Feeding practices and problems in breastfeeding in the first postnatal week in late preterm infants
Abstract
Background and objective: Breastfeeding problems exist despite advice and counseling. Problems are more in late preterm babies compared to term. Problems in feeding start in early postnatal life which continues later. The aim of the study was done to know the feeding practices and problems in breastfeeding in the first postnatal week in late preterm babies.
Methods: This was a cross sectional study. Total 77 late preterm babies were included in the study.
Results: Only 28.57% initiated breast feeding within one hour of birth. Initiation of breast feeding within one hour after birth and exclusive breastfeeding in first postnatal week was seen better in late preterm babies born by vaginal route, born to mulitparous and male sex. Prelacteal feeds were given in 16.88%. Bottle feeding was seen in 62.75% in mothers who did not follow exclusive breast feeding in the first postnatal week. Most common causes for non-exclusive breast feeding in first postnatal week was insufficient milk (72.55%), baby not able to suck (60.78%), elders advice (54.9%) and wound pain (27.45%). Problems with breast feeding are more common in late preterm infants born by Cesarean Section.
Conclusion: Despite counseling in antenatal and postnatal period, there was delayed initiation of breast feeding. Problems of mixed feeding, predominant non breast feeding, bottle feeding and practice of giving prelacteal feeds still continues.
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