scholarly journals Infant feeding practice on growth velocity in 4-6 month-olds

2018 ◽  
Vol 1 (1) ◽  
pp. 36
Author(s):  
Joko Kurniawan ◽  
Alifah Anggraini ◽  
Madarina Julia

Background In developing countries, 5-10% of infants suffer from failure to thrive. Adequate feeding is the most crucial factor for optimal growth in early life.Objective To assess the differences in growth velocity at 4 to 6 months of age, based on the infant feeding practices.Methods This cross-sectional study involving 4 to 6 month-old babies from 6 public health centres in Yogyakarta was performed from August to November 2016. Data on body weight, and growth velocity as they related to weight at birth were collected. Subjects were divided into groups according to their feeding practices.Results Of 173 subjects, 130 (75%) infants were exclusively breastfed, 19 infants (11%) were given breast milk and formula, 14 (8%) infants were given breast milk and complementary food (8%), and 10 (6%) infants were given formula and complementary food. The mean growth velocity z-scores by group were as follows: exclusively breastfed 0.04 (SD 1.15) (95%CI -0.16 to 0.24), breast milk and formula -0.61 (SD 0.84) (95%CI -1.01 to -0.21), breast milk and complementary food -0.69 (SD 1.14) (95%CI -1.35 to -0.04), formula and complementary food 0.23 (SD 1.50) (95%CI: -0.84 to 1.31). The mean difference in growth velocity between the exclusively breastfed vs. breast milk and formula groups was 0.65 (SD 0.28) (95%CI: 0.10 to 1.20; P=0.02); vs. breast milk and complementary food was 0.73 (SD 0.32) (95%CI: 0.10 to 1.37; P=0.02); and vs. formula and complementary food was -0.19 (SD 0.37) (95%CI: -0.93 to 0.55; P=0.61).Conclusion Exclusively breastfed have the most optimal growth velocity compared to infants who experience other feeding practices.

2018 ◽  
Vol 58 (1) ◽  
pp. 36 ◽  
Author(s):  
Joko Kurniawan ◽  
Alifah Anggraini ◽  
Madarina Julia

Background In developing countries, 5-10% of infants suffer from failure to thrive. Adequate feeding is the most crucial factor for optimal growth in early life.Objective To assess the differences in growth velocity at 4 to 6 months of age, based on the infant feeding practices.Methods This cross-sectional study involving 4 to 6 month-old babies from 6 public health centres in Yogyakarta was performed from August to November 2016. Data on body weight, and growth velocity as they related to weight at birth were collected. Subjects were divided into groups according to their feeding practices.Results Of 173 subjects, 130 (75%) infants were exclusively breastfed, 19 infants (11%) were given breast milk and formula, 14 (8%) infants were given breast milk and complementary food (8%), and 10 (6%) infants were given formula and complementary food. The mean growth velocity z-scores by group were as follows: exclusively breastfed 0.04 (SD 1.15) (95%CI -0.16 to 0.24), breast milk and formula -0.61 (SD 0.84) (95%CI -1.01 to -0.21), breast milk and complementary food -0.69 (SD 1.14) (95%CI -1.35 to -0.04), formula and complementary food 0.23 (SD 1.50) (95%CI: -0.84 to 1.31). The mean difference in growth velocity between the exclusively breastfed vs. breast milk and formula groups was 0.65 (SD 0.28) (95%CI: 0.10 to 1.20; P=0.02); vs. breast milk and complementary food was 0.73 (SD 0.32) (95%CI: 0.10 to 1.37; P=0.02); and vs. formula and complementary food was -0.19 (SD 0.37) (95%CI: -0.93 to 0.55; P=0.61).Conclusion Exclusively breastfed have the most optimal growth velocity compared to infants who experience other feeding practices.


Author(s):  
Carola Saure ◽  
Marisa Armeno ◽  
Consuelo Barcala ◽  
Vanesa Giudici ◽  
Carmen Silvia Mazza

AbstractBackground:Breastfeeding is recommended as the best source of nutrition in the first months of life and observational studies have associated exclusive breastfeeding with decreased weight gain and a protective effect against obesity in childhood. The objective of this study was to describe the characteristics of a cohort of exclusively breastfed obese infants to determine factors that may lead to this unusual weight gain.Methods:Infants seen between 2003 and 2015 who were exclusively breastfed and showed excessive weight gain in the first year of life were followed with a focus on features of the mother, the child, feeding patterns and the presence of concomitant factors that influence nutritional status. Additionally, in a subset of the sample, macronutrients of the maternal breast milk were analyzed. A descriptive, prospective cross-sectional study was conducted.Results:Of 73 patients, 63% were girls. At 3 months of life, 64% had a weight-for-height standard deviation score (SDS) >2. At 6 and at 12 months, 100% of the patients had a weight-for-height >2 SDS. The mean age at semisolid-food introduction was 7 months. The mean age at weaning was 15.8 months. The babies were fed on demand and no hunger-satiety pattern was observed. In the breast milk samples analyzed, a significantly lower fat content was found.Conclusions:The results of our study lead to the assumption that inter-individual variations in mother’s milk composition may affect the growth patterns of children.


