International Journal of Obstetrics, Perinatal and Neonatal Nursing
A Descriptive Study to Assess the Knowledge, Attitude, and Practice (KAPap) Regarding Colostrum Feeding Among Postnatal Mothers in Tertiary Care Rural Hospital
1.Student, Department of Obstetrics and Gynaecological Nursing, Kasturba Nursing College, Sevagram, Wardha, Maharashtra, India
2.Associate Professor, Department of Obstetrics and Gynaecological Nursing, Kasturba Nursing College, Sevagram, Wardha, Maharashtra, India
Abstract
Background: Colostrum, the initial milk secreted following delivery, is packed with antibodies and vital nutrients. Despite its benefits, cultural myths and lack of awareness often lead to its avoidance. Objectives: To assess knowledge, attitude, and practice (KAP) of postnatal mothers regarding colostrum feeding, to examine correlations among them, and to explore associations with demographic variables. Methods: A quantitative descriptive study was carried out with 225 postnatal mothers at a rural tertiary care hospital in Maharashtra. Information was gathered using a structured and validated questionnaire assessing knowledge, attitude, and practice (KAP). The data were analyzed using both descriptive and inferential statistical methods. Results: More than half of the mothers (52.9%) had inadequate knowledge, while 66.7% reported unfavorable attitudes. In contrast, the majority demonstrated good to excellent feeding practices. Mean scores were 5.86 ± 2.89 (knowledge), 20.62 ± 6.09 (attitude), and 7.0 ± 1.56 (practice). Strong positive relationships were found between knowledge and attitude (r = 0.975), knowledge and practice (r = 0.672), and attitude and practice (r = 0.624). Significant associations were found between knowledge and age/education, attitude, and religion/gravid status, and practice with family type, residence, and mode of delivery. Conclusion: Despite favorable feeding practices, inadequate knowledge and negative attitudes remain a concern. Targeted health education interventions are recommended to improve awareness and attitudes toward colostrum feeding.
Keywords: Attitude, breastfeeding, colostrum, knowledge, postnatal mothers, practice
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