Is There a Link Between Postpartum Anemia And Discontinuation of Breastfeeding?

2006 ◽  
Vol 67 (2) ◽  
pp. 72-76 ◽  
Author(s):  
France M. Rioux ◽  
Nadya Savoie ◽  
Jacques Allard
Keyword(s):  
Infant Feeding ◽  
Parental Education ◽  
Family Income ◽  
Iron Status ◽  
Feeding Practices ◽  
Socioeconomic Background ◽  
Term Infants ◽  
Healthy Infants ◽  
Early Postpartum ◽  
Health Canada

Purpose: Factors associated with early cessation of breastfeeding were identified and patterns of infant feeding were examined. Feeding practices were compared with the 1998 guidelines in Nutrition for Healthy Term Infants and with recent Health Canada recommendations. Methods: To recruit participants, a letter was sent to every mother (n=424) who gave birth at Dr. Georges-L. Dumont Regional Hospital in Moncton from April 1998 to February 1999. Eighty-five mothers agreed to participate with their infants. Information on infant feeding patterns and socioeconomic background was gathered with semi-structured questionnaires. Only healthy infants from singleton pregnancies were included in this study. Results: At birth, almost 83% of infants were breastfed. The proportions of infants breastfed for at least four, six, and nine months were 43%, 22%, and 9%, respectively. As many as 34% of infants were introduced to baby cereals before age four months, and 21% were introduced to cow’s milk before age nine months. Lower family income, lower level of parental education, and reduced postpartum hemoglobin level (below 95 g/L) were associated with discontinuation of breastfeeding before infants were four months old. Conclusions: Early postpartum nutrition interventions may be effective in ensuring follow-up care for mothers with compromised iron status, in supporting breastfeeding for at least six months, and in promoting better infant feeding practices.

Iron Status and Infant Feeding Practices in an Urban Ambulatory Center

PEDIATRICS ◽  
1983 ◽  
Vol 72 (1) ◽  
pp. 33-36
Author(s):  
P. David Sadowitz ◽  
Frank A. Oski
Keyword(s):  
Iron Deficiency ◽  
Infant Feeding ◽  
Iron Deficiency Anemia ◽  
Iron Status ◽  
Feeding Practices ◽  
Deficiency Anemia ◽  
Cow’S Milk ◽  
Infant Feeding Practices ◽  
Cow's Milk ◽  
Iron Deficient

The relationship of infant feeding practices to iron status was examined in a group of 280 infants, 9 to 12 months of age, attending a "well-baby" clinic. Of this group, 7.6% were found to be iron depleted, 19.7% were iron deficient without anemia, and 8.2% were iron deficient with anemia. The incidence of iron-deficiency anemia was significantly greater in the black infants than the white infants (14.3% v 2.7%). The introduction of whole cow's milk into the diet had occurred prior to 6 months of age in 29.2% of the infants, and 62.1% of these infants had laboratory evidence of nutritional iron inadequacy, as contrasted with only 21.8% of those with iron deficiencies fed cow's milk after 6 months of age. Of the 21 infants with iron-deficiency anemia, 19 (90.5%) had been fed whole cow's milk prior to 6 months of age. Iron deficiency remains a nutritional problem for infants in an urban setting and is largely a result of the early introduction of whole cow's milk into the diet.

scholarly journals Effect of infant feeding practices on iron status in a cohort study of Bolivian infants

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Rachel M. Burke ◽  
Paulina A. Rebolledo ◽  
Anna M. Aceituno ◽  
Rita Revollo ◽  
Volga Iñiguez ◽  
...  
Keyword(s):  
Cohort Study ◽  
Infant Feeding ◽  
Iron Status ◽  
Feeding Practices ◽  
Infant Feeding Practices

scholarly journals Association of Infant Feeding Practices with Iron Status and Hematologic Parametersin Thai Infants at 6 Months of Age

2021 ◽  
Author(s):  
Chayatat Ruangkit ◽  
Nawapat Prachakittikul ◽  
Nutthida Hemprachitchai ◽  
Oraporn Dumrongwongsiri ◽  
Sasivimon Soonsawad
Keyword(s):  
Logistic Regression ◽  
Iron Deficiency ◽  
Infant Feeding ◽  
Iron Supplementation ◽  
Complete Blood Count ◽  
Reference Group ◽  
Iron Status ◽  
Feeding Practices ◽  
Deficiency Anemia ◽  
Infant Feeding Practices

