scholarly journals Breastfeeding practice, breastfeeding policy and hospitalisations for infectious diseases in early and later childhood: a register-based study in Uppsala County, Sweden

BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e046583
Author(s):  
Samuel Videholm ◽  
Thomas Wallby ◽  
Sven-Arne Silfverdal

ObjectiveTo examine the association between breastfeeding practice and hospitalisations for infectious diseases in early and later childhood, in particular, to compare exclusive breast feeding 4–5 months with exclusive breastfeeding 6 months or more. Thereby, provide evidence to inform breastfeeding policy.DesignA register-based cohort study.SettingA cohort was created by combining the Swedish Medical Birth Register, the National Inpatient Register, the Cause of Death Register, the Total Population Register, the Longitudinal integration database for health insurance and labour market studies, with the Uppsala Preventive Child Health Care database.Patients37 825 term and post-term singletons born to women who resided in Uppsala County (Sweden) between 1998 and 2010.Main outcome measuresNumber of hospitalisations for infectious diseases in early (<2 years) and later childhood (2–4 years).ResultsThe risk of hospitalisations for infectious diseases decreased with duration of exclusive breastfeeding until 4 months of age. In early childhood, breast feeding was associated with a decreased risk of enteric and respiratory infections. In comparison with exclusive breast feeding 6 months or more, the strongest association was found between no breastfeeding and enteric infections (adjusted incidence rate ratios, aIRR 3.32 (95% CI 2.14 to 5.14)). In later childhood, breast feeding was associated with a lower risk of respiratory infections. In comparison with children exclusively breastfed 6 months or more, the highest risk was found in children who were not breastfed (aIRR 2.53 (95% CI 1.51 to 4.24)). The risk of hospitalisations for infectious diseases was comparable in children exclusively breastfed 4–5 months and children exclusively breastfed 6 months or more.ConclusionsOur results support breastfeeding guidelines that recommend exclusive breastfeeding for at least 4 months.

2021 ◽  
Vol 21 (4) ◽  
pp. 1877-86
Author(s):  
Desale Sisay Yimer ◽  
Omer Seid Adem ◽  
Mastewal Arefayene ◽  
Tefera Chanie ◽  
Melese Linger Endalifer

Background: Inappropriate practice of exclusive breastfeeding (EBF) is still a major problem worldwide.Objective: To identify exclusive breastfeeding practice and its associated factors among children aged 6-23 months in Woldia Town.Methods: A Community based cross-sectional study was carried out.Interviewer-administered questionnaire was utilized to collect the data. The questionnaire was adapted from the 2016 Ethiopia Demographic and Health Survey. Hosmer-Lemeshowmodel was fitted at a P-value of 0.91. Finally, Variables having P-Value <0.05 with 95% CI was considered as significant factors.Result: The prevalence of exclusive breastfeeding practice was 46.2% (95% CI: 42.0, 49.8). Being employed mothers (AOR=0.62,95% CI:0.44,0.87), being head of a household (AOR=0.52,95% CI:0.32,0.83),not g getting husband support (AOR:0.5,95%CI:0.34,0.74),not fed colostrum’s (AOR:0.36,95%CI:0.23,0.57),not affected by traditional belief (AOR:3.59,95% CI:2.09-6.17) shows significant association with Exclusive breast feeding practice.Conclusion: The prevalence of exclusive breast feeding practice was relatively lower than the National prevalence. Some demographic variable and traditional beliefs were significantly associated with exclusive breast feeding. Designing model policies that empower the role of women and eradicating bad traditional beliefs in the community is fundamental step. Keywords: Exclusive Breastfeeding; Breastfeeding practice; Breastfeeding Promotion.


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


BMJ Open ◽  
2018 ◽  
Vol 8 (10) ◽  
pp. e023223 ◽  
Author(s):  
Carlos Berlanga-Macías ◽  
Diana P. Pozuelo-Carrascosa ◽  
Celia Álvarez-Bueno ◽  
Jose Alberto Martínez-Hortelano ◽  
Miriam Garrido-Miguel ◽  
...  

