Study of breast feeding practices in rural field practice area of Kakatiya Medical College, Warangal, Telangana state, India

Punam Kumari Jha, K. J. Kishore Kumar, L. Niharika


Background: Infant mortality rate (IMR) is considered as one of the most sensitive indicators of health status of a community. Breast feeding in rural areas appears to be influenced by beliefs, social, cultural and educational factors. This study aimed to access awareness and practices towards exclusive breast feeding and awareness towards the nutritional status and assessment and positioning of baby as per IMNCI guidelines in rural area, Warangal.

Methods: A community based cross-sectional study conducted on mothers with children aged 0-2 years residing in rural field practising area, Kakatiya Medical College, Warangal. A total of 200 mothers with children aged 0-2 years were interviewed using a pre-tested questionnaire. Statistical analysis: percentages, proportions and chi-square test.

Results: A total of 200 mothers with children aged 0-2 years participated in the study; majority (46.2%) belonged to the age group of 21-23 years in which most of the mothers belong to Hindu religion (90%), of which 67% lived in nuclear family. In this study, the percentage of mothers with children 0-2 years belonging to upper class was predominant with 47.5%. Association was found between education and practice of not giving prelacteal feeds and also with initiation of breast feeding (IBF). Association was also found between knowledge and practice. There is a significant awareness between EBF and IBF. About 83.8% mothers feed their child with colostrum, of which 28% mothers said that they don’t know the reason of practising colostrum. Around 70% babies have good suckling and 54.3% babies were born with prematurity.

Conclusions: Nearly 76% mothers were lack of awareness regarding health condition of both baby and mother on breast feeding practices. The literacy and age of women has significant association on breast feeding practices.


Breast feeding practices, Colostrum, Prelacteal feeds, Socio-demographic profile

Full Text:



Iskandar MB, Costello C, Nasution Y. Initiation and Duration of Breast feeding in Indonesia. Asia Pac Popul J. 1990;5:89-112.

Bautista LE. Factors associated with initiation of breast feeding in the domician Republic. Rev Panam Salud Publica. 1997;1:200-07.

National Family Health Survey fact sheet India.

World Health Organization, Regional Office for South-East Asia. The Optimal Duration of Exclusive Breast feeding: A Systematic Review. World Health Organization, Geneva: 2002. Available at:

Tinker A, Parker R, Lord D, Grear K. Advancing newborn health: The Saving New born Lives initiative. Glob Public Health. 2010;5(1):28-47.

WHO. Exclusive breast feeding for six months best for babies everywhere. World Health Organization. 2011. (cited 2015 July 21). Available from:

Zhon Q, Younger KM, Kearney JM. An exploration of the knowledge and attitudes towards breast feeding among a sample of Chinese mother in Ireland. BMC Public Health. 2010;10:722.

Gupta A. BPNI: 10 years of its work. J Indian med Assoc. 2002;100:512-15.

DLHS- 4 Telangana fact sheet

Kumar S. Malnutrition in backward states of India and the ICDS Programme. Sanjeev Kumar. Introduction. ICDS Programme to tackle the states: Uttar Pradesh, Rajasthan and Sinha. 2005.

Takalkar AA, Saiprasad GS, Tarun K, Madhekar NS. Breastfeeding Practices in Rural Community of Andhra Pradesh. IJMCH. 2010;12(2):2-8.

Kar M, De R. Breast feeding practices- impression from an urban community. Indian J Public Health. 1991;35(4):93-5.

Chatterjee S, Saha S. A study on KP of mothers regarding infant feeding and nutritional status of Under 5 children attending immunization clinic of Medical College, The Internet Journal Nutrition and Wellness. 2008;5

WHO, UNICEFF. Module 1- Introduction. Integrated Management of Neonatal and Childhood Illness. Ministry of health and family welfare: India; 2003.

Parmar RV, Salaria M, Poddar B, Singh K, Ghotra H, Sucharu. Knowledge, attitudes and practices (KAP) regarding breast-feeding at Chandigarh. Indian J Public Health. 2000;44:131-33.

Deshpande JD, Giri PA, Phalke DB, Phalke VD, Kalakoti P, Syed MMA. Socio-cultural practices in relation to breastfeeding, weaning and child rearing among Indian mothers and assessment of nutritional status of children under five in rural India. Australasian Medical Journal. 2010;3(9):618-24.