Suboptimal Breastfeeding Practices among Women in Rural and Low-Resource Settings: a Study of Women in Rural Mysore, India

<p>Background</p><p>Breastfeeding rates are progressively increasing worldwide while optimal breastfeeding practices are lagging behind, especially in rural and low resource settings like India.</p><p>Objectives</p><p>This study estimated the prevalence of a...

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Autores principales: Sreenivas P Veeranki, Holly Nishimura, Karl Krupp, Savitha Gowda, Anjali Arun, Purnima Madhivanan
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Publicado: Ubiquity Press 2017
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spelling oai:doaj.org-article:a08f5485543b4cb8ad4abda57a13f4ed2021-12-02T02:33:20ZSuboptimal Breastfeeding Practices among Women in Rural and Low-Resource Settings: a Study of Women in Rural Mysore, India2214-999610.1016/j.aogh.2017.10.012https://doaj.org/article/a08f5485543b4cb8ad4abda57a13f4ed2017-11-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/173https://doaj.org/toc/2214-9996<p>Background</p><p>Breastfeeding rates are progressively increasing worldwide while optimal breastfeeding practices are lagging behind, especially in rural and low resource settings like India.</p><p>Objectives</p><p>This study estimated the prevalence of and factors associated with suboptimal breastfeeding practices among mother-infant dyads in rural southern India.</p><p>Methods</p><p>This is a <a title="Learn more about Cross Sectional Study" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/cross-sectional-study">cross-sectional analysis</a> of data collected in Mysore District from 2008-2011 from 1294 mother-infant dyads. All women answered an interviewer-administered survey, which included maternal, infant, and sociodemographic information and breastfeeding-related characteristics. Logistic regressions were conducted to determine factors associated with suboptimal breastfeeding practice.</p><p>Findings</p><p>About 20% (n = 281) of mothers reported delayed initiation of breastfeeding. Mothers who were unsatisfied with the infant's gender had higher odds of delayed breastfeeding (adjusted <a title="Learn more about Odds ratio" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/odds-ratio">odds ratio</a> [AOR]: 1.42, 95% confidence interval [CI]: 1.00, 2.00). Odds of delayed initiation were significantly lower among mothers who received 7-10 antenatal checkups (AOR: 0.59, 95% CI: 0.41, 0.87) and assistance during breastfeeding (AOR: 0.73, 95% CI: 0.57, 0.95). About half (51.4%) the sample did not breastfeed exclusively for the first 6 months. Older age was associated with lower odds of nonexclusive breastfeeding (AOR: 0.95, 95% CI: 0.92, 1.00). Compared with mothers with no education, mothers with primary education (AOR: 1.94, 95% CI: 1.35, 2.79) or more than primary education (AOR: 1.58, 95% CI: 1.10, 2.26) had higher odds of nonexclusive breastfeeding.</p><p>Conclusions</p>Optimal breastfeeding practices were influenced by a multitude of factors, including maternal age, education, number of antenatal checkups, receiving assistance with breastfeeding, and satisfaction with the infant's gender. Health promotion efforts should focus on encouraging mothers to attend antenatal care visits. Early antenatal education and counseling should include breastfeeding education in early antenatal visits. Further research should examine how to mitigate the effect of gender preference on initiation of breastfeeding.Sreenivas P VeerankiHolly NishimuraKarl KruppSavitha GowdaAnjali ArunPurnima MadhivananUbiquity Pressarticledelayed breastfeedingdeterminantsIndiainfantnonexclusive breastfeedingpracticesruralInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 83, Iss 3-4, Pp 577-583 (2017)
institution DOAJ
collection DOAJ
language EN
topic delayed breastfeeding
determinants
India
infant
nonexclusive breastfeeding
practices
rural
Infectious and parasitic diseases
RC109-216
Public aspects of medicine
RA1-1270
spellingShingle delayed breastfeeding
