scholarly journals Working mother’s awareness and practice regarding feeding of expressed breast milk

2019 ◽  
Vol 6 (2) ◽  
pp. 60-63
Author(s):  
Monika Lama

Introductions: Expressed breast milk (EBM) is a healthy feeding option as compared to formula milk for working mothers. Awareness and practice towards EBM may be helpful towards its promotion. Methods: A cross sectional study was conducted at Patan Hospital, Patan Academy of Health Sciences, Nepal. Working mothers with breastfeeding child of less than 2 year were interviewed for and practice regarding EBM. A self-constructed open and close ended questionnaire in Nepali was used for data collection to analyze the association of mother’s age, types of family structure and number of children with EBM. Results: Out of 178 working mothers, 121 (67.9%) had awareness about EBM and 22 had practiced it. Mother’s age, types of family structure and number of children were not statistically significant with level awareness. There was positive correlation between awareness and practice of EBM. Conclusions: This study demonstrated 2/3rd of working mothers had awareness of EBM and 1/10th practiced EBM feeding, and there was positive correlation of awareness and practice.

2020 ◽  
Vol 3 (2) ◽  
pp. 45
Author(s):  
Raphael Kosasih ◽  
Ninik Mudjihartini ◽  
Saptawati Bardosono

Objective: Docosahexaenoic acid (DHA) is the predominant structural fatty acid in the brain and crucial for cognitive development in early life. Newborn DHA intake completely depends on preformed DHA in mother’s breast milk. In advancing years, globalization has been declining the fish intake of Asian countries. This study aims to determine DHA intake among lactating mothers in Jakarta and its association with breast milk’s DHA.Method: This cross-sectional study was conducted in Grogol Petamburan and Cilincing Public Health Centers, Jakarta. Eighty healthy lactating mothers aged 20–35 years old in 1–6 months postpartum were taken using consecutive sampling method. Characteristics data were taken by interviews and DHA intake was assessed with the semiquantitative food frequency questionnaire. Breast milk specimens were collected in the morning and its DHA content was analyzed using Gas Chromatography with Mass Spectrometry. Descriptive analyses and Spearman rho test were used with a 95% confidence level.Result: This study showed the median of subjects’ DHA intake was 158.5(13.9–719.7) mg/day, i.e., 67.5% of the subjects was below Food and Agriculture Organization (FAO) recommendation. The median of breast milk DHA was 51.7(19–184.7) mg/day, only 42.5 % of the subjects had breast milk DHA to meet the minimal requirement of their infant. A moderate positive correlation was found between maternal DHA intake with breast milk DHA (r = 0.478, p < 0.001). Conclusion:  Maternal DHA intake has moderate positive correlation with breast milk DHA, more than half of the subject had DHA intake below FAO recommendation.


2020 ◽  
Author(s):  
PRISCILLAH wanini EDEMBA ◽  
Grace Irimu ◽  
RACHEL MUSOKE

Abstract Background: Many studies show that working mothers are unable to exclusively breastfeed successfully. Expression and storage of breastmilk is a strategy that ensures continued breastmilk consumption in the event of temporary separation of an infant from the mother. The 2017 Kenyan Health Act mandates employers to provide lactation rooms with guidance for appropriate utilization.Methodology: The study objective was to assess knowledge attitude and practice of breastmilk expression and storage among working women with infants below six months of age in Public Well Baby Clinics. This was a cross sectional study among 395 working women attending two large public hospitals in Nairobi Kenya. A structured questionnaire with open and closed ended questions was used to establish the knowledge and practice while a Likert scale was used to explore attitudes of the mothers towards expression and storage of breast milk. Results: Only 161(41%) were expressing breast milk. Those with tertiary education and those working in the public sector had significantly higher odds of having satisfactory knowledge OR4.47(95%CI 2.01-11.07) and OR2.26(95%CI 1.33-3.85) respectively. Attaining tertiary education was significantly associated with a possibility of expressing and storing breastmilk OR3.6(95% CI 1.81-7.95). The workplace did not provide adequate equipment to facilitate breastmilk expression. Challenges experienced were breast pain and cumbersome nature of expressing milk.Conclusion: The study revealed knowledge gaps in expression and storage of breastmilk that need to be addressed to enable the mothers fully utilize the lactation rooms when they become available at the workplace.