IntroductionBreast feeding has been considered important due to its short-term and long-term benefits on infant and maternal health. Regarding the long-term benefits, the influence of exclusive breastfeeding on cardiorespiratory fitness (CRF) during childhood and adolescence has been studied, although with controversial conclusions. This study protocol aims to provide a clear and standardised procedure for systematically reviewing the relationship between breast feeding, in terms of duration and exclusivity, and CRF in children and adolescents.Methods and analysisThis systematic review and meta-analysis protocol is reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols. A literature search will be conducted in MEDLINE, EMBASE, Web of Science and Cochrane Library. Observational studies regarding the association between breast feeding and CRF in children and adolescents written in English or Spanish will be included. A Critical Appraisal Checklist for Analytical Cross Sectional Studies and The Newcastle-Ottawa Quality Assessment Scale for longitudinal studies will be used for quality assessment of included studies. Standardised mean differences of CRF by exclusive breastfeeding categories will be calculated as the primary outcome. Subgroup analyses and meta-regression will be performed based on the sources of heterogeneity.Ethics and disseminationThis evidence-based systematic review will summarise the relevant information on the association of exclusive breast feeding and CRF in children and adolescents. The results will be disseminated by publication in a peer-reviewed journal. Given that the data used for this systematic review will be exclusively extracted from published studies, ethical approval will not be required.PROSPERO registration numberCRD42018082642.


2018 ◽  
Vol 9 (1) ◽  
Author(s):  
Uke Maharani Dewi

factors that affect the practice of nursing in the mother post section caesarea. Various programs to support the delivery of ASI has intensified coverage of ASI but still does not meet the expected target. Previous studies showed that breastfeeding initiation was late in babies born with sectio caesarea compared to those with vaginal delivery and prevalence of exclusive breastfeeding practice was low in the former group. The objective of this study was to define factors correlated breast feeding practice initiation on post sectio caesarea mother. 72 post sectio caesarea mothers were observed and interviewed on January 2012 to find the factors correlated with breastfeeding practice. The results showed that although 26.4% of them had previous experience in breastfeeding, only 6.9% and 29.2% of total breastfeeding is started on the first and second post sectio caesarea respectively. Support for breastfeeding practice from health workers was low, and there were significant correlation between the support and rooming conditions with breastfeeding practices (p = 0.001).


2015 ◽  
Vol 34 (3) ◽  
pp. 200-206
Author(s):  
TM Adhikari

Introduction: Promotion of exclusive breastfeeding is a cost effective intervention to reduce infant mortality in developing countries. The objective of this study was to identify knowledge and practice of mothers regarding exclusive breastfeeding. Material and Methods: This was a descriptive exploratory study carried out in the immunization clinic of tertiary level hospital in Kathmandu. A total of 323 mothers who came for immunization of six months to one year were selected as the sample for the study by using non-probability purposive sampling technique. Semi - structured interview questionnaire was used to collect the data both on knowledge and practice of exclusive breastfeeding, from 13th July to 8th September 2014. Results: Study findings revealed that 84.5 % of the respondents were aware of the correct meaning of exclusive breastfeeding and 49.5 % of the respondents practiced exclusively breastfeeding to their children up to 6 months. There was statistically significant association of respondent’s level of knowledge regarding exclusive breast feeding with their educational status (p = 0.034, OR = 1.7, 95% CI = 1.03-2.66) and type of delivery (p = 0.005, OR = 1.9, 95% CI = 1.2-3). Likewise, a significant association was seen between respondent’s level of practice regarding EBF and type of delivery (p = 0.005, OR = 1.9, 95% CI = 1.2-3). Conclusion: Study concludes that only about half of the mothers tended to have adequate knowledge regarding exclusive breast feeding. However, practice of exclusive breastfeeding for up to six months tended to be low so there should be efforts on encouraging and counseling for exclusive breast-feeding up to six months in hospital, community and immunization clinic.


