Health> Vol.5 No.12, December 2013

Influencing factors on time of breastfeeding initiation among a national representative sample of women in India

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ABSTRACT

Breastfeeding is seen as vital for mother and child and therefore is of great public health concern. Early initiation of breastfeeding within one hour of delivery is important as it reduces neonatal mortality. Increasing our understanding of barriers and reasons for not commencing early breastfeeding is important to improve strategies and conditions to overcome such barriers. Hence, the present study aimed to investigate factors influencing time of breastfeeding among women in India, focusing on health care utilisation related issues and partner behaviour. Data from the Ministry of Health and Family Welfare of the Government of India’s National Family Health Survey (NFHS) from 2005-2006 (NFHS-3) have been used in this study. Breastfeeding for the latest child was considered in the study. A total of 35,795 female respondents are included in this study. Chi square test and adjusted logistic regression analysis were used. Among all 35,795 women in the study, a total of 31.1% initiated breastfeeding within one hour and 68.6% initiated breastfeeding within the first week. Educational level, economic status and women’s caste or tribe, place of delivery, prenatal visits to health care facilities and assistance during delivery as well as partner’s controlling and violent behavior are important factors influencing time of initiation of breastfeeding. It is evident that policy makers need to ensure that all health professionals support and promote early breastfeeding initiation. It is also important to promote deliveries in hospitals and other healthcare facilities as they may increase early initiation. Furthermore, it is fundamental that efforts are intensified for girls and women to obtain education to increase women’s empowerment and improved gender equality.

 

Cite this paper

Sandor, M. and Dalal, K. (2013) Influencing factors on time of breastfeeding initiation among a national representative sample of women in India. Health, 5, 2169-2180. doi: 10.4236/health.2013.512296.

