Breastfeeding-related problems in primigravida mothers at the time of hospital discharge from a tertiary care hospital

Abstract

Background: Breastfeeding-related problems are common in primigravida mothers. There is a lacuna in the knowledge about these problems in Indian population. Objective: The present study is undertaken to study the prevalence of breastfeeding-related problems in the first-time mothers in a tertiary care hospital at the time of discharge. Methods: Consecutive primigravida mothers, who delivered term babies, were interviewed at the time of hospital discharge about breastfeeding-related problems based on a validated questionnaire. The pre-determined predictors were educational status of mother, mode of delivery, and prior knowledge about breastfeeding. Results: Between March 2015 and June 2015, 171 mothers were interviewed. The following were demographic profile of mothers: Average age: 24 years, education above matriculation: 55%, and vaginal delivery: 70%. The common problems were pain while feeding (n=50, 29%), improper latching (n=20, 12%), and feeling of inadequate milk (n=29, 17%). Cesarean section was associated with lower confidence levels for breastfeeding (odds ratio [OR] 2.68 [1.04-6.91], p=0.041), delayed onset of first breastfeed (OR 33.4 [12.67-88], p=0.0001), and feeling of inadequacy of breast milk quantity (OR 3.76 [1.64-8.58], p=0.001). Illiterate mothers were at higher risk of having these problems. Prior knowledge about breastfeeding was associated with fewer
problems. Conclusion: The study presents the existing problems related to breastfeeding at the time of discharge from a tertiary care hospital.