scholarly journals Exclusive and any breast-feeding rates of Pacific infants in Auckland: data from the Pacific Islands Families First Two Years of Life study

2006 ◽  
Vol 9 (6) ◽  
pp. 692-699 ◽  
Author(s):  
Philip J Schluter ◽  
Sarnia Carter ◽  
Teuila Percival

AbstractObjectivesTo present current breast-feeding rates for Pacific infants resident in New Zealand. Reasons for the introduction of complementary liquid foods were also explored.DesignA longitudinal study using hospital discharge summary records and maternal home interviews undertaken at 6 weeks, 12 and 24 months postpartum. Turnbull's non-parametric survival analysis was used to model exclusive breast-feeding rates.SettingAuckland, New Zealand.ResultsThe cohort comprised 1376 infants at 6 weeks, 1223 infants at 12 months and 1142 infants at 24 months. Exclusive breast-feeding rates at hospital discharge, 6 weeks, 3 and 6 months postpartum were 84% (95% confidence interval (CI): 80–88%), 49% (95% CI: 43–55%), 37% (95% CI: 32–42%) and 9% (95% CI: 7–11%), respectively. Significant ethnic difference existed, with Samoan mothers having higher exclusive breast-feeding rates than Tongan mothers (P = 0.002). The percentage of infants receiving any breast milk at hospital discharge, 6 weeks, 12 and 24 months was 96% (95% CI: 94–97%), 95% (95% CI: 94–96%), 31% (95% CI: 28–34%) and 15% (95% CI: 13–17%), respectively. Again ethnic differences emerged. Common reasons cited for discontinuation of exclusive breast-feeding included uncertainty of breast milk supply (56%), problems with breasts (30%) and difficulties breast-feeding in work or educational environments (26%). However, 691 (50%) mothers sought no advice about their breast-feeding concerns within the first six weeks of life.ConclusionsExclusive breast-feeding rates for Pacific infants are ethnically heterogeneous, have declined since the 1990s and fall short of the World Health Organization recommendations. The principal reasons cited for exclusive breast-feeding discontinuation echo those reported over a decade ago.

2019 ◽  
Vol 6 (3) ◽  
pp. 195-198
Author(s):  
Dwi Yulinda ◽  
Imroatul Azizah

Background: Breastfeeding is exceptionally superior, giving mother and infants distinct and subtastial physical, mental, and developmental health advantages. Palm fruit has content of phytonutrients with antioxidant properties and galactagogues to help increase their milk supply in the early postpatum days. The lowest exclusive brest feeding rates in DIY is in the city of Yogyakarta. Exclusive breast feeding improves infant immunity so as to minimize the occurrence of diarrhea, constipation, fever that is caused by some allergic reactions. Objectifive: :This study aimed to analyze the relationship between date palm fruits on postpartum to prolactin and volume of breast milk Method: Research was conducted on maternal postpartum which is divided into two groups. They are the control group; and the treatment group which was given dates palm fruit. Breast milk volume and prolactin was measured at 3 day after labor. The analytical method used is Student T-test. Results: Date Palm fruits increased prolactin and volume of breast milk which was significantly on firstweek breastfeeding increase in the treatment group compared to the control group at p <0.05. Conclusion: Date Palm fruits is one of the alternatives that can be done to improve the success of exclusive breast feeding on postpartum. Key Words: Date palm fruit, postpartum, prolactin and volume of breast milk


Author(s):  
Nisreen Kh. Aref Albezrah ◽  
Haneen Ali Alshehri ◽  
Raghad Hilal Alswat ◽  
Manal Saeed Almalki ◽  
Atheer Mohammed Al fuhayd ◽  
...  

Background: The World Health Organization and the United Nations International Children’s Fund recommend mothers to exclusively breastfeed their infants for the first six months of their life that should be initiated within the first hour after birth. Methods: This cross-sectional study included currently employed Saudi working mothers residing the Western region of Saudi Arabia. A self-administered questionnaire was distributed through email and social media. Each person meeting the inclusion criteria was provided informed consent, explaining the study aim, and ensuring the confidentiality of information. Data were obtained by filling out the designed Questionnaire. Result: This study included 692 working Saudi mothers. The frequency of exclusive breast feeding was 40.2%, which was continued by 29.8% only after returning to the work. Insufficient breast milk secretion (17.5%) and the lack or minimal support from the workplace for EBF (6.6%) were commonly stated by the mothers. There were great deficiencies in the breastfeeding friendly work policies including the absence of breast feeding or breast milk-pumping place (86.4%), absence of breastfeeding hours during work time (80.9%), and the presence of a strict full-time schedule that did not allow freely use of the nursing break. Conclusion: The present study shows low prevalence of exclusive breast feeding among working mothers in the Western region of Saudi Arabia. Multiple barriers to continuing breast feeding have been detected. Insufficient breast milk secretion and the lack of breastfeeding friendly work policies were common reasons.


