Role of friendly hospital initiaitve on knowledge and practices of nursing mothers

Abstract

Introduction: Breastfeeding is a natural way of feeding to a new born baby. Breast Milk contains natural that a baby needs for first few months of life end it is quickly digested. WHO & UNICEF in 1992 launched a Baby Friendly Hospital initiative. Objective: To evaluate the role of Baby Friendly Hospital Initiative on feeding and weaning practices of nursing mothers. Methodology: It is a cross section comparative study done from March 2008 to December 2008 at Civil Hospital Hyderabad a Baby Friendly Hospital and Govt Bhtai Hospital Latifabad a Non Baby Friendly Hospital. A sample size of 784 nursing mothers with children under two years attending Pediatric Department and Immunization Clinic is selected by Non Probability Convenience sampling technique. Four researchers recorded data and analysis done on SPSS 10. Results: Feeding practices in BFHI group was better in some aspects of not giving pre-lacteal feeds (81% vs. 37%), longer duration exclusive breast feeding up to four months (79% vs. 27%), up to six months (31% vs. 8%), initiation of breast feeding within one hour of birth was better in non BFHI group (65% vs. 45%). Conclusions: Baby Friendly Hospital initiative has a beneficial effect on feeding practices of mothers and duration of exclusive breastfeeding.

Keywords

• Key words: Breast feeding; Baby Friendly Hospital Initiative; Exclusive breast feeding; Pre-lacteal feed; Pakistan; Weaning.

Kaynakça

1. Jalil F, Breastfeeding beliefs and practices current status Pakistan Pediatric Journal 1998 March Volume 22, No. 1:22 – 23.
2. Victora CG, Smith CL. I Mfhnn Jf el at. Infant feeding and deaths due to diarrhea, a case control study. American J Epidemiol 1989:129: 1032-41.
3. Brown KH, Black RE, Lopez de Romana (Infant feeding practices and their relationship with diarrhea and disease in Hausear *Lima) Peru. Pediatrics 1989; 83: 31-40.
4. Ashraf RN, Jalil F. Zaman S, Hauson LA. Breast- feeding and protection against neonatal sepsis in a high-risk population. Arch Dis Child 1991; 66:488- 90.
5. World Health Organization. Protecting, Promoting and Supporting Breastfeeding; The Special Role of Maternity Statement WHO: 1211 Geneva Switserland; 1989.
6. Naylor A J Baby–Fiendly Hospital initiative. Protecting, promoting and supporting breast feeding in twenty – first century. Pediatr Clim North Am. 2001; 48:475-83.
7. Chalmers B. The Baby Friendly Hospital Initiative: where next? BJOG2004:111:198-199.
8. Kramer M et al. Promotion of breast feeding intervention trial. A randomized trial in the republic of Belarus. Journal of American Medical Association 2001, 285 (4): 413-420.

