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Objective: To study the awareness regarding appropriate breast feeding practices and advantage of breast milk among pregnant and lactating women of both urban and rural area of Nalanda district , Bihar. Methods: For studying awareness an interview schedule comprised of open ended question was developed and data was analyzed to see the differences in two independent proportions. Observation: Awareness in various aspects of breast feeding practices were poor particularly among illiterate and most of the rural literate women due to widespread illiteracy and superstition. About 2/3 rd of educated and 1/2 of the literate of urban area knew that babies should be exclusively breast fed for six months. Both rural and urban educated opined that breast milk should be started immediately after birth and breast milk helps to protect babies from cough-cold, diarrhea and other illness, In contrast illiterate of both urban & rural area were more aware of the fact that breast feeding should be continued as long as possible. Conclusion: Possible reason for suboptimal breast feeding were primarily due to lack of proper information to the mothers, inadequate health support, inability of the health care provider to help mother for appropriate breast feeding practices and aggressive promotion of infant milk substitute by commercial house. For creating awareness regarding various aspect of breast feeding through interpersonal communication in hospital set up and periphery by trained health and paramedical staff is necessary. For IEC regarding protection and promoting breast feeding among general public help of mass media of communication is needed.

A Comparative Study of Awareness of Breast Feeding Among Pregnant And Lactating women in Nalanda District (Bihar)