2017 ◽  
Vol 2 (1) ◽  
pp. 23
Author(s):  
Nia Kurniasih ◽  
Dwi Hastuti

<p>This research aimed to analyze the effect of maternal discipline on discipline of children at two kindergarten in Bogor City. The research design used was<em> a </em>cross sectional study involving 46 mothers and children, selected by accidental sampling, and the data were collected using a questionnaire. Parenting discipline was measured using a questionnaire of The Dimensions of Discipline Inventory (DDI), which was adapted and modified from Straus and Fauchier (2011) with a Cronbach's alpha value of 0.864, and Character Development Questionnaire Preschooler adapted and modified from Hastuti (2014) with a Cronbach's alpha value of 0649. The results showed that there was a significantly positive correlation between the lenght of education and mother’s implementation of discipline, and there is a significantly positive correlation between marital status with cognitive appraisal of discipline. Cognitive appraisal of discipline is an opinion or judgment against parent parenting discipline either approved or not. Discipline of children was influenced by mother’s  length of education, mother’s age, and  situation in the application of discipline by mother (R<sup>2 </sup>Adjusted= 0.492). The situation in the application of discipline is a state or condition of the mother when applying disciplinary behavior to children.</p><p> </p>


2014 ◽  
Vol 13 (2) ◽  
pp. 106
Author(s):  
Ridhayani Hatta ◽  
Hendrastuti Handayani

Caries in infant was influenced by their substrat. Substrats are the primary source of energy in bacterial colonisingprocess in oral cavity. Streptococcus mutans are especially the main cause of tooth decay. For 1-year-old infant theprimary nutritions are generally from breast milk or formula milk. This study was aimed to determine the differentnumbers of bacterial colonizations of S.mutan found in breast-fed infants from those found in formula milk. Thisobservational-analytics study used cross sectional study design was carried out to 60 infants who fulfil the inclutioncriteria of simple random sampling method,30 infants in each group from Integrated Health Centre in Kelurahan Antang,and the bactery on the saliva was evaluated in Microbiology Laboratory of Medical Faculty Hasanuddin University. Eachparent was given questionnaire which to asks the things related with this research and microbial screening was takenfrom saliva of 1-year old infant. The number of bacterial colonizations for S.mutans in breastfeeding group shows meanvalue 19.7 CFU/ml while the formula milk group was about 37.97 CFU/ml, so the consumptions of breast milk andformula milk in 1-year old infant show the significantly different number of bacterial colonizations of S.mutans in. Itwas concluded that colonization of S.mutans in breastfeeding group lower than formula milk group.


1994 ◽  
Vol 71 (1) ◽  
pp. F24-F27 ◽  
Author(s):  
A K Ewer ◽  
G M Durbin ◽  
M E Morgan ◽  
I W Booth

An ultrasonic technique was used to compare gastric emptying after a feed of expressed breast milk and formula milk in a blind, cross over study of preterm infants. Fourteen infants (median gestational age 33 weeks) were studied on 46 occasions. Each infant received a nasogastric feed of either expressed breast milk or formula milk, and the alternative at the next feed. Real time ultrasound images of the gastric antrum were obtained and measurements of antral cross sectional area (ACSA) were made before the feed and then sequentially after its completion until the ACSA returned to its prefeed value. The half emptying time (50% delta ACSA) was calculated as the time taken for the ACSA to decrease to half the maximum increment. On average, expressed breast milk emptied twice as fast as formula milk: mean 50% delta ACSA expressed breast milk 36 minutes; formula milk 72 minutes. The technique was reproducible and there was no significant difference between the emptying rates of feeds of the same type for an individual infant. These data show that breast milk has a major effect on gastric emptying, which may have important implications for preterm infants who have a feed intolerance due to delayed gastric emptying.