9. Sial IP. Redefining infant care – the Baby-Friendly Hospital Initiative. Health Millions 1999 Jul-Aug; 25 (4): 28-9.
10. Palmer G. The importance of breast feeding training. Afr Health 1996; 18 (4): 15
11. Schanler RJ, O’Connor KG, Lawrence RA. Pediatricians’ practices and attitudes regarding breast feeding promotion. Pediatrics 1999; 103 (3): E 35
12. Okolo SN, Ogbonna C. Knowledge, attitude and practice of health workers in Keffi local movernment hospitals regarding Baby Friendly Hospital initiative (BHHI) practices. Eur J Clin Nutr 2002; 56: 438-41.
13. Philipp BL, Radford A. Baby-Friendly: snappy slogan or standard of care? Arch Dis Child Fetal Neonatal Fd, 2006 Mar; 91 (2):F145-9.
14. Chu KH, Taj CJ, Chien LY. The Relationship between in-hospital breastfeeding rates and hospital type. Hu Li Za Zhi, 2005 Dec; 52 (6): 40-8.
15. Alam MU, RAhman M, Rahman F. Effectiveness of baby friendly hospital initiative on the promotion of exclusive breast feeding among the Dhaka city dwellers in Bangladesh: Mymensingh Med J 2002; 11: 94-9.
16. Dashupta A, Bhattacharya S, Das M, Chowdhury KM, Saha S. Breast feeding practices in a teaching hospital of Calcutta before and after the adoption of BFHI (Baby Friendly Hospital Initiative). J Indian Med Assoc 1997; 95: 169-71, 195. 17- Rehman UH, FazilM,Ambren perceptions and practices about breast feeding. Medical Channel 2000; 9:20-4. A. Maternal
17. Sultana A, Mir Ali M, Rizwana S, Trends of Breastfeeding current assessment The professional Vol. 6 No. 03 July, August, September 1999 : 359 – 362.
18. Afzal M F, Saleemi MA, Asghar MF et al, I study of knowledge attitude and practice of mothers about breastfeeding in children. Annals Vol. 8 No. 1 Jan – Mar 2002: 28 – 29.
19. Mufti Kehkashan, Infant feeding practices knowledge attitude ad practices of Infant feeding amongst mothers, Annals Abbasi Shaheed Hospital, Karachi Med. Dent. Coll. Vol.: 7, 2002: 322-324
20. Andreassen M, Bale M, Kaaresen Pl, Dahi LB. Breastfeeding in Tromso before and after the baby- friendly hospital initiative. Tidsskr Nor Laegeforen, 2001 Nov 10; 121 (27): 3154-8.
21. Coutinho SB, de Lira PL, de Carvalho Lima M, Ashworth A. Comparison of the effect of two systems for the pr0motion of exclusive breastfeeding. Lancet, 2005 Sep 24-30; 366 (9491): 1094-100.
22. Mustansar M, Breast feeding, The Professional: Vol. 06(01); 1999:3-6.
23. Badaruddin SH, Inam SMB, Ramzan ali S, Hendricks K, Constraints to adoption of appropraiate breast feeding practices in a squatter settlement in Karachi , Pakistan, JPMA,47:63; 1997:63-67.
24. Khichi GQK, Channar MS, WaraichE, Bajwa SN, Patterns of breast feeding in children under two years of age in Bhawalpur, PJMS, Vol. 17(2); 2001:94-98.
25. Butt MA, Chaudhry MY, Mustansar M , Breastfed and non-breastfed Infants: Patterns of Morbidity and Mortality, The Professional, Vol. 05 (03);1993 : 474- 382.
26. Rana T F, Mahmood S, Ahmed M. First Feed Given to the New Born Babies-A Survey in an Urban Community of Lahore. Annals of K.E. Medical College Lahore 2005 Oct-Dec; Vol. 11 No.4:555- 557.
27. Rowe-Murray JH, Fisher RWJ. Baby Friendly Hospital Practices;Cesarian Section is a Persistent Barrier to Early Initiation of Breastfeeding. Birth 2002 June 29; 2 124-131.
28. Phillip, Barbara L , Merewood, Anne, Miller, Lisa W, et al, Baby friendly Hospital Initiative Improves Breastfeeding Initiation Rates in a US Hospital Setting, Pediatrics, 2001. Vol. 108(03); 151- 4.
29. Hofander Y. Breastfeeding and the Baby-Friendly Hospitals Initiative (BFHI): organization, response and outcome in Sweden and other countries. Acta Paediatr, 2005 Aug; 94 (8): 1012-6.
30. Merten S, Dratva J, Ackermann-Liebrich U. Do baby-friendly duration on a national level? Pediatrics, 2005 Nov; 116 (5): e 702-8. influence breastfeeding Baby-Friendly Hospital Initiative and
31. Caroline Lamontagne, Anne-Marie Hamelin, Monik St-Pierre. The breastfeeding experience of women with major difficulties who use the services of a breastfeeding clinic: a descriptive study. Int Breastfeed J. 2008; 3: 17.
32. Cohen R, Mrtek MB. The impact of two corporate lactation programs on the incidence and duration of breast-feeding by employed mothers. Am J Health Promot. 1994; 8:436–441.
33. Losch M, Dungy CI, Russell D, Dusdieker LB. Impact of attitudes on maternal decisions regarding infant feeding. J Pediatr. 1995 Apr; 126(4):507-14.