A detailed exploration of early infant milk feeding in a prospective birth cohort study in Ireland: combination feeding of breast milk and infant formula and early breast-feeding cessation

2020 ◽  
Vol 124 (4) ◽  
pp. 440-449 ◽  
Author(s):  
Andrea Hemmingway ◽  
Dawn Fisher ◽  
Teresa Berkery ◽  
Eugene Dempsey ◽  
Deirdre M. Murray ◽  
...  
Keyword(s):  
Breast Milk ◽  
Infant Formula ◽  
Breast Feeding ◽  
Feeding Practices ◽  
Birth Cohort Study ◽  
Valuable Insight ◽  
Professional Advice ◽  
Feeding Difficulties ◽  
Feeding Duration ◽  
Milk Feeding

AbstractBreast-feeding initiation and continuation rates in the UK and Ireland are low relative to many European countries. As a core outcome of the prospective Cork Nutrition and Development Maternal-Infant Cohort (COMBINE) study (Cork, Ireland), we aimed to describe infant milk feeding practices in detail and examine the prevalence and impact of combination feeding of breast milk and infant formula on breast-feeding duration. COMBINE recruited 456 nulliparous mothers (2015–2017) for maternal–infant follow-up via interview at hospital discharge (median 3 (interquartile range (IQR) 2, 4) d (n 453)), 1 (n 418), 2 (n 392), 4 (n 366), 6 (n 362) and 9 (n 345) months of age. Median maternal age was 32 (IQR 29, 34) years, 97 % of mothers were of white ethnicity, 79 % were Irish-born and 75 % were college-educated. Overall, 75 % breastfed to any extent at discharge and 44 % breastfed solely. At 1, 2, 4, 6 and 9 months, respectively, 40, 36, 33, 24 and 19 % breastfed solely. Combination feeding of breast milk and infant formula was common at discharge (31 %) and 1 month (20 %). Reasons for combination feeding at 1 month included perceived/actual hunger (30 %), healthcare professional advice (31 %) and breast-feeding difficulties (13 %). Of mothers who breastfed to any extent at discharge, 45 % stopped within 4 months. Mothers who combination fed were more likely to cease breast-feeding than those who breastfed solely (relative risk 2·3 by 1 month and 12·0 by 2 months). These granular data provide valuable insight to early milk feeding practices and indicate that supporting early breast-feeding without formula use may be key to the successful continuation of breast-feeding.

scholarly journals Maternal diet during lactation and breast-feeding practices have synergistic association with child diet at 6 years

2019 ◽  
Vol 23 (2) ◽  
pp. 286-294 ◽  
Author(s):  
Jacob P Beckerman ◽  
Emily Slade ◽  
Alison K Ventura
Keyword(s):  
Breast Milk ◽  
Breast Feeding ◽  
Fruits And Vegetables ◽  
Vegetable Consumption ◽  
Maternal Diet ◽  
Feeding Practices ◽  
Fruit And Vegetable Consumption ◽  
Fruit And Vegetable ◽  
Logistic Regression Models ◽  
Feeding Duration

AbstractObjective:Children breast-fed during infancy consume more fruits and vegetables than formula-fed children. This pattern is likely due, in part, to infant learning from flavours of the mother’s diet transmitted through breast milk, but more research is needed to understand associations between early flavour exposures and later dietary patterns. We examined whether breast-feeding and maternal fruit and vegetable consumption during nursing were synergistically associated with higher child fruit and vegetable consumption.Design:Prospective cohort study of breast-feeding duration, maternal diet postpartum and child diet. Complete breast-feeding and maternal diet data were available for 1396 mother–child dyads; multiple imputation was used for missing data in other variables. In separate multivariable logistic regression models, we estimated the adjusted odds of high child fruit or vegetable consumption at 12 months or 6 years as a function of breast-feeding duration, maternal fruit or vegetable consumption during nursing, and their interaction.Setting:The Infant Feeding Practices Study II and Year 6 Follow-Up.Participants:Mother–child dyads followed from birth to 6 years during 2005–2012 in the USA.Results:Longer breast-feeding duration was associated with high child fruit and vegetable consumption at 12 months. At 6 years, the interaction between breast-feeding duration and maternal vegetable consumption was associated with high child vegetable consumption.Conclusions:Higher maternal vegetable consumption and longer breast-feeding duration were synergistically associated with high child vegetable consumption at 6 years, independent of sociodemographic characteristics and fruit and vegetable availability. Exposures to vegetable flavours through breast milk may promote later child vegetable consumption.

scholarly journals PERBEDAAN FREKUENSI DIARE ANTARA BAYI YANG DIBERI ASI EKSKLUSIF DENGAN BAYI YANG DIBERI SUSU FORMULA PADA RENTANG USIA 2- 4 BULAN DI WILAYAH KERJA PUSKESMAS KLATEN TENGAH

