scholarly journals Perspective: Should Exclusive Breastfeeding Still Be Recommended for 6 Months?

2019 ◽  
Vol 10 (6) ◽  
pp. 931-943 ◽  
Author(s):  
Rafael Pérez-Escamilla ◽  
Gabriela S Buccini ◽  
Sofia Segura-Pérez ◽  
Ellen Piwoz
Keyword(s):  
Breast Milk ◽  
Exclusive Breastfeeding ◽  
Population Level ◽  
Food Allergies ◽  
Hydration Status ◽  
Delayed Cord Clamping ◽  
Public Health Recommendation ◽  
Early Introduction ◽  
Maternal Undernutrition ◽  
Developmental Readiness

ABSTRACT The WHO recommends exclusive breastfeeding of infants for the first 6 mo of life (EBF-6). We reviewed the evidence behind concerns related to this recommendation. The risk of iron deficiency among EBF-6 infants can be significantly reduced if delayed cord clamping is performed in all newborns. At the moment there is no population-level evidence indicating that exclusive breastfeeding for 6 mo compared with <6 mo increases the risk of developing food allergies. Mild to moderate maternal undernutrition may reduce amounts of some nutrients in breast milk but does not directly diminish milk volume. Persistent reports of insufficient milk by women globally are likely to be the result of lack of access to timely lactation counseling and social support rather than primary biological reasons. All newborns should have their growth, hydration status, and development carefully monitored. In instances where formula supplementation is required, it should be done under the guidance of a qualified provider taking into account that early introduction of breast-milk supplements is a risk factor for early termination of exclusive breastfeeding and any breastfeeding. We found no evidence to support changes to the EBF-6 public health recommendation, although variability in inter-infant developmental readiness is recognized. We suggest that infant and young feeding guidelines make clear that complementary foods should be introduced at around 6 mo of age, taking infant developmental readiness into account.

scholarly journals Reasons for the Early Introduction of Complementary Feeding to HIV-Exposed Infants in the Eastern Cape, South Africa: An Exploratory Qualitative Study

Medicina ◽  
2020 ◽  
Vol 56 (12) ◽  
pp. 703
Author(s):  
Daniel Ter Goon ◽  
Anthony Idowu Ajayi ◽  
Oladele Vincent Adeniyi
Keyword(s):  
South Africa ◽  
Breast Milk ◽  
Exclusive Breastfeeding ◽  
Complementary Feeding ◽  
Family Members ◽  
Formula Feeding ◽  
Eastern Cape ◽  
Early Introduction ◽  
Hiv Exposed Infants ◽  
Hiv Exposed

Exclusive breastfeeding has many health benefits for the baby and the mother. This study explored the reasons for the early introduction of supplementary feeding before six months, and the issues faced by parturient women in practicing exclusive breast feeding (EBF) for their HIV-exposed infants in the Eastern Cape, South Africa. Narratives from 319 parturient women with HIV (aged 18 years and above) were collected at three hospitals in the Eastern Cape through semi-structured interviews over a period of five months. Qualitative data were analysed using thematic content analysis. The maternal perception of HIV transmission from breast milk influenced the decision for the immediate introduction of formula feeding. Breast sores, lumps, surgery and perceived insufficiency of milk influenced the decision of mothers to initiate formula feeding within the first two months. However, mothers who initiated complementary feeding after two months were driven by factors common among newborns (refusal of breast milk, baby crying inconsolably and fear of losing weight) and social factors (economic or financial hardships and work-related challenges). Additionally, advice from family members weighed heavily in the decision to switch to complementary feeding, contrary to the healthcare providers’ recommendations. Early complementary feeding for HIV-exposed infants is influenced by maternal perceptions of breast milk transmission, breast and infant factors and socio-economic and cultural practices in the region. Thus, behavioural interventions tailored towards promoting exclusive breastfeeding practices in this population, starting from the pre-natal and continuing during the post-partum period, should also target the immediate family members. National policy should focus on creating an EBF-friendly environment at the workplace for women.