2020 ◽  
Vol 3 (2) ◽  
pp. 50
Author(s):  
Febriana Widyasari Dewi ◽  
FX. Ady Soesetijo ◽  
Farida Wahyu Ningtyias

The development of infant is affected by several factors, particularly providing exclusive breast feeding by the maternal, in which the exclusive breastfeeding contains complete nutrients that is needed by infant. However, the low rate of providing exclusive breast feeding in community may remain a challenge. A good lactation management takes important role in successful rate of exclusive breastfeeding. The lactation management can be defined as a either management or procedure performed by mothers during pregnancy, childbirth, and breastfeeding phase in order to facilitate breastfeeding activity. The lactation management itself is expected to support providing exclusive breastfeeding at least six months, in which the lactation management is necessary for both career-mother and housewife. The objective of this study was to assess the lactation management among housewife during breastfeeding activity. This was descriptive study by using quantitative approach, where the study design is case control. The location of this study is in work area of Primary Health Care of Sumbersari, Jember. This study found that lactation management is essential factor that affects breastfeeding activity among housewife. Keyword: Exclusive Breast Feeding, Lactation Management, Housewife


Author(s):  
Sowmiya Sri, Nithya

To assess the attitude of breastfeeding in postnatal women. Breastfeeding is essential for the health and development of the child. It is protective against gastrointestinal and respiratory infections of the baby. Early initiation of breastfeeding, exclusive breastfeeding and introduction of complementary food in conjunction with continued breastfeeding is necessary for the sensory and cognitive development of the child. Even though the prevalence of breastfeeding is high, certain undesirable cultural practices delay initiation of breastmilk and colostrum. World Health Organization recommends the practice of exclusive breast feeding for infants up to 6 months of age and continue breast feeding up to 2 years along with weaning foods. Hence this study was conducted to follow up the breastfeeding practices of postnatal mothers and regarding its initiation and duration of exclusive breastfeeding in Sri Lakshmi Narayana Institute of Medical Sciences.