2019 ◽  
Vol 6 (1) ◽  
pp. 71-75
Author(s):  
Imroatul Azizah ◽  
Dwi Yulinda

Background: The lowest exclusive brest feeding rates in DIY is in the city of Yogyakarta. Exclusive breast feeding improves infant immunity so as to minimize the occurrence of diarrhea, constipation, fever that is caused by some allergic reactions. The success of primi maternal postpartum primi exclusive breast feeding is strongly influenced by the success of the early suckle. Massaging the hip area, or the costa until scapulla can provide a sense of comfort and relax in postpartum mothers so that will help the success of early breast feeding. Objectifive:This study aimed to analyze the relationship between oxytocin massage on primipara psotpartum to timing and volume of breast milk. Method: Research was conducted on primipara maternal postpartum which is divided into two groups. They are the control group; and the treatment group which was given the oxytocin  massaged. Breast milk volume was measured at 12 hours after the massage by using a breast pump. The analytical method used is Student T-test. The results of this study showed a significant increase in the treatment group compared to the control group at p <0.05. Results: Massage oxytocin significantly increase the volume of breast milk (p 0,000) and breast milk accelerate spending (0,012)  in comparison with the control group. Conclusion: Massage oxytocin is one of the alternatives that can be done to improve the success of exclusive breast feeding on primipara maternal postpartum. Key Words: Oxytocin massage, postpartum, timing and volume of breast milk


Author(s):  
Sanjay Kumar ◽  
Shivani Sinha ◽  
Setu Sinha ◽  
Varsha Singh ◽  
Sanjay Kumar Choudhary ◽  
...  

Background: The world health organization (WHO) recommends exclusive breast feeding (EBF) for the first six months of life while it is advised to provide adequate and safe complementary foods with breast feeding for up to two years and beyond.Methods: A hospital based cross sectional study was carried out in the immunisation clinic of IGIMS for a period of 6 months from January 2017 to June 2017.A total of 400 mothers were enrolled in the study. Children of Age group 0-12 months were included in the study. Sample size was collected by using convenient sampling from January to June 2017. All mothers who attended our immunization clinic for vaccination of their child and had children less than 12 months of age and who gave verbal consent were included in the study. Mothers were asked to stay after vaccination of their infants to look for any untoward effects of vaccination. Mothers were interviewed by using a semi structured questionnaire after getting a verbal consent from them, All data entry and analyses were carried out using Microsoft Excel and statistical software by descriptive statistics and presented as frequency and percentages.Results: The prevalence of exclusive breast feeding for up to 6 months of age was still low. Male child is having a higher percentage of immunization coverage of about 60%, where as the female child is having about 40%. 36% of the babies were started breastfeeding within one hour and colostrum was given to 40% of them, only 35% of them were on exclusive breast feeding.Conclusions: Use of expressed breast milk was low. The prevalence of EBF for up to 6 months of age was still low as per WHO recommendations. The mother's perception of “insufficient breast milk” was also the main reason for introducing other foods. We should make a strategy by making a guideline for promoting and educating about exclusive breastfeeding within the existing health care system such as the antenatal, after delivery and vaccination clinics.


