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Dr.A.Sivagami and S.Nathiya. “A Study on the Practice of Lactating Mothers in Thanjavur District”-
(ICAM 2016)
International Journal of Management (IJM)
A STUDY ON THE PRACTICE OF LACTATING MOTHERS IN
THANJAVUR DISTRICT
Dr.A.Sivagami
Research Advisor & Head, Department of Social Work
Bharathidasan University Constituent, College for Women,
Orathanadu, Thanjavur District, Tamilnadu
S.Nathiya
Research Scholar, Department of Social Work
Bharathidasan University Constituent, College for Women,
Orathanadu, Thanjavur District, Tamilnadu
ABSTRACT
Childhood mortality is one of the important indicators of a country’s general medical and
public health conditions, and consequently, the country’s level of socio-economic
development. Its decline is therefore not only desirable but also indicative of an improvement
in general living standards. In India, 2.1 million children die before their fifth birthday. Half
of these children die even before they are 28 days old, accounting for one-fourth global infant
deaths. Of the 9.7 million child deaths worldwide annually, one-third occur in India. The
statistics are equally shocking among neonate’s children new born to a maximum age of 28
days old. While around 4 million children die within the first 28 days of life across the planet
every year, India records around one million of these cases. Among the reasons cited for the
poor state of infant and child health in India are inadequate neonatal care, insufficient
breastfeeding, malnutrition, low immunity and high incidence of communicable diseases. The
main objective of the study was to identify the Advancement of Socio-Economic Development
by Investing in Child Nutrition and Breastfeeding of Mothers. The researchers adopted
descriptive design as they aimed at describing the social and economic development by
investing in mother and child health. About 50 respondents were selected through simple
random sampling in Thanjavur District. The findings in this study could provide important
information for authorities in the health sector to improve the nutritional state of child in the
community. The study concluded that the practice of lactating mothers in rural areas seemed
to be better.
Key words: Breastfeeding, Malnutrition, Supplementary Food
Cite this Article: Dr.A.Sivagami and S.Nathiya. A Study on the Practice of Lactating
Mothers in Thanjavur District. International Journal of Management, 7(2), 2016, pp. 743-746.
http://www.iaeme.com/ijm/index.asp
INTERNATIONAL JOURNAL OF MANAGEMENT (IJM)
ISSN 0976-6502 (Print)
ISSN 0976-6510 (Online)
Volume 7, Issue 2, February (2016), pp. 743-746
http://www.iaeme.com/ijm/index.asp
Journal Impact Factor (2016): 8.1920 (Calculated by GISI)
www.jifactor.com
IJM
© I A E M E
International Journal of Management (IJM), ISSN 0976 – 6502(Print), ISSN 0976 -
6510(Online), Volume 7, Issue 2, February (2016), pp. 743-746 © IAEME Publication
744
Dr.A.Sivagami and S.Nathiya. “A Study on the Practice of Lactating Mothers in Thanjavur District”-
(ICAM 2016)
1. INTRODUCTION
India has made significant progress in the past several decades in improving the health and well-being
of its people. Over the past 40 years, life expectancy has risen by 17 years to 61 years, and infant
mortality has fallen by more than two-thirds to 74 deaths per 1,000 live births. Despite these significant
strides, the country continues to bear a heavy burden of both communicable and non-communicable
diseases. Furthermore, India is experiencing a slow epidemiological evolution from infections and
parasitic diseases to non-communicable diseases.
The Government of India has recommended that complementary feeding of infants should be
started at the age of 6 months. The three recommended infant and young child feeding practices for
children aged 6-23 months include: continue breastfeeding; feed semi-solid/solid food according to the
age of the child; and feed a variety of foods such as cereals, fruits, vegetables and milk. It is
recommended that children aged 6-8 months should be given complementary food twice a day while
children aged 9-23 months should be fed three times a day. The amount of food given should be
equivalent to 200 Kcal per day for children aged 6-8 months, 300 Kcal per day for children aged 9-11
months and 550 Kcal per day for children aged 12-23 months.
2. REVIEW OF LITERATURE
WHO (2011) mentioned that breastfeeding is an unequalled way of providing ideal food for the healthy
growth and development of infants; it is also an integral part of the reproductive process with important
implications for the health of mothers. Breastfeeding has an extraordinary range of benefits. It has
profound impact on a child’s survival, health, nutrition and development. It provides the infant with
nutrients; vitamins and minerals needed for growth and development for the first six months, and no
other liquids or food are needed.
