Awareness of Safe Feeding Practices among Expecting and New Indian Mothers: A Survey
DOI:
https://doi.org/10.31305/rrijm.2024.v09.n01.022Keywords:
Breastfeeding, Child, Complementary feeding, Infant, Mothers, NutritionAbstract
The government of India has been conducting focused programs for ensuring child and maternal nutrition, health, and well-being. A major mission in this regard is creating public awareness of importance of adequate nutrition from early on. Medical professionals have also compiled scientific recommendations that guide parents toward the timelines and type of foods to be fed in the first 24 months. However, from various research publications, child mortality rate secondary to pneumonia and obesity continues to be a major concern in India. One possible reason could be the actual household feeding practices. This study aimed to verify the understanding of pediatric feeding guidelines among expectant and new Indian mothers. Two close-ended multiple-choice questionnaires were developed and validated for expecting and new mothers. Responses were obtained from 100 participants through social media platforms using snowball paradigm. Response analysis revealed that understanding of breastfeeding guidelines was better compared to complementary feeding. While timeline-related questions received more accurate responses, most participants responded inaccurately towards safety and strategy-related information. Perceptions on feeding methods were different across the two participant groups. Developmentally normal behaviors such as gagging were considered as problem behavior by both groups. Interestingly, safety concerns were better identified by expecting mothers than new mothers. The results implied that public awareness programs need to broaden the focus from breastfeeding to include methods, strategies, and safety of complementary feeding for adequate nutrition and health. The guidelines developed in this regard need to be effectively communicated to the public for better impact on social health.
References
INFANT AND YOUNG CHILD FEEDING - National Health Mission. https://nhm.gov.in/New_Updates_2018/NHM_Components/RMNCHA/CH/Schemes/Maa/Training_Module_English_Lowres.pdf. [accessed on 27 November 2021]
BPNI: Breastfeeding Promotion Network of India. https://www.bpni.org/. [accessed on 27 November 2021]
Sharma S, Talukdar B. Protective Effects of Exclusive Breastfeeding against Childhood Obesity: Finding Evidences from India. J Obes Overweig 2019;5(1):1–10.
World Health Organization (2017) Guideline: protecting, promoting and supporting breastfeeding in facilities providing maternity and newborn services. World Health Organization. https://apps.who.int/iris/bitstream/handle/10665/259386/9789241550086-eng.pdf. [accessed on 30 November 2021]
International Institute for Population Sciences. India Fact Sheet (2020) National Family Health Survey (NFHS-5), 2019-2020. IIPS, Mumbai 2020. http://rchiips.org/nfhs/NFHS-5_FCTS/FactSheet_WB.pdf. [accessed on 30 November 2021]
Arnold F, Parasuraman S, Arokiasamy P, Kothari M Nutrition in India. National Family Health Survey (NFHS-3), India 2005-06. International Institute for Population Sciences, Deonar, Mumbai 2009.
Rajaram S, Zottarelli LK, Sunil TS. Individual, household, programme and community effects on childhood malnutrition in rural India. Maternal & child nutrition 2007. 3(2):129-140. https://doi.org/10.1111/j.1740-8709.2007.00086.x
Scaglioni S, DeCosmi V, Mazzocchi A, Bettocchi S, Agostoni C (2017) Vegetarian Infants and Complementary Feeding. Vegetarian and Plant-Based Diets in Health and Disease Prevention 2017;513-527. https://doi.org/10.1016/B978-0-12-803968-7.00029-0
Guidelines for parents. Complementary Feeding: Feeding of an Infant Beyond 6 Months Age. Indian Academy of Pediatrics (IAP) https://iapindia.org/pdf/Ch-040-IAP-Parental-Guideline-Complementary-Feeding.pdf . [accessed on 29 November 2021]
Singh A, Pathak PK, Chauhan RK, Pan W, Infant and child mortality in India in the last two decades: A geospatial analysis. 2011. PLoS ONE 6(11). https://doi.org/10.1371/journal.pone.0026856
Bawdekar M, Ladusingh L. Contextual correlates of child malnutrition in rural Maharashtra. Journal of Biosocial Science 2008;40(5):771-786.
