scholarly journals Validity of Guatemalan Mother’s Self-Reported Breast-Feeding Practices of 3-Month-Old Infants

2016 ◽  
Vol 37 (4) ◽  
pp. 494-503 ◽  
Author(s):  
Monica Mazariegos ◽  
Christine Slater ◽  
Manuel Ramirez-Zea

Introduction: Breast-feeding practices (BFPs) can be assessed by interviewing the mother about current feeding practices and with a 24-hour recall. It is crucial to establish the accuracy of these methods, which are commonly used by public health decision makers to design health policies aimed at increasing exclusive breast-feeding rates. Objective: We aimed to validate 2 self-report BFP instruments using the dose-to-mother deuterium oxide turnover technique (DMDOT) as the reference method. Methods: Breast-feeding practices were assessed by interviewing the mother about current feeding practices and with a 24-hour recall in 36 Guatemalan mother–infant pairs. The validity of these instruments was assessed using DMDOT as the reference method. Results: Both self-report instruments overestimated exclusively breast-fed (EBF) infants. Infants classified as EBF were 50% by the reported current feeding practice, 61% by the 24-hour recall, and only 36% using DMDOT. Sensitivity to detect EBF infants from the mother’s self-report was 92% (95% CI: 62%-99%) while from the 24-hour recall was 100% (95% CI: 72%-100%, P < .01). However, specificity for both instruments was low, at 74% (95% CI: 51%-89%) for reported current feeding practice and at 61% (95% CI: 39%-79%) for the 24-hour recall ( P < .01). Conclusion: Both reported current feeding practice and the 24-hour recall instruments overestimated exclusive breast-feeding. Nevertheless, the use of reported current feeding practice provided more accurate data to assess BFPs in a public health setting. Furthermore, population-based surveys should consider the overestimation of exclusive breast-feeding caused when using these BFP instruments.

2014 ◽  
Vol 2 (3) ◽  
pp. 115-118
Author(s):  
Rajat Das Gupta

Background: Proper feeding practices during infancy are necessary for the growth and development of infants and to prevent malnutrition. This study was conducted to describe the feeding practice among infants in a rural area in Bangladesh. Methods: A cross-sectional study was conducted between February and June 2013. Data was collected through face-to-face interviews of 212 mothers using a pretested questionnaire. Results: Exclusive breast feeding and complementary feeding rates were 40.6% and 97.3%, respectively. One third of the mothers practiced prelactal feeding, and honey was the most common item. Maternal illness (72.7%) was the most common reason for not giving breast milk. Infant formula was used as an alternative food in majority of the cases (72.7%). Conclusion: Percentage of exclusive breast feeding was not satisfactory. Encouragement of female education is recommended to improve feeding practices and infant care


2007 ◽  
Vol 10 (2) ◽  
pp. 198-202 ◽  
Author(s):  
Fenglian Xu ◽  
Colin Binns ◽  
Jing Wu ◽  
Re Yihan ◽  
Yun Zhao ◽  
...  

AbstractAimsTo document infant feeding methods in the first six months of life in Xinjiang Uygur Autonomous Region, People's Republic of China, 2003–2004. Some problems with breast-feeding in the area are explained.MethodsA longitudinal study of infant feeding practices was undertaken. A total of 1219 mothers who delivered babies during 2003 and 2004 were interviewed in five hospitals or institutes, and after discharge were contacted in person or by telephone at approximately monthly intervals to obtain details of infant feeding practices. Multivariate logistic regression analysis was used to explore factors associated with breast-feeding initiation.Results‘Any breast-feeding’ rates at discharge and at 0.5, 1.5, 2.5, 3.5, 4.5 and 6 months were 92.2, 91.3, 89.9, 88.8, 87.7, 86.0 and 73.0%, respectively. ‘Exclusive breast-feeding’ rates at discharge and at 0.5, 1.5, 2.5, 3.5, 4.5 and 6 months were 66.2, 47.6, 30.1, 25.8, 22.1, 13.0 and 6.2%, respectively. The main problem of breast-feeding in Xinjiang was the early introduction of formula or water. The average duration of ‘exclusive breast-feeding’ was 1.8 months (95% confidence interval (CI) 1.7–2.0), of ‘full breast-feeding’ 2.8 months (95% CI 2.7–2.9) and of ‘any breast-feeding’ 5.3 months (95% CI 5.2–5.4).ConclusionsInfant feeding methods in Xinjiang were documented in this study and the main problems with infant feeding in Xinjiang are discussed. Further studies are needed to identify factors associated with ‘exclusive breast-feeding’ and duration.