2017 ◽  
Vol 4 (1) ◽  
pp. 65
Author(s):  
Dewi mayang sari, Alida nihaya

Latar Belakang: Berdasarka hasil survey pada bulan Agustus 2016 di Sambiroto didapat jumlah 132 bayi,55% tidak diberikan ASI eksklusif,hal tersebut dikarenakan sebagian besar ibu bekerja. Tinjaun Teori: Persepsi merupakan kemampuan berfikir individu terhadap sesuatu yang dipersepsikan. ASI eksklusif adalah pemberian ASI saja dari 0-6 bulan tanpa diberikan makanan atau minuman apapun. Hambatan ketika menyusui dibedakan menjadi dua faktor, yakni faktor internal dan eksternal. Tujuan Penelitian: Mengeksplorasi persepsi ibu yang bekerja terhadap kegagalan pemberian ASI eksklusif pada bayi.Metode: Penelitian ini menggunakan metode kualitatif dengan pendekatan fenomenologi. Teknik pengumpulan data dengan wawancara mendalam. Jumlah partisipan 3 orang ibu yang bekerja, memiliki bayi dan dadal dalam pemberian ASI eksklusif di Sambiroto Semarang.Hasil: Wawancara mendalam pada partisipan didapatkan informasi tentang kegagalan pemberian ASI eksklusif dikarenakan adanya hambatan yang dialami ibu yakni berupa keterbatasan waktu dengan anak dan produksi ASI yang sedikit serta tidak didukungnya fasilitas berupa Ruang Laktasi  untuk memerah di saat ibu bekerja. Rendahnya kesadaran ibu dalam pemberian ASI semakin membuat terjadinya kegagalan ASI eksklusif, meskipun pihak keluarga, lingkungan, tenaga kesehatan telah memeberikan dukungan penuh.Saran: Ibu bekerja hendaknya memberikan ASI secara ekslusif, meskipun kondisi ibu yang bekerja. Perusahaan hendaknya memberikan ruang laktasi yang memadai. Kata Kunci : Persepsi;Ibu Bekerja;Kegagalan ASI Eksklusif PERCEIVED FAILURE TO WOMEN WHO WORK IN EXCLUSIVE BREASTFEEDING BABY IN THE SAMBIROTO SEMARANG 2017 Abstract Background : Based upon the results of its survey in August 2016 in Sambiroto be tallied 132 infants, 55% were not given exclusive breast feeding, it is because the majority of working mothers. Overview Theory: Perception is the ability of an individual to think of something perceived. Exclusive breastfeeding is breastfeeding course of 0-6 months without given any food or drinks. Barriers when breastfeeding is divided into two factors, namely internal and external factors Research objective : To explore the perception of mother who work against the failure of exclusive breast feeding in infants. Method : This study used qualitative methods with the approach of phenomenology. Data collection techniques with in-depth interviews. The number of participants three working mothers, babies or toddlers and failed in exclusive breast feeding in Sambiroto Semarang. Result : In-depth interviews in participants obtained information about the failure of exclusive breast feeding because of the constraints experienced by the mother in the form of limited time with the child and a little milk production and not supported facilities such as lactation room for milking when the mother works. Low awareness in breast feeding mothers are increasingly making a failure of exclusive breast feeding, although the family, the environment, health workers have given full support. Suggestion : Mother should be able to provide breast milk exclusively thought the condition of mothers are working. Companis should provide adequate lactation room. Keywords : Perception; Working Mother; The failure of exclusive breast feeding.


2019 ◽  
Vol 32 (1) ◽  
pp. 70-81
Author(s):  
Farhana Yasmin ◽  
Md Jawadul Haque

Background: Acute respiratory infections (ARI) include upper respiratory tract infections and lower respiratory tract infections. Infections of the respiratory tract are perhaps the most common human ailment. While they are a source of discomfort, disability and loss of time for most adults, they are a substantial cause of morbidity and mortality in young children. ARI may cause inflammation of the respiratory tract anywhere from nose to alveoli, with a wide range of combination of symptoms and signs. ARI in children is most common among others because heir constant contact with other kids who could be virus carriers. Children often don’t wash their hands regularly. They are also more likely to rub their eyes and put their fingers in their mouths, resulting in the spread of viruses. For prevention of malnutrition and infection of child breast feeding is an important determinant of child health in the prevention of malnutrition and infection but in many cultures other food was introduced years before the cessation of breast feeding. In Bangladesh, many infectious diseases such as diarrhoea and acute respiratory infections are the main cause of mortality and morbidity in infants aged less than one year. The importance of breast feeding in the prevention of infectious diseases during infancy is well known. Objective: In this study our main objective is to evaluate the association between ARI of infant and weaning status of infants admitted in selected Hospitals of Rajshahi. Study place and Method: This study provided a wide range of information regarding ARI and weaning status of infants admitted in selected hospitals of Rajshahi and from the surroundings. This was a case control type of study. A total of 230 caregiver or mothers were interviewed. Result & discussion: It was found that the relationship between weaning status of infants and occurrence of ARI was statistically significant (p<0.001). It was showed that majority of the babies of the case group were weaned by Cow’s milk and within the control group by mashed rice. The association between occurrence of ARI and type of weaning food was statistically significant (p<0.001). It was also found that majority of the babies living in rural areas developed ARI and also within the case group majority (29.6%) of the babies who were not exclusively breast fed developed ARI and the association between occurrence of ARI and EBF was statistically significant (p<0.001). Conclusion: Our study suggests that proportion of ARI is more among the infants who were weaned earlier. TAJ 2019; 32(1): 70-81


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