UNICEF (2013) says that breastfeeding creates a special bond between mother and baby which
lead to positive repercussion for life, in terms of stimulation, behavior, speech, sense of wellbeing and
security. It also lowers the risk of chronic diseases, such as obesity, high cholesterol, high blood
pressure, diabetes, and child hood asthma and childhood leukemia. Studies have shown that breastfed
infants do better on intelligence and behavior tests into adulthood than formula-fed babies.
3. OBJECTIVES OF THE STUDY
 To understand the breastfeeding practices of respondents and also their cultural practices
related to child care
 To find out the association between practices of the Breast feeding of the respondents
4. RESEARCH METHODOLOGY
The researchers adopted descriptive design as the research aimed at Practice of Lactating Mothers in
Rural Areas. About 50 respondents were selected through simple random sampling in Thanjavur
District. Both primary and secondary data used for this study. The primary data were collected by using
a pre-tested interview schedule. Secondary data were from published and unpublished sources
including the reports, journals and magazines.
5. KEY FINDINGS
5.1. Socio-Economic Background of the Respondents
The above table explains about the distribution of respondents by their age, religion and caste. Out of
50 respondents (lactating mothers) the majority 40 (80%) of them were below the age of 27, followed
by that 7 (14%) and 3 (6%) of them were between the age group of 28-32 and above 33 years category
respondents.
As far as religious believe of the respondents is concerned that the vast majority 45 (90%) of them
were belonging to Hindu religion, followed by that 2 (4%) and 3 (6%) of them were belonging to
Christianity and Islam religions believers.
In addition to that the Indian people are categorized on the basis of caste for many purposes.
Likewise, with a view to check the intention of lactating mothers interest on kangaroo mother care, the
researcher made an analysis that the majority 30 (60%) of them were belonging to backward class,
International Journal of Management (IJM), ISSN 0976 – 6502(Print), ISSN 0976 -
6510(Online), Volume 7, Issue 2, February (2016), pp. 743-746 © IAEME Publication
745
Dr.A.Sivagami and S.Nathiya. “A Study on the Practice of Lactating Mothers in Thanjavur District”-
(ICAM 2016)
followed by that 15 (30%), 5 (10%) of them were belonging to scheduled caste, most backward class
respectively. The inference drawn from the above table is that the young age group (below 27 years)
lactating mothers (61.3%), Hindu religions background (79.3%) and backward class and scheduled
castes (73%) had really have an interest to take care of their babies like kangaroo.
5.2. Pattern of Feeding
Out of 50 respondents the majority 33 (66%) of the respondents were feeding their babies through
breast feeding only; followed by that 10 (20%), 5(10%) and 2(4%) of them feed their babies through
breast milk and formula, breast milk and solids and formula milk respectively. It is inferred that the
majority 33 (66%) of them preferred to give and continuity of breast milk done for their babies.
5.3. Newborn Care Practices
A total of 46 (92%) of the deliveries were hospital deliveries and 4 (8%) were home deliveries. The
care provided during the home deliveries was mainly given by an untrained birth attendant 25 (50%). A
household knife 25 (50%) was used to cut the umbilical cord in five home deliveries. In both in-
hospital and home deliveries, nothing was applied for umbilical cord dressing 30 (60%). Talcum
powder 5 (10%) and turmeric was used by some mothers for cord dressing. A total of 15 (30%) of the
mothers still practiced branding of the child for illness. A total of 93% of the children received all
vaccinations needed according to the national immunization schedule.
5.4. Mother’s knowledge on Breastfeeding and Complementary Feeding Practices
Only 6 (12%) of newborns was weighed within 3 days of delivery. Colostrum were given to almost 25
(50%) of babies, which is a remarkable achievement; however, 10 (20%) received pre lacteal foods.
Less than half (10%) of infants were breastfed within one hour of delivery; the percentage was higher
in rural areas 30 (60%) than urban areas 20 (40%). About 10 (20%) of infants were breastfed after one
day, and 9 (18%) between 1-24 hours of delivery. Only 11 (22%) of children aged <6 months were
exclusively breastfed.