2016 ◽  
pp. 36-42
Author(s):  
Thi Ngoc Anh Nguyen ◽  
Hoang Lan Nguyen

Background: Breast milk is the most valuable source of food for infants, no food is comparable. However in many countries around the world including Vietnam, the breastfeeding prevalence has been declining. A report of the Ministry of Health showed that only 19.6% of infants in Vietnam were exclusively breastfed for the first 6 months. The study was conducted in Hoi An with the aim at describing the situation of exclusive breastfeeding for the first 6 months of the mothers in Hoi An city, Quang Nam province and; identifying some factors affecting exclusive breast feeding for the first 6 months in the study area. Methods: A crosssectional descriptive study was conducted in Hoi An city in December 2014. 516 mothers of infants aged from 6 to 12 months were directly interviewed on the basis of a structured questionnaire. Information about general characteristics of mothers and their infants, their knowledge and attitude of breastfeeding and the feeding types of their baby for the first 6 months was collected. Multivariable logistic regression model was used to identify factors affecting exclusive breastfeeding for the first 6 months. Results: The exclusive breastfeeding prevalence for the first 6 months is 22.3%. Knowledge in breastfeeding and attitude toward exclusive breastfeeding for the first 6 months are factors that significantly related to exclusive breastfeeding prevalence for the first 6 months (OR = 3.3; p=0.001 and OR=10.4; p<0.001, respectively). Conclusion: The exclusive breastfeeding rate for the first 6 months in Hoi An city is low. The promoting antenatal education in exclusive breastfeeding is necessary solution to improve exclusive breastfeeding rate for the first 6 months. Key words: breast milk, exclusive breastfeeding, Hoi An


2018 ◽  
Vol 119 (9) ◽  
pp. 1012-1018 ◽  
Author(s):  
Pantea Nazeri ◽  
Hosein Dalili ◽  
Yadollah Mehrabi ◽  
Mehdi Hedayati ◽  
Parvin Mirmiran ◽  
...  

AbstractDespite substantial progress in the global elimination of iodine deficiency, lactating mothers and their infants remain susceptible to insufficient iodine intake. This cross-sectional study was conducted to compare iodine statuses of breast-fed and formula-fed infants and their mothers at four randomly selected health care centres in Tehran. Healthy infants <3 months old and their mothers were randomly selected for inclusion in this study. Iodine was measured in urine and breast milk samples from each infant and mother as well as commercially available infant formula. The study included 124 postpartum mothers (29·2 (sd 4·9) years old) and their infants (2·0 (sd 0·23) months old). The iodine concentrations were 50–184 µg/l for infant formula, compared with a median breast milk iodine concentration (BMIC) of 100 µg/l in the exclusive breast-feeding group and 122 µg/l in the partial formula feeding group. The median values for urinary iodine concentration in the exclusive breast-feeding group were 183 µg/l (interquartile range (IQR) 76–285) for infants and 78 µg/l (IQR 42–145) for mothers, compared with 140 µg/l (IQR 68–290) for infants and 87 µg/l (IQR 44–159) for mothers in the formula feeding group. These differences were not statistically significant. After adjustment for BMIC, ANCOVA revealed that feeding type (exclusive breast-feeding v. partial formula feeding) did not significantly affect the infants’ or mother’s urinary iodine levels. Thus, in an area with iodine sufficiency, there was no difference in the iodine statuses of infants and mothers according to their feeding type.


2019 ◽  
Vol 1 (Number 1) ◽  
pp. 14-17
Author(s):  
Nadia Begum ◽  
Monowar Ahmad Tarafdar ◽  
Saizuddin Kabir ◽  
Shila Rani Das ◽  
Sultana Begum ◽  
...  

This descriptive type of cross- sectional study was conducted in Dhamrai, Dhaka among nursing mother with a sample size 120 using semi-structured questionnaire to determine the knowledge and practice regarding exclusive breast feeding irrespective of socio-demographic characteristics from January 2018 to February 2018 employing purposive sampling method. The percentage of mother-infant pair were highest within 20-30 years (65%) of age group. About 13.33% of mothers were illiterate, 33.33% had primary level and only 2.50% completed graduation; more than half (56.67%) of the mothers were housewives. It was revealed that 55.83% of the respondents had knowledge of exclusive breast feeding, however 42.50% of them gave only breast milk up to 6 months. The initiation of breast feeding within 1 hour was 47.50%, 32.50% within 1-2 hours. 8.83% after 2 hours, 9.16% of the respondents did not remember about the exact time and 2.50% did not breast fed their babies, the reason of not feeding breast milk was insufficient milk secretion. Premature complementary feeding was associated with an increased occurrence of vomiting (47.50%), diarrhea (59.16%), dyspnea (19.16%) but 55% of the respondents did not mentioned specific condition. One of the ten steps to successful breastfeeding is initiating breastfeeding within the first hour of delivery, the major barrier to achieving the recommendations of the Global Strategy for Infant and Young Child Feeding.