Biomedika ◽  
2012 ◽  
Vol 4 (2) ◽  
Author(s):  
Putri Rahmitasari ◽  
Burhannudin Ichsan ◽  
Sahilah Ermawati
Keyword(s):  
Public Health ◽  
Breast Milk ◽  
Infant Feeding ◽  
Infant Formula ◽  
Breast Feeding ◽  
Exclusive Breastfeeding ◽  
Formula Milk ◽  
Cross Sectional ◽  
Main Indicator ◽  
Milk Feeding

The main indicator of public health’s degree is infant mortility rate (IMR). One of the main things that cause infant mortility is diarrhea. The existence of diarrhea’s incidence in infants can be caused due to errors in the form of food other than breast milk feeding at the age of 4 months or the practise of infant feeding with formula milk (replacement feeding). This research was an observational analytic research with cross sectional approach. Samples obtained amounted to 80 respondents who are infants aged 2-4 months in various “posyandu” in the area of Central Klaten. This sample had fulfiilled the predetermined criteria. The research instrument used a questionnaire. for the result, there were 21 respondents of 80 respondents obtained who had diarrhea. Respondents of exclusive breastfeeding who had frequency of diarrhea is rarely as many as 5 babies, whereas 1 baby for often category. Respondents of infant formula who had frequency of diarrhea is rarely as many as 12 babies, whereas 3 babies for often category. There were significant differences between infants who were breastfed exclusively with formula-fed infants againts diarrhea frequency indicated by the value of p = 0,032.Keywords: Frequency of Diarrhea, Exclusive Breast Feeding, Formula Feeding Infant, Infants Aged 2-4 Months

scholarly journals Amine variations in faecal content in the first weeks of life of newborns in relation to breast-feeding or infant formulas

2019 ◽  
Vol 122 (10) ◽  
pp. 1130-1141
Author(s):  
Lorena Suárez ◽  
María Moreno-Luque ◽  
Irene Martínez-Ardines ◽  
Nereida González ◽  
Patricia Campo ◽  
...  
Keyword(s):  
Breast Milk ◽  
Infant Formula ◽  
Breast Feeding ◽  
Intervention Studies ◽  
Caucasian Woman ◽  
Infant Formulas ◽  
Individual Variations ◽  
Feeding Type ◽  
Polyamine Content ◽  
The Ideal

AbstractBreast-feeding is the ideal nutrition for a newborn’s integral necessities. It seems crucial therefore to know its composition in order to provide suitable infant formula when required. Of these, polyamines (with lactation and the microbiota being its intestinal source) are involved in the development of gut epithelium and immunity. Safety concerns limit human intervention studies. Therefore, we studied the amounts of polyamines supplied by breast milk (varying among mothers) or infant formula feeding, up to day 30 postpartum, in the faeces of newborns. Independent samples (68) of breast milk from fifty-nine healthy Caucasian woman (day 0, 1, 3, 5, 7, 15 and 30 postpartum) who had natural deliveries after week 38, same-day faeces of newborns when available (eighty-one from breast milk and fifty-five from infant formula fed) and six infant formulas were collected and the polyamine content was determined by HPLC. In breast milk, polyamines and isoamylamine (a primary amine), with inter-individual variations, increased over time (with a higher content of spermidine; no other amines were present). Overall, they were much higher than in infant formula. By the 2nd week after birth, polyamines, cadaverine and tyramine, but not isoamylamine, were higher in the faeces of those fed infant formula compared with those fed breast milk. Cadaverine and tyramine could be used to predict the feeding type used for newborns. The differences in the content may be related to distinct colonisation of amine-producing bacteria, which can be established by polyamines. Further studies are required to determine the clinical utility of these findings.

A Cross Sectional Survey on Knowledge, Attitude and Breast-Feeding Practices among Postnatal Mothers Delivering at Tertiary Care Hospital in North India

2021 ◽  
Vol 6 (2) ◽  
pp. 451-458
Author(s):  
Rajender Singh ◽  
Mangla Sood ◽  
Vipin Roach
Keyword(s):  
Breast Milk ◽  
Breast Feeding ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Feeding Practices ◽  
North India ◽  
Care Hospital ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Postnatal Mothers