6. HYPOTHESIS TEST
 There is no significant association between age of the respondents and their feed too
uncomfortable to breastfeed in a public place. It had been proved by chi-square test (x2
=1.603). The table value of x2 at 5percent level for 2 degree of freedom is 5.99. The
calculated value of x2 is less than the table value and hence the null hypothesis is accepted
and concludes that there is no significant association between the age of the respondents and
feed too uncomfortable to breastfeed in a public place.
 There is no significant association between Place of residence of the respondents and their
feeding your infant now. It had been proved by chi-square test(x2 =10.4). The table value of
x2 at 5percent level for 4 degree of freedom is 9.488. The calculated value of x2 is more than
the table value and hence the null hypothesis is rejected and concludes that there is significant
association between the Place of residence of the respondents and their feeding your infant
now.
7. CONCLUSION
The information regarding the advantages and duration of breastfeeding needs to be provided for the
community as a whole. The practice of exclusive breastfeeding was scarce with inappropriate
complementary feeding in very poor hygienic environment. In Orathanadu rural community, high
prevalence of malnutrition was observed among young children, essentially stunting. Obesity was also
very high among mothers. Nutritional problems observed were due to poor knowledge on feeding
practices, low education and socio economic level of mothers. There is a great need of developing
educational program based on locally available foods.
International Journal of Management (IJM), ISSN 0976 – 6502(Print), ISSN 0976 -
6510(Online), Volume 7, Issue 2, February (2016), pp. 743-746 © IAEME Publication
746
Dr.A.Sivagami and S.Nathiya. “A Study on the Practice of Lactating Mothers in Thanjavur District”-
(ICAM 2016)
REFERENCES
[1] Arora V (2007) The State of World’s Breastfeeding -Tracking Implementation of the
Global Strategy for Infant and Young Child Feeding. International Baby Food Action
Network (IBFAN), Asia Pacific.
[2] Gupta A (2006). The State of World’s Breastfeeding: India Report card. International
Baby Food Action Network (IBFAN), Asia Pacific.
[3] Subbiah N (2003) A Study to assess the Knowledge, Attitude, Practice and Problems of
Postnatal Mothers regarding Breastfeeding. 94 (8): 177-179
[4] World Health Organization. (2009) Infant and young child feeding Model Chapter for
textbooks for medical students and allied health professionals. World Health
Organization.
[5] Iskandar M (1990). Initiation and Duration of Breast feeding in Indonesia. Asia Pac
Popular J: 5:89-112.

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A STUDY ON THE PRACTICE OF LACTATING MOTHERS IN THANJAVUR DISTRICT

  • 1. 743 Dr.A.Sivagami and S.Nathiya. “A Study on the Practice of Lactating Mothers in Thanjavur District”- (ICAM 2016) International Journal of Management (IJM) A STUDY ON THE PRACTICE OF LACTATING MOTHERS IN THANJAVUR DISTRICT Dr.A.Sivagami Research Advisor & Head, Department of Social Work Bharathidasan University Constituent, College for Women, Orathanadu, Thanjavur District, Tamilnadu S.Nathiya Research Scholar, Department of Social Work Bharathidasan University Constituent, College for Women, Orathanadu, Thanjavur District, Tamilnadu ABSTRACT Childhood mortality is one of the important indicators of a country’s general medical and public health conditions, and consequently, the country’s level of socio-economic development. Its decline is therefore not only desirable but also indicative of an improvement in general living standards. In India, 2.1 million children die before their fifth birthday. Half of these children die even before they are 28 days old, accounting for one-fourth global infant deaths. Of the 9.7 million child deaths worldwide annually, one-third occur in India. The statistics are equally shocking among neonate’s children new born to a maximum age of 28 days old. While around 4 million children die within the first 28 days of life across the planet every year, India records around one million of these cases. Among the reasons cited for the poor state of infant and child health in India are inadequate neonatal care, insufficient breastfeeding, malnutrition, low immunity and high incidence of communicable diseases. The main objective of the study was to identify the Advancement of Socio-Economic Development by Investing in Child Nutrition and Breastfeeding of Mothers. The researchers adopted descriptive design as they aimed at describing the social and economic development by investing in mother and child health. About 50 respondents were selected through simple random sampling in Thanjavur District. The findings in this study could provide important information for authorities in the health sector to improve the nutritional state of child in the community. The study concluded that the practice of lactating mothers in rural areas seemed to be better. Key words: Breastfeeding, Malnutrition, Supplementary Food Cite this Article: Dr.A.Sivagami and S.Nathiya. A Study on the Practice of Lactating Mothers in Thanjavur District. International Journal of Management, 7(2), 2016, pp. 743-746. http://www.iaeme.com/ijm/index.asp INTERNATIONAL JOURNAL OF MANAGEMENT (IJM) ISSN 0976-6502 (Print) ISSN 0976-6510 (Online) Volume 7, Issue 2, February (2016), pp. 743-746 http://www.iaeme.com/ijm/index.asp Journal Impact Factor (2016): 8.1920 (Calculated by GISI) www.jifactor.com IJM © I A E M E
