PSYCHO-SOCIAL FACTORS RELATING TO BREAST FEEDING
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- PSYCHO-SOCIAL FACTORS RELATING TO BREAST FEEDING
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ST. JOHN'S MEDICAL COLLEGE, BANGALORE
DEPT. OF COMMUNITY MEDICINE
PSYCHO-SOCIAL FACTORS RELATING TO BREAST FEED ING:_
SINo
1. Family Variables
1.2 Family Organization
1.2.1 Name of Head of family:
1.2.2 Sibling structure
Age
Birth Order
Sex
1.2.3.
Length of marriage
1.3.
Family position in Social structure
1.3.1
Socio economic status:
1.3*2.
Husband's Occupation:
1.3.3.
Family literacy
.
Name
Age
Sex
Wife's Occupation:
Illiterate
-
A
Primary Sec. High college
School School School
y
_
-
'
B
C
D~
"
~
’
‘
“
E
“
F
la3.4
Caste of family:
A •3 • 6
Nuclear/Joint/Extended Family.
~
' 1.3.5. Religion
p.t.o. .2
-
2
2. INDIVIDUAL VAR I AD LES i
2.1
Do you enjoy breast feeding
--
Yes/No
2,2
Are you embarassed by breast feeding in public(e.g. while waiting or travelling in a bus)
Yes/No
2.3
Do you consider the role of the breasts as (a) Primarily for
breast feeding
(b) Primarily for
sexual attra
ction
(c) Equal propor
tion of above t’"o
2.4
Were you breast fed when young
—
Yes/No
2.5
Has breast feeding been more pleasurable
with each succeeding child
--
Yes/No
2.6
While breast feeding do you pay full attention
to breast feeding-only (i.e. do not do any other
job simultaneusly)
— Yes/No
2.7
Did you feel that feeding your infant was a greater
priority than feeding your husband
— Yes/No
2.8
Have you sought advice from experienced mothers regarding
breast feeding
•
— Yes/No
If 'Yes', state advice sought.
3
FACTORS IN DECISION TO F.-lEAST FEED
(For breast feeding mothers with first child only)
3.1
Was your pregnancy planned for
3.2
What was your response to breast changes(pleasure/
Shame/No opinion.)
3.3
Did you receive Specific advice on breast feeding -Yes/No
----- Yes/No .<
If 'Yes’ define advice and state from whom
received.
7>4
Were you’ confused of the crisis of loss of your previous
role and finding your present new maternal role
----- Yes/No
3.5
Was your delivery Normal
— Yes/No
If 'No', state complication encountered
3.6
What was the time interval between delivery and your first
concious contact with your child
3.7
What was your response to the first suckling experience
3.8
Was your breast feeding painful to you.
•
If ’Yes' state reason.,
■Yes/No
...3
i■
3
4
FACTORS IN CEO IS ION TO ST QI PF EAST FEEDING
4.1
Who was the decision-maker
4.2
At what age of the infdid you stop breast feeding........
4.3
Specific reasons for stopping breast-.ceding
(Specify more than one reason where desired, in which
case the priority order must be indicated )
4.3.1 Cracked nipple etc. of mother's broarts
4,3,2 Physical defects in infant's mouth
which prevents suckling.
4.3.3 Onset of next pregnancy
4.3.4 Inconvenience caused, by mother going to work
. x
'4.3.5 Feeling that breast milk is inadequate
4.3.6 Excessive crying by infant, causing
interference to'breast feeding
4.3.7 Lack of confidence, fear or shame to breast feed
4.3.8 Bottle-feeding is easier than breast feeding
4’.3.9 Mother is just hot inclined to breast feed
4-3.9 Does not have enough time to spend with infant
4-3-4
5*9 It is more convenient for relatives to bottle feed
4-3-?, Eaby finds it easier to suck from bottle-:.
