Comparison of Breast Feeding Counseling and Video Demonstration on Exclusive Breast Feeding Rates at 6 Weeks
Comparison of Breast Feeding Counseling and Video Demonstration on Exclusive Breast Feeding Rates at 6 Weeks
The investigators hypothesize that counseling of mothers will increase exclusive breast
 feeding rates at six weeks postnatal age. In developing countries like India,there is
 shortage of staff and the number of newborns cared is huge. So counseling of mothers for
 breast feeding becomes difficult. In such a situation using audio-visual aids may be a more
 practical option to increase breast feeding rates. Therefore the investigators will compare
 the use of video demonstration with counseling for exclusive breast feeding.
1. Study design - Randomized controlled trial.

 2. Inclusion criteria- All mothers who deliver at term at Deen Dayal Upadhayay Hospital
 [DDUH ]whether booked or unbooked.

 3. Exclusion criteria -

 1. Sick mother who is unable to communicate

 2. Congenital malformation

 3. Babies admitted in neonatal intensive care unit

 4. HIV positive mother

 5. Mother on chemotherapy/planned for chemotherapy.

 4. Setting of the study - The study will be conducted at postnatal wards of DDUH, New Delhi

 5. Period of study-January 2009 to December 2009.

 6. Sample size- We did a pilot study to see the baseline exclusive breast feeding rates at
 six weeks in mothers who delivered at DDUH. The baseline exclusive breast feeding rates
 at six weeks is 60%. Expecting a 10% absolute increase in exclusive breast feeding rates
 and alpha=0.05 and power beta=80% our sample size is 376 per group. Taking into account
 the loss to follow up of 20% we plan to enroll 470 mothers per group. So our sample size
 is 1410 mothers.

 7. Ethics and consent-Ethical clearance will be obtained from ethical committee of DDUH.
 Written and informed consent will be taken from the mothers before enrolment.

 8. Randomization - It will be an open-label randomized controlled trial. Random numbers
 will be obtained from a computer generated table. Mothers will be grouped into three
 groups: counseling group, video group and control group. The codes will be kept in
 sealed opaque envelopes. There will be allocation concealment since the mothers and the
 principle investigator will be unaware of the group to which they will be randomized.

 9. Methods- The principle investigator will visit the postnatal wards daily except on
 holidays and look for the eligible mothers who will be asked for written and informed
 consent. Those who give the consent will be enrolled and randomized to counseling group,
 video group and control groups. The mothers in the intervention group will be counseled
 along with the husband and mother/mother-in-law/female caretaker. The mothers in the
 video group will be shown a video on breast feeding. The baseline characteristics of the
 three groups will be recorded. The mothers in the control group will receive standard
 care.
Inclusion Criteria:

 -  All mothers who deliver at term at Deen Dayal Upadhayay Hospital [DDUH ]whether booked
 or unbooked.

 Exclusion Criteria:

 -  Sick mother who is unable to communicate

 -  Congenital malformation

 -  HIV positive mother

 -  Mother on chemotherapy/planned for chemotherapy.