|Type||Journal Article - Public Health Nutrition|
|Title||Breast-feeding initiation and determinants of exclusive breast-feeding-a questionnaire survey in an urban population of western Nepal|
Objective: To assess rates of initiation of breast-feeding and exclusive breast-feeding within 2 months after delivery and to determine the factors in?uencing exclusive breast-feeding.
Design: A health worker-administered questionnaire survey was carried out during the time period 1 August–30 September 2005.
Setting: Immunisation clinics of Pokhara, a submetropolitan city in western Nepal.
Subjects: Three hundred and eighty-?ve mothers who had delivered a child within the previous 2 months. Results: The rates of initiation within 1 h and within 24 h of delivery were 72.7 and 84.4%, respectively. Within 2 months after delivery, exclusive breast-feeding was practised by 82.3% of the mothers. Breast milk/colostrum was given as the ?rst feed to 332 (86.2%) babies but 17.2% of them were either given expressed breast milk or were put to the breast of another lactating mother. Pre-lacteal feeds were given to 14% of the babies. The common pre-lacteal feeds given were formula feeds (6.2%), sugar water (5.9%) and cow’s milk (2.8%). Complementary feeds were introduced by 12.7% of the mothers. By logistic regression analysis, friends’ feeding practices, type of delivery and baby’s ?rst feed were the factors in?uencing exclusive breast-feeding practice of the mothers.
Conclusions: Despite the higher rates of initiation and exclusive breast-feeding, practices such as pre-lacteal feeds and premature introduction of complementary feeds are of great concern in this urban population. There is a need for promotion of good breast-feeding practices among expectant mothers and also the community, especially the families, taking into account the local traditions and customs.
|»||Nepal - Demographic and Health Survey 2001|
|»||Nepal - National Population Census 2001|