Abstract Background: An infant's iron intake in the first 6 months of life comes solely from milk intake. However, infants' feeding practices vary, and their association with infants' iron status and hematologic parameters has not been well studied. We aimed to evaluate how different infant feeding practices associate with iron status and hematologic parameters among 6-month-old Thai infants. Methods: In a retrospective chart review, we identified 403 infants who attended a well-baby clinic and received laboratory screening for anemia (complete blood count and serum ferritin) at 6-month visits. Infants were categorized into four groups according to feeding practices. Hematologic parameters and incidence of anemia (hemoglobin [Hb]<11 g/dL), iron deficiency (ID; ferritin<12 ng/mL), and iron deficiency anemia (IDA; Hb<11 g/dL and ferritin<12 ng/mL) were compared between groups. Univariate and multiple logistic regression models were used to identify IDA associated factors among 6-month-old infants. Results: In total, 105 infants were breastfed (BF), 78 were breastfed with iron supplementation (BI), 109 infants were mixed-fed (breast milk and formula) with or without iron supplementation starting at age 4 months (MF), and 111 infants were formula-fed (FF). The BF group had the highest incidence of anemia, ID, and IDA. Anemia was found in 38.1% of BF infants compared with 21.8% of BI, 19.3% of MF, and 16.2% of FF infants (p<0.001). ID was found in 28.6% of BF infants compared with 3.8% of BI, 3.7% of MF, and 0.9% of FF infants (p<0.001). IDA was found in 17.1% of BF infants compared with 2.6% of BI, 0.9% of MF, and 0.9% of FF infants (p<0.001). In multivariate logistic regression, higher weight gain during 0–6 months slightly increased the risk of IDA and higher birth weight slightly decreased this risk. BI, MF, and FF infants had 90.4%, 97.5%, and 96.9% decreased risk of IDA, respectively, with BF infants as a reference group. Conclusion: The incidence of anemia, ID, and IDA at age 6 months was higher in BF than FF or partially BF infants. However, iron supplements in BF infants starting at 4 months significantly reduced their ID and IDA incidence.

scholarly journals Complementary feeding practices and their association with adiposity indicators at 12 months of age

2020 ◽  
pp. 1-8
Author(s):  
Ameyalli M. Rodríguez-Cano ◽  
Jennifer Mier-Cabrera ◽  
Carolina Rodríguez-Hernández ◽  
Ana L Allegre-Dávalos ◽  
Cinthya Muñoz-Manrique ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Waist Circumference ◽  
Infant Feeding ◽  
Body Mass ◽  
Complementary Feeding ◽  
Feeding Practices ◽  
Infant Feeding Practices ◽  
Linear Regression Models ◽  
Term Infants ◽  
Added Sugars

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.

scholarly journals Stratification in Extended Education Participation and its Implications for Education Inequality

2020 ◽  
Vol 7 (2-2019) ◽  
pp. 160-177
Author(s):  
Sang Hoon Bae ◽  
Eunwon Cho ◽  
Bo-Kyung Byun
Keyword(s):  
Parental Education ◽  
Latent Profile Analysis ◽  
Family Income ◽  
Profile Analysis ◽  
Academic Program ◽  
Socioeconomic Background ◽  
Education Inequality ◽  
Different Types ◽  
Education Participation ◽  
Extended Education

This study identified subgroups of elementary students based on similar patterns of participation in four different types of extended education in Korea. The study also investigated relationships between student patterns of extended education participation and their various demographic and socioeconomic characteristics, including residential location, parental education, and family income level. To achieve these aims, the study used latent profile analysis and logistic regression on a dataset of 18,186 students from 786 elementary schools provided by Statistics Korea. Results reveal five distinctive subgroups of students in terms of extended education participation: afterschool academic program users, shadow education users, moderate afterschool academic program users, ordinary users, and talent development seekers. Results also show that student socioeconomic and demographic characteristics are strongly associated with their classification into the above-mentioned subgroups. These findings signal the possibility that “educational stratification” based on student socioeconomic background may be occurring in the area of extended education.

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 ◽  
...  
Keyword(s):  
Infant Feeding ◽  
Feeding Practices ◽  
Infant Feeding Practices ◽  
Term Infants

scholarly journals Reported infant feeding practices and contextual influences on breastfeeding: qualitative interviews with women registered to MomConnect in three South African provinces

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Zara Trafford ◽  
Sara Jewett ◽  
Alison Swartz ◽  
Amnesty E. LeFevre ◽  
Peter J. Winch ◽  
...  
Keyword(s):  
Health System ◽  
South African ◽  
Infant Feeding ◽  
Qualitative Interviews ◽  
Feeding Practices ◽  
Policy Support ◽  
Infant Feeding Practices ◽  
Local Policy ◽  
Framework Analysis ◽  
Younger Women

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.

scholarly journals An Assessment of the Breastfeeding Practices and Infant Feeding Pattern among Mothers in Mauritius

2013 ◽  
Vol 2013 ◽  
pp. 1-8 ◽  
Author(s):  
Ashmika Motee ◽  
Deerajen Ramasawmy ◽  
Prity Pugo-Gunsam ◽  
Rajesh Jeewon
Keyword(s):  
Infant Feeding ◽  
Infant Nutrition ◽  
Feeding Practices ◽  
Feeding Pattern ◽  
Infant Feeding Practices ◽  
Chi Square ◽  
Breastfeeding Practices ◽  
Childhood Morbidity ◽  
The Mean ◽  
Type Of Delivery

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.

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