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LETTER TO EDITOR  
Year : 2019  |  Volume : 44  |  Issue : 2  |  Page : 175-176
 

Knowledge and attitude of Indian parous women toward human milk banking


Chitkara School of Health Sciences, Chitkara University, Rajpura, Punjab, India

Date of Submission24-Dec-2018
Date of Acceptance27-May-2019
Date of Web Publication27-Jun-2019

Correspondence Address:
Dr. Harmeet Kaur Kang
Chitkara School of Health Sciences, Chitkara University, Rajpura, Punjab
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijcm.IJCM_377_18

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How to cite this article:
Kaur M, Raghuvanshi S, Kang HK. Knowledge and attitude of Indian parous women toward human milk banking. Indian J Community Med 2019;44:175-6

How to cite this URL:
Kaur M, Raghuvanshi S, Kang HK. Knowledge and attitude of Indian parous women toward human milk banking. Indian J Community Med [serial online] 2019 [cited 2019 Jul 15];44:175-6. Available from: http://www.ijcm.org.in/text.asp?2019/44/2/175/261525




Sir,

Mother's milk is the best food for growth and development of an infant. Every mother should breastfeed her infant. However, if, under certain circumstances, she is unable to feed her infant directly, her breast milk should be expressed and fed to the infant, particularly in preterm and other high-risk infants. At times, when mother's own milk in any form (direct or expressed) is not available or is insufficient, then pasteurized donor human milk is the next best alternative as feeding the babies with breastmilk can significantly reduce the risk of infection, especially necrotizing enterocolitis.[1],[2] It is reported that the babies who were never breastfed faced extra visits to doctors, extra days of hospitalization, and extra prescriptions in the 1st year of life as compared to those exclusively breastfed.[3] As per 2013 Census, India has the highest number of low birth weight babies and neonatal mortality rate, where 28 deaths/1000 live births were reported. Reducing neonatal mortality rate is the key goals of the National Health Mission, Government of India.[4] Donor mother's milk fed through human milk bank can have great impact on reducing the neonatal mortality rate.[5]

In India, although nearly 14 human milk banks are in service to society, the growth is very slow. The main reasons are lack of awareness among community people and the lack of promotion in the industry too.[6]

A nonexperimental cross-sectional study design was used to assess the knowledge and attitude of parous women toward human milk banking. The study was carried out in rural and urban community health centers of Patiala district, Punjab, India. Data from parous women visiting community health centers were collected. The study was carried out on 200 parous women selected by purposive sampling technique. Women who were parous or given birth to a child and who had breastfed or presently breastfeeding their child/children were included. The study was approved by the institutional ethical review board and informed consent was obtained from all the respondents. Data were collected through interview technique using two tools; a self-designed knowledge questionnaire to assess knowledge designed in a multiple choice format consisted of 14 questions covering the basic structure, functions, and processes involved in human milk banking; a 3-point Likert scale with 16 items was used to assess the attitude toward human milk banking.

Results revealed that majority of the women (63%) were in the age category of 30–40 years, only 3% were in the age group of 20–30 years, 78% of the women breastfed their children, and none of them fed their children formula milk. Neither of the women had any previous source of information related to human milk banking, nor they had any previous experience as human milk donor or recipient [Table 1].
Table 1: Demographic characteristics of parous women (n=200)

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It was found that majority of the participants (56.5%) had inadequate knowledge and only 43.5% of respondents had adequate knowledge (P = 0.000). Majority of the participants (66.5%) had neutral attitude. The overall mean score of attitude (28.8 ± 5.87) indicates overall neutral attitude of the respondents toward human milk banking since this concept was altogether new to them.

There was no significant difference in the mean knowledge scores of women based on their residence (t = 0.425; P > 0.05), whereas the mean attitude scores in rural and urban areas differed significantly (t = 3.65; P = 0.000). It was found that the attitude of women in an urban area (mean attitude scores = 30.3 ± 5.36) was better than those in a rural area (mean attitude scores = 27.4 ± 6.01). There was a significantly positive correlation between knowledge and attitude (r = 0.334, P = 0.000), where the nature of correlation was mild [Table 2].
Table 2: Knowledge and attitude of parous women related to human milk banking according to their residence status (n=200)

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The results revealed that the level of knowledge was not associated with age, education, occupation, religion, income, and type of feed. There was a significant association of attitude with education (χ2 = 22.7, P = 0.005), where majority of respondents were educated till middle level (84%) followed by matric (54%), and in relation to either of these education categories, most of the respondents were bearing neutral attitude.

In general, like other developing countries, India has a high rate of premature and low birth weight births and infant mortalities. The major contributing factor is suboptimal breastfeeding. Establishing pasteurized human milk banks will scale up the breastfeeding rate and reduce the infant mortality rate. Therefore, to improve the knowledge level of community at large toward. Therefore, to improve the knowledge level and attitude of community at large, HMB must be intergarted into newborn care systems. Breast feeding policies with HMB as an important component should be formulated and communicated to all the health care providers. Healthcare providers must advocate and raise the awareness regarding HMB and exclusive breastfeeding among general public.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
   References Top

1.
Devi TK, Unninkrishan A. Human milk banking: A review. Int J Nurs Midwifery 2016;3:43-8. Available from: http://www.breastfeedingindia.com/breastfeeding/human_milk_banks.html. [Last accessed on 2018 Jul 16].  Back to cited text no. 1
    
2.
Ekşioǧlu A, Yeşil Y, Turfan EÇ. Mothers' views of milk banking: Sample of İzmir. Turk Pediatri Ars 2015;50:83-9.  Back to cited text no. 2
    
3.
Ball TM, Wright AL. Health care costs of formula-feeding in the first year of life. Pediatrics 1999;103:870-6.  Back to cited text no. 3
    
4.
Ram U, Jha P, Ram F, Kumar K, Awasthi S, Shet A, et al. Neonatal, 1-59 month, and under-5 mortality in 597 indian districts, 2001 to 2012: Estimates from national demographic and mortality surveys. Lancet Glob Health 2013;1:e219-26.  Back to cited text no. 4
    
5.
Cristofalo EA, Schanler RJ, Blanco CL, Sullivan S, Trawoeger R, Kiechl-Kohlendorfer U, et al. Randomized trial of exclusive human milk versus preterm formula diets in extremely premature infants. J Pediatr 2013;163:1592-5.e1. doi: 10.1016/j.jpeds.2013.07.011.  Back to cited text no. 5
    
6.
Bharadva K, Tiwari S, Mishra S, Mukhopadhyay K, Yadav B, Agarwal R, et al. Human milk banking : Indian Pediatr 2014;51:1-17.  Back to cited text no. 6
    



 
 
    Tables

  [Table 1], [Table 2]



 

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