THE STUDY ON SITUATON OF EXCLUSIVE BREAST FEEDING FOR THE FIRST 6 MONTHS IN HOI AN

2016 ◽  
pp. 36-42
Author(s):  
Thi Ngoc Anh Nguyen ◽  
Hoang Lan Nguyen
Keyword(s):  
Breast Milk ◽  
Breast Feeding ◽  
Exclusive Breastfeeding ◽  
Multivariable Logistic Regression Model ◽  
Factors Affecting ◽  
Exclusive Breast Feeding ◽  
Key Words Breast ◽  
Breastfeeding Rate ◽  
Knowledge And Attitude ◽  
Structured Questionnaire

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

Nutrition For Healthy Infants And Toddlers

2017 ◽  
Author(s):  
Sharon Collier ◽  
Jenny Kinne
Keyword(s):  
Breast Milk ◽  
Growth And Development ◽  
Complementary Feeding ◽  
Food Allergies ◽  
Adequate Nutrition ◽  
Key Words Breast ◽  
Healthy Infants ◽  
Varied Diet ◽  
Feeding Skills ◽  
Potential Food

Feeding and eating are essential to life. As the infant grows into a toddler, the child goes through transitions with feeding, starting with breast milk or formula, transitioning to complementary feeding between the ages of 4 and 6 months, and then advancing to table foods. It is important to provide adequate nutrition to meet the growing needs of the child from a macronutrient and micronutrient standpoint through infancy to childhood. Throughout this time, anthropometric measurements are obtained to assess proper growth. Feeding is a dynamic part of a child’s life that varies at each stage of childhood, which comes with challenges such as avoiding choking hazards, preventing potential food allergies, providing a varied diet to meet macronutrient and micronutrient needs, and supporting advancement in textures for appropriate development of feeding skills and avoiding issues with picky eating. Providing proper nutrition from quality, quantity, and texture standpoints at each stage of childhood is essential to ensure adequate nutrition to promote healthy and expected growth and development.   This review contains 4 figures, 10 tables and 43 references Key words: breast milk, complementary feeding, food, food safety, formula, growth, infant, micronutrients, neophobia, nutrition, oral health, physical activity, toddler

scholarly journals HUBUNGAN TINGKAT PENGETAHUAN IBU DAN DUKUNGAN SUAMI TERHADAP KEBERHASILAN PEMBERIAN ASI EKSKLUSIF

2019 ◽  
Vol 2 (1) ◽  
pp. 5
Author(s):  
Eka Putri Primasari
Keyword(s):  
Breast Milk ◽  
Exclusive Breastfeeding ◽  
Statistical Test ◽  
P Value ◽  
Test Results ◽  
Cross Sectional ◽  
Level Of Knowledge ◽  
Cross Sectional Design ◽  
The Relationship ◽  
Low Rate

Abstract: Breast milk is the best food for babies, especially in the first month of life. Breast milk contains all nutrients to build and provide the energy needed by the baby. The low rate of breastfeeding is a threat to child development. Several factors related to the success of exclusive breastfeeding are the level of knowledge of the mother and husband's support. The purpose of this study was to determine the relationship between the level of knowledge of mothers and husband's support  towards the success of exclusive breastfeeding in Lubuk Kilangan Puskesmas in 2017. This study was analytical with a cross sectional design. The population in this study amounted to 153 respondents. A sample of 31 respondents obtained by simple ramdom sampling. Data were analyzed bivariate. The statistical test results obtained p-value = 0,000. It can be concluded that there is a relationship between the knowledge of mothers about exclusive breastfeeding and husband's support for the success of exclusive breastfeeding.

scholarly journals Exclusive Breastfeeding Related to Diarrhea Occurrence in Babies Aged 0-6 Months Old at Sudiang Community Health Center, Makassar

2022 ◽  
Vol 3 (1) ◽  
pp. 202-208
Author(s):  
Balqis Dwiyanti Haedar ◽  
Rauly Ramadhani ◽  
Andi Sitti Rahma
Keyword(s):  
Breast Milk ◽  
Community Health ◽  
Health Center ◽  
Exclusive Breastfeeding ◽  
High School Graduates ◽  
Community Health Center ◽  
Cross Sectional ◽  
A Value ◽  
Cross Sectional Design ◽  
The Relationship

