ArticlePDF Available

A STUDY TO ASSESS THE KNOWLEDGE OF ANTENATAL MOTHERS REGARDING BREAST FEEDING IN SELECTED HOSPITAL KANPUR

Article

A STUDY TO ASSESS THE KNOWLEDGE OF ANTENATAL MOTHERS REGARDING BREAST FEEDING IN SELECTED HOSPITAL KANPUR

ORIGINAL RESEARCH PAPER
A STUDY TO ASSESS THE KNOWLEDGE OF ANTENATAL MOTHERS REGARDING
BREAST FEEDING IN SELECTED HOSPITAL KANPUR.
Mrs. Jasmi Manu
Research Scholar, Shri Venkateshwara University, Gajraula, Uttar Pradesh, India.
Dr. Prof. S. N
Nanjunde Gowda*
Principal ,anil Baghi College Of Nursing, Ferozepur, Punjab, India.
*Corresponding Author
ABSTRACT
A descriptive study was conducted on 50 antenatal mothers in Rama Medical College Hospital and Research Centre, Mandhana Kanpur, to
evaluate the knowledge of antenatal mothers regarding breast feeding in selected hospital Kanpur .50 antenatal mothers were selected by
convenient sampling technique. The validity and reliability of tool was established. Closed ended questionnaire were used to collect the data. The
data was collected and analyzed by using descriptive and inferential statistics. The result of the study revealed the most of the antenatal mothers
42(84%) had average knowledge, the overall mean knowledge and standard deviation scores were 17.08±3.13.,There are 7% antenatal mothers
had good knowledge,. Most of the antenatal mothers had average knowledge regarding general aspect of breast feeding. there was no association
between the knowledge score and selected demographic variables such as age, religion, type of family ,monthly family income and occupation
status.
KEYWORDS
Breast Feeding , Knowledge, Antenatal Mothers
INTRODUCTION
Children are vital to the nations present. Healthy children are more
likely to become to healthy adult promotion of health today requires
consideration of the overall status of children, not just identification
and treatment of specific disease or injuries. Hence the care of children
at birth places a vital role with initiation of exclusive breast feeding..
mothers milk time tested for millions of years is the best nutrient for all
the babies because it is the natures perfect food.
Although it is normal during the process of birth ,delivery and breast
feeding are unique experience for women.. The neonates need to adjust
4
to extra uterine life to maintain normal physiological activity. Most of
the newborn problems occur due to inadequate breast feeding during
the neonatal period. Many a time the cultural practice may also cause
problems the practice like avoid giving Colostrum, supplementing
honey soon after birth may cause a change in the immune system of
the baby and tend to develop sickness and infections
W.H.O estimates that over 4-million babies die every year in first 4-
weeks of life.3-million of these deaths occur in the early neonatal
4
period . According to UNICEF (2009) 26% of neonatal death is due to
neonatal sepsis, 27% is due to preterm, 23% is due to asphyxia,7% is
due to tetanus, 3% is due to diarrheal disease, 7% is due to congenital
5
disease, 7% is due to others. A study conducted in UP demonstrated
that a 50% neonatal mortality decline through arising awareness in the
nursing home and hospital of such simple serviceable strategy skin to
skin contact with the mother, aseptic techniques use and exclusive
6
breast feeding for the first 6-months.
Breast milk is the richest food for the baby. proper techniques are
crucial for successful breast feeding ,exclusive breast feeding will
saves the lives of many babies by preventing malnutrition and
7
diarrhoea . Most of the mothers don't know the correct techniques of
breast feeding. this leads to many unnoticed and biased problems in
8,9
babies and lactating mothers.
The investigator observed that many mothers find difficulty in proper
technique of breast feeding and ignore the importance of proper breast
feeding techniques. if a mother does decide to breast feed her child ,she
10
will maintain excellent nutrition to her child
OBJECTIVES OF THE STUDY
1. To assess the knowledge of antenatal mothers regarding breast
feeding .
2. To find the association between the knowledge score with their
selected socio-demographic variables.
Hypothesis:
H :
1There is a significant association between the knowledge score and
selected demographic variables.
ASSUMPTION:-
ŸAntenatal mothers may have some knowledge regarding breast
feeding.
ŸKnowledge regarding breast feeding may differ with their
selected socio demographic variables.
DELIMITATIONS:-
The study delimited to
ŸPrimi Antenatal mothers who admitted ,visited antenatal O.P.D.