  • 2. International Journal of Management (IJM), ISSN 0976 – 6502(Print), ISSN 0976 - 6510(Online), Volume 7, Issue 2, February (2016), pp. 743-746 © IAEME Publication 744 Dr.A.Sivagami and S.Nathiya. “A Study on the Practice of Lactating Mothers in Thanjavur District”- (ICAM 2016) 1. INTRODUCTION India has made significant progress in the past several decades in improving the health and well-being of its people. Over the past 40 years, life expectancy has risen by 17 years to 61 years, and infant mortality has fallen by more than two-thirds to 74 deaths per 1,000 live births. Despite these significant strides, the country continues to bear a heavy burden of both communicable and non-communicable diseases. Furthermore, India is experiencing a slow epidemiological evolution from infections and parasitic diseases to non-communicable diseases. The Government of India has recommended that complementary feeding of infants should be started at the age of 6 months. The three recommended infant and young child feeding practices for children aged 6-23 months include: continue breastfeeding; feed semi-solid/solid food according to the age of the child; and feed a variety of foods such as cereals, fruits, vegetables and milk. It is recommended that children aged 6-8 months should be given complementary food twice a day while children aged 9-23 months should be fed three times a day. The amount of food given should be equivalent to 200 Kcal per day for children aged 6-8 months, 300 Kcal per day for children aged 9-11 months and 550 Kcal per day for children aged 12-23 months. 2. REVIEW OF LITERATURE WHO (2011) mentioned that breastfeeding is an unequalled way of providing ideal food for the healthy growth and development of infants; it is also an integral part of the reproductive process with important implications for the health of mothers. Breastfeeding has an extraordinary range of benefits. It has profound impact on a child’s survival, health, nutrition and development. It provides the infant with nutrients; vitamins and minerals needed for growth and development for the first six months, and no other liquids or food are needed. UNICEF (2013) says that breastfeeding creates a special bond between mother and baby which lead to positive repercussion for life, in terms of stimulation, behavior, speech, sense of wellbeing and security. It also lowers the risk of chronic diseases, such as obesity, high cholesterol, high blood pressure, diabetes, and child hood asthma and childhood leukemia. Studies have shown that breastfed infants do better on intelligence and behavior tests into adulthood than formula-fed babies. 3. OBJECTIVES OF THE STUDY  To understand the breastfeeding practices of respondents and also their cultural practices related to child care  To find out the association between practices of the Breast feeding of the respondents 4. RESEARCH METHODOLOGY The researchers adopted descriptive design as the research aimed at Practice of Lactating Mothers in Rural Areas. About 50 respondents were selected through simple random sampling in Thanjavur District. Both primary and secondary data used for this study. The primary data were collected by using a pre-tested interview schedule. Secondary data were from published and unpublished sources including the reports, journals and magazines. 5. KEY FINDINGS 5.1. Socio-Economic Background of the Respondents The above table explains about the distribution of respondents by their age, religion and caste. Out of 50 respondents (lactating mothers) the majority 40 (80%) of them were below the age of 27, followed by that 7 (14%) and 3 (6%) of them were between the age group of 28-32 and above 33 years category respondents. As far as religious believe of the respondents is concerned that the vast majority 45 (90%) of them were belonging to Hindu religion, followed by that 2 (4%) and 3 (6%) of them were belonging to Christianity and Islam religions believers. In addition to that the Indian people are categorized on the basis of caste for many purposes. Likewise, with a view to check the intention of lactating mothers interest on kangaroo mother care, the researcher made an analysis that the majority 30 (60%) of them were belonging to backward class,
