The Determinants of Early Initiation of Breastfeeding Practice among Mothers Attending a Tertiary Hospital, Kathmandu

Authors

  • Sharada Acharya National Academy of Medical Sciences, Bir Hospital Nursing Campus, Gaushala, Kathmandu, Nepal
  • Chitra Khanal Ministry of Health and Population, Ramshahpath, Kathmandu, Nepal
  • Akriti Shree Dahal National Academy of Medical Sciences, Bir Hospital Nursing Campus, Gaushala, Kathmandu, Nepal
  • Mankeshari Maharjan National Academy of Medical Sciences, Bir Hospital Nursing Campus, Gaushala, Kathmandu, Nepal
  • Bhagawati Bhandari National Academy of Medical Sciences, Bir Hospital Nursing Campus, Gaushala, Kathmandu, Nepal

DOI:

https://doi.org/10.3126/jnps.v39i3.24909

Keywords:

breastfeeding, caesarean section, determinants, early initiation, infant

Abstract

Introduction: Breastfeeding is the best way of providing ideal food for the optimal growth and development of an infant. Early initiation of breastfeeding (EIBF) within one hour of birth is one of the cost effective strategies to reduce neonatal mortality. The aim of the study was to find out the determinants of breastfeeding practice.

Methods: This was a descriptive cross-sectional study conducted among 207 mothers who have child from birth to 12 months in Maternal and Child Health (MCH) Clinic of tertiary care referral hospital. The mothers for the study were selected using probability sampling technique. Variables were analysed using a multivariate logistic regression model to identify the determinants of EIBF.

Results: The prevalence of EIBF in the study population was 47.3%. Caesarean delivery (AOR: 3.449, CI: 1.224-9.719, p = 0.019), mothers who have done more than one postnatal visit (AOR: 2.824, CI: 1.126-7.079, p = 0.027) and low birth weight babies (AOR: 7.973, CI: 1.571-40.465, p = 0.027) were more likely to delay initiation of breastfeeding.

Conclusions: Less than half newborn receive breast milk within the first hour of birth. Mothers delivered by caesarean section, who have done more than two postnatal visit and low birth weight babies were more likely to delay initiation of breastfeeding. These are the major determinants of initiation of breastfeeding. Existing breastfeeding promotion program should be strengthened within the existing health care system.

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Published

2019-12-31

How to Cite

Acharya, S., Khanal, C., Dahal, A. S., Maharjan, M., & Bhandari, B. (2019). The Determinants of Early Initiation of Breastfeeding Practice among Mothers Attending a Tertiary Hospital, Kathmandu. Journal of Nepal Paediatric Society, 39(3), 168–173. https://doi.org/10.3126/jnps.v39i3.24909

Issue

Vol. 39 No. 3 (2019)

Section

Original Articles

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