scholarly journals Changes in caesarean section rates and milk feeding patterns of infants between 1986 and 2013 in the Dominican Republic

2016 ◽  
Vol 19 (15) ◽  
pp. 2688-2697 ◽  
Author(s):  
John D McLennan

AbstractObjectiveThe relationship between caesarean sections (C-sections) and infant feeding varies between different samples and indicators of feeding. The current study aimed to determine the relationship between C-sections and five indicators of infant milk feeding (breast-feeding within 1 h after delivery, at the time of the survey (current) and ever; milk-based prelacteal feeds; and current non-breast milk use) over time in a country with a rapidly rising C-section rate.DesignSecondary data analysis on cross-sectional data from Demographic and Health Surveys from six different time points between 1986 and 2013.SettingDominican Republic.SubjectsInfants under 6 months of age.ResultsOver 90 % of infants were ever breast-fed in each survey sample. However, non-breast milk use has expanded over time with a concomitant drop in predominant breast-feeding. C-section prevalence has increased over time reaching 63 % of sampled infants in the most recent survey. C-sections remained significantly related to three infant feeding practices – the child not put to the breast within 1 h after delivery, milk-based prelacteal feeds and current non-breast milk use – in multivariate models that included sociodemographic control variables. However, current non-breast milk use was no longer related to C-sections when milk-based prelacteal feeds were factored into the model.ConclusionsReducing or avoiding milk-based prelacteal feeds, particularly among those having C-sections, may improve subsequent breast-feeding patterns. Simultaneously, efforts are needed to understand and help reduce the exceptionally high C-section rate in the Dominican Republic.

2009 ◽  
Vol 13 (4) ◽  
pp. 504-513 ◽  
Author(s):  
Maijaliisa Erkkola ◽  
Maija Salmenhaara ◽  
Carina Kronberg-Kippilä ◽  
Suvi Ahonen ◽  
Tuula Arkkola ◽  
...  

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.


Biomedika ◽  
2012 ◽  
Vol 4 (2) ◽  
Author(s):  
Putri Rahmitasari ◽  
Burhannudin Ichsan ◽  
Sahilah Ermawati

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


PEDIATRICS ◽  
1984 ◽  
Vol 74 (4) ◽  
pp. 579-583

Domestic Although the rate of breast-feeding is increasing in the United States, it appears that the rate of increase has been much slower among less well educated and economically disadvantaged women. Relatively little is known about the behavioral and attitudinal factors that affect the decisions to breast-feed or to stop if already breast-feeding. Breast-feeding does appear to decrease an infant's risk of gastrointestinal infection and otitis media. The effect of method of infant feeding on risk of other infections and allergic illness is less certain. International The rate of breast-feeding in developing countries appears to have declined, especially among urban women. Although some sociodemographic correlates of infant-feeding choice have been examined, little is known about the behavioral and attitudinal factors that influence choice and duration of infant-feeding practices. Milk insufficiency, maternal employment, and pregnancy frequently are given as reasons for terminating breast-feeding. Rates of gastrointestinal illness are lower among breast-fed infants and when such illness is an important cause of death, infant mortality from this cause appears to be reduced. A randomized clinical trial carried out among high-risk infants found a significantly lower rate of infections among those given breast milk than those fed with infant formula. The evidence of the effect of breast-feeding on respiratory tract and other infections from other studies was less clear. Direct comparison of the growth of predominately breast-fed v artificially fed infants in the same populations from developing countries generally show faster growth for the breast-fed infants for the first 6 months of life. After 6 months, severe growth faltering occurs regardless of the method of feeding. In communities where the nutritional adequacy of supplementary foods is poor, breast milk is an extremely important, high-quality food during the second half of infancy and beyond.


2020 ◽  
Vol 124 (4) ◽  
pp. 440-449 ◽  
Author(s):  
Andrea Hemmingway ◽  
Dawn Fisher ◽  
Teresa Berkery ◽  
Eugene Dempsey ◽  
Deirdre M. Murray ◽  
...  

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.


1984 ◽  
Vol 16 (1) ◽  
pp. 81-88 ◽  
Author(s):  
Donelda J. Ellis ◽  
Roberta J. Hewat

SummaryTo determine patterns of infant feeding and influencing factors, 131 women, interested in breast-feeding and giving birth in one hospital in British Columbia, Canada, were followed for 6 months post-partum. Data were collected from hospital records and each participant completed mail-in questionnaires when their babies were 1, 3 and 6 months old. At 6 months 3·9% were exclusively breast-feeding, 26·5% were feeding their infants breast-milk and semi-solids and 26·5% were combining breast-feeding with formula and/or semi-solids. Over 50% discontinued breast-feeding before their stated intentions. Most women had chosen to breast-feed because of benefits to the baby, and most gave up breastfeeding because of perceived insufficient milk.


PEDIATRICS ◽  
1983 ◽  
Vol 71 (2) ◽  
pp. 166-170
Author(s):  
Gilbert A. Martinez ◽  
David A. Dodd

From 1955 to 1981, questionnaires were mailed to a nationally representative sample of mothers to determine the use of various milks for feeding infants during the first 6 months of life. Data from these surveys demonstrated the resurgence of breast-feeding both in incidence and duration, and this increase has occurred across all levels of income and education. Statistical analysis indicated that the trends were significant (P < .01) for all demographic categories surveyed. In 1981, as in 1980, a bimonthly telephone survey of mothers of infants 8, 10, and 12 months of age determined milk use during later infancy. A combination of data from the mail and telephone surveys for 1981 provided information on milk feeding patterns and demographic characteristics for the first 12 months of life. Maternal employment was shown to reduce the incidence and duration of breast-feeding.


2013 ◽  
Vol 103 (3) ◽  
pp. 433-438 ◽  
Author(s):  
Anne Case ◽  
Christina Paxson

We investigate the relationship between HIV, marriage and nonmarital sexual activity, with a focus on adolescent behaviors. We use data from 45 Demographic and Health Surveys to examine how adolescent behavior among women born from 1958 to 1965 are related to the subsequent spread of HIV over time. These women were adolescents during the early 1980s, a time when HIV had started to spread but the cause was still unknown. We find that areas with currently high HIV rates had greater female education and more premarital sexual activity in the cohorts that came of age before HIV was understood.


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