Research metodology 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