Exclusive breastfeeding is a condition in which infants are only given breast milk without the addition of other fluids and foods. until the baby reaches 6 months old. Breast milk strengthen the immune system in infants so they can avoid various diseases including diarrhea. This study aims to determine the relationship between exclusive breastfeeding and the incidence of diarrhea in infants aged 0-6 months in the Sudiang Community Health Center. This research is an analytical survey research with a cross-sectional design. This research was conducted at the Sudiang Health Center, Makassar City in the period November 1st to December 31st, 2019. The total respondents were 89 mothers with babies aged 0-6 months. The results showed that most of the respondents were mothers with male babies (61%), most of the mothers' education was high school graduates (46%), housewives (75%) with low economic background (56%). Exclusive breastfeeding related to the incidence of diarrhea in children aged 0-6 months in the Sudiang Community Health Center with a value of p <0.05 (p = 0.001). In addition, no significant relationship on maternal nipple hygiene to diarrhea in children aged 0-6 months p <0.05 (p = 0.075). In conclusion, this study showed there is a relationship between exclusive breastfeeding and the incidence of diarrhea in children aged 0-6 months in Sudiang Health Center. There is a relationship between hand hygiene and the incidence of diarrhea in children aged 0-6 months in Sudiang Health Center, Makassar.

scholarly journals Pelatihan Konseling Menyusui Dalam Rangka Pencegahan Stunting Melalui Pemberian Air Susu Ibu Dengan Dinas Kesehatan Kabupaten Jombang Di Kabupaten Jombang

2020 ◽  
Vol 7 (1) ◽  
pp. 27-30
Author(s):  
Ririn Probowati ◽  
Monika Sawitri Prihatini ◽  
Mamik Ratnawati
Keyword(s):  
Breast Milk ◽  
Exclusive Breastfeeding ◽  
District Health ◽  
Additional Food ◽  
Counseling Training ◽  
Nursing Mothers ◽  
Breastfeeding Counseling ◽  
And Behavior ◽  
Attitudes And Behavior ◽  
Counselor Group

Counseling is a series of contacts or direct relationships with individuals whose purpose is to provide assistance in changing their attitudes and behavior (Taufik, 2010). In order for mothers to maintain exclusive breastfeeding for 6 months, WHO recommends initiating breastfeeding within the first hour of life, babies only receive breast milk without additional food or drink, including water, breastfeed as requested or as often as the baby wants, and do not use bottles or pacifiers. (WHO, 2018). Based on data from the Ministry of Health, there is an increase in the provision of breastfeeding (breast milk) during a pandemic COVID-19 by 52 percent. This figure has increased significantly compared to last year. "Compared to the 2019 period, there is an increase in breastfeeding in 2020. It increases from 20 percent to 52 percent in the first trimestes of 2020. East Java is currently not far from the national figure, reaching 26.91 percent with the highest risk of stunting in the districts of Probolinggo, Trenggalek, Jember, Bondowoso and Pacitan . The stunting rate in Jombang Regency has decreased by 1 percent compared to 2019. Namely from 18 percent to 17 percent in 2020. According to her, the highest stunting cases in Jombang are in five areas, namely Plabuhan, Plandaan, Mayangan and Distance Kulon districts, Jogoroto, Kabuh, districts. and Blimbing Kesamben District. The purpose of this activity is to provide guidelines for members of the   counselor group at PONED puskesmas in the Jombang district health office . The results of this activity , terbetuknya breastfeeding counselor groups in each puskesmas PONED in Jombang district, a group of counselors will provide assistance to the motivator and mother - pregnant women and nursing mothers in order to give exclusive breastfeeding are one factor un tuk prevent stunting in bali ta . In this activity the number of participants who took part in the Breastfeeding Counseling Training in the Context of Stunting Prevention through Breastfeeding in Jombang district was 19 participants during the pandemic period . .   Keywords : Breastfeeding Counseling , Stunting , Breastfeeding

scholarly journals HUBUNGAN ANTARA ISAPAN BAYI DENGAN PRODUKSI ASI PADA IBU MENYUSUI DI RUMAH SAKIT ISLAM JEMURSARI SURABAYA

2018 ◽  
Vol 8 (1) ◽  
Author(s):  
Tri Aprillia Tauriska ◽  
Farida Umamah
Keyword(s):  
Breast Milk ◽  
Milk Production ◽  
Exclusive Breastfeeding ◽  
Sampling Technique ◽  
Chi Square ◽  
Cross Sectional ◽  
Probability Sampling ◽  
Significance Level ◽  
Breast Milk Production ◽  
Chi Square Test

