Knowledge, attitude and practice of Saudi women in Najran area towards breastfeeding during Ramadan.

Breastfeeding is the gold standard for infant feeding practice. Many factors influence breastfeeding, one of them is breastfeeding during Ramadan. The objective of our study was to assess the knowledge, practice and attitude of breastfeeding among women in Najran area, Saudi Arabia, during month of Ramadan. A descriptive cross-sectional study using a self-administrated questionnaire was conducted in June and July 2015. A total of 169 breastfeeding women visiting the Gynaecology Clinic in Najran University hospital were randomly recruited. Data were analysed by using statistical package for the social sciences version 20.0. Of the study population, 89.9% showed that they used to practice breastfeeding while fasting during the day in Ramadan (p < 0.000). The study revealed that 85.8% of the participants thought that fasting does not alter the nutritional composition of breast milk (p < 0.001). Around 80.5% stated that fasting has no adverse effect on the volume of breast milk and the growth of the infants during Ramadan. Women's knowledge about fasting and infant growth was significantly associated with their age and education (p value =0.011 and 0.031, respectively). To conclude, majority of the study population had positive knowledge, attitude and practice towards breastfeeding in Ramadan. Breastfeeding promotion programs are needed to provide support and advice to women regarding breastfeeding during Ramadan and improve their breastfeeding attitudes and knowledge which will lead to short- and long-term benefits for infants, mothers, environment, economy and the entire society.

[1]  Azka Mir Impact of Prenatal Exposure to Fasting on Child Health Outcomes , 2017 .

[2]  I. Sultan,et al.  Ramadan Fasting and Maternal Perspectives in Healthy Pregnant Women : Systematic Review , 2015 .

[3]  H. Saied,et al.  Breastfeeding knowledge, Attitude and Barriers among Saudi Women in Riyadh , 2013 .

[4]  J. Lawrence,et al.  Saudi Mothers’ Expected Intentions and Attitudes Toward Breast-Feeding , 2010 .

[5]  E. Yanıkkerem,et al.  Breast-feeding knowledge and practices among mothers in Manisa, Turkey. , 2009, Midwifery.

[6]  I. Emodi,et al.  Exclusive breastfeeding--the relationship between maternal perception and practice. , 2009, Nigerian journal of clinical practice.

[7]  A. A. Al Salloum,et al.  Trends in infant nutrition in Saudi Arabia: compliance with WHO recommendations , 2009, Annals of Saudi medicine.

[8]  H. Tamim,et al.  Patterns of breastfeeding practice during the first 6 months of life in Saudi Arabia. , 2008, Saudi medical journal.

[9]  E. Taheri,et al.  Impact of Maternal Ramadan Fasting on Growth Parameters in Exclusively Breast-fed Infants , 2007 .

[10]  G. Samur,et al.  The effect of Ramadan on maternal nutrition and composition of breast milk , 2006, Pediatrics international : official journal of the Japan Pediatric Society.

[11]  Ziaee,et al.  The changes of metabolic profile and weight during Ramadan fasting. , 2006, Singapore medical journal.

[12]  P. Braveman,et al.  Socioeconomic Status and Breastfeeding Initiation among California Mothers , 2006, Public health reports.

[13]  S. Siddiqui,et al.  Breast feeding in a Saudi Arabian community. Profile of parents and influencing factors. , 2004, Saudi medical journal.

[14]  M. Nomani,et al.  Improved serum HDL cholesterol profile among Bangladeshi male students during Ramadan fasting. , 2004, Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit.

[15]  M. Al-Jassir,et al.  A Review of some Statistics on Breastfeeding in Saudi Arabia , 2003, Nutrition and health.

[16]  Carol Ho The optimal duration of exclusive breastfeeding. , 2013, Journal of advanced nursing.

[17]  I. Ertem,et al.  Attitudes and practices of breastfeeding mothers regarding fasting in Ramadan. , 2001, Child: care, health and development.

[18]  A. Bener,et al.  Fasting during the holy month of Ramadan does not change the composition of breast milk , 2001 .

[19]  K. Madani,et al.  Breast-feeding patterns in Saudi Arabia. , 1994, Ecology of food and nutrition.

[20]  B. Reichman,et al.  Continuation of Breast‐Feeding in an Israeli Population , 1993, Journal of pediatric gastroenterology and nutrition.

[21]  A. Opaneye,et al.  Islamic Festivals and Low Birthweight Infants , 1990, Journal of the Royal Society of Health.

[22]  S. Kabra,et al.  Infant feeding practices in educated mothers from upper socio-economic status. , 1990, Indian pediatrics.

[23]  J. Morse,et al.  Initiating breastfeeding: a world survey of the timing of postpartum breastfeeding. , 1990, International journal of nursing studies.

[24]  A. Prentice,et al.  The effect of water abstention on milk synthesis in lactating women. , 1984, Clinical science.

[25]  A. Prentice,et al.  Metabolic consequences of fasting during Ramadan in pregnant and lactating women. , 1983, Human nutrition. Clinical nutrition.