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…!!!