The correlation between baby’s suck and breast milk production in breastfeeding mothers in RSI Jemursari Surabaya. The mothers feel reluctant to breastfeed their babies even though the exclusive breastfeeding has become a government’s propaganda. The pre-data taken from 15 breastfeeding mothers inform that 60% had a low breast milk production. Purpose of this study was to find out the correlation between baby’s suck and breast milk production in breastfeeding mothers in RSI Jemursari Surabaya.The design of study was analytic-observational done by applying cross sectional approach. The population involved all breastfeeding mothers as imumnunization visiting the hospital with their babies, totally 18 people, in which 17 respondents were taken by using probability sampling technique. The instrument used for collecting the data was a checklist. The variables used in this study were baby’s suck and breast milk production. The data were analyzed by using Chi-Square test with the significance level α = 0.05.The result of study showed that nearly all of the babies (94.1%) sucked correctly, whereas nearly all of the mothers (88.2%) had sufficient breast milk production. Moreover, the result of statistic test showed that p = 0.018 with the significance level α = 0.05 so that p < α. It also meant that H0 was rejected. The conclusion of study often the babies suck correctly, breast milk is produced. Hence, the breastfeeding mothers to still maintaining for breastfeed their baby with train them how to breastfeed correctly to increase breast milk production.

scholarly journals Intermittent Kangaroo Mother Care and the Practice of Breastfeeding Late Preterm Infants: Results from Four Hospitals in Different Provinces of China

2020 ◽  
Author(s):  
Bo Zhang ◽  
Zhiying Duan ◽  
Yingxi Zhao ◽  
Sarah Williams ◽  
Stephen Wall ◽  
...  
Keyword(s):  
Breast Milk ◽  
Preterm Infants ◽  
Exclusive Breastfeeding ◽  
Kangaroo Mother Care ◽  
Late Preterm ◽  
Feeding Practice ◽  
Late Preterm Infants ◽  
Breastfeeding Rate ◽  
Milk Feeding

Abstract Background China has an extremely low exclusive breastfeeding rate. Kangaroo mother care (KMC) has been shown to increase the exclusive breastfeeding rate among infants born extremely or very preterm. However, there is limited evidence surrounding intermittent KMC and exclusive breastfeeding in late preterm infants. In our study we investigated the association between the provision of intermittent KMC and breastfeeding practice for late preterm infants in four hospitals in different provinces of China. Methods Intermittent KMC was recommended to the mothers of all preterm infants admitted to the postnatal wards of participating hospitals between March 2018 and March 2019. Those who agreed to practice KMC were enrolled in the “KMC group”, those who did not were enrolled in the “No KMC group”. Basic maternal socio-demographic information was collected, feeding practice; outcome and method, were recorded daily whilst in hospital. A follow-up survey of feeding practice was conducted 42 days after discharge. Calculations for feeding practice were performed separately for both groups. Logistics regression was used to analyze the association between KMC and feeding outcome and method, adjusting for socio-demographic covariates. Results Among the 844 mothers participating in the study, 627 (74.3%) chose to perform KMC. More of the mothers who provided KMC were exclusively breast milk feeding their infants in the 24 hours before hospital discharge (54.6%) and at follow-up (57.3%), compared to mothers who did not provide KMC (34.6% at discharge and 33.2% at follow-up,). Mothers in the KMC group were more likely to be breastfeeding (method) than mothers in the No KMC group (65.3% vs. 52.1% at discharge, and 83.1% vs. 67.3% at follow up). Logistic regression indicated that compared with the No KMC group, mothers who provided KMC were twice as likely to be exclusively breast milk feeding their infants at discharge (OR=2.15 (1.53-3.02)), use breastfeeding method at discharge as opposed to other means such as bottle or cup feeding (OR=1.61 (1.15-2.25)), be exclusive breast milk feeding at follow-up (OR=2.55 (1.81-3.61)), and use breastfeeding method at follow-up (OR=2.09 (1.44-3.02)). Conclusions Intermittent KMC was associated with a nearly doubled increase in exclusive breast milk feeding (outcome) and breastfeeding (method) at both discharge and 42 days after discharge for late preterm infants. This is especially important in China where exclusive breastfeeding rates are low, intermittent KMC provides a feasible means to increase the likelihood of these vulnerable infants receiving the benefits of exclusive breastmilk.

