Infant feeding practices in the first 24-48 h of life in healthy term infants

2013 ◽  
Vol 102 (7) ◽  
pp. e315-e320 ◽  
Author(s):  
HM Johns ◽  
DA Forster ◽  
LH Amir ◽  
AM Moorhead ◽  
KM McEgan ◽  
...  
Author(s):  
Ameyalli M. Rodríguez-Cano ◽  
Jennifer Mier-Cabrera ◽  
Carolina Rodríguez-Hernández ◽  
Ana L Allegre-Dávalos ◽  
Cinthya Muñoz-Manrique ◽  
...  

Abstract Nutrition during the first 1000 days of life represents a window of opportunity to reduce the risk of metabolic dysfunctions later in life. Exclusive breastfeeding (EBF) and adequate introduction of solid foods are essential to promote metabolic and nutritional benefits. We evaluated the association of infant feeding practices from birth to 6 months (M) with adiposity indicators at 12 M. We performed a secondary analysis of 106 healthy term infants born from a cohort of healthy pregnant women. Type of breastfeeding (exclusive or nonexclusive), the start of complementary feeding (CF) (before (<4 M) or after (≥4 M)), and adiposity (body mass index – BMI, body mass index-for-age – BMI/A, waist circumference – WC, and waist circumference–length ratio – WLR) were evaluated at 12 M using descriptive statistics, mean differences, X2, and linear regression models. During the first 6 M, 28.3% (n = 30) of the infants received EBF. Early CF (<4 M) was present in 26.4% (n = 28) of the infants. Children who started CF < 4 M were less breastfed, received added sugars as the most frequently introduced food category, and showed higher BMI, BMI/A, WC, and WLR; those who consumed added sugars early (<4 M) had a higher WC. Starting CF < 4 M was the main factor associated with a higher WC at 12 M. Unhealthy infant feeding practices, such as lack of EBF, early CF, and early introduction of sugars, may be associated with higher adiposity at 12 M.


2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Zara Trafford ◽  
Sara Jewett ◽  
Alison Swartz ◽  
Amnesty E. LeFevre ◽  
Peter J. Winch ◽  
...  

Abstract Background Global guidelines recommend exclusive breastfeeding (EBF) for the first 6 months of life. South African EBF rates have steadily increased but still only average 32% for infants below 6 months of age. Malnutrition and developmental delays continue to contribute substantially to the morbidity and mortality of South African children. MomConnect, a national mHealth messaging system used to send infant and maternal health messages during and after pregnancy, has a specific focus on improving rates of breastfeeding and has achieved high rates of population coverage. Methods For this qualitative study, we interviewed women who were registered to MomConnect to investigate their breastfeeding and other infant feeding practices, decision-making pre- and post-delivery, and the role of the health system, family members and the wider community in supporting or detracting from breastfeeding intentions. Data were collected from February–March 2018 in South Africa’s KwaZulu-Natal, Free State and Gauteng provinces. Framework analysis was conducted to identify common themes. Results Most women interviewed had breastfed, including HIV-positive women. Even when women had delivered by caesarean section, they had usually been able to initiate breastfeeding a few hours after birth. Understandings of EBF varied in thoroughness and there was some confusion about the best way to cease breastfeeding. Most women felt well-equipped to make infant feeding decisions and to stick to their intentions, but returning to work or school sometimes prevented 6 months of EBF. Advice from the health system (both via clinics and MomConnect) was considered helpful and supportive in encouraging EBF to 6 months, although family influences could thwart these intentions, especially for younger women. Mothers reported a range of breastfeeding information sources that influenced their choices, including social media. Conclusions Efforts to improve EBF rates must include consideration of the social and economic environment surrounding women. Interventions that focus only on improving women’s knowledge are valuable but insufficient on their own. Attention should also be paid to infant behaviors, and how these affect women’s breastfeeding choices. Finally, although there is strong local policy support for EBF, more rigorous implementation of these and other broader changes to create a more enabling structural environment ought to be prioritized.


2013 ◽  
Vol 2013 ◽  
pp. 1-8 ◽  
Author(s):  
Ashmika Motee ◽  
Deerajen Ramasawmy ◽  
Prity Pugo-Gunsam ◽  
Rajesh Jeewon

Proper breastfeeding practices are effective ways for reducing childhood morbidity and mortality. While many mothers understand the importance of breastfeeding, others are less knowledgeable on the benefits of breastfeeding and weaning. The aim in here is to assess breastfeeding pattern, infant formula feeding pattern, and weaning introduction in Mauritius and to investigate the factors that influence infant nutrition. 500 mothers were interviewed using a questionnaire which was designed to elicit information on infant feeding practices. Statistical analyses were done using SPSS (version 13.0), whereby chi-square tests were used to evaluate relationships between different selected variables. The prevalence of breastfeeding practice in Mauritius has risen from 72% in 1991 to 93.4% as found in this study, while only 17.9% breastfed their children exclusively for the first 6 months, and the mean duration of EBF (exclusive breastfeeding) is 2.10 months. Complementary feeding was more commonly initiated around 4–6 months (75.2%). Despite the fact that 60.6% of mothers initiate breastfeeding and 26.1% of mothers are found to breastfeed up to 2 years, the practice of EBF for the first 6 months is low (17.9%). Factors found to influence infant feeding practices are type of delivery, parity, alcohol consumption, occupation, education, and breast problems.


BMJ ◽  
1979 ◽  
Vol 2 (6197) ◽  
pp. 1073-1073
Author(s):  
D Freed ◽  
D Mackay

BMJ ◽  
1973 ◽  
Vol 2 (5869) ◽  
pp. 762-764 ◽  
Author(s):  
R. K. Oates

PEDIATRICS ◽  
1989 ◽  
Vol 83 (5) ◽  
pp. 678-678

In the article "Infant-Feeding Practices and Their Relationship With Diarrheal and Other Diseases in Huascar (Lima), Peru," by Brown et al (Pediatrics 1989;83:31-40), the following errors appeared. In Tables 2 and 3, the word "incidence" should be replaced by the word "prevalence." Table 5, as printed, is incorrect and should be replaced by the following. [SEE TABLE 5. IN SOURCE PDF.]


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