5% could initiate breastfeeding early. Mode of delivery and health facility for delivery were a significant determinant for the time of initiation of breastfeeding.

Conclusion: EIBF decreased with increasing age of mothers, increasing socio-economic class and increasing the education level of mothers. The practice of EIBF is also low among employed mothers, among newborn with high birth order and among mothers of general caste. EIBF is high in mothers with fewer ANC visits, among mothers with prolonged labor, in case of normal delivery, delivery at primary health care, and delivery assisted by female health staff.

Key words: Early Initiation; Breastfeeding; Socio-demographic Factors; Antenatal Care


 
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How to Cite this Article
Pubmed Style

Kanabar BR, Vagadiya VG, Parmar DV. A cross-sectional study to investigate factors related to the time of initiation of breastfeeding in Jamnagar district of Gujarat, India. Int J Med Sci Public Health. 2019; 8(8): 607-615. doi:10.5455/ijmsph.2019.0514422052019


Web Style

Kanabar BR, Vagadiya VG, Parmar DV. A cross-sectional study to investigate factors related to the time of initiation of breastfeeding in Jamnagar district of Gujarat, India. http://www.ijmsph.com/?mno=49863 [Access: August 20, 2019]. doi:10.5455/ijmsph.2019.0514422052019


AMA (American Medical Association) Style

Kanabar BR, Vagadiya VG, Parmar DV. A cross-sectional study to investigate factors related to the time of initiation of breastfeeding in Jamnagar district of Gujarat, India. Int J Med Sci Public Health. 2019; 8(8): 607-615. doi:10.5455/ijmsph.2019.0514422052019



Vancouver/ICMJE Style

Kanabar BR, Vagadiya VG, Parmar DV. A cross-sectional study to investigate factors related to the time of initiation of breastfeeding in Jamnagar district of Gujarat, India. Int J Med Sci Public Health. (2019), [cited August 20, 2019]; 8(8): 607-615. doi:10.5455/ijmsph.2019.0514422052019



Harvard Style

Kanabar, B. R., Vagadiya, . V. G. & Parmar, . D. V. (2019) A cross-sectional study to investigate factors related to the time of initiation of breastfeeding in Jamnagar district of Gujarat, India. Int J Med Sci Public Health, 8 (8), 607-615. doi:10.5455/ijmsph.2019.0514422052019



Turabian Style

Kanabar, Bhavesh R, Vishal G Vagadiya, and Dipesh V Parmar. 2019. A cross-sectional study to investigate factors related to the time of initiation of breastfeeding in Jamnagar district of Gujarat, India. International Journal of Medical Science and Public Health, 8 (8), 607-615. doi:10.5455/ijmsph.2019.0514422052019



Chicago Style

Kanabar, Bhavesh R, Vishal G Vagadiya, and Dipesh V Parmar. "A cross-sectional study to investigate factors related to the time of initiation of breastfeeding in Jamnagar district of Gujarat, India." International Journal of Medical Science and Public Health 8 (2019), 607-615. doi:10.5455/ijmsph.2019.0514422052019



MLA (The Modern Language Association) Style

Kanabar, Bhavesh R, Vishal G Vagadiya, and Dipesh V Parmar. "A cross-sectional study to investigate factors related to the time of initiation of breastfeeding in Jamnagar district of Gujarat, India." International Journal of Medical Science and Public Health 8.8 (2019), 607-615. Print. doi:10.5455/ijmsph.2019.0514422052019



APA (American Psychological Association) Style

Kanabar, B. R., Vagadiya, . V. G. & Parmar, . D. V. (2019) A cross-sectional study to investigate factors related to the time of initiation of breastfeeding in Jamnagar district of Gujarat, India. International Journal of Medical Science and Public Health, 8 (8), 607-615. doi:10.5455/ijmsph.2019.0514422052019





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