Improving Early Initiation and Exclusive Breastfeeding through Maternal Counselling and Healthcare Worker Training at Alkhidmat Raazi Hospital, Rawalpindi

Abstract

Objective: To evaluate the impact of enhanced healthcare provider counseling and practical demonstrations of correct breastfeeding techniques on improving exclusive breastfeeding practices.
Study Design: Prospective follow-up study.
Place and Duration of Study: This study was conducted at Alkhidmat-Raazi Hospital, Rawalpindi, Pakistan, from 17 September 2022 to 7 April 2023.
Materials and Methods: A total of 309 mothers were enrolled in the study based on specific inclusion and exclusion criteria. A structured counseling intervention was implemented for postnatal care, incorporating bedside guidance during hospital stays and follow-up sessions conducted monthly over six months. Breastfeeding compliance was assessed through in-person and telephonic interviews documented in standardized data sheets. Data were analyzed using SPSS version 24. Descriptive statistics summarized the demographic characteristics and breastfeeding practices of participants. Chi-square tests were applied for
categorical variables to assess the impact of the intervention. A p value ≤ 0.05 was considered statistically significant.
Results: The response rate for follow-up visits was 76%. Early breastfeeding initiation (within one hour of birth) was observed in 52.8% of mothers, and exclusive breastfeeding at six months increased to 65.4%.
Conclusion: Systematic postnatal counseling and hands-on guidance significantly improved breastfeeding practices. Continued support over six months facilitated better adherence to the exclusive breastfeeding code, emphasizing the importance of healthcare provider engagement in promoting optimal breastfeeding practices.