Marques RFSV, Taddei JAAC, Lopez FA, Braga JAP. Breastfeeding exclusively and iron deficiency anemia during the first 6 months of age. Revista Da Associacao Medica Brasileira 2014;60(1):18–22. https://doi.org/10.1590/1806-9282.60.01.006
Fischer Walker CL, Rudan I, Liu L, Nair H, Theodoratou E, Bhutta ZA, O’Brien KL, Campbell H, Black RE. Global burden of childhood pneumonia and diarrhoea. The Lancet 2013; 381(9875):1405–1416. https://doi.org/10.1016/S0140-6736(13)60222-6
Wang J, Wu Y, Xiong G, Chao T, Jin Q, Liu R, Hao L, Wei S, Yang N, Yang X. Introduction of complementary feeding before 4 months of age increases the risk of childhood overweight or obesity: A meta-analysis of prospective cohort studies. Nutrition Research 2016;36(8):759–770. https://doi.org/10.1016/j.nutres.2016.03.003
Ranjani H, Mehreen TS, Pradeepa R, Anjana RM, Garg R, Anand K, Mohan V. Epidemiology of childhood overweight & obesity in India: A systematic review. The Indian journal of medical research 2016;143(2):160. https://doi.org/10.4103%2F0971-5916.180203
UN Inter-agency group for Child Mortality, & Estimation. Levels & Trends in Child Mortality 2019. UN IGME Report;52. https://www.unicef.org/media/60561/file/UN-IGME-child-mortality-report-2019.pdf
Khan N, Acharya R, Agrawal PK, Porwal A, Ashraf S, Johnston R, Sarna A, Ramesh S (2005) Identifying factors associated with the level of child malnutrition in India: Observations from the Comprehensive National Nutrition Survey. https://www.researchsquare.com/article/rs-379958/latest
Garwolińska D, Namieśnik J, Kot-Wasik A, Hewelt-Belka W Chemistry of Human Breast Milk - A Comprehensive Review of the Composition and Role of Milk Metabolites in Child Development. Journal of Agricultural and Food Chemistry 2018;66(45):11881–11896. https://doi.org/10.1021/acs.jafc.8b04031
Walker A (2010) Breast Milk as the Gold Standard for Protective Nutrients. Journal of Pediatrics, 156:S3–S7. https://doi.org/10.1016/j.jpeds.2009.11.021
Kobata R, Tsukahara H, Ohshima Y, Ohta N, Tokuriki S, Tamura S, Mayumi M. High levels of growth factors in human breast milk. Early Human Development 2008;84(1):67–69. https://doi.org/10.1016/j.earlhumdev.2007.07.005
Li R, Magadia J, Fein SB, Grummer-Strawn LM. Risk of Bottle-feeding for Rapid Weight Gain During the First Year of Life. Arch PediatrAdolesc Med 2012;166(5):431–436. doi:10.1001/archpediatrics.2011.1665
Chandrasekhar S, Aguayo VM, KrishnaV, Nair R Household food insecurity and children’s dietary diversity and nutrition in India. Evidence from the comprehensive nutrition survey in Maharashtra. Maternal and Child Nutrition 2017;13:1–8. https://doi.org/10.1111/mcn.12447
Van Der Horst K, Deming DM, Lesniauskas R, Carr BT, Reidy KC. Picky eating: Associations with child eating characteristics and food intake. Appetite 2016;103:286–293. https://doi.org/10.1016/j.appet.2016.04.027
Aldridge VK, Dovey TM, Martin CI, Meyer C. Identifying clinically relevant feeding problems and disorders. Journal of Child Health Care 2010;14(3):261–270. https://doi.org/10.1177/1367493510370456
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