ŸTwo week of data collection period.
MATERIAL AND METHODS USED:
Research design: Simple descriptive design was used for the study.
Research approach:
Cross-sectional survey approach was adopted for the present study.
Setting of the study:
The study was conducted in Rama Hospital, Mandhana, Kanpur.
Population:
Population for the present study was all antenatal mothers.
Sampling and sample size:
Non-probability convenient sampling technique was used to select 50
antenatal mothers of Rama hospital, Kanpur who fulfilled the sampling
criteria for the present study.
VARIABLES:
Research variable:
In this present study knowledge of antenatal mothers regarding breast
feeding was the independent variables.
Demographic variable:.
Age, religion, educational status, occupation ,monthly family income
,type of family
SAMPLING CRITERIA
Inclusion criteria
ŸParticipant who were availab le during the period of dat a
collection.
ŸA women experiencing her first pregnancy
ŸMothers who Know Hindi Or English
Exclusion criteria
ŸWho were not willing to participate in the study .
Development and description of tools used in the study
Structured knowledge questionnaire used for data collection. The tool
consists of two sections:
Section-A: Consist of socio-demographic data including Age, gender,
religion, marital status, professional educational status,
designation and years of experiences
Section-B: Consist of 30 closed ended questionnaires for assessing the
knowledge level regarding breast feeding
INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH
Nursing
International Journal of Scientific Research
1
Volume-8 | Issue-11 | November - 2019 | PRINT ISSN No. 2277 - 8179 | DOI : 10.36106/ijsr
2
International Journal of Scientific Research
DATA COLLECTION PROCEDURE
Data was collected from 19-06-2018 to 26-06-2018. Prior to the data
collection, permission was obtained from CMS, Rama Hospital and
research centre, to conduct the study. 50 antenatal mothers were
selected by using convenient sampling technique. Informed consent
was obtained from the sample by explaining the purpose of the study
and assured them about Confidentiality and anonymity of the subject.
The data were collected by administering closed ended questionnaire
regarding breast feeding. Data was collected from OPD, and ante natal
wards. 30 minutes were provided for answering to the questionnaire.
PLAN FOR DATA ANALYSIS
The data was analyzed on the basis of objectives of the study. The
obtained data was analyzed by using descriptive and inferential
statistics. The demographic data would be analyzed in term of
3
descriptive statistics. The data analysis was follows.
ŸOrganized data in a master sheet or computer.
ŸPersonal data analyzed in term of frequencies and percentage.
ŸRelationship between the variables and association was analyzed
by using inferential statistics.
Data analysis and major findings
Section 1: Demographic data
ŸMajority of antenatal mothers 32(64%) were 21-25 years of age
group.
ŸMajority of antenatal mothers 40(80%) were Hindu..
ŸMost of the antenatal mothers 16(32%) had completed secondary
school education.
ŸMajority of antenatal mothers 47(94%) were house wives
ŸMost of antenatal mothers 24(48%) were having the monthly
family income between Rs.5001/- Rs.10,000/-
ŸMostly were raised up in nuclear family 25(52%)
Section 2: Level of knowledge score among antenatal mothers
regarding breast feeding
Among 50 antenatal mothers, the majority of respondent 42( 84%) had
average knowledge on breast feeding and 14% of antenatal mothers's
(7) knowledge shows that Good level of knowledge.
Table 1: Percentage distribution of antenatal mothers according to
their knowledge score towards breast feeding N=50
Overall, mean, median, SD and mean percentage of antenatal mothers'
knowledge on breast feeding shows that they had 17.08 mean
knowledge score.
Table.2Area wise and overall Mean, SD, and Mean %, Median,
Mode and Range of score N=50
Area wise and overall Mean, SD, Mean %, Median, Mode and Range
of score shows that mean knowledge score reveals that the Antenatal
mothers had more knowledge about general information of breast
feeding (61.83%±1.67), in exclusive breast feeding aspect antenatal
mothers had knowledge (56%±0.56), and techniques of breast feeding
aspect antenatal mothers had knowledge (54%±1.4)
Section-3: This sect ion d eals with association between the
demographical variables and knowledge score of subjects on
breast feeding.
There was no significant association between knowledge score and
selected demographic variables like. Age, religion, educational status,
occupation ,monthly family income ,type of family at 0.05 level of
5
significant.