References

[1] WHO (2002) The optimal duration of exclusive breastfeeding—A systematic review. World Health Organization, Geneva.
[2] American Academy of Pediatrics (2005) Breastfeeding and the use of human milk. Pediatrics, 115, 496-506.
http://dx.doi.org/10.1542/peds.2004-2491
[3] Beaudry, M., Dufour, R. and Marcoux, S. (1995) Relation between infant feeding and infections during the first six months of life. The Journal of Pediatrics, 126, 191-197.
http://dx.doi.org/10.1016/S0022-3476(95)70544-9
[4] Dewey, K.G., Heinig, M.J. and Nommsen-Rivers, L.A. (1995) Differences in morbidity between breast-fed and formula-fed infants. The Journal of Pediatrics, 126, 696-702. http://dx.doi.org/10.1016/S0022-3476(95)70395-0
[5] Kramer, M.S., Chalmers, B., Hodnett, E.D., Sevkovskaya, Z., Dzikovich, I., Shapiro, S., Collet, J.-P., Vanilovich, I., Mezen, I., Ducruet, T., Shishko, G., Zubovich, V., Mknuik, D., Gluchanina, E., Dombrovskiy, V., Ustinovitch, A., Kot, T., Bogdanovich, N., Ovchinikova, L., Helsing, E. and Group, F.T.P.S. (2001) Promotion of breastfeeding intervention trial (PROBIT). A randomized trial in the Republic of Belarus. The Journal of the American Medical Association, 285, 413-420.
http://dx.doi.org/10.1001/jama.285.4.413
[6] Gianino, P., Mastretta, E., Longo, P., Laccisaglia, A., Sartore, M., Russo, R. and Mazzaccara, A. (2002) Incidence of nosocomial rotavirus infections, symptomatic and asymptomatic, in breast-fed and non-breast-fed infants. Journal of Hospital Infection, 50, 13-17.
http://dx.doi.org/10.1053/jhin.2001.1129
[7] Aniansson, G., Alm, B., Andersson, B., Hakansson, A., Larsson, P., Nylén, O., Peterson, H., Rignér, P., Svanborg, M., Sabharwal, H. and Svanborg, C. (1994) A prospective cohort study on breast-feeding and otitis media in Swedish infants. The Pediatric Infectious Disease Journal, 13, 183-187.
http://dx.doi.org/10.1097/00006454-199403000-00003
[8] Duffy, L.C., Faden, H., Wasielewski, R., Wolf, J. and Krystofik, D. (1997) Exclusive breastfeeding protects against bacterial colonization and day care exposure to otitis media. Pediatrics, 100, E7.
http://dx.doi.org/10.1542/peds.100.4.e7
[9] Brun, J.G., Nilssen, S. and Kvale, G. (1995) Breast feeding, other reproductive factors and rheumatoid arthritis. A prospective study. Rheumatology, 34, 542-546.
http://dx.doi.org/10.1093/rheumatology/34.6.542
[10] Danforth, K.N., Tworoger, S.S., Hecht, J.L., Rosner, B.A., Colditz, G.A. and Hankinson, S.E. (2007) Breastfeeding and risk of ovarian cancer in two prospective cohorts. Cancer Causes Control, 18, 517-523.
http://dx.doi.org/10.1007/s10552-007-0130-2
[11] Katsouyanni, K., Lipworth, L., Trichopoulou, A., Samoli, E., Stuver, S. and Trichopoulos, D. (1996) A case-control study of lactation and cancer of the breast. British Journal of Cancer, 73, 814-818.
http://dx.doi.org/10.1038/bjc.1996.143
[12] Furberg, H., Newman, B., Moorman, P. and Millikan, R. (1999) Lactation and breast cancer risk. International Journal of Epidemiology, 28, 396-402.
http://dx.doi.org/10.1093/ije/28.3.396
[13] Bernier, M.O., Plu-Bureau, G., Bossard, N., Ayzac, L. and Thalabard, J.C. (2000) Breastfeeding and risk of breast cancer: A meta-analysis of published studies. Human Reproduction Update, 6, 374-386.
http://dx.doi.org/10.1093/humupd/6.4.374
[14] Zheng, T., Holford, T.R., Mayne, S.T., Owens, P.H., Zhang, Y., Zhang, B., Boyle, P. and Zahm, S.H. (2001) Lactation and breast cancer risk: A case-control study in Connecticut. British Journal of Cancer, 84, 1472-1476.
http://dx.doi.org/10.1054/bjoc.2001.1793
[15] Manganaro, R., Marseglia, L., Mam, C., Paolata, A., Gargano, R., Mondello, M., Puliafito, A. and Gemelli, M. (2009) Effects of hospital policies and practices on initiation and duration of breastfeeding. Child: Care, Health & Development, 35, 106-111.
http://dx.doi.org/10.1111/j.1365-2214.2008.00899.x
[16] Edmond, K.M., Zandoh, C., Quigley, M.A., AmengaEtego, S., Owusu-Agyei, S. and Kirkwood, B.R. (2006) Delayed breastfeeding initiation increases risk of neonatal mortality. Pediatrics, 117, e380-e386.
http://dx.doi.org/10.1542/peds.2005-1496
[17] Mullany, L.C., Katz, J., Li, Y.M., Khatry, S.K., LeClerq, S.C., Darmstadt, G.L. and Tielsch, J.M. (2008) Breastfeeding patterns, time to initiation, and mortality risk among newborns in Southern Nepal. The Journal of Nutrition, 138, 599-603.
[18] WHO (2006) Neonatal and perinatal mortality: Country, regional and global estimates. World Health Organization, Geneva.
[19] IBFAN (2007) The state of the world’s breastfeeding: Report card initiation of breastfeeding within 1 hour. International Baby Food Action Network Asia, Dehli.
[20] Liljestrand, J. (2000) Strategies to reduce maternal mortality worldwide. Current Opinion in Obstetrics and Gynecology, 12, 513-517.
http://dx.doi.org/10.1097/00001703-200012000-00010
[21] Shabnam, J., Gifford, M. and Dalal, K. (2011) Socioeconomic inequalities in the use of delivery care services in Bangladesh: A comparative study between 2004 and 2007. Health, 3, 762-771.
http://dx.doi.org/10.4236/health.2011.312127
[22] Shariff, A. and Singh, G. (2002) Determinants of maternal health care utilisation in India: Evidence from a recent household survey. National Council of Applied Economic Research, New Delhi.
[23] Dalal, K. and Dawad, S. (2009) Non-utilisation of public healthcare facilities: Examining the reasons through a national study of women in India. Rural and Remote Health, 9, 1178.
[24] Emenike, E., Lawoko, S. and Dalal, K. (2008) Intimate partner violence and reproductive health of women in Kenya. International Nursing Review, 55, 97-102.
http://dx.doi.org/10.1111/j.1466-7657.2007.00580.x
