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Toora, Alka
- Prevalence of Exclusive Breastfeeding and Knowledge Related to Breastfeeding among Mothers Attending Vaccination Clinics and Paediatric OPD
Abstract Views :248 |
PDF Views:129
Authors
Jatinder Singh
1,
Vaneeta Bhardwar
2,
Harshdhawann Singh
3,
Isha Bhardwaj
3,
Sushmita Choudhary
3,
Alka Toora
3
Affiliations
1 Department of Paediatrics, Punjab Institute of Medical Sciences (PIMS), Jalandhar – 14402, Punjab, IN
2 Department of Pathology, Punjab Institute of Medical Sciences (PIMS), Jalandhar – 14402, Punjab, IN
3 Intern Paediatrics, Punjab Institute of Medical Sciences (PIMS), Jalandhar – 14402, Punjab, IN
1 Department of Paediatrics, Punjab Institute of Medical Sciences (PIMS), Jalandhar – 14402, Punjab, IN
2 Department of Pathology, Punjab Institute of Medical Sciences (PIMS), Jalandhar – 14402, Punjab, IN
3 Intern Paediatrics, Punjab Institute of Medical Sciences (PIMS), Jalandhar – 14402, Punjab, IN
Source
International Journal of Medical and Dental Sciences, Vol 9, No 1 (2020), Pagination: 1818-1822Abstract
Background: According to World Health Organization Exclusive Breastfeeding (EBF) is, giving baby only breast milk for 6 months without adding any additional food or water. Objectives: This Study was done to assess the prevalence of breastfeeding among mothers attending the vaccination clinic and Outpatient Department (OPD) in tertiary care centre and assessing the challenges faced by the mothers during breastfeeding. Materials and Methods: This is a cross-sectional study with two types questionnaire-used, one to assess the prevalence of EBF and second to assess the knowledge related to breast feeding. Questionnaires were prepared based on one-point survey. Sample size was calculated by Daniel’s formula: n = z. 500 mothers were assessed, participants divided into two groups based on whether they exclusive breastfeed their babies for 6 months or not. Chi square test for independence was done to assess the association. Results: A total of 500 mothers were given questionnaire who visited vaccination clinic and OPD out of these 66 mothers did not participate for questionnaire because of lack of unwillingness. Most of the mothers (250, 65.10%) said that breastfeeding was good for the baby, 230 (59.89%) mothers were aware that mother’s milk composition was different from cow’s milk and (72.91%) felt that prelacteals should not be given to the baby. Conclusions: Most of the mothers are aware that breast milk is beneficial for their baby; however, the biggest problem was anxiety regarding the amount of their breast milk. There is also a need of campaign related to harm done by prelacteals feed.Keywords
EBF, Prelacteal Feeds.References
- Kramer MS, Kakuma R. The Optimal Duration of Exclusive Breastfeeding: A Systematic Review. Geneva: World Health Organization; 2002. https://doi.org/10.1002/14651858.CD 003517.
- Bhutta ZA, Labbok M. Scaling up breastfeeding in developing countries. Lancet 2011; 378:378–80. https://doi.org/10.1016/S0140-6736(11)60897-0.
- National Fact Sheet, India 2015-16 National Family Health Survey (NFHS-4. Available from: http://www.rchiips.org/nfhs/pdf/NFHS4/India.pdf. [Last accessed on 2018 May 30.
- National Fact Sheet, India 2005-2006 National Family Health Survey (NFHS-3). Available from: http://www.nfhsindia.org/pdf/IN.pdf. [Last accessed on 2017 May 04.
- Jones G, Steketee RW, Black RE, Bhutta ZA, Morris SS; Bellagio Child Survival Study Group. How many child deaths can we prevent this year? Lancet 2003; 362:65–71. https://doi.org/10.1016/S0140-6736(03)13811-1
- UNICEF. Overview of Breastfeeding Patterns. Child Info. organization; February 2012 Available from: http://www.childinfo.org/breastfeeding_overview.html. [Last accessed on 2018 May 30].
- Tampah-Naah AM, Kumi-Kyereme A. Determinants of exclusive breastfeeding among mothers in Ghana: A crosssectional study. Int. Breastfeed J. 2013; 8:13. https://doi.org/10.1186/1746-4358-8-13.
- Kishore MS, Kumar P, Aggarwal AK. Breastfeeding knowledge and practices amongst mothers in a rural population of North India: A community-based study. J Trop Pediatr. 2009; 55:183– 8. https://doi.org/10.1093/tropej/fmn110.
- Diji AK, Bam V, Asante E, Lomotey AY, Yeboah S, Owusu HA. Challenges and predictors of exclusive breastfeeding among mothers attending the child welfare clinic at a regional hospital in Ghana: A descriptive cross-sectional study. Int. Breastfeed J. 2016; 12: 3. https://doi.org/10.1186/s13006-017-0104-2.
- Salariya EM, Easton PM, Cater JI. Duration of breast-feeding after early initiation and frequent feeding. Lancet 1978; 2:1141–3. https://doi.org/10.1016/S0140-6736(78)92289-4.
- Kameswararao AA. Breastfeeding behaviour of Indian women. Indian J Community Med. 2004; 29:62–4.
- Haider R, Ashworth A, Kabir I, Huttly SR. Effect of community-based peer counsellors on exclusive breastfeeding practices in Dhaka, Bangladesh: A randomised controlled trial [see comments]. Lancet 2000; 356:1643–7. https://doi.org/10.1016/S0140-6736(00)03159-7.