Background: Despite benefits of breast feeding for both the infants and mothers, its prevalence has remained low worldwide. The present study was conducted to examine the knowledge and attitude towards breast feeding practices among postnatal mothers. Methodology:A cross sectional study was conducted among non-randomly selected postnatal mothers at a tertiary care hospital in North India. Data was collected through a structured online questionnaire administered on electronic tablet before discharge. Results: Among 430 females enrolled in study, majority (98.65%)of the mothers believed breast milk is best nutrition for infant. 211(95%) multipara were breastfeeders, 64 among them had breastfed for more than 2 years. Only 9 mothers had stopped BF before 6 months. However, only 301(78%) had initiated breast feeding within one hour of birth. Early initiation was higher among vaginal (50.34%) compared to Caesarean (25.7%) births. Only 40% mothers observed correct positioning and attachment of infant on breast. Higher number of antenatal visits and correct skill of latching infant on breast were significantly associated with better exclusive BF rates. 91% mothers preferred to increase suckling on breast by infant to tackle problem of inadequate breast milk output. Conclusion: Our findings showed increase knowledge and positive attitude for BF among post natal mothers delivering in hospitals. We emphasise on the importance of prenatal education to mothers and fathers on breast-feeding. We also recommend strengthening the public health education campaigns to promote breast-feeding. Keywords: Attitudes, Breast feeding, India, Infant feeding practices, Knowledge, Mothers.

scholarly journals Mothers’ restrictive eating and food neophobia and fathers’ dietary quality are associated with breast-feeding duration and introduction of solid foods: the STEPS study

2014 ◽  
Vol 18 (11) ◽  
pp. 1991-2000 ◽  
Author(s):  
Jenni Vaarno ◽  
Harri Niinikoski ◽  
Anne Kaljonen ◽  
Minna Aromaa ◽  
Hanna Lagström
Keyword(s):  
Young Children ◽  
Breast Feeding ◽  
Diet Quality ◽  
Feeding Practices ◽  
Eating Patterns ◽  
Food Neophobia ◽  
Solid Foods ◽  
Restrictive Eating ◽  
Feeding Duration ◽  
Infants And Young Children

AbstractObjectiveThe purpose of the present study was to examine the association between parental eating behaviours and dietary patterns and feeding practices of infants and young children.DesignData on infant-feeding practices were collected from each infant’s birth via parentally self-administered follow-up diaries. Three questionnaires, the Three-Factor Eating Questionnaire, the Food Neophobia Scale and the Index of Diet Quality, were administered when the children were aged 4 and 13 months.SettingSouth-western Finland.SubjectsFamilies participating in the STEPS longitudinal cohort study (n1797).ResultsMean duration of exclusive breast-feeding was 2·4 months and total duration of breast-feeding averaged 8·1 months. The first solid food was introduced into children’s diets at the age of 3·9 months, on average. Mothers with highly restrictive eating were more likely to introduce solid foods sooner than mothers who ranked lower in these behaviours (3·8 monthsv.4·0 months,P=0·012). Neophobic mothers breast-fed exclusively (2·0v. 2·6 months,P=0·038) and in total (7·2v. 8·5 months,P=0·039) for shorter times than average mothers, even after adjusting for various demographic characteristics. Fathers’ diet quality was associated with total breast-feeding duration and with introduction of complementary foods in unadjusted analyses and with total breast-feeding duration also after adjusting for confounding factors.ConclusionsMothers’ and fathers’ eating patterns and practices are associated with the feeding practices of infants and young children. Health promotion interventions seeking to improve parents’ eating patterns might lead to more favourable feeding practices for infants and young children.

scholarly journals Breast-feeding initiation and determinants of exclusive breast-feeding – a questionnaire survey in an urban population of western Nepal

2007 ◽  
Vol 10 (2) ◽  
pp. 192-197 ◽  
Author(s):  
TS Chandrashekhar ◽  
HS Joshi ◽  
VS Binu ◽  
PR Shankar ◽  
MS Rana ◽  
...  
Keyword(s):  
Breast Milk ◽  
Breast Feeding ◽  
Questionnaire Survey ◽  
Urban Population ◽  
Feeding Practices ◽  
Feeding Practice ◽  
Exclusive Breast Feeding ◽  
Factors Influencing ◽  
Expectant Mothers ◽  
Local Traditions

AbstractObjectiveTo assess rates of initiation of breast-feeding and exclusive breast-feeding within 2 months after delivery and to determine the factors influencing exclusive breast-feeding.DesignA health worker-administered questionnaire survey was carried out during the time period 1 August–30 September 2005.SettingImmunisation clinics of Pokhara, a submetropolitan city in western Nepal.SubjectsThree hundred and eighty-five mothers who had delivered a child within the previous 2 months.ResultsThe rates of initiation within 1 h and within 24 h of delivery were 72.7 and 84.4%, respectively. Within 2 months after delivery, exclusive breast-feeding was practised by 82.3% of the mothers. Breast milk/colostrum was given as the first feed to 332 (86.2%) babies but 17.2% of them were either given expressed breast milk or were put to the breast of another lactating mother. Pre-lacteal feeds were given to 14% of the babies. The common pre-lacteal feeds given were formula feeds (6.2%), sugar water (5.9%) and cow's milk (2.8%). Complementary feeds were introduced by 12.7% of the mothers. By logistic regression analysis, friends' feeding practices, type of delivery and baby's first feed were the factors influencing exclusive breast-feeding practice of the mothers.ConclusionsDespite the higher rates of initiation and exclusive breast-feeding, practices such as pre-lacteal feeds and premature introduction of complementary feeds are of great concern in this urban population. There is a need for promotion of good breast-feeding practices among expectant mothers and also the community, especially the families, taking into account the local traditions and customs.

