KNOWLEDGE, ATTITUDE AND PRACTICE OF MOTHERS REGARDING COLOSTRUM FEEDING TO NEWBORNS IN RURAL PAKISTAN: A CROSS-SECTIONAL STUDY

Main Article Content

Jahanzaib Sohail
Asif Khaliq

Abstract

ABSTRACT:

OBJECTIVE: To assess the knowledge, attitude and practice of mothers regarding colostrum feeding to newborns in North of Sindh province, Pakistan.

METHODS: This cross-sectional study involving nursing mothers who are having any children under 2 years, conducted in three districts (Larkana, Qamber Shahdadkot and Dadu) of Sindh province, Pakistan from September-2015 to January-2016. Systemic random sampling technique was used and every third woman was selected. Self-made questionnaire translated in Urdu and Sindhi language was used to assess socio-demographic status, knowledge, attitude and practice about colostrum from pregnant and nursing women. Data was analysed by SPSS-20.

RESULTS: Of the 384 mothers, 269 (70.1%) nursing mothers had some knowledge about health benefits of colostrum while 115 (29.9%) had no knowledge about health benefits of colostrum. About 72.1% (n=277) mothers offered colostrum feeding while 27.9% (n=107) discarded colostrum believing that colostrum as non-milk, non-nutritious and causing diarrhea.

 The mothers who discarded colostrum offered honey (n=80/107; 74.8%); water (n=19/107; 17.7%) and herbal preparation (n=8/107; 7.5%) to babies as pre-lacteal feeding. The practice of discarding colostrum is more prevalent among the mothers aging ≤20 years (n=94/107; 87.9%), illiterate (n=89/107; 83.2%), experienced first pregnancy (n=70/107; 65.4%) and delivered their child at home (n=85/107;79.4%). Out of 384 mothers, 109 (28.4%) started breast-feeding in first hour after delivery & 231 (60.2%) mothers received guidance about benefits of colostrum feeding from the healthcare professionals. 

CONCLUSION: More than a quarter mothers don’t know about the health benefits of colostrum and offered pre-lacteal feeding to babies. Majority received guidance from health-professionals.  

KEY WORDS: Colostrum (MeSH); Immunoglobulins (MeSH); Enzymes (MeSH); Cytokines (MeSH); Growth Factors (MeSH); Bilirubin (MeSH); Knowledge (MeSH); Attitude (MeSH); Pre-lacteal feeding (Non-MeSH); Mothers (MeSH)

Article Details

How to Cite
Sohail, J., and A. Khaliq. “KNOWLEDGE, ATTITUDE AND PRACTICE OF MOTHERS REGARDING COLOSTRUM FEEDING TO NEWBORNS IN RURAL PAKISTAN: A CROSS-SECTIONAL STUDY”. KHYBER MEDICAL UNIVERSITY JOURNAL, vol. 9, no. 4, Jan. 2018, pp. 192-6, https://www.kmuj.kmu.edu.pk/article/view/17517.
Section
Original Articles

References

REFERENCES

Bhale P, Jain S. Is colostrum really discarded by Indian mothers? Indian Pediatr 1999 Oct;36(10):1069-70.

Joshi S, Barakoti B, Lamsal S. Colostrum Feeding: Knowledge, Attitude and Practice in Pregnant Women in a Teaching Hospital in Nepal . WebmedCentral:Int J Med Mol Med 2012;3(8):WMC003601

La Leche League International (LLLI). What is colostrum? How does it benefit my baby? 2016 [Cited on: March 04, 2017]. Available from: http://www.llli.org/faq/colostrum.html.

World Health Organization (WHO), United Nations International Chidren’s Emergency Fund (UNICEF). Global strategy for infant and young child feeding. WHO, Geneva, 2003. ISBN: 92 4 156221 8. [Cited on: March 04, 2017]. Available from:

http://www.who.int/nutrition/publications/infantfeeding/9241562218/en/

Rogers NL, Abdi J, Moore D, Nd'iangui S, Smith LJ, Carlson AJ, et al. Colostrum avoidance, prelacteal feeding and late breast-feeding initiation in rural Northern Ethiopia. Public Health Nutr 2011 Nov;14(11):2029-36. DOI: 10.1017/S1368980011000073. Epub 2011 Apr 21

Mehkari S, Zehra N, Yasin H, Rauf A, Jaliwala HA, Zehra T, et al. Breastfeeding and Weaning: Awareness and Practices among Female Health Providers working in a Tertiary Care Hospital of Karachi-Pakistan. Int J Womens Health Reprod Sci 2014;2(5):281-6. DOI: 10.15296/ijwhr.2014.45

Hanif R, Khalil E, Sheikh A, Harji A, Haris S, Rasheed MW, et al. Knowledge about breastfeeding in accordance with the national policy among doctors, paramedics and mothers in baby-friendly hospitals. J Pak Med Assoc 2010;60(10):881-6.

Kulsoom U, Saeed A. Breast feeding practices and beliefs about weaning among mothers of infants aged 0-12 months. J Pak Med Assoc 1997;47(2):54-60.

Raval D, Jankar DV, Singh MP. A study of breast feeding practices among infants living in slums of Bhavnagar city, Gujrat India. Healthline 2011;2(2):78-83.

Okolo SN, Adewunmi YB, Okonji MC. Current breastfeeding knowledge, attitude, and practices of mothers in five rural communities in the Savannah region of Nigeria. J Trop Pediatr 1999;45(6):323-6.

Kamudoni P, Maleta K, Shi Z, Holmboe-Ottesen G. Infant feeding practices in the first 6 months and associated factors in a rural and semiurban community in Mangochi District, Malawi. J Hum Lact 2007 Nov;23(4):325-32. DOI: 10.1177/0890334407307567

Uruakpa FO, Ismond MAH, Akobundu ENT. Colostrum and its benefits: A review. Nutr Res 2002;22(6):755-67. DOI: 10.1016/S0271-5317(02)00373-1

Aisha R, Batool F, Sultana S. Knowledge, Attitude and Practices about Colostrum Feeding among Pregnant Women in Military Hospital Rawalpindi of Pakistan. Open J Nurs 2016;6(4):309-13. DOI: 10.4236/ojn.2016.64032.

Khaliq A, Qamar M, Hussaini SA, Azam K, Zehra N, Hussain M, et al. Assessment of knowledge and practices about breastfeeding and weaning among working and non-working mothers. J Pak Med Assoc 2017 Mar;67(3):332-8.

Sabharwal V. Myths and beliefs surrounding complementary feeding practices of infants in India. J Commun Nutri Health 2014;3(1):34-8.

Raheem RA, Binns CW, Chih HJ, Sauer K. Determinants of the introduction of prelacteal feeds in the Maldives. Breastfeed Med 2014 Nov;9(9):473-8. DOI: 10.1089/bfm.2014.0028. Epub 2014 Jun 25.

Khanal V, Adhikari M, Sauer K, Zhao Y. Factors associated with the introduction of prelacteal feeds in Nepal: findings from the Nepal demographic and health survey 2011. Int Breastfeed J 2013 Aug 8;8(1):9. DOI: 10.1186/1746-4358-8-9.