breast feeding and weaning practices of mothers and health profile of their children (6-59months)...
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BREAST FEEDING AND WEANING PRACTICESOF MOTHERS AND
HEALTH PROFILE OF THEIR CHILDREN (6-59MONTHS) ATTENDING
WELL BABY CLINIC AT SSG HOSPITAL, VADODARA
Dr. Bhavesh Modi , Dr. R.K. Baxi
Department of P & SM,Medical College & S.S.G. Hospital,
Vadodara, GUJARAT.
INTRODUCTION
S.S.G. hospital is a tertiary care hospital attached with Government Medical College in Vadodara district.
Well Baby Clinic (under 5 clinic) is run by Department of Paediatrics for over more than 3 decades on every Monday from 3pm to 5-30pm.
All the normal- “well” babies, under 5 years attend the Well Baby Clinic (WBC), most of whom are born at S.S.G. Hospital.
INTRODUCTION
Major activities carried out at Well Baby Clinic : Growth and Development monitoring Immunization Dietary advice to mothers (including EBF & weaning) Counseling related to Family Planning Maintenance of record of all babies. Follow up advice :
- up to 1 year : every monthly- 1 year- 2 year : every 3 monthly- 2 years- 5 years : every 6 monthly
Objectives:
To know practices of mothers attending WBC regarding breast feeding and weaning.
To know health profile of children (6-59months) attending WBC
Methodology Study Design: Cross – sectional Study. Setting: WBC, Shri Sayaji General (SSG)
Hospital, Vadodara. Participants: Children(6-59 months) attending WBC, with
their mother as respondent. Data was collected on every alternate Monday. Every third child was selected for the study. Study Duration :July’03-June’04. Sample Size: 180 children (6-59 months). Statistical Analysis: Data entry and analysis
was done using Epi-info 6.04d.
Results:
Gender Distribution of children
MA L E
6 3 %
F E MA L E
3 7 %
AGE DISTRIBUTION OF CHILDREN ATTENDING WBC
0
5
10
15
20
25
Age(in months)
Fre
qu
en
cy
EDUCATIONAL STATUS OF MOTHERS
13.14%
0.60%
36.10%38.90%
10.00%
0.60%0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
EDUCATION STATUS OF THE MOTHERS
FR
EQ
UE
NC
Y
Socio-Economic Status Of Family
0.00% 1.10%
6.70%
62%
30%
0%
10%
20%
30%
40%
50%
60%
70%
Class I Class II Class III Class IV Class V
Socio-Economical Status
Fre
qu
en
cy
Birth order of child
54.40%
38.30%
6.10%
1.10%
0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
1st 2nd 3rd 4th
Birth Order
Fre
qu
en
cy
Place of delivery
57.80%
17.20% 15.60%
3.90% 2.20% 1.70% 0.60% 1.10%0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
70.00%
06-11month 12-17month 18-23month 24-29month 30-35month 36-41month 42-47month 48-54month
Age-Group
Fre
qu
ency
WEIGHT OF THE CHILD AT BIRTH
< 2.5 kg, 24%
2.5-3.00kg, 61%
>3.00kg, 15%
Mean Birth weight 2.68 kg.
DELIVERY CONDUCTED BY…
Dai, 3.90%
ANM(Nurse), 20.00%
Doctor, 75.00%
Relative, 1.10%0.00%
10.00%
20.00%
30.00%
40.00%
50.00%
60.00%
70.00%
80.00%
Dai ANM(Nurse) Doctor Relative
Person conducting the delivery
freq
uen
cy
INITIATION OF BREAST FEEDING…76%
11.20%
4.50%2.20%
5.20%
0%
10%
20%
30%
40%
50%
60%
70%
80%
<1 hour 1-2 hour 2-3 hour 3-4 hour >4 hours
Initiation Of Breast Feeding
Fre
qu
ency
COLOSTRUM GIVEN………
Yes , 93.30%
No, 6.70%
DURATION OF EXCLUSIVE BREAST FEEDING
1.70%
5.10%
18.00%
46.10%
19.10%
11.00%
0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
upto 3months
3- 4 month 4-5 month 5- 6 month 6-7 month >7months
Duration of EBF(In months)
Fre
qu
ency
BCG VACCINATION AND PRESENCE OF SCAR
100%
90%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
BCG dose given Scar +nt
Fre
qu
en
cy
VACCINATION COVERAGE
99.40% 99.40% 99.40% 99.40% 99.40% 99.40% 99.40%
0%
20%
40%
60%
80%
100%
DPT-1 DPT-2 DPT-3 OPV-1 OPV-2 OPV-3 Measles
VACCINES
CO
VR
AG
E
(n=145)
h/o Vitamin A Solution given Clinical evidence of Vitamin A deficiency
0.00%
1.80%
0%
1%
2%
3%
4%
5%
6%
7%
8%
9%
10%
Vitamin A solution given c/o Night Blindness
freq
uen
cy
Preference for treatment, when child is sick
Govt. Hospital , 78.30%
Private Hospital, 21.70%
Morbidity among Children in last 2 weeks
21.10%
27.20%
7.80%
1.70%
0.00%
5.00%
10.00%
15.00%
20.00%
25.00%
30.00%
Fever Cough Diarrohea Others
Morbidity in last 2 week
freq
uen
cy
Conclusion:
Exclusive breast feeding acceptance is high(76%) among mothers attending WBC.
Among children attending WBC vaccination coverage is nearly 100%.
Fever ,Cough and Diarrhoea are most common morbidity among children.
Recommendation:
Supplementation of Vitamin A solution in WBC will help to reduce Vitamin A deficiency disorder.
Establishing and strengthening of Well Baby Clinics along with all Obstetric units in the health care set up will help address “millennium development goals” favourably.
WELL BABY CLINIC…
WELL BABIES…
Thank you…!!!
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