The result Bay Leaves Concept

Table 4. Maternal – infant bonding score as per reason for not initiating breast feeding within an hour of delivery Group Control Reason Lack of rooming – in mother not willing Poor bonding f 1 5.0 1 9.0 Good bonding f 18 95 10 90 p = 0.007 0.05 at df = 1 X 2 test Table 4 depicts the maternal-infant bonding score of the subjects according to reasons for not initiating breast feeding whithin an hour of the delivery in the control group. The reasons were In spite of an increased focus on the early initiation of breast feeding, the practice of initiation of breastfeeding varies from institution to institution. Studies have been done to assess the effect of early initiation of breastfeeding. But very few studies have been done so far, to assess the effect of initiation of breastfeeding within one hour of the delivery on maternal-infant bonding. Though W.H.O prescribes that breastfeeding should be initiated within half hour of delivery, but the practice varies within different instituions. RSUP DR. M. Djamil Padang is a referral hospital and most of the complicated and high risk cases come for the delivery, so in most of the cases condition of mother is not stable within half an hour after the delivery. But it is possible to initiate breastfeeding within one hour of the delivery. So this study was taken up with the objective, to assess the effect of initiation of breastfeeding within one hour of delivery on maternal-infant bonding. In the present study, mother-infant dyads after normal vaginal delivery were taken as the study subjects, as most of the mothers deliver baby normally. For this reason a number of other researchers have also preferred to take subjects after normal vaginal delivery. The study subjects mother in the present study were both primigravida and multigravida. 1277 lack of rooming in and non willingness on mothers part. There was significant difference in the scores. p = 0.007 0.05 at df = 1 X 2 test Assessing maternal-infant bonding has been a tremendous challenge among researchers because it involves the study of psychology of the mother about her attachment to the new born baby. Researchers have studied othet benefits of early initiation of breastfeeding. In present study, maternal postnatal attachement scale MPAS was used to objectively assess maternal-infant bonding on the basis of feelings and behavioral responses of mother towards her new born baby. The tool was standardized but modified as per the need of the study and after modification it was checked for its reliability by Cronbach‟s alpha. It was found reliable. Studies depict that mother-baby bonding is enhanched by breasting feeding. Sucking enhanced the closeness and new bond between mother and baby. The findings of the present study revealed that with the initiation of breastfeeding within one hour of delivery, bonding increases between the mother and her new born baby. It is likely to be caused by early skin-to-skin contact when the mother breast feeds. The remarkable change in the maternal behavior with just the touch of the infant‟s lip on the mother‟s nipple, the reduction in the abandonment with early contact, suckling and rooming-in and the raised maternal oxytocin levels shortly after birth in conjunction with known sensory physiologic, immunologic and behavioral mechanism all contribute to maternal-infant bonding. 5 The results of the present study signifies that with the initiation of breatfeeding within one hour of delivery, maternal-infant bonding is improved as compared to initiation of breastfeeding after one hour of delivery. Statistical significant differences were seen between the bonding scores of mothers who initiated breast feeding within hour of the delivery and the mothers who initiated breast feeding breast feeding should be initiated within one hour of the delivery. A similar study using the same tool after 6 weeks and one year of the delivery can be taken up to provide further impetus to the findings. A similar study using interview technique along with the “maternal- infant bonding tool” can be done to further refine the findings. The findings of the study provides An evidence-based data for the improvement of “maternal- infant bonding.” Hence feeding in the first hour of delivery is recomended to after one hour of the delivery. Based on the findings, the study recommends that Conclution improve maternal-infant bonding. 1. Majority of the subjects were in the age group of 21-25 years. 2. 13 43.3 subjects from group had per capita income of IDR 600.000 – whereas 12 40.0, subjects 7. More than half of the study subjects were primigravida 50.0 from control group and a half 57.0 from experimental group. 8. Majority of the control group of from experimental groups had per study subjects 77 delivered capita income IDR 600.000- IDR 1.200.000- per month. 3. 15 50.0 subjects from control group had educational 10 th – 12 th SMA – whereas 17 57.0, subjects from experimental groups had educational 10 th – 12 th SMA. In the control group. between 37 to 40 weeks period of gestation and experimental groups and control group 80. 9. In the control group, 11 37.0 subjects, had baby boy 19 63.0 had baby girl while in experimental group, 20 67.0 subjects, had baby boy and 10 33.0 had baby 4. More than half of the subjects girl. 57.0 from experimental group and 53.0 from control group were house wives. 5. More than half 47.0 of subjects from control group and 53.0 from experiment group were from rural background. 6. More than half type of family 53.0 of subjects from control group and 60.0 from experiment group were joint family. 10. This research showed significant difference in bonding score in the control and experimental group both at 24 hours and 48 hours of the delivery. Respectively p = 0.002 at both 24 hours and p = 0, 001 for 48 hours. 11. The reasons were lack of rooming in and non willingness on mothers part. There was significant difference in the scores. p = 0.007 0.05 at df = 1 X 2 test Acknowledgement I gratefully acknowledge the support and generosity of RSUP M Djamil Padang and subjects who have participated in this research, without which the present 1278 study could not have been completed. Thank for colleagues STIKes Karya Husada Kediri that greatly assisted the publications.