RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES, …



6.

|BRIEF RESUME OF THE INTENDED WORK:

6.1 Need for the Study:

“The American Academy of Paediatrics identifies breast feeding as the ideal method of feeding and nurturing infants and recognizes breast feeding as primary in achieving optimal infant and child health, growth and development”.1

Breast feeding is the most cost-effective, health promoting and disease preventing activity, new-mothers can perform2. Breast milk is accepted as the unique natural and nutritious food, provided by the nature for new born. Research studies shows that the significant nutritional, developmental, psychologic, immunologic, social, economic and environmental benefits of breast feeding3.

The theme of world breast feeding week 2007 is “Breast feeding in the first hour save one million babies”. The theme offers an excellent opportunity to draw global attention to the important role that breast feeding plays improving the health of infants4. According to American Academy Paediatrics Policy statement all pediatricians and other at health care professionals should promote initiation breast feeding at the earliest and should observe breast feeding position, latch, milk transfer and hydration, elimination patterns and jaundice in newborn at least twice daily. Policy statement recommendations shows that after breast feeding is established (if the frequency of feeding approximately 8 times per 24 hrs) infant elimination patterns are expected to be 3-5 urines and 3-4 stools per day by 3-5 days of age and 4-6 urines and 3-6 stools per day by 5-7 days of age. Weight loss greater than 7% from birth weight indicates possible breastfeeding problems1. | |

| | It is estimated that 4 million newborn deaths occur every year, among these 1.1 million neonates in developing countries|

| |due to infection. The likelihood of death increases significantly each day the start of breast feeding is further |

| |delayed.5 Lancet in 2003 published a series on child survival reports that put breastfeeding exclusively during first 6 |

| |months as the single intervention that could cut down all under five child deaths by 13-15%.5 |

| |A study conducted in rural Ghana found that babies who did not start breast feeding until after 24hrs of age were |

| |2.5times more likely to die than babies who started within the first hour of life, whether they were partially or |

| |exclusively breast fed.5 |

| |The investigator with her clinical experience and observation analyzed that breast feeding pattern has direct impact on |

| |the newborns physical health status. This motivated the investigator to conduct a study to identify the correlation |

| |between some of the selected of breast feeding pattern with the physiological outcome variables of newborns. |

| |6.2 Review of Literature |

| |A prospective study was conducted in 1990 to identify the relation between the frequency of breastfeeding and intake, |

| |weight loss, meconium passage, and bilirubin levels in 140 healthy, fullterm, breast fed Japanese neonates born vaginally|

| |without complications factors affecting the frequency of breast feeding were also evaluated. Mothers nursed their |

| |neonates, on average, 4.3(2.5 (SD) times (range 0 to 11) during the first 24 hours after birth, and this frequency |

| |increased significantly to 7.4(3.9 times during the next 24hrs (p ................
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