[25] Dalal, K., Andrews, J. and Dawad, S. (2011) Contraception use and associations with initimate partner violence among women in Bangladesh. Journal of Biosocial Science, 44, 83-94.
http://dx.doi.org/10.1017/S0021932011000307
[26] Silverman, J.G., Decker, M.R., Reed, E. and Raj, A. (2006) Intimate partner violence around the time of pregnancy: Association with breastfeeding behaviour. Journal of Women’s Health, 15, 934-940.
http://dx.doi.org/10.1089/jwh.2006.15.934
[27] Kendall-Tackett, K.A. (2007) Violence against women and the perinatal period. Trauma, Violence, & Abuse, 8, 344-353. http://dx.doi.org/10.1177/1524838007304406
[28] Lau, Y. and Chan, K.S. (2007) Influence of intimate partner violence during pregnancy and early postpartum depressive symptoms on breastfeeding among Chinese women in Hong Kong. The Journal of Midwifery & Women’s Health, 52, e15-e20.
http://dx.doi.org/10.1016/j.jmwh.2006.09.001
[29] Simister, J. and Makowiec, J. (2008) Domestic violence in India. Indian Journal of Gender Studies, 15, 507-518.
http://dx.doi.org/10.1177/097152150801500304
[30] Boyle, M.H., Georgiades, K., Cullen, J. and Racine, Y. (2009) Community influences on intimate partner violence in India: Women’s education, attitudes towards mistreatment and standards of living. Social Science & Medicine, 69, 691-697.
http://dx.doi.org/10.1016/j.socscimed.2009.06.039
[31] Jana, A.K. (2009) Interventions for promoting the initiation of breastfeeding: RHL commentary. The WHO Reproductive Health Library. World Health Organization, Geneva.
[32] International Institute for Population Sciences and Macro International (2007) National family health survey (NFHS-3), 2005-06: India: Volume II. International Institute for Population Sciences and Macro International, Mumbai.
[33] Dalal, K. and Lindqvist, K. (2012) A national study of the prevalence and correlates of domestic violence among women in India. Asia-Pacific Journal of Public Health, 24, 265-277.
[34] Lande, B., Andersen, L.F., Bærug, A., Trygg, K.U., Lund-Larsen, K., Veierod, M.B. and Bjorneboe, G.E.A. (2003) Infant feeding practices and associated factors in the first six months of life: The Norwegian infant nutrition survey. Acta Paediatrica, 92, 152.
http://dx.doi.org/10.1111/j.1651-2227.2003.tb00519.x
[35] Aidam, B.A., Perez-Escamilla, R., Lartey, A. and Aidam, J. (2005) Factors associated with exclusive breastfeeding in Accra, Ghana. European Journal of Clinical Nutrition, 59, 789-796. http://dx.doi.org/10.1038/sj.ejcn.1602144
[36] Flacking, R., Nyqvist, K.H. and Ewald, U. (2007) Effects of socioeconomic status on breastfeeding duration in mothers of preterm and term infants. The European Journal of Public Health, 17, 579-584.
http://dx.doi.org/10.1093/eurpub/ckm019
[37] Kohlhuber, M., Rebhan, B., Schwegler, U., Koletzko, B. and Fromme, H. (2008) Breastfeeding rates and duration in Germany: A Bavarian cohort study. British Journal of Nutrition, 99, 1127-1132.
http://dx.doi.org/10.1017/S0007114508864835
[38] Chudasama, R.K., Patel, P.C. and Kavishwar, A.B. (2009) Breastfeeding initiation practice and factors affecting breastfeeding in South Gujarat region of India. Internet Journal of Family Practice, 7, 2.
[39] Khassawneh, M., Khader, Y., Amarin, Z. and Alkafajei, A. (2006) Knowledge, attitude and practice of breastfeeding in the north of Jordan: A cross-sectional study. International Breastfeeding Journal, 1, 17.
http://dx.doi.org/10.1186/1746-4358-1-17
[40] Doula, A. (2011) Breastfeeding and socio-ecological determinants of health.
http://anthrodoula.blogspot.se/2011/06/breastfeeding-and-socio-ecological.html
[41] Setegn, T., Gerbaba, M. and Belachew, T. (2011) Determinants of timely initiation of breastfeeding among mothers in Goba Woreda, South East Ethiopia: A cross sectional study. BMC Public Health, 11, 217-223.
http://dx.doi.org/10.1186/1471-2458-11-217
[42] Dennis, C.-L. (2002) Breastfeeding initiation and duration: A 1990-2000 literature review. JOGNN, 31, 12-32.
http://dx.doi.org/10.1111/j.1552-6909.2002.tb00019.x
[43] Innocenti Declaration (1990) Innocenti declaration. WHO, Unicef, Florens.
[44] Dearden, K., Altaye, M., Maza, I.D., Oliva, M.D., StoneJimenez, M., Morrow, A.L. and Burkhalte, B.R. (2002) Determinants of optimal breast-feeding in peri-urban Guatemala City, Guatemala. Revista Panamericana de Salud Pública, 12, 185-192.
http://dx.doi.org/10.1590/S1020-49892002000900007
[45] Marsden, W. (2000) Choosing caesarean section. Lancet, 356, 1677-1680.
http://dx.doi.org/10.1016/S0140-6736(00)03169-X
[46] Pérez-Escamilla, R., Maulén-Radovan, I. and Dewey, K.G. (1996) The association between cesarean delivery and breast-feeding outcomes among Mexican women. American Journal of Public Health, 86, 832-836.
http://dx.doi.org/10.2105/AJPH.86.6.832
[47] Rowe-Murray, H.J. and Fisher, J.R.W. (2002) Baby friendly hospital practices: Cesarean section is a persistent barrier to early initiation of breastfeeding. Birth, 29, 124-131. http://dx.doi.org/10.1046/j.1523-536X.2002.00172.x
[48] Finger, C. (2003) Caesarean section rates skyrocket in Brazil. Lancet, 362, 628.
http://dx.doi.org/10.1016/S0140-6736(03)14204-3
[49] WHO (1985) Appropriate technology for birth. Lancet, 2, 436-437.
[50] Besculides, M., Grigoryan, K. and Laraque, F. (2005) Increasing breastfeeding rates in New York City, 1980-2000. Journal of Urban Health, 82, 198-206.
http://dx.doi.org/10.1093/jurban/jti044
[51] Scott, J.A., Binns, C.W., Graham, K.I. and Oddy, W.H. (2006) Temporal changes in the determinants of breastfeeding initiation. Birth, 33, 37-45.
http://dx.doi.org/10.1111/j.0730-7659.2006.00072.x

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