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VOLUME 6 , ISSUE 2 ( May-August, 2021 ) > List of Articles


Assessment on Adoption Behavior of First-time Mothers on the Usage of Chatbots for Breastfeeding Consultation

Vaishnavi Gupta, Nikita Arora, Yash Jain, Sushil Mokashi, Chiranjibi Panda

Keywords : Artificial intelligence in Healthcare, Chatbots, Postpartum depression

Citation Information : Gupta V, Arora N, Jain Y, Mokashi S, Panda C. Assessment on Adoption Behavior of First-time Mothers on the Usage of Chatbots for Breastfeeding Consultation. J Mahatma Gandhi Univ Med Sci Tech 2021; 6 (2):64-68.

DOI: 10.5005/jp-journals-10057-0161

License: CC BY-NC 4.0

Published Online: 31-08-2021

Copyright Statement:  Copyright © 2021; The Author(s).


In today's world, there is more reliance on technologically advanced systems and artificial intelligence (AI) to shoulder the work-related commitments of individuals, corporate giants, government, or businesses. Artificial intelligence refers to the human-like intelligence exhibited by a computer, robot, or other machines ( Many high-tech advancements in the field of healthcare are all due to improvements and evolutions in AI. Moreover, an AI-powered chatbot swiftly responds to all the queries; reducing the lag time and other hindrances. They have become real-time healthcare assistants, bringing about revolutions in the healthcare industry. The future belongs to AI-enabled technologies and henceforth, leading to an increased importance of the introduction of this kind of technology in the public health sector also. An important constituent in the public health sector is a maternal issue like breastfeeding. There are several challenges, doubts, hesitations, and skepticism that new mothers face while breastfeeding their kids. Along with facing postpartum depression, several new or first-time mothers have limited knowledge about breastfeeding. This paper focuses on the usage of AI-enabled chatbots that educates first-time mothers regarding anxiety, stress, postpartum depression, and lactation patterns. The paper gives an insight into the adoption behavior of new mothers using chatbots related to breastfeeding counseling. The authors have gone thru 85 peer-reviewed papers published between the years 2002 and 2020 and found this research to be one of its kinds in this sphere. The study includes the population of new mothers from the city of Amritsar and Jaipur, India, and gives solutions with respect to problems and doubts pertaining to breastfeeding the newborn.

