FACTORS CAUSING NON-BREASTFEEDING IN CHILDREN UNDER SIX MONTHS OF AGE IN DISTRICT NOWSHERA, PAKISTAN
Abstract
Background: In developing countries bottle feeding has emerged a big public health problemwhile in developed countries the trend is opposite. Prevalence of breast feeding in Pakistan is 90-
98% but in some subgroups of population it is as low as 60-80%. The objectives of the study were
to determine the causes of non breast feeding in children less than six months of age in district
Nowshera, and assess practice of starting first breast feeding to the newborn. Methods: A cross
sectional study was conducted in ten union councils of district Nowshera. A total of 305 children
under six month age were selected by simple random method. Data was collected on pre-designed
questionnaire and analysed by descriptive statistics. Results: The study included 198 children
from rural and 107 from urban areas. Mothers/guardians of 71.8% children were uneducated.
Causes of non breast feeding included perception of mothers of having insufficient milk (45.9%),
working mothers (18.4%), mothers with chronic diseases (13.1%), children with congenital or
acquired diseases (17%), mothers having next pregnancy (3.61%) whose mothers have been died
(0.98 %) and twin babies (0.98%). On the other hand, 61% babies started breast feeding on first
day, 19% on second, 10.8% on third and 3.9% after third day while 5.2% babies got no breast
feeding at all. Conclusion: Main causes of non-breastfeeding in less than six month age are
perception of having insufficient milk, working women and twin babies.
Keywords: Breast feeding; Bottle feeding, Public Health Problem, Prevalence
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