Antenatal Breast feeding counseling

2. Departments involved:
Department of Pediatrics, MGMCRI
Department of Obstetrics and Gynecology, MGMCRI
Department of Child health Nursing, KGNC
Name of Investigator:
Dr. Gunasekaran. D, HOD, Dept of Pediatrics
Name of the co-Investigators:
 Mrs.Rajeswari. S,Assoc.Prof, KGNC
 Dr.Seethes Ghosh, HOD ,Dept of Obstetrics and
Gynecology

3. AIMS AND OBJECTIVES
AIM:
To evaluate the usefulness of structured antenatal and postnatal
counseling in promotion of exclusive breast feeding.
OBJECTIVES:
To find out the average time required to start breast feeding in
normally vaginally delivered babies
To find out the average time required to start breast feeding in babies
delivered by caesarean section.
To find out the incidence of local problems in the breast among
antenatal mothers
 To find out the common problems faced by the primi mothers in the
first few days after the delivery
To identify the causes for the cessation of exclusive breast feeding

4. Place of study: Department of Pediatrics ,
Department of Obstetrics & Gynaecology,
MGMCRI.
Name of the Study:Interventional Study
Study population: 150mothers
150 early second trimester Primi-mothers who are attending the antenatal OPD and
who are willing to participate in the study will be enrolled as participants
Inclusion criteria:
All primi mothers in their early 2nd
trimester, willing to come for regular ante-natal check-ups,
planned to undergo delivery in our Hospital and bring the baby for immunization regularly
thereafter.
Exclusion criteria:
 Mothers who do not want to participate in the study
 Mothers who do not come for monthly ante-natal check-ups
 Mothers who have not delivered in our Hospital
 Mothers who have complications which hamper breast feeding > 24 hours
(eclampsia, post-partum hemorrhage or any other disease which will interfere
with breast feeding)
 Babies in whom breast feeding was withheld for some medical reasons > 24
hours (VLBW, birth asphyxia, suspected inborn errors of metabolism or any
other disease)

5. C ounseling after two weeks of follow up visit
1st
visit- 2nd
trimester
counseling and breast examination
Counseling immediately after delivery
Breast examination and counseling till mother get
discharged from hospital
3rd
trimester-counseling on breast feeding
Counseling (1 ½,2 ½ and 3 ½ months during Imunization)
Follow up after 4 and 6 months

6. Ethical issues
 All the eligible mothers (primi-mothers in early trimesters, who are
willing to deliver in our hospital) will be given about the details of the
study; if they are willing their written consent will be obtained and only
then they will be included in the study.
 All their personal details (local problems in breast) will be kept
confidential
Parameters to be studied:
Mothers who had local problems in the breast at second
trimester
Mothers who have local problems in the breast at third trimester
Mothers who have initiated breast feeding in the first 24hours after
delivery
Mothers who have continue exclusive breastfeeding after 4
months and till 6 months
Statistical methods:
• Mean, Standard Deviation
• Chi square test

7. REFERENCES
 World Health Organization. Report of expert consultation on the optimal duration of
exclusive breast feeding: conclusions and recommendations. Geneva, WHO.2001.
 Guidelines for enhancing optimal infant and young child feeding practices; Ministry of Health
and Family welfare, Government of India, 2013.
 Jones G et al. The lancet. Vol 362. July 2003. www. The lancet. Com
 Armstrong J et al. Breast feeding and lowering the risk of childhood obesity. Lancet 359: 2003-
04.
 W H Oddey et al. Association between breast feeding and asthma in 6 year old children:
findings of a prospective birth cohort study. BMJ vol. 319. 25 September 1999.
 Pettit DJ, Forman MR, Hanson RL, Knowler WC, Bennett PH. Breast feeding and incidence of
non-insulin–dependent diabetes mellitus in Pima Indians. Lancet 350:166-168, 1997.
 Leonard et al. Cow’s milk and Type I Diabetes. Diabetes, Vol. 48. August 1999
 National Family Health Survey 2005-06. International Institute for Population Sciences,
Mumbai.
 JIPMER – an unpublished study.
 Hall B. Mercer A, Teasly S. A breast feeding assessment scores to evaluate the risk of cessation
of breast-feeding by 7-10 days of age J Pediatric 2002; 141:659-64.

8. THANK YOU