determinants
India
infant
nonexclusive breastfeeding
practices
rural
Infectious and parasitic diseases
RC109-216
Public aspects of medicine
RA1-1270
Sreenivas P Veeranki
Holly Nishimura
Karl Krupp
Savitha Gowda
Anjali Arun
Purnima Madhivanan
Suboptimal Breastfeeding Practices among Women in Rural and Low-Resource Settings: a Study of Women in Rural Mysore, India
description <p>Background</p><p>Breastfeeding rates are progressively increasing worldwide while optimal breastfeeding practices are lagging behind, especially in rural and low resource settings like India.</p><p>Objectives</p><p>This study estimated the prevalence of and factors associated with suboptimal breastfeeding practices among mother-infant dyads in rural southern India.</p><p>Methods</p><p>This is a <a title="Learn more about Cross Sectional Study" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/cross-sectional-study">cross-sectional analysis</a> of data collected in Mysore District from 2008-2011 from 1294 mother-infant dyads. All women answered an interviewer-administered survey, which included maternal, infant, and sociodemographic information and breastfeeding-related characteristics. Logistic regressions were conducted to determine factors associated with suboptimal breastfeeding practice.</p><p>Findings</p><p>About 20% (n = 281) of mothers reported delayed initiation of breastfeeding. Mothers who were unsatisfied with the infant's gender had higher odds of delayed breastfeeding (adjusted <a title="Learn more about Odds ratio" href="https://www.sciencedirect.com/topics/medicine-and-dentistry/odds-ratio">odds ratio</a> [AOR]: 1.42, 95% confidence interval [CI]: 1.00, 2.00). Odds of delayed initiation were significantly lower among mothers who received 7-10 antenatal checkups (AOR: 0.59, 95% CI: 0.41, 0.87) and assistance during breastfeeding (AOR: 0.73, 95% CI: 0.57, 0.95). About half (51.4%) the sample did not breastfeed exclusively for the first 6 months. Older age was associated with lower odds of nonexclusive breastfeeding (AOR: 0.95, 95% CI: 0.92, 1.00). Compared with mothers with no education, mothers with primary education (AOR: 1.94, 95% CI: 1.35, 2.79) or more than primary education (AOR: 1.58, 95% CI: 1.10, 2.26) had higher odds of nonexclusive breastfeeding.</p><p>Conclusions</p>Optimal breastfeeding practices were influenced by a multitude of factors, including maternal age, education, number of antenatal checkups, receiving assistance with breastfeeding, and satisfaction with the infant's gender. Health promotion efforts should focus on encouraging mothers to attend antenatal care visits. Early antenatal education and counseling should include breastfeeding education in early antenatal visits. Further research should examine how to mitigate the effect of gender preference on initiation of breastfeeding.
format article
author Sreenivas P Veeranki
Holly Nishimura
Karl Krupp
Savitha Gowda
Anjali Arun
Purnima Madhivanan
author_facet Sreenivas P Veeranki
Holly Nishimura
Karl Krupp
Savitha Gowda
Anjali Arun
Purnima Madhivanan
author_sort Sreenivas P Veeranki
title Suboptimal Breastfeeding Practices among Women in Rural and Low-Resource Settings: a Study of Women in Rural Mysore, India
title_short Suboptimal Breastfeeding Practices among Women in Rural and Low-Resource Settings: a Study of Women in Rural Mysore, India
title_full Suboptimal Breastfeeding Practices among Women in Rural and Low-Resource Settings: a Study of Women in Rural Mysore, India
title_fullStr Suboptimal Breastfeeding Practices among Women in Rural and Low-Resource Settings: a Study of Women in Rural Mysore, India
title_full_unstemmed Suboptimal Breastfeeding Practices among Women in Rural and Low-Resource Settings: a Study of Women in Rural Mysore, India
title_sort suboptimal breastfeeding practices among women in rural and low-resource settings: a study of women in rural mysore, india
publisher Ubiquity Press
publishDate 2017
url https://doaj.org/article/a08f5485543b4cb8ad4abda57a13f4ed
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