2012 ◽  
Vol 12 (50) ◽  
pp. 5895-5914
Author(s):  
AD Disha ◽  
◽  
R Rawat ◽  
A Subandoro ◽  
P Menon

Data from the 2005 Ethiopia Demographic and Health Survey (EDHS) and the 2007 Zambia Demographic Health Survey (ZDHS) were analyzed to examine the association between World Health Organization (WHO) recommended IYCF indicators and nutritional status among children 0- 23 months of age in Ethiopia and Zambia. A total of 1810 and 2512 children within this age group from Ethiopia and Zambia , respectively , were included in the analysis. Exclusive breast -feeding among children 0- 5.9 months of age is low in both Ethiopia (43 % ) and Zambia (51 % ). Timely introduction of complementary food is lower in Ethiopia (61 %) compared to Zambia (90 %). Only 7 percent of children between 6- 23 months of age consumed diets that met the minimum dietary diversity requirement of four or more food groups consumed per day compared to 37 % in Zambia. Multiple linear and logistic regression analyses using appropriate measures to account for the complex survey design were applied to examine the associations between IYCF practices and child anthropometry. Linear regression results show that exclusive breast -feeding (EBF) is positively associated with weight -for -height z -score (WHZ) (effect size (ES) 0.65; p<0.001) and weight -for- age z -score (W AZ) (ES 0.28; p<0.01) in Zambia. In Ethiopia, EBF under 6 months of age is negatively associated with height -for- age z - score (HAZ) (ES 0.81; p<0.01). Timely introduction of complementary food between 6- 8 months of age was positively associated with HAZ (ES 1.19; p<0.01) in Zambia. Higher dietary diversity score was associated with higher HAZ (ES 0.23, p<0.001 in Ethiopia; ES 0.12, p<0.01 in Zambia) and WAZ (ES 0.17, p<0.001 in Ethiopia; ES 0.04, p<0.10 in Zambia) in both countries. The findings demonstrate the need to reinforce age - appropriate IYCF practices to address child undernutrition. Special attention is needed to improve the complementary feeding practices, particularly diet diversity for children 6 -23 months of age , while sustaining a focus on EBF among children under 6 months of age, in order to improve overall nutrition al status of young children in Ethiopia and Zambia.


2018 ◽  
Author(s):  
Thomas L. Schmidt ◽  
Anthony R. van Rooyen ◽  
Jessica Chung ◽  
Nancy M. Endersby-Harshman ◽  
Philippa C. Griffin ◽  
...  

AbstractBiological invasions are increasing globally in number and extent despite efforts to restrict their spread. Knowledge of incursion pathways is necessary to prevent new invasions and to design effective biosecurity protocols at source and recipient locations. This study uses genome-wide single-nucleotide polymorphisms (SNPs) to determine the origin of 115 incursive Aedes aegypti (yellow fever mosquito) detected at international ports in Australia and New Zealand. We also genotyped mosquitoes at three point mutations in the voltage-sensitive sodium channel (Vssc) gene: V1016G, F1534C, and S989P. These mutations confer knockdown resistance to synthetic pyrethroid insecticides, widely used for controlling invertebrate pests. We first delineated reference populations using Ae. aegypti sampled from 15 locations in Asia, South America, Australia and the Pacific Islands. Incursives were assigned to these populations using discriminant analysis of principal components (DAPC) and an assignment test with a support vector machine predictive model. Bali, Indonesia, was the most common origin of Ae. aegypti detected in Australia, while Ae. aegypti detected in New Zealand originated from Pacific Islands such as Fiji. Most incursives had the same allelic genotype across the three Vssc gene point mutations, which confers strong resistance to synthetic pyrethroids, the only insecticide class used in current, widely-implemented aircraft disinsection protocols endorsed by the World Health Organisation (WHO). Additionally, all internationally-assigned Ae. aegypti had Vssc point mutations linked to pyrethroid resistance that are not found in Australian populations. These findings demonstrate that protocols for preventing introductions of invertebrates must consider insecticide resistance, and highlights the usefulness of genomic datasets for managing global biosecurity objectives.


Author(s):  
R. Mark Beattie ◽  
Anil Dhawan ◽  
John W.L. Puntis

Bottle-feeding 32Type of formula feed 33Complementary feeding 34Although the WHO recommends exclusive breast-feeding for 6 months and partial breast-feeding thereafter, it was recognized that some mothers would be unable, or would choose not to breast-feed, and that these mothers also deserved support to optimize their infant's nutrition. It is important that formula feeds are made up according to instructions and that both formula milk and expressed breast milk is handled in a way that minimizes the risk of bacterial proliferation in the feed. Some simple guidelines are given below: ...


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