Feeding practices in infants: ritual factors dominating mother’s education - a cross sectional study

Dinesh Kumar, Indra Kumar Sharma, Mukesh Vir Singh, Durgesh Kumar, Krishan Mohan Shukla, Dinesh Kumar Singh


Background: The objective was to know the impact of mother education on feeding practices of infants.

Methods: Observational analytic cross sectional study. We used Semi-structured, pre-tested questionnaire to interview 355 mothers of infants, aged one and half to 12 months, who came in OPD of Department of Paediatrics UPRIMS and R, Saifai for immunization or some problem.

Results: Total 267 (75.2 %) out of 355 women had initiated breast feeding within 24 hours of birth. 172 (48.5%) mothers exclusively breast fed their infants. Total 166 (46.8%) practiced Prelacteal feed. Out of 166 subjects, 121 (34.1%) practiced for 7 days and 41 (12.7%) beyond the 7 days. There were highly significant relationship found between education level of mothers with type of breast feeding, in the form of exclusive or non- exclusive breast feeding and Prelacteal feeding practices ( p <. 05). Relation between education level of mother with time of initiation of breast feeding since birth was not found statistically significant (p >0.05), but an important pattern of initiation of breast feeding was seen at the different level of mothers education.

Conclusion: Ritual and customary factors have much impact then mother’s education on breast feeding practices of infants. Apart from education, breast feeding awareness programme should be increased including both literate and illiterate mothers.



Exclusive breast feeding, Mother’s education, Prelacteal feeding, Ritual

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World breast feeding week 2014, http://worldbreastfeedingweek.org/.

Singh M, Care of Newborn, Feeding and Nutrition, 7th edition, Delhi, Sagar Publ. 2010, p168.

World breast feeding trends initiative (WBTi), India report card 2012, National Institute of Public Cooperation and Child Development In collaboration with Breastfeeding Promotion Network of India (BPNI), National Institute of Public Cooperation and Child Development, Hauz Khas, New Delhi-110016.



Breast feeding promotion network of India issued on world breast feeding week 2012. www.bpni.org.


Mahajan BK, Method of bioststistics,7 edition, chapter 6, page 84.

Rasania SK, Singh SK., Pathi S, Bhalla S and Sachdev T R, breast-feeding practices in a maternal and child health centre in delhi, Health and Population -Perspectives and Issues 26 (3): 110-115, 2003.

Sachdev HPS, Mehrptra S, predictors of exclusive breastfeeding in early infancy: operational implications, Indian Pediatr 1995;32:1287-96.

Borade A, Hanumante N, Maternal knowledge and perception about the breastfeeding and factor influencing it – a study in urban low socioeconomic class in pune, paediatrics on call journal: March 2008, volume 5, issue 3.

Victor R, Baines SK, Agho KE, Dibley MJ, Determinants of breastfeeding indicators among children less than 24 months of age in Tanzania: a secondary analysis of the 2010 Tanzania Demographic and Health Survey, BMJ Open 2013; Volume 3, issue 1.

Raval D, Jankar DV, Singh MP. A study of breast feeding practices among infants living in slums of Bhavnagar city, Gujarat, India Healthline ISSN 2229-337X, Volume 2 Issue 2 July-December 2011.

Chatterjee S, Shah S, Study on knowledge and practise of mother regarding infant feeding and nutritional status of under five children attending immunization clinic of medical college, internet journal of nutrition and wellness, vol.5 no. 1.

Roy MP, Mohan U, Singh SK, Singh VK, Srivastva AK, Determinants of Prelacteal Feeding in Rural Northern India. Int J Prev Med May 2014;5(5):658-63.