Table 5 Barriers and facilitators* for giving breast milk within one hour of birth and for not giving other fluids or foods within the first three days of life
From: Breastfeeding in infancy: identifying the program-relevant issues in Bangladesh
| Â | Barriers | Facilitators | ||
|---|---|---|---|---|
Recommended Practice | Internal | External | Internal | External |
Giving breast milk within one hour of birth | - did not know that baby has to be given breast milk first - put baby to breast but there was no milk - tried to breastfeed 6 hours later - milk came in late - placenta delivered late | - mother and child have to be bathed first/relatives take time - mother not well/unconscious/doctor took time to examine the mother - delay in bringing baby to be fed/caesarean, twin births - grandmother's decision about what to give when/no milk - baby was ill/weak, unable to suck - no one helped - midwife discouraged breastfeeding for first 3 days | - knew that it is important to breast- feed as soon as possible - told by health center staff/doctor about giving breast milk immediately | - mother was well after delivery so could start breastfeeding - doctor said to immediately put baby to breast - normal delivery - had caesarean but nurses brought baby to feed immediately |
Not giving other fluids or foods within the first three days of life | - did not know that other liquids should not be given - knows that milk does not come for 3 days/then something must be given - heard that substances like sugar water (to prevent throat from drying), honey (for sweet words/preventing illness), mustard oil (to clean mouth) are required to be given | - older women know better- advise honey - mother was ill, so others gave honey/doctor gave oral saline to baby - everyone gives other fluids first - TBA± advised sugar water as baby's throat dries - grandmother cleaned mouth with mustard oil to clear impurities, then gave honey - honey/glucose water given as milk did not come - village doctor gave glucose water - mothers do not decide what to give | - mother knew about giving breast milk first from TV, doctors and health workers | - doctor did not allow/said ok not to give anything for few hours - milk came so other fluid was not given - grandmother said not to give anything/causes disease/was bad - there was nothing else available to give the baby |