2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Sjoukje A. van Dellen ◽  
Barbara Wisse ◽  
Mark P. Mobach ◽  
Casper J. Albers ◽  
Arie Dijkstra

Abstract Background The challenge of combining professional work and breastfeeding is a key reason why women choose not to breastfeed or to stop breastfeeding early. We posited that having access to a high-quality lactation room at the workplace could influence working mothers’ satisfaction and perceptions related to expressing breast milk at work, which could have important longer term consequences for the duration of breastfeeding. Specifically, we aimed to (1) develop a checklist for assessing the quality of lactation rooms and (2) explore how lactation room quality affects lactating mothers’ satisfaction and perceptions. Drawing on social ecological insights, we hypothesized that the quality of lactation rooms (operationalized as any space used for expressing milk at work) would be positively related to mothers’ satisfaction with the room, perceived ease of, and perceived support for milk expression at work. Methods We conducted two studies. In Study 1 we developed a lactation room quality checklist (LRQC) and assessed its reliability twice, using samples of 33 lactation rooms (Study 1a) and 31 lactation rooms (Study 1b). Data were collected in the Northern part of the Netherlands (between December 2016 and April 2017). Study 2 comprised a cross-sectional survey of 511 lactating mothers, working in a variety of Dutch organizations. The mothers were recruited through the Facebook page of a popular Dutch breastfeeding website. They completed online questionnaires containing the LRQC and measures aimed at assessing their satisfaction and perceptions related to milk expression at work (in June and July 2017). Results The LRQC was deemed reliable and easy to apply in practice. As predicted, we found that objectively assessed higher-quality lactation rooms were associated with increased levels of satisfaction with the lactation rooms, perceived ease of milk expression at work, and perceived support from supervisors and co-workers for expressing milk in the workplace. Conclusions The availability of a high-quality lactation room could influence mothers’ decisions regarding breast milk expression at work and the commencement and/or continuation of breastfeeding. Future studies should explore whether and how lactation room quality affects breastfeeding choices, and which aspects are most important to include in lactation rooms.


2018 ◽  
Vol 10 (1) ◽  
Author(s):  
Feryani . ◽  
Nursaidah .

Breast milk (ASI) is the best source of nutrition for babies because it contains various nutrients needed in the growth and development of babies. Giving breast milk is highly recommended until the baby is 6 months old (Utami, 2005). Data on Exclusive Breastfeeding at Poasia Health Center in 2015 amounted to 77.07% and based on the results of surveys in several Posyandu in the Poasia Community Health Center working area, most of the visiting babies were given formula milk and complementary food for breast milk. This shows that the practice of exclusive breastfeeding is still low which can affect the growth and development of infants so that it will affect the quality of human resources. Research Objectives: To find out the factors related to exclusive breastfeeding at Posyandu in the working area of Poasia Health Center, Kendari City, Southeast Sulawesi Province in 2016. Research methods: The research conducted was analytical research with aapproach cross sectional. The study sample was mothers who had babies aged 7 to 24 months in the working area of Poasia Health Center with a total of 77 people. The sampling technique is accidental sampling. The results of the study: the results of this study were the education of mothers who gave exclusive breastfeeding 80.8% of secondary education (SMA) mothers and those who did not provide exclusive breastfeeding 100% of mothers with higher education. Employment of mothers who provide exclusive breastfeeding 54.8% of working mothers and those who do not provide exclusive breastfeeding 100% of working mothers. The parity of mothers who gave exclusive breastfeeding was 67.7% in mothers with no risk (parity 2-3) and those who did not give exclusive breastfeeding 58.7% in mothers at risk parity (parity 1 and≥4), and there was a relationship between education, employment and maternal parity with exclusive breastfeeding in the working area of Kendari City Poasia Health Center with a value of ρvalue<0.05.