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  1. McIntyre E, Hiller JE, Turnbull D. Determinants of infant feeding practices in a low socio-economic area: identifying environmental barriers to breastfeeding. Aus New Zealand J Public Health 1999;23(2):207–209. DOI: 10.1111/j.1467-842x.1999.tb01238.x.
  2. Li R, Fridinger F, Grummer-Strawn L. Public perceptions on breastfeeding constraints. J Human Lactat 2002;18(3):227–235. DOI: 10.1177/089033440201800304.
  3. Garg R, Deepti S, Padda A, et al. Breastfeeding knowledge and practices among rural women of punjab, India: a community-based study. Breastfeed Med 2010;5(6):303–307. DOI: 10.1089/bfm.2010.0005.
  4. Divyarani DC, Patil. Knowledge, attitude, and practices of breast feeding among post natal mothers. Int J Contemp Pediat 2015;2:445–449. DOI: 10.18203/2349-3291.ijcp201509.
  5. Binns C, Lee M, Low WY. The long-term public health benefits of breastfeeding. Asia-Paci J Public Health 2016;28(1):7–14. DOI: 10.1177/1010539515624964.
  6. Aruldas K, Khan ME, Hazra A. Increasing early and exclusive breastfeeding in rural Uttar Pradesh. J Family Welfare 2010;56(special issue 2010):43–50.
  7. Javaid M, Fatima B, Batool A. Bridging the knowledge gaps in lady health visitors through video based learning tool. In Proceedings of the Ninth International Conference on Information and Communication Technologies and Development 2017. pp. 1–4.
  8. Patel A, Kuhite P, Puranik A, et al. Effectiveness of weekly cell phone counselling calls and daily text messages to improve breastfeeding indicators. BMC Pediat 2018;18(1):337. DOI: 10.1186/s12887-018-1308-3.
  9. Miner AS, Laranjo L, Kocaballi AB. Chatbots in the fight against the COVID-19 pandemic. NPJ Digit Med 2020;3:65. DOI: 10.1038/s41746-020-0280-0.
  10. Paneru S. Breast feeding in Nepal: religious and culture beliefs. Contrib Nepal Stud 1981;8:43–54.
  11. Sisk PM, Lovelady CA, Dillard RG, et al. Lactation counseling for mothers of very low birth weight infants: effect on maternal anxiety and infant intake of human milk. Pediatrics 2006;117(1):e67–e75. DOI: 10.1542/peds.2005-0267.
  12. Phukan D, Ranjan M, Dwivedi LK. Impact of timing of breastfeeding initiation on neonatal mortality in India. Int Breastfeed J 2018;13(1):1–10.
  13. Green E, Lai Y, Pearson N, et al. Expanding access to perinatal depression treatment in Kenya through automated psychological support: stage 2 registered report. 2020. DOI: 10.31219/
  14. Foss KA, Southwell BG. Infant feeding and the media: the relationship between Parents’ Magazine content and breastfeeding, 1972-2000. Int Breastfeed J 2006;1:10. DOI: 10.1186/1746-4358-1-10.
  15. Ogbo FA, Dhami MV, Awosemo AO, et al. Regional prevalence and determinants of exclusive breastfeeding in India. Int breastfeed J 2019;14:20. DOI: 10.1186/s13006-019-0214-0.
  16. Mahmood SE, Srivastava A, Shrotriya VP, et al. Infant feeding practices in the rural population of north India. J Family community Med 2012;19(2):130–135. DOI: 10.4103/2230-8229.98305.
  17. Pereira J, Díaz Ó. Using health chatbots for behavior change: a mapping study. J Med Syst 2019;43(5):135. DOI: 10.1007/s10916-019-1237-1.
  18. Saxena V, Kumari R. Infant and young child feeding – knowledge and practices of ASHA workers of doiwala block, Dehradun district. Indian J Community Health 2014;26(1):68–75. Retrieved from:
  19. Puri S. Transition in infant and young child feeding practices in India. Curr Diabet Rev 2017;13(5):477–481. DOI: 10.2174/1573399812666160819152527.
  20. Sankar MJ, Sinha B, Chowdhury R, et al. Optimal breastfeeding practices and infant and child mortality: a systematic review and meta-analysis. Acta Paediatrica (Oslo, Norway: 1992) 2015;104(467):3–13. DOI: 10.1111/apa.13147.
  21. Lau C. Breastfeeding challenges and the preterm mother-infant dyad: a conceptual model. Breastfeed Med 2018;13(1):8–17. DOI: 10.1089/bfm.2016.0206.
  22. Gianni ML, Bezze EN, Sannino P, et al. Maternal views on facilitators of and barriers to breastfeeding preterm infants. BMC Pediatr 2018;18:283. DOI: 10.1186/s12887-018-1260-2.
  23. Ikonen R, Paavilainen E, Kaunonen M. Preterm infants’ mothers’ experiences with milk expression and breastfeeding: an integrative review. Adv Neonatal Care 2015;15(6):394–406. DOI: 10.1097/ANC.0000000000000232.
  24. Dennison BA, Nguyen TQ, Gregg DJ, et al. The impact of hospital resources and availability of professional lactation support on maternity care: results of breastfeeding surveys 2009-2014. Breastfeed Med 2016;11:479–486. DOI: 10.1089/bfm.2016.0072.
  25. McFadden A, Siebelt L, Marshall JL, et al. Counselling interventions to enable women to initiate and continue breastfeeding: a systematic review and meta-analysis. Int Breastfeed J 2019;14:42. DOI: 10.1186/s13006-019-0235-8.
  26. Smith HA, Becker GE. Early additional food and fluids for healthy breastfed full-term infants. Cochrane Database System Rev 2016(8):CD006462. DOI: 10.1002/14651858.CD006462.pub4.
  27. Jones KM, Power ML, Queenan JT, et al. Racial and ethnic disparities in breastfeeding. Breastfeed Med 2015;10(4):186–196. DOI: 10.1089/bfm.2014.0152.
  28. Gupta A, Dadhich JP, Ali SM, et al. Skilled counseling in enhancing early and exclusive breastfeeding rates: an experimental study in an urban population in India. Indian Pediat 2019;56(2):114–118.
  29. Holmes DS, Mergen AE. Converting survey results from four-point to five-point scale: a case study. Total Qual Manag Busin Excell 2014;25(1-2):175–182.
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