Exclusive breast feeding in early infancy reduces the risk of inpatient admission for diarrhea and suspected pneumonia in rural Vietnam: a prospective cohort study

AbstractObjectiveData on the prevalence and predictors of breast-feeding remain scarce in Lebanon. Moreover, no study has previously addressed the effect of the paediatrician’s sex on breast-feeding. The present study aimed to assess the prevalence and predictors of breast-feeding at 1 and 4 months of infant age while exploring the potential role of the sex of the paediatrician.DesignProspective cohort study. Predictors of breast-feeding significant at the bivariate level were tested at 1 and 4 months through two stepwise regression models.SettingInfants were enrolled through the clinics and dispensaries of 117 paediatricians located in Beirut, Lebanon, and its suburbs.SubjectsA total of 1320 healthy newborn infants born between August 2001 and February 2002 were prospectively followed during the first year.FindingsBreast-feeding rates at 1 and 4 months were 56·3 % and 24·7 %, respectively. Early discharge, high parity and religion were significantly associated with higher breast-feeding rates at 1 and 4 months of age. Maternal age proved significant only at 1 month, while maternal working status and sex of the paediatrician were significant at 4 months. A novel finding of our study was the positive effect of female paediatricians on breast-feeding continuation until 4 months of age (OR = 1·49; 95 % CI 1·03, 2·15).ConclusionsBreast-feeding rates are low at 1 and 4 months of infant age in Beirut. Further research to investigate the interactions between female physicians and lactating mothers in maintaining breast-feeding in other populations is warranted. The results constitute the basis for designing interventions targeting policy makers, health professionals and mothers.

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Intraoral Vacuum of Breast-Feeding Newborns Within the First 24 Hr

Biological Research For Nursing ◽

10.1177/1099800416636687 ◽

2016 ◽

Vol 18 (4) ◽

pp. 445-453 ◽

Cited By ~ 6

Author(s):

Feng Zhang ◽

Haiou Xia ◽

Xia Li ◽

Ling Qin ◽

Hongmei Gu ◽

...

Keyword(s):

Cohort Study ◽

Early Intervention ◽

Cesarean Section ◽

Breast Feeding ◽

Prospective Cohort Study ◽

Pressure Sensor ◽

Prospective Cohort ◽

Confounding Factors ◽

Delayed Onset ◽

Delayed Onset Of Lactation

Objectives: To explore whether newborns born via Cesarean section have a weaker intraoral vacuum compared with those born vaginally and to determine whether a weaker intraoral vacuum is related to a delayed onset of lactation. Methods: For this prospective cohort study, 71 mother–infant dyads were enrolled and divided into birthing groups, vaginal or Cesarean. The newborn intraoral vacuum was measured via a tube placed alongside the nipple and connected to a pressure sensor during a breast-feeding session within the first 24 hr after birth. Onset of lactation was confirmed by maternal perception of breast fullness. The intraoral vacuum and its relationship with the onset of lactation were analyzed. Results: After adjustment for confounding factors, the peak intraoral vacuum was −19.50 kPa in the vaginal group, which was significantly stronger than the −13.78 kPa in the Cesarean group ( p = .005). Additionally, the baseline intraoral vacuum in the vaginal group (−2.35 kPa) was significantly stronger than that in the Cesarean group (−1.18 kPa; p = .022). Strength of the newborn intraoral vacuum was associated with the time of onset of maternal lactation. Conclusion: Cesarean section may weaken newborns’ intraoral vacuum within the first 24 hr after birth. Stronger intraoral vacuum was related to earlier onset of lactation. Early intervention aimed at the weaker intraoral vacuum should be provided to promote the onset of lactation.

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