RECOMMENDATIONS:-
On the basis of finding, it is recommended that,
ŸThe similar study may be replicated on large samples.
ŸThe similar study can be conducted to evaluate the effectiveness of
knowledge of antenatal mothers regarding breast feeding in
selected hospital Kanpur.
ŸA comparative study can be done to assess the knowledge of
antenatal mothers regarding breast feeding in selected community
Kanpur.
ŸCorrelative study can be done to assess the knowledge and practice
regarding breast feeding
CONCLUSION
ŸFrom the findings of present study, it can be concluded that most of
the Antenatal mothers had average knowledge regarding breast
feeding . The knowledge level was limited with only general
information of breast feeding. The indepth knowledge need to be
imparted or inculcated on breast feeding among all antenatal
mothers , post natal mothers, and their supportive family .it can be
a great asset to make it a good lactatation practices
REFERENCES
1) Dutta d.c.text book of obstetrics . New Delhi: Jaypee Brothers Medical Publishers (P)
Ltd; 2013.pp.621-623.
2) Datta P .Pediatric Nursing.2nd Edition. New Delhi: Jaypee Brothers Medical Publishers
(P) Ltd; pp.51-53.
3) Marilyn J. Hockenberry, David Wilson wongs.Essentials of Pediatric Nursing.8th
Edition. New Delhi: Elsevier Publication; 2011.pp198.
4) Gray L, Darmstadt, Hussein M.H, Winch P.T, Haws R.S, Lamia M, et al (2007).Maternal
Neonatal Home Care Practices in the rural Egypt during the first week of life. Tropical
Medicine and International Health 2007 Jun; 12(6):783-87.
5) WWW.Unicef.Org/World/Newborn.Care of the Baby in the Delivery Room: Available
from
6) Senarth U.Fernado DN, Vimpani G, Rodrigo J (2007) factors Associated with Maternal
Knowledge of Newborn among Hospital delivered in Srilanka. Trans R SOC Tropical
Medicine and International Health 2007 Aug; 101(8):823-30.
7) Madhu K, Sriram C, Ramesh M. “Breast Feeding Practices and Newborn care in rural
area.” Indian Journal of Community Medicine, 2009; 34(3):pp243-24.
8) Denise F.Polit, Cheryl Tatono Beck Nursing Research (Generating and Assessing
Evidence for Nursing Practice.8th E dition. New Del hi.Wolte rs Kluwer (India )
Pvt.Ltd.2008.pp58-50.
9) Denise F.Polit, Cheryl Tatono Beck Nursing Research (Generating and Assessing
Evidence for Nursing Practice.9th E dition. New Del hi.Wolte rs Kluwer (India )
Pvt.Ltd.2008.pp58-50.
10) Pillitteri Adele, Maternal And Child Health Nursing: Care of the Childbearing and
Childrearing Family. 6th Edition. Lippincott Williams and Wilkins, 2009, pp-447-457
PRINT ISSN No. 2277 - 8179 | DOI : 10.36106/ijsrVolume-8 | Issue-11 | November - 2019
Levels of knowledge
Score
Percentage
Poor
1-10
2
Average
11-20
84
Good
21-30
14
Area
Total
Mean
SD
Mean%
Median
Mode
Introduction /general
information on breast
feeding
12
7.42
1.67
61.83
7
8
exclusive breast
feeding
2
1.12
.56
56
1
1
techniques
9
4.86
1.4
54
5
5
Assess the quantity of
milk
1
.42
0.5
42
0
0
Increase secretion of
milk
1
.48
0.5
48
0
0
Mothers who are
employed
5
2.78
1.09
55.6
3
3
Grand total
30
17.08
3.13
34.26
17
17
... [8] The maternal death rate might be decreased if women are equipped with adequate information and good attitudes about the need to attend antenatal clinics, use good health services, and adhere to the preventive practice. [9] Nurses are consequently accountable for the effectiveness and efficiency of maternity services provided for women during pregnancy to decrease both the maternal and infant mortality rates. [10] Therefore, this study explored the level of knowledge and skills of primary care nurses in the treatment of PIH disorders in primary health-care (PHC) centers. ...
