DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20201053

Assessment of feeding practices and morbidity patterns of infants in a rural field practice area of Punjab: a longitudinal study

Geetika Singh, Mohan Lal

Abstract


Background: Faulty feeding practices and infections have a detrimental effect on an infant’s health. Although, breastfeeding is almost universal in India, rates of early initiation, Exclusive Breast Feeding (EBF) and timely complimentary feeds are far from desirable. This takes a heavy toll on their health and increases their susceptibility to develop several morbidities including Diarrhoea and Respiratory Tract Infections. Thus, this study was undertaken to assess the feeding practices and morbidity patterns of infants and to determine their association.

Methods: It was a longitudinal study on a birth cohort of 99 infants in the rural field practice area of GMC, Amritsar who were followed up to 6 months of birth. Baseline data on sociodemographic profile and breast feeding was collected in the first visit. Weaning practices and any morbidity suffered during six months’ period were assessed at the follow up visit.

Results: Breast feeding was initiated in majority 88.87% but it was delayed in more than half (54.02%) of infants. Customs like prelacteal feeding (76.8%) and discarding colostrum (50.57%) were quite prevalent. EBF was practiced by most 65.51%. In around a quarter of infants, delayed or faulty weaning was observed. Diarrhea was the commonest morbidity (49.09%) followed by ARI (32.73%). Significant association (p<0.05) was observed between the feeding practices and infant morbidities especially diarrhoea.

Conclusions: Mothers should be educated more effectively regarding benefits of early and exclusive breast feeding and correct weaning practices. Emphasis should also be placed on increasing awareness in the community to bring about a significant change in the deleterious customs and traditions.


Keywords


Breast feeding, Infant, Morbidity, Weaning

Full Text:

PDF

References


Park K. Preventive medicine in Obstetrics, Paediatrics and Geriatrics. In: Park's Text book of Preventive and Social Medicine. 23rd ed. Jabalpur: M/s Banarsidas Bhanot Publishers; 2015:520-71.

Khapre M, Mudey A, Goyal R, Wagh V. Emphasis on early initiation of Breast feeding among Rural and Illiterates by making it culturally more acceptable- A study conducted in a rural area of a district of central India. IJMCH. 2011;13(2):8.

Madhu K, Chowdary S, Masthi R. Breast feeding practices and newborn care in rural areas: a descriptive cross-sectional study. Ind J Commu Med: Offici Publ Ind Assoc Preven Soci Med. 2009 Jul;34(3):243.

Wagh SV. A study of breast feeding practices in a Vidarbha region of Maharashtra, India. Hindu. 2013;81:32-92.

Ministry of Health and Family Welfare. National Family Health Survey (2015-2016) (NFHS-4). Mumbai: International institute for population sciences and Macro International, Mumbai; 2015-16:8.

UNICEF. Malnutrition in South India, A Regional profile. New Delhi, UNICEF;1997.

Gladstone BP, Muliyil JP, Jaffar S, Wheeler JG, Le Fevre A, Iturriza-Gomara M, et al. Infant morbidity in an Indian slum birth cohort. Archives of disease in childhood. 2008 Jun 1;93(6):479-84.

Mahmood SE, Srivastava A, Shrotriya VP, Mishra P. Infant feeding practices in the rural population of north India. J Family Commu Med. 2012 May;19(2):130.

Verma R, Gupta P. Impact of breast feeding and weaning practices associated with morbidity in rural area of Ghaziabad, Uttar Pradesh, India: a community based longitudinal study. Natl J Commu Med. 2015;6:618-21.

Shaili V, Parul S, Kandpal SD, Jayanti S, Anurag S, Vipul N. A community based study on breastfeeding practices in a rural area of Uttarakhand. Natio J Commu Med. 2012 Apr;3(2):283-87.

Hegde J, Manjula L, Venkatesha KR. Infant feeding practices in an urban tertiary care hospital: A descriptive longitudinal study. Ind J Child Health. 2017;18(3):1-3.

Asif Khan RR. Breast feeding and weaning practices of mothers in a rural area-a cross sectional study. Inter J Med Sci Pub Health. 2013;2(4): 857-61.

Bhanderi D, Choudhary S. A community-based study of feeding and weaning practices in under five children in semi urban community of Gujarat. Nation J Commun Med. 2011 Jul;2(2):277-83.

Oommen A, Vatsa M, Paul VK, Aggarwal R. Breastfeeding practices of urban and rural mothers. Ind Pediatr. 2009 Oct 1;46(10):291-4.

Taneja DK, Saha R, Dabas P, Gautam VP, Tripathy Y, Mehra M. A study of infant feeding practices and the underlying factors in a rural area of Delhi. Ind J Commu Med. 2003 Jul 1;28(3):107.

Ministry of Health and Family Welfare. District Level Household and Facility Survey -4 State fact sheet Punjab. Mumbai: International institute for population sciences, Mumbai. 2012;13:8.

Gaurav GK. Infant and Young Child Feeding Practices in Rural Meerut U.P. IOSR J Dental Med Sci. 2019;18(5):32-40.

Singh B, Ghosh A, Singh A. Health problems in children and associated remedial measures in Punjab, India. Intern J Med Sci Pub Health. 2015 Feb 1;4(2):173.

Vijayalakshmi S, Patil R, Datta SS, Narayan KA, Stephen F. Feeding Practices and Morbidity Pattern of Infants in a Rural Area of Puducherry-A Follow Up Study. J Commu Med Health Educ. 2014;4(304):2161-0711.

Sreedevi B, Rao RN. A Longitudinal study on feeding practices and morbidity patterns of infants in a rural field practice area of Thadikonda, Guntur (Dt.), Ap. IOSR J Nurs Health Sci. 2015;4(1):36-9.

Singh SP, Sinha S, Choudhary SK, Sarker G, Kumar P, Shahnawaz K. Diarrhoea and its association with the time of weaning and dietary habits of children. J Evol Med Dent Sci. 2014 Sep 1;3:10047-52.