2007 ◽  
Vol 10 (2) ◽  
pp. 192-197 ◽  
Author(s):  
TS Chandrashekhar ◽  
HS Joshi ◽  
VS Binu ◽  
PR Shankar ◽  
MS Rana ◽  
...  

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.


2015 ◽  
Vol 5 (2) ◽  
pp. 345-348 ◽  
Author(s):  
Mumtaz Rahman ◽  
Nasreen Begum ◽  
Md Mahbubar Rahman ◽  
Shafia Khatun Nayan ◽  
Sumsun Nahar Zinia

Background : It has been already established that appropriate breast feeding practices reduce child morbidity and mortality; improve immunity in children besides being essential for their optimal growth and development.Objective : To evaluate the status of breast feeding practices among the women in a selected rural area of Bangladesh.Methodology : Descriptive, cross-sectional study was conducted between January to June 2013. A total 191 women, age between 18- 45yrs who had children below 2 years were selected purposively from a village. Mothers were the respondents and data were collected by face to face interview using pretested questionnaire.Results : Socio demographic characteristics of respondents revealed 80.63% were house wife; their mean age was 23.91yrs. Most of them were educated. Economical status was lower middle class. Exclusive breast feeding was found among 70.68% respondents and 75.92% mothers fed colostrums to their babies. During antenatal care 84.47% respondents got advice on breast feeding. Within one hour after birth 56.54% mothers initiated breast feeding. Total 24.08% mothers gave pre-lacteal feed. During child’s sickness 92.67% respondents continued breast feeding.Conclusion : Exclusive Breast feeding practice among rural women which was higher than the national target. Educated mothers were more motivated and also those who received advices on breast feeding during antenatal care. Strengthening of Breast feeding counseling during antenatal care is recommended to maintain sustainability.Northern International Medical College Journal Vol.5(2) 2014: 345-348


2020 ◽  
Author(s):  
Yonas Bizuwork Girma ◽  
Abebe Minda ◽  
Awraris Hailu ◽  
Betregiorgis Hailu Zegeye

Abstract Background: Exclusive breast feeding (EBF) of Human Immune Virus (HIV) exposed infants for the first six months is strongly recommended and vital for protecting them against common childhood illnesses including diarrhea and pneumonia. Despite its benefit, EBF practice is low in developing countries including Ethiopia. There is a paucity of evidence for factors associated with EBF among HIV positive mothers. Objectives: To assess exclusive breast feeding practice and its associated factors among HIV positive mothers attending Prevention of mother to child transmission and Anti-retroviral therapy clinics in public Health facilities of Debre Birhan town Amhara National Regional State, Ethiopia from February 01, 2020 to Apr 30, 2020Methods: Facility based convergent mixed methods design was used to conduct the study in public Health facilities of Debre Birhan town. Structured interviewer-administered questionnaires were used to collect data from 432 participants selected by systematic random sampling technique. Epi info version 7 and SPSS version 20 were used for data entry and analysis respectively. Descriptive and inferential statistics were computed during the analysis. Two focus group discussions and 25 in-depth interviews and observational checklist were held to collect data on barriers for exclusive breast feeding practice and thematic analysis was used to identify important insights on the study topic. Bivariate and multivariate logistic regression were conducted to select candidate variable and determine adjusted effect of independent variables respectively using p-value less than 0.05. The output from multivariate logistic regression were reported with 95% confidence interval.Results: The prevalence of exclusive breast feeding, mixed feeding and exclusive formula feeding practice were 89.8%, 6.9% and 3.2% respectively. Having information about EBF (No=0.02, 95% CI; 0.01, 0.12), time taking from home to workplace (less than 30 min=4.96, 95% CI; 1.17, 20.95), disclosing HIV status (No= 0.09, 95% CI; 0.02, 0.37), place of residence (urban=5.37, 95% CI; 1.12, 25.77), living with mother/mother in-law (No=6.03, 95% CI; 1.26, 28.86), knowledge about EBF (poor knowledge=0.06, 95% CI; 0.01, 0.34) were main factors for exclusive breast feeding practice. Poor counseling, non-disclosure of HIV status and pressure from mother/mother in-law were the commonly raised reasons by FGD and IDI participants for non-exclusive breast feeding practice. Conclusions: Majority of HIV positive mothers were practicing exclusive breast feeding for the first six month. Strengthening information dissemination, providing quality health services and empowering mothers through integrated interventions help to promote exclusive breast feeding practice among mothers living with HIV.


