Maternal Infant-Feeding Attitudes, Infant Eating Behaviors, and Maternal Feeding Choice at 3 and 6 Months Postpartum: A Comparative Multicenter International Study

2020 ◽  
Vol 15 (8) ◽  
pp. 528-534
Author(s):  
Jinyue Yu ◽  
Zhuang Wei ◽  
Olga Lukoyanova ◽  
Tatyana Borovik ◽  
Mary S. Fewtrell
2015 ◽  
Vol 29 (S1) ◽  
Author(s):  
K Pilles ◽  
YQ Dong ◽  
WC Willett ◽  
KB Michels ◽  
MR Forman

2019 ◽  
Vol 32 ◽  
pp. 78-84 ◽  
Author(s):  
Amrik Singh Khalsa ◽  
Jessica G. Woo ◽  
Roohi Y. Kharofa ◽  
Sheela R. Geraghty ◽  
Thomas G. DeWitt ◽  
...  

JOGN Nursing ◽  
1984 ◽  
Vol 13 (2) ◽  
pp. 115-118 ◽  
Author(s):  
Dorothy VanPoppel Ray ◽  
Patricia Jenaway Estok

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 767-767
Author(s):  
Maryam Kebbe ◽  
Abby Altazan ◽  
Robbie Beyl ◽  
Anne Gilmore ◽  
Leanne Redman

Abstract Objectives Eating behavior is established early in life, influences infant development and health, and is likely to originate with the mother. We examined if maternal eating behaviors influenced attitudes towards infant feeding styles and whether these associations differed by infant feeding mode (breastfeeding and formula-feeding). Methods This was an observational study in 35 low-income mother-infant dyads. Postpartum women (≥18 years old, 25 ≤ BMI < 40 kg/m2) in the Louisiana Women, Infants, and Children (WIC) program completed the Eating Inventory and Infant Feeding Styles Questionnaire to assess maternal eating behavior (dietary restraint, disinhibition, and perceived hunger) and infant feeding styles (restrictive feeding, responsive feeding, and pressuring/overfeeding), respectively, 8 weeks after delivery. Linear models with fixed effects were computed with maternal age, BMI, and maternal eating behavior as covariates using SPSS (p < 0.05 to indicate significance). Results Thirty-four % of the mothers were breastfeeding (n = 12) and 66.0% were formula-feeding (n = 23). Infant feeding styles were not predicted by maternal eating behaviors (all p > 0.05). In mothers who breastfed, maternal dietary restraint was positively associated with infant pressuring/overfeeding (β = 0.91, p < 0.05) and was different from those in the formula fed group (Δ = 1.37, p = 0.02). In addition, maternal disinhibition was negatively associated with restrictive infant feeding (β = −0.53, p < 0.05) and was different from those in the formula fed group (Δ = −0.95, p = 0.003). Comparatively, in mothers who formula-fed, restrictive infant feeding was predicted by maternal disinhibition (β = 0.42, p < 0.01; Δ = −0.95, p = 0.003) and maternal perceived hunger (β = 0.43, p < 0.01; Δ = 0.71, p = 0.007). Conclusions Maternal eating behavior is associated with infant feeding styles only when feeding mode is considered. Interventions educating mothers on how their own eating behaviors have the potential to influence eating behaviors of their children are needed. Funding Sources USDA Small Grants Program and the NIH (T32DK064584, and U54 GM104940).


2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Gloria Katuta Mayondi ◽  
Aamirah Mussa ◽  
Rebecca Zash ◽  
Sikhulile Moyo ◽  
Arielle Issacson ◽  
...  

Abstract Background Botswana updated its antiretroviral treatment (ART) guidelines in May 2016 to support breastfeeding for women living with HIV (WLHIV) on ART who have documented HIV RNA suppression during pregnancy. Methods From September 2016 to March 2019, we evaluated feeding method at discharge among WLHIV at eight government maternity wards in Botswana within the Tsepamo Study. We validated the recorded feeding method on the obstetric record using the prevention of mother-to-child transmission of HIV (PMTCT) counsellor report, infant formula dispensing log or through direct observation. Available HIV RNA results were recorded from the obstetric record, and from outpatient HIV records (starting February 2018). In a subset of participants, we used electronic laboratory records to verify whether an HIV RNA test had occurred. Univariable and multivariable logistic regression analyses were performed to identify factors associated with infant feeding choice. Results Among 13,354 WLHIV who had a validated feeding method at discharge, 5303 (39.7%) chose to breastfeed and 8051 (60.3%) chose to formula feed. Women who had a documented HIV RNA result in the obstetric record available to healthcare providers at delivery were more likely to breastfeed (50.8%) compared to women who did not have a documented HIV RNA result (35.4%) (aOR 0.59; 95% CI 0.54, 0.65). Among women with documented HIV RNA, 2711 (94.6%) were virally suppressed (< 400 copies/mL). Breastfeeding occurred in a substantial proportion of women who did not meet criteria, including 46 (30.1%) of 153 women with HIV RNA > 400 copies/mL, and 134 (27.4%) of 489 women with no reported ART use. A sub-analysis of electronic laboratory records among 150 women without a recorded result on the obstetric record revealed that 93 (62%) women had an HIV RNA test during pregnancy. Conclusions In a setting of long-standing use of suppressive ART, with majority of WLHIV on ART from the time of conception, requiring documentation of HIV RNA suppression in the obstetric record to inform infant feeding decisions is a barrier to breastfeeding but unlikely to prevent a substantial amount of HIV transmission.


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