Author(s):  
Rajsinh V. Mohite ◽  
Vinayak Y. Kshirsagar ◽  
Vaishali R. Mohite

Background: Breast milk is first, natural and nutritious food for newborn that promote sensory and cognitive development as well as protect against infectious and chronic diseases. The aim and objective of the study was to estimate the prevalence and to point out determinants of cessation of exclusive breastfeeding among rural primi-para mothers.Methods: This is a hospital based cross sectional study conducted at rural tertiary health centre located Western Maharashtra, India in the month of November-December 2017. A total of 140 breastfeeding primi-para mothers were enrolled and interviewed by utilizing pretested questionnaire include socio-demographic data, obstetric and breastfeeding history after written consent. Data were analyzed for inferential statistics using SPSS Version 21.Results: Among 140 eligible mothers, max. 84.2% were in age group 18-24 years with high proportions, 72.8% housewives, 90% literate and 75.7% with joint family structure. Max. 92.1% mothers were institutionally delivered. The overall prevalence of cessation of exclusive breastfeeding was 22.85% with gradual and sudden cessation was 20% and 2.85% respectively. Maternal determinants like insufficient breast milk secretion (37.5%), maternal sickness (12.5%) were highly contributed for cessation of breastfeeding whereas, infant illness, 12.5% respectively. The nuclear family structure, caesarean delivery and low birth weight baby were significantly associated with cessation of exclusive breastfeeding. The risk of cessation of exclusive breastfeeding is of 4.5 and 2.5 times higher with maternal nuclear family structure and infant with low birth weight.Conclusions: Prevalence of cessation of exclusive breastfeeding was low among primi-para mothers residing in rural area of western Maharashtra, India. The nuclear family structure, low birth weight baby have had significant effect on cessation of exclusive breastfeeding.


2020 ◽  
Vol 11 ◽  
Author(s):  
Velda Lauringson ◽  
Gudrun Veldre ◽  
Peeter Hõrak

Growth of different body parts in humans is sensitive to different resource constraints that are mediated by parental investment. Parental investment can involve the expenditure of material, cognitive, and emotional resources on offspring. Cranial volume, an important predictor of cognitive ability, appears understudied in this context. We asked (1) whether there are associations between growth and family structure, self-reported estimates for resource availability, and sibling number; and (2) whether these constraints relate to head and body growth in a similar manner. We assessed the associations between parental investment, height, and cranial volume in a cross-sectional study of Estonian children (born 1980–87, aged 11–17). Height correlated negatively with the number of siblings but this association became negligible in a model controlling for birthweight, parental heights, and mother’s age at birth. Unlike height, cranial volume was unrelated to sibling number, but it was negatively associated with self-reported meat and general resource shortage. Cranial volume was related to family structure and paternal education. Children living with both birth-parents had larger heads than those living in families containing a step-parent. Since these family types did not differ with respect to meat or general resource shortage, our findings suggest that families including both genetic parents provide non-material benefits that stimulate predominantly cranial growth. For the studied developmental period, cranial volume appeared a more sensitive marker of growth constraints than height. The potential of using cranial volume for quantifying physical impact of non-material parental investment deserves further attention.


2019 ◽  
Vol 8 (2) ◽  
pp. 60-65
Author(s):  
Shrijana Pandey

Background: Expressed breast milk can be a healthy feeding option as compared to formula for working mothers. A large number of mothers are working these days and despite their desire to breastfeed, mothers have to get back to their work because of various constraints.Objectives: The research objective was to assess the status of knowledge and attitude regarding expressed breastfeeding and to identify the barriers to expressed breastfeeding among working mothers visiting Kathmandu Medical College Teaching Hospital.Methodology: A cross-sectional study was conducted at Pediatric Outpatient Department of Kathmandu Medical College Teaching Hospital from June 2018 till December 2018. One hundred and eighty working mothers were chosen purposively and interviewed. Research instrument was a structured questionnaire containing questions about technique of pumping and storing breast milk, benefits of breastfeeding, attitude regarding expressed breastfeeding and reasons for not expressing breast milk. Mean standard deviation and Chi-square tests were used for statistical analysis.Results: Out of 180 mothers, half of the mothers had adequate knowledge regarding expressed breastfeeding while slightly more than half of them (52.2%) had negative attitude about it. Only 11.7% of the mothers shared that they had expressed breast milk ever. The most important reason for not expressing breast milk was stated to be inadequate breast milk production (30.7%) and lack of time (26.4%).Conclusion: The study concludes that about half of the working mothers have adequate knowledge and positive attitude regarding expressed breastfeeding. Moreover, very few mothers ever expressed breast milk and the main reason for not doing so was inadequate milk production.


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