2004 ◽  
Vol 7 (6) ◽  
pp. 795-799 ◽  
Author(s):  
Dat V Duong ◽  
Colin W Binns ◽  
Andy H Lee

AbstractObjective:To investigate the initiation of breast-feeding and exclusive breast-feeding within the first week after delivery for women in rural Vietnam.Design:An interviewer-administered survey was conducted on a sample of rural women who gave birth during August-October 2002.Setting:Quang Xuong District, Thanh Hoa Province of Vietnam.Subjects:Four hundred and sixty-three women participated in the study, of whom 181 delivered at the district hospital (39.1%), 229 at a commune health centre (49.5%) and 53 at home attended by a traditional birth attendant (11.4%).Results:Although the initiation and exclusive breast-feeding rates were relatively high at 98.3% and 83.6% respectively, the premature introduction of complementary food was a great concern. Logistic regression analysis showed that, together with socio-cultural determinants such as feeding preferences of the husband and maternal grandmother, feeding practices of friends, factors relating to delivery methods, delivery locations and health problems could influence the initiation rate and breast-feeding patterns.Conclusions:To promote breast-feeding practices of rural mothers, health education on breast-feeding should take into account local socio-cultural features in addition to improving the counselling skills of health workers.


Author(s):  
Shehla Usman

Introduction: Breast feeding has no match as a nutritional resource during the first six months for an infant, necessary for the health of both mother and infant. In past, Pakistan had worst breast feeding rates and despite efforts to promote breast feeding, situation is not satisfactory. Aims & Objectives: Our aim was to determine the frequency of mothers having exclusive breast feeding practices and finding various factors which may affect trends of exclusive breast feeding practices, in rural areas of Lahore. Place and duration of study: This study was done during May 2018 to October 2018 at Chaudhary Muhammad Akram Teaching Hospital. Material & Methods: In this cross sectional study, 254 mothers were interviewed directly and predesigned questionnaire was filled, through non probability consecutive sampling. Data was analyzed using SPSS 20. Post stratification chi square test was applied. Results: Only 34.3 percent mothers were found to practice exclusive breast feed till 6 months of infant age, 93 percent mothers were of age<35 years, mean age 26.6 years and SD±4.9. Only 3.5% initiate breast feeding within an hour of birth. Chi square test revealed association between exclusive breast feed with insufficient breast milk, initiation time of breast feed and early cessation of breast feed (p<0.05). Conclusion: Declining rates of breast feeding creates an alarming situation and suggests to make more aggressive efforts for promotion of breast feeding the infants. Key words: breast feed, insufficient feed, prlecteal feed


2017 ◽  
Vol 20 (15) ◽  
pp. 2810-2818 ◽  
Author(s):  
Amy L Frith ◽  
Shirin Ziaei ◽  
Ruchira Tabassum Naved ◽  
Ashraful Islam Khan ◽  
Iqbal Kabir ◽  
...  

AbstractObjectiveTo determine if exclusive breast-feeding counselling modifies the association of experience of any lifetime or specific forms of domestic violence (DV) on duration of exclusive breast-feeding (EBF).DesignIn the MINIMat trial pregnant women were randomized to receive either usual health messages (UHM) or usual health messages with breast-feeding counselling (BFC) in eight visits. During pregnancy (30 weeks), lifetime experience of any or specific forms of DV was measured. Infant feeding practice information was collected from 0 to 6 months at 15 d intervals.SettingMatlab, Bangladesh.SubjectsPregnant and postpartum women (n 3186) and their infants.ResultsAmong women in the UHM group, those who had experienced any lifetime DV exclusively breast-fed for a shorter duration than women who did not experience any lifetime DV (P=0·02). There was no difference, however, in duration of EBF among women in the BFC group based on their experience of any lifetime DV exposure (P=0·48). Using Cox regression analysis, there was an interaction of exposure to any lifetime DV, sexual violence and controlling behaviour, and counselling group with duration of breast-feeding at or before 6 months (P-interaction≤0·08). Among the UHM group, experience of any lifetime DV, sexual violence or controlling behaviour was associated with fewer days of EBF (P<0·05). In contrast, among the BFC group, experience of DV was not associated with duration of EBF.ConclusionsThe experience of DV compromises EBF and the support of breast-feeding counselling programmes could assist this vulnerable group towards better infant feeding practices.


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