scholarly journals Pengaruh Penyuluhan Ibu Hamil Terhadap Pemberian ASI Ekslusif

2021 ◽  
Vol 3 (4) ◽  
pp. 656-660
Author(s):  
Melia Puspita Sari ◽  
Febi Ratnasari
Keyword(s):  
Breast Milk ◽  
Literature Review ◽  
Pregnant Women ◽  
Exclusive Breastfeeding ◽  
Analytical Method ◽  
Infant Health ◽  
Strategic Plan ◽  
Health Profile ◽  
Inclusion Criteria

ABSTRACT: THE EFFECT OF COUNSELING PREGNANT WOMEN ON EXCLUSIVE BREASFEEDING Background: Coverage of breastfeeding in Indonesia in 2015 was only 55.7% and when referring to the 2015 strategic plan target of 39%, nationally the scope of exclusive breastfeeding for infants aged less than 0 to 6 months has met the target. The percentage of exclusive breastfeeding in infants aged 0-6 months in Banten Province in 2016 was 61.6%, a slight increase compared to the percentage of exclusive breastfeeding in 2015 which was only 60.7%. The regency / city with the lowest percentage of exclusive breastfeeding was Pandeglang, which was 19.88%, followed by Serang City at 39.77% (Indonesian Health Profile, 2018). As a result of not providing exclusive breast milk will have an impact on infant health including the incidence of diarrhea, infection and malnutrition. Method: the analytical method used is the method of analysis of journal contents. Readable journals must be read and examined to be clear in analyzing these journals. And an analysis is made of the contents obtained from the research objectives and the results of the research. Searching this literature review through an accredited journal site namely google schoolar, PubMed and using literature from 2016-2020. Results: 67 journals were obtained using keywords and filtered again based on inclusion criteria and obtained literature results that met the requirements of 20 journals. Conclusion: Thus it can be concluded that there is an effect of counseling on pregnant women regarding the administration of colostrum breast milk. Keywords: influence of counseling, exclusive breastfeeding and exclusive breastfeeding  INTISARI: PENGARUH PENYULUHAN IBU HAMIL TERHADAP PEMBERIAN ASI EKSLUSIF Latar Belakang: Cakupan pemberian ASI di Indonesia pada tahun 2015 hanya sebesar 55,7% dan jika mengacu pada target renstra di tahun 2015 yang sebesar 39% maka secara nasional cakupan pemberian ASI ekslusif pada bayi usia kurang dari 0 sampai 6 bulan telah memenuhi target. Presentase pemberian ASI Ekslusif pada usia bayi 0-6 bulan di Provinsi Banten pada tahun 2016 sebesar 61,6%, sedikit meningkat jika dibandingkan dengan presentase pemberian ASI ekslusif pada tahun 2015 yaitu hanya sebesar 60,7%. Kabupaten/Kota dengan presentase pemberian ASI ekslusif terendah adalah Kabupaten Pandeglang yaitu 19,88%, diikuti dengan Kota Serang sebesar 39,77%. Akibat dari tidak diberikannya asi ekslusif akan berdampak kepada kesehatan bayi antara lain angka kejadian diare, infeksi dan kekurangan gizi.Metode: metode analisis yang digunakan ialah metode analisis isi jurnal. Jurnal yang dapat dibaca harus dibaca dan dicermati supaya jelas dalam menganalisis jurnal-jurnal tersebut. Dan dibuat analisa mengenai isi yang didapat dari tujuan penelitian dan hasil penelitian tersebut. Penelusuran literatur riview ini melalui situs jurnal yang sudah terakreditasi yaitu google schoolar, PubMed dan menggunakan literatur dari tahun 2016-2020.Hasil: didaptkan 67 jurnal menggunakan kata kunci dan dan disaring lagi berdasarkan kriteria inklusi  dan didapatkan hasil literatur yang memenuhi syarat sebanyak 20 jurnal.Kesimpulan: demikian dapat disimpulkan bahwa ada pengaruh penyuluhan terhadap ibu hamil tentang pemberian asi kolostrum. Kata kunci: pengaruh penyuluhan,asi ekslusif dan exclusive breastfeeding.

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