  • 3. International Journal of Management (IJM), ISSN 0976 – 6502(Print), ISSN 0976 - 6510(Online), Volume 7, Issue 2, February (2016), pp. 743-746 © IAEME Publication 745 Dr.A.Sivagami and S.Nathiya. “A Study on the Practice of Lactating Mothers in Thanjavur District”- (ICAM 2016) followed by that 15 (30%), 5 (10%) of them were belonging to scheduled caste, most backward class respectively. The inference drawn from the above table is that the young age group (below 27 years) lactating mothers (61.3%), Hindu religions background (79.3%) and backward class and scheduled castes (73%) had really have an interest to take care of their babies like kangaroo. 5.2. Pattern of Feeding Out of 50 respondents the majority 33 (66%) of the respondents were feeding their babies through breast feeding only; followed by that 10 (20%), 5(10%) and 2(4%) of them feed their babies through breast milk and formula, breast milk and solids and formula milk respectively. It is inferred that the majority 33 (66%) of them preferred to give and continuity of breast milk done for their babies. 5.3. Newborn Care Practices A total of 46 (92%) of the deliveries were hospital deliveries and 4 (8%) were home deliveries. The care provided during the home deliveries was mainly given by an untrained birth attendant 25 (50%). A household knife 25 (50%) was used to cut the umbilical cord in five home deliveries. In both in- hospital and home deliveries, nothing was applied for umbilical cord dressing 30 (60%). Talcum powder 5 (10%) and turmeric was used by some mothers for cord dressing. A total of 15 (30%) of the mothers still practiced branding of the child for illness. A total of 93% of the children received all vaccinations needed according to the national immunization schedule. 5.4. Mother’s knowledge on Breastfeeding and Complementary Feeding Practices Only 6 (12%) of newborns was weighed within 3 days of delivery. Colostrum were given to almost 25 (50%) of babies, which is a remarkable achievement; however, 10 (20%) received pre lacteal foods. Less than half (10%) of infants were breastfed within one hour of delivery; the percentage was higher in rural areas 30 (60%) than urban areas 20 (40%). About 10 (20%) of infants were breastfed after one day, and 9 (18%) between 1-24 hours of delivery. Only 11 (22%) of children aged <6 months were exclusively breastfed. 6. HYPOTHESIS TEST  There is no significant association between age of the respondents and their feed too uncomfortable to breastfeed in a public place. It had been proved by chi-square test (x2 =1.603). The table value of x2 at 5percent level for 2 degree of freedom is 5.99. The calculated value of x2 is less than the table value and hence the null hypothesis is accepted and concludes that there is no significant association between the age of the respondents and feed too uncomfortable to breastfeed in a public place.  There is no significant association between Place of residence of the respondents and their feeding your infant now. It had been proved by chi-square test(x2 =10.4). The table value of x2 at 5percent level for 4 degree of freedom is 9.488. The calculated value of x2 is more than the table value and hence the null hypothesis is rejected and concludes that there is significant association between the Place of residence of the respondents and their feeding your infant now. 7. CONCLUSION The information regarding the advantages and duration of breastfeeding needs to be provided for the community as a whole. The practice of exclusive breastfeeding was scarce with inappropriate complementary feeding in very poor hygienic environment. In Orathanadu rural community, high prevalence of malnutrition was observed among young children, essentially stunting. Obesity was also very high among mothers. Nutritional problems observed were due to poor knowledge on feeding practices, low education and socio economic level of mothers. There is a great need of developing educational program based on locally available foods.
  • 4. International Journal of Management (IJM), ISSN 0976 – 6502(Print), ISSN 0976 - 6510(Online), Volume 7, Issue 2, February (2016), pp. 743-746 © IAEME Publication 746 Dr.A.Sivagami and S.Nathiya. “A Study on the Practice of Lactating Mothers in Thanjavur District”- (ICAM 2016) REFERENCES [1] Arora V (2007) The State of World’s Breastfeeding -Tracking Implementation of the Global Strategy for Infant and Young Child Feeding. International Baby Food Action Network (IBFAN), Asia Pacific. [2] Gupta A (2006). The State of World’s Breastfeeding: India Report card. International Baby Food Action Network (IBFAN), Asia Pacific. [3] Subbiah N (2003) A Study to assess the Knowledge, Attitude, Practice and Problems of Postnatal Mothers regarding Breastfeeding. 94 (8): 177-179 [4] World Health Organization. (2009) Infant and young child feeding Model Chapter for textbooks for medical students and allied health professionals. World Health Organization. [5] Iskandar M (1990). Initiation and Duration of Breast feeding in Indonesia. Asia Pac Popular J: 5:89-112.