- Chezem J, Friesen C, Boettcher J. Breastfeeding knowledge, Breastfeeding confidence, and infant feeding plans: Effects on actual feeding practices. J Obstet Gynecol Neonatal Nurs. 2003; 32:40–7. https://doi.org/10.1177/0884217502239799.
- Evaluation of Risk Factors for Retinopathy of Prematurity in Premature Born Infants in Tertiary Care Centre in Punjab
Abstract Views :240 |
PDF Views:125
Authors
Jatinder Singh
1,
Vaneeta Bhardwar
2,
Harshdhawann Singh
3,
Isha Bhardwaj
3,
Sushmita Choudhary
3,
Alka Toora
3
Affiliations
1 Department of Paediatrics, Punjab Institute of Medical Sciences (PIMS), Jalandhar – 14402, Punjab, IN
2 Department of Pathology, Punjab Institute of Medical Sciences (PIMS), Jalandhar – 14402, Punjab, IN
3 Intern Paediatrics, Punjab Institute of Medical Sciences (PIMS), Jalandhar – 14402, Punjab, IN
1 Department of Paediatrics, Punjab Institute of Medical Sciences (PIMS), Jalandhar – 14402, Punjab, IN
2 Department of Pathology, Punjab Institute of Medical Sciences (PIMS), Jalandhar – 14402, Punjab, IN
3 Intern Paediatrics, Punjab Institute of Medical Sciences (PIMS), Jalandhar – 14402, Punjab, IN
Source
International Journal of Medical and Dental Sciences, Vol 9, No 1 (2020), Pagination: 1859-1863Abstract
Background: Retinopathy of Prematurity (ROP) is a disease where development of abnormal retinal vessels occurs because of incomplete vascularization of the retinal tissue. With advancement in the field of neonatology now more premature babies and Very-Low-Birth-Weight (VLBW) infants surviving and incidence of retinopathy of prematurity is increasing. ROP screening should be done in all premature babies. Objectives: To Study the Risk Factors for Retinopathy of Prematurity in Premature Born infants at tertiary care centre. Methods: This study was done on 75 newborns infants and were included in study after satisfying the inclusion criteria. The following criteria were studied: gestational age≤34 weeks or BW≤1500 grams, along with neonates with more birth weight and higher gestational age having risk factors like : low Apgar score, duration of oxygen supplementation more than 10 days, sepsis, more than one blood transfusion, respiratory distress. Characteristics of newborns including risk factors, and pattern of severe ROP were assessed from Punjab region of India. Result: Total of 75 newborns included in the study, 53 were males (70.66%) and 22 were (29.33%) females. The analysis of gestational age showed that the mean age was 29.9±2.9 weeks, the youngest one was of 27 weeks and the oldest was 37 weeks of gestation. The average birth weight was 1350±510 grams, with lowest 675 gm and highest 3100 grams. Conclusion: The most common risk factors that are associated with development of ROP revealed gestational age, Apgar score in the first minute, birth weight, duration of oxygen therapy and the blood transfusion.Keywords
Apgar Score, Continuous Pressure, Oxygen Duration, Respiratory Distress, CPAP.References
- Ober RR, Palmer EA, Drack AV, Wright KW. Retinopathy of prematurity. Handbook of paediatric retinal disease. 2006; 10: 284–338. https://doi.org/10.1007/0-387-279334_10.
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- Smith LEH. Pathogenesis of retinopathy of prematurity. Growth Hormone & IGF Research 2004. 14: 140–144. https://doi.org/10.1016/j.ghir.2004.03.030.
- Saugstad OD. Oxygen and retinopathy of prematurity. J Perinatol. 2006; 26: 46–50. https://doi.org/10.1038/sj.jp.7211475.
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- Darlow BA, Hutchinson JL, Henderson-Smart DJ, Donoghue DA, Simpson JM, Evans NJ. Prenatal risk factors for severe retinopathy of prematurity among very preterm infants of the Australian and New Zealand Neonatal Network. Pediatrics. 2005; 115: 990–996. https://doi.org/10.1542/peds.2004-1309.
- The Committee for the Classification of Retinopathy of Prematurity: an international classification of retinopathy of prematurity. Arch Ophthalmol. 1984; 102: 1130–1134. https://doi.org/10.1001/archopht.1984.01040030908011.
- Vatavuk Z, Benčić G, AndrijevićDerk B, Mandić Z. Suvremeni pristup liječenju retinopatije nedonoščadi. Suvremeni dijagnostičko-terapijski postupci u oftalmologiji. Medix, listopad. 2008; 78:113–116.
- Mutlu FM, Sadici SU. Treatment of retinopathy of prematurity: a review of conventional and promising new therapeutic option. Int J Ophthalmol. 2013; 6: 228–226.
- Thomas K, Shah PS, Canning R, Harrison A, Lee SK, Dow KE. Retinopathy of prematurity: Risk factors and variability in Canadian neonatal intensive care units. J Neonatal Perinatal Med. 24 Oct 2015; 8(3): 207–214. https://doi.org/10.3233/NPM-15814128
- Enomoto H, Miki A, Matsumiya W, Honda S. Evaluation of Oxygen Supplementation Status as a Risk Factor Associated with the Development of Severe Retinopathy of Prematurity. Ophthalmologica. 2015; 234(3): 135–138. https://doi.org/10.1159/000433565
- Khalesi N, Shariat M, Fallahi M, Rostamian G. Evaluation of risk factors for retinopathy in preterm infant: a casecontrol study in a referral hospital in Iran. Minerva Pediatr. Jun 2015; 67(3): 231–237.