Effect of initiation of breast-feeding

within one hour of the delivery on

"maternal- infant bonding"
By : Aisyah Fatinah, S.Ked
0815108
Preceptor : dr. Ferdanella

CHILDREN DEPARTMENT FACULTY OF MEDICINE

Maranatha Christian University
IMMANUEL HOSPITAL BANDUNG
 Background
Breast feeding is as old as human kind
Best and complete food for infants fulfills specific nutritional needs
Early initiation of breast feeding enhances Maternal- infant Bonding?
The bonding process occurs in both infant and mother and has
tremendous implications for the childs future development
 Background

Breast feeding provides considerable health benefits for mothers, babies and
economic benefits to the healthcare system.
WHO recommends that breast feeding should be initiated within 1 hour of
delivery
 Background
1
 Objective

To assess the effect of initiation of breast- feeding within 1

hour of delivery on Maternal- Infant bonding
 Material and Methods
quasi- experimental study
Obstetric Unit, Nehru Hospital, PGIMER, Chandigarh in
August-September 2009
Sampling :
Purposive sampling
Criteria
Inclusion : All the mothers with normal vaginal delivery (period of
gestation 36 weeks and above)
Material and Methods
Mother
Eclampsia
twin pregnancy
medical- surgical diseases which interfered with the
initiation of breast feeding
post- partum haemorrhage
post- partum psychosis
Newborn Babies
pre-term less than 36 weeks of gestation
birth weight less than 1.8 Kg
APGAR less than 7 at 1 and 5 minutes
congenital malformations which interfered
with the breast feeding
babies shifted to Neonatal Intensive Care
Unit (NICU)
babies with medical- surgical problems
where direct breast feeding is
contraindicated were excluded from the study.
 Material and Methods (Research
Tools)
Protocol for the initiation of breast feeding
Performa for sample collection and identification
data sheet
Tool to assess maternal- infant bonding (19
Questions)
 Result
Socio-
demographic
profile of the
subjects
 Result
(Gravida status, gestation period and sex of baby of the
subjects)
 Result
(Maternal- infant bonding score at 24 and 48 hours)
 Result
(Maternal- infant bonding score as per reason for not
initiating breast feeding within an hour of delivery)
 Discussion
Mother-infant dyads : normal vaginal delivery,
mother primigravida and multi gravida
This studies depict mother-infant bonding enhanced
by breast feeding
 maternal- infant bonding
caused by early skin-to-skin contact when the
mother breast feeds
Remarkable change in the maternal behavior with
just the touch of the infants lip on the mothers
nipple
The study signifies initiation of breastfeeding within
one hour of delivery, maternal- infant bonding is
improved as compared to initiation of breastfeeding
after one hour of delivery.
 Discussion
Ranged subject 19-41 years
Control 52,3 % (21-25 years old)
Experiment 45% (21-25 years old)
Disease During pregancy (most of them are
hypothyroidism)
Control 16.15%
Experimental 20,18%
 Discussion
Maternal infant attachment scale
the mean net bonding scores of mothers
control group was 73.6 at 24 hours and 74.5 at 48 hours
experimental group was 81.1 at 24 hours and 83.2 at 48 hours of
the delivery
Statistical significant differences were seen
between the bonding scores of mothers who initiated
breast feeding within hour of the delivery and the mothers
who initiated breast feeding after one hour of the delivery.
 Conclusion
Study recommends that breast feeding should be
initiated within one hour of the delivery
THANK YOU
 Daftar Pustaka
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