scholarly journals Determinants of breast-feeding in a Finnish birth cohort

2009 ◽  
Vol 13 (4) ◽  
pp. 504-513 ◽  
Author(s):  
Maijaliisa Erkkola ◽  
Maija Salmenhaara ◽  
Carina Kronberg-Kippilä ◽  
Suvi Ahonen ◽  
Tuula Arkkola ◽  
...  
Keyword(s):  
Type 1 Diabetes ◽  
Breast Milk ◽  
Birth Cohort ◽  
Infant Feeding ◽  
Breast Feeding ◽  
Validation Study ◽  
Maternity Ward ◽  
Sociodemographic Determinants ◽  
Milk Feeding

AbstractObjectiveTo assess milk feeding on the maternity ward and during infancy, and their relationship to sociodemographic determinants. The validity of our 3-month questionnaire in measuring hospital feeding was assessed.DesignA prospective Finnish birth cohort with increased risk to type 1 diabetes recruited between 1996 and 2004. The families completed a follow-up form on the age at introduction of new foods and age-specific dietary questionnaires.SettingType 1 Diabetes Prediction and Prevention (DIPP) project, Finland.SubjectsA cohort of 5993 children (77 % of those invited) participated in the main study, and 117 randomly selected infants in the validation study.ResultsBreast milk was the predominant milk on the maternity ward given to 99 % of the infants. Altogether, 80 % of the women recalled their child being fed supplementary milk (donated breast milk or infant formula) on the maternity ward. The median duration of exclusive breast-feeding was 1·4 months (range 0–8) and that of total breast-feeding 7·0 months (0–25). Additional milk feeding on the maternity ward, short parental education, maternal smoking during pregnancy, small gestational age and having no siblings were associated with a risk of short duration of both exclusive and total breast-feeding. In the validation study, 78 % of the milk types given on the maternity ward fell into the same category, according to the questionnaire and hospital records.ConclusionsThe recommendations for infant feeding were not achieved. Infant feeding is strongly influenced by sociodemographic determinants and feeding practices on the maternity wards. Long-term breast-feeding may be supported by active promotion on the maternity ward.

scholarly journals Feeding practices in early life and later intake of fruit and vegetables among Japanese toddlers: the Osaka Maternal and Child Health Study

2015 ◽  
Vol 19 (4) ◽  
pp. 650-657 ◽  
Author(s):  
Hitomi Okubo ◽  
Yoshihiro Miyake ◽  
Satoshi Sasaki ◽  
Keiko Tanaka ◽  
Yoshio Hirota
Keyword(s):  
Infant Feeding ◽  
Breast Feeding ◽  
Maternal Education ◽  
Feeding Practices ◽  
Fruit And Vegetables ◽  
Feeding Practice ◽  
Solid Foods ◽  
Western Countries ◽  
Feeding Duration ◽  
Breast Fed

AbstractObjectiveA growing body of evidence from Western countries shows that infant feeding practices are associated with later childhood dietary habits, but little is known about these relationships in non-Western countries with different food cultures. We examined the association of breast-feeding duration and age at introduction of solid foods with later intake of fruit and vegetables among Japanese toddlers.DesignInformation on breast-feeding duration, age at introduction of solid foods and child’s intake frequency of fruit and vegetables were collected with a self-administered questionnaire at 16–24 months postpartum. Logistic regression analysis was used to calculate odds ratios of low intake (<1 time/d) of fruit or vegetables for each infant feeding practice.SettingJapan.SubjectsJapanese mother–child pairs (n 763) from a prospective birth cohort study.ResultsNeither breast-feeding duration nor age at introduction of solid foods was associated with fruit intake at 16–24 months of age. Breast-feeding duration, but not age at introduction of solid foods, was associated with later intake of vegetables. When breast-feeding duration was categorized into two groups with the cut-off at 6 months, children who were breast-fed for ≥6 months had a significantly decreased risk of low intake of vegetables (OR=0·53; 95 % CI 0·34, 0·84) than those breast-fed for <6 months. This association was independent of potential confounders including maternal education and maternal vegetable intake (OR=0·59; 95 % CI 0·36, 0·97).ConclusionsThis finding suggests that ≥6 months of breast-feeding may prevent low intake of vegetables in early childhood among Japanese toddlers.

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