Article
Full-text available
Objective: Failure of health-care providers to have sufficient knowledge and prevention measures of gestational hypertension leads to an increased rate of complications during pregnancy that may lead to the loss of the fetus. The study aims to determine the level of the nurses' knowledge working in primary health-care (PHC) centers regarding gestational hypertension disorders in Riyadh city. Subjects and Methods: A descriptive correlational, nonexperimental study design was conducted at 6 PHC centers using a self-administered questionnaire for nurses (n = 257). Results: Nurses had inadequate knowledge about the essential key items of gestational hypertension disorders. Almost half of the nurses (44%) lacked knowledge about how to assess the fetal condition in case of gestational hypertension, and 57.98% of the sample had difficulty in identifying the signs and symptoms of mild preeclampsia. The majority of the sample (70.42%) had unsatisfactory knowledge about essential drugs for the treatment of preeclampsia; 54.08% of the nurses experienced insufficient knowledge about their role before the administration of magnesium sulfate drugs. In addition, study results show that there was a lack of knowledge on the appropriate management of preeclampsia among the majority study participants (98.83%) with a total knowledge mean score (19.09, 63.63%). Conclusion: Primary care nurses lacked the needed knowledge to identify and provide preventive care to women experiencing gestational hypertension. Furthermore, there was a lack of knowledge in regard to identifying the complications of preeclampsia. The nurses are accountable for the quality of maternity care, and a maternity training program must be considered.
Article
Full-text available
Breastfeeding practices play an important role in reducing child mortality and morbidity. This study was aimed to describe the breastfeeding practices prevalent in rural areas. The primary objective of this study was to describe the breastfeeding and newborn care practices in rural areas and the secondary objective was to describe the factors affecting the initiation and duration of breastfeeding. The study was conducted in primary health care center (PHC) that is attached to a medical college in Kengeri, rural Bangalore, Karnataka. Mothers with children who were 9 months old who came to the PHC for measles vaccination were included in the study and data was collected using the pre-tested questionnaire on breastfeeding and newborn practices. Our study shows 97% of the mothers initiated breastfeeding, 19% used pre lacteal feeds, 90% had hospital deliveries and 10% had home deliveries, and 50% used a house knife to cut the umbilical cord among home deliveries. This study emphasizes the need for breastfeeding intervention programs especially for the mother during antenatal and postnatal check-ups and practices like discarding the colostrum and early/late weaning are still widely prevalent and need to be addressed.
New Delhi: Jaypee Brothers Medical Publishers (P) Ltd
  • P Datta
Datta P.Pediatric Nursing.2nd Edition. New Delhi: Jaypee Brothers Medical Publishers (P) Ltd; pp.51-53.
David Wilson wongs.Essentials of Pediatric Nursing
  • Marilyn J Hockenberry
Marilyn J. Hockenberry, David Wilson wongs.Essentials of Pediatric Nursing.8th Edition. New Delhi: Elsevier Publication; 2011.pp198.
Maternal Neonatal Home Care Practices in the rural Egypt during the first week of life. Tropical Medicine and International Health
  • L Gray
  • Hussein M H Darmstadt
  • P T Winch
  • R S Haws
  • M Lamia
Gray L, Darmstadt, Hussein M.H, Winch P.T, Haws R.S, Lamia M, et al (2007).Maternal Neonatal Home Care Practices in the rural Egypt during the first week of life. Tropical Medicine and International Health 2007 Jun; 12(6):783-87.
Org/World/Newborn.Care of the Baby in the Delivery Room: Available from
  • Www
  • Unicef
WWW.Unicef.Org/World/Newborn.Care of the Baby in the Delivery Room: Available from
Associated with Maternal Knowledge of Newborn among Hospital delivered in Srilanka
  • U Senarth
  • D N Fernado
  • G Vimpani
Senarth U.Fernado DN, Vimpani G, Rodrigo J (2007) factors Associated with Maternal Knowledge of Newborn among Hospital delivered in Srilanka. Trans R SOC Tropical Medicine and International Health 2007 Aug; 101(8):823-30.
Cheryl Tatono Beck Nursing Research (Generating and Assessing Evidence for Nursing Practice
  • Denise F Polit
Denise F.Polit, Cheryl Tatono Beck Nursing Research (Generating and Assessing Evidence for Nursing Practice.8th Edition. New Delhi.Wolters Kluwer (India) Pvt.Ltd.2008.pp58-50.
Maternal And Child Health Nursing: Care of the Childbearing and Childrearing Family
  • Pillitteri Adele
Pillitteri Adele, Maternal And Child Health Nursing: Care of the Childbearing and Childrearing Family. 6th Edition. Lippincott Williams and Wilkins, 2009, pp-447-457