—‘■3 *9
impact of effect of advertisements- on
bottle fed babies being healthy and fat
4 •3 • 9 Adviced against breast feeding
(specify advice/advisor)
4*3*9 Breast fedding causes sagging of breasts
5
BREAST FEEDING -PRACTICES
5.1,
Breast milk-
5.1,1 Age of infant at -which breast- feeding was beg-un
5.1.2 Frequency of breast feeding per day
a) Beginning of lactation
b) Middle of lactation period
c) Just before and during weaning process
4
4
5-1..3 Is .it .demand feeding or Regular feeding.
(Specify)
5.1,4 Reasons for choosing specific tj :•
■■■’
for breast feeding ■
a )............................................................... .. ...............
b)............................................................ ..........................
c)........................ ................ .. ...........................................
5.1.5 Position of babv while ’...-east feeding:
5.1.6 Position of mother while breast feeding:.
5.1.7 Average amount of milk flow:
(Do test feed)
. .. .................................
5.1.8 Specify any cultural practices related to breast care and
breast feeding
a)
b)
.............
....................................
'.
c)
........................
<?)
...................... .............. ............
5.1.9 Specify any dietetic restrictions imposed during lactation
(specify duration of restriction J
• '
a)
5.2
b)
................................................
c)
.......................................................
Colostrum
Were you aware of colostrum secretion
5.2.2 Was the colostrum expressed
------ Yes/No
----- Yes/No
If 'Yes' specify a) Duration of flow
b) Frequency of expressing
.
c) Reasons for expressing
colostrum
5.2.3 Attitude of mother-to colostrum:
a) Necessary for infant
b) Harmful for infant
c) Not useful for infant
. . .5
5
6
SUPPLEMENTARY/ARTIFICIAL FEEDING .
6.1
Specify the supplement milk usee’:.
(including expressed breast milk)
6.2
Do you continue to ;breast feed along with supplementary
feeding
------ Yes/No
........................
(if 'Yes' state frequ'ney of breast' feeds)
6.3
What is the dilution ratio
for milk used:-
a) Beginning of supplementary period
b) Middle of supplementary period
c) Early weaning phase
6.4.1 Is the milk boiled
..............
-- Yes/No
6.4.2 Is the dilutant (water) boiled)
separately before use
)
vcc/no
'
6.5
Define the mode of supplementary feeding
(e.g. spoon, bottle, palada etc.)
6.6
What is the frequency and total duration of supplementary
feeding:
■
(denote if demand/regular feeding)
6.7
If regular feeding, state reasons for choice.of time of
feeding
6.8
a)
..........................................................
b)
..............................................
.....
What is the quantity per feed
a) Beginning of supplementary period
b) Middle of supplementary period
.
c) Early weaning phase.................................................. i. ....
6.9
Hyqeine of container (Spoon, bottle etc.)
6.91
How is the container sterilised/cleaned
Where in the hous
interim
periods.
. . . .6
6
6.9.3 Is the container (including separate conc^12^ us^c (or
boiling milk/water df- e transfering to bottle G-tc<)
■■ usee for any other p.rpos?s(specify use)
— Yes
7
OTHER PRACTICES RELATED TO SUPPL1T-ENTARY FEEDING
7.1
What were the reasons for the choice of the Particular
supplementary milk.
7.2
What was the influence of advert .itcents of various
supplementary milk foods (e.g.Amul spray) and feeding
bottles, in the various decision making process.
7.3
Do you think supplementary feeding is better than
breast feeding ------ Yes/No
7.4
What cultural/re’ligious beliefs arc- associated with
supplementary feeding, (e.g. cow's milk etc.)
7.5
Can supplementary feedinn completely replace breast'feeding
Yes/No
7.6
Who feeds the infant with supplementary feeds
Was there any occassion to switch back to breast feeding
alone after starting supplementary feeding (specify
occassion with reasons)
7_j_8
Do you think that breast feeding acts as a natural
contraception
— Yes/No
7d
Do you feel that breast feeding has been directly
responsible for increasing the bond of love and care for
your infant
— Yes/ffo
Remarks :.. . . .. .
ms*/488Q/
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