2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Muhabaw Shumye Mihret ◽  
Mengstu Melkamu Asaye ◽  
Banchigizie Adane Mengistu ◽  
Habte Belete

Background. Mixed infant feeding practice remains a major setback for effective prevention of mother to child transmission of HIV program and updated evidences on this issue is essential for better interventions. Therefore, this study was aimed at assessing the proportion and associated factors of mixed infant feeding practice among HIV-positive women under care in public health institutions in Gondar city within two years postpartum, Ethiopia, 2017. Methods. A cross-sectional study was conducted on 485 HIV-positive women under care in Gondar City’s health facilities from May 1 to June 30/2017. Data were collected via interviewer administered questionnaire supplemented with chart review, entered into Epinfo version 7.0 and then exported to SPSS version 20.0. Both bivariable and multivariable analyses were done, and the statistical significance of each variable was claimed based on the adjusted odds ratio (AOR) with 95% confidence interval (CI) and its P value ≤0.05. Result. The proportion of HIV-positive women practicing mixed infant feeding was 21.6%. Whereas, about 73.8% and 4.5% of the mothers demonstrated exclusive breastfeeding and exclusive replacement feeding, respectively. Mixed infant feeding practice was independently predicted by lack of antenatal care (AOR=6.9; 95% CI: 3.4, 14.1) and home delivery (AOR=2.8; 95% CI: 1.4, 5.4). Conclusion. The magnitude of mixed infant feeding practice was higher than the reports of many other studies, and its predictors were connected to poor adherence to maternal health care service utilization. Hence, stakeholders need to work more on ANC and facility delivery service coverage.


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


2012 ◽  
Vol 19 (04) ◽  
pp. 527-530
Author(s):  
SYED QAISER HUSAIN NAQVI ◽  
MOHAMMAD SHIRAZ KHAN ◽  
ALI AKBAR SIYAL ◽  
Mir Muhammad Sehto ◽  
Riaz Ahmed Qazi ◽  
...  

Objective: This study was aimed to see the significance of Lactoferrin in human breast milk among lactating mothers of healthyand sick babies. Place and duration: This study was conducted at pathology and paediatrics departments of Peoples University of Medical andHealth Sciences Nawabshah, Shaheed Benazirabad between Jan 2011 to Dec 2011. Design: Cross sectional study. Method: Lactoferrinlevels in breast milk of 356 mothers of healthy babies were estimated and similarly lactoferrin levels in breast milk of 318 lactating mothers ofsick babies were estimated & these results were analyzed. Results: the mean lactoferrin level in breast milk of 356 lactating mothers of healthybabies was 9.37 mg/ml and the mean lactoferrin level in breast milk of 318 mothers nursing sick babies was 3.73mg/ml. Conclusions: There isdecrease in lactoferrin levels of lactating mothers of sick babies in their mature milk, which could account for the susceptibility of their babies toinfection.


2014 ◽  
Vol 13 (3) ◽  
pp. 65-68
Author(s):  
Md Monoarul Haque ◽  
A K M Mejbah Uddin ◽  
Md Rijwan Bhuiyan ◽  
A S M Mazharul Islam ◽  
Md Shah Billal Masum ◽  
...  

Background: Exclusive Breast feeding is implies feeding of breast milk is enough for the baby up to six months of life and no other food is necessary during this time. Objective: The main objective of this study is to study the feeding practice of newborn babies in first week of life. Methods: This study was a cross-sectional study conducted on mothers who have done C-section. About 120 sample were interviewed in Dhaka Medical College Hospital and Pan Pacific Hospital Ltd, Dhaka. Pretested structured questionnaire was used for data collection. Results: The result showed that showed that one-third of the infants 84 (70%) were between the ages of 1 to 2 days and 29 (24.2%) were between the age of 3 to 4 days and the rest 7 (5.8%) were greater than 4 days and about half (53%) mothers initiate breast feeding within one hour after delivery. Besides study found that more than half of mothers 67(55.8%) were fed 5-8 time, 40 (33.4%) mother were fed 8-12 time and 13 (10.8%) mothers were fed per day 12-16 time and about 82% mothers use water as an extra feed of their child. Conclusion: The study result does not represent the country situation and should not generalize. Further study is needed for more specific information and generalization.DOI: http://dx.doi.org/10.3329/cmoshmcj.v13i3.21028


2017 ◽  
Vol 13 (1) ◽  
pp. 32-39
Author(s):  
Janaki Parajuli ◽  
Pradip Mishra ◽  
Narbadha Thapa

Background: Breastfeeding has been accepted as the most vital intervention for reducing infant mortality and ensuring optimal growth and development of children. The current study aimed to assess the knowledge and practice regarding breastfeeding among mothers attending immunization clinic.Methods: A cross sectional study was mothers having children under 1 year of age, who attended their children for vaccination and for the treatment of other minor illnesses. The purposive sampling technique was used for selecting the study subjects. Information regarding patients' demographics, knowledge and practice towards breastfeeding were collected from these mothers on a pre-designed and pretested questionnaire.Results: A total of 208 women with children between 6 months and 12 months were included in the study. Their age ranged between 18 and 37 years with the mean of 24.9±4.1. Overall mother's breastfeeding knowledge was good among 35% and excellent among 22% of them while it was unsatisfactory among 43% of the mothers. Breastfeeding in the first 6 months was practiced by 42% of the participated mothers. Only 23% practiced exclusive breast feeding. Among those who breastfed their babies, 51% initiated breastfeeding in the first hour of birth, 21% between 2-4 hours and only 20% initiated it after 24 hours. Only 73% of mother had not given any prelacteal feeding to their babies. No enough breast milk (47.9%), crying hungry (31.5%), work-related problems (13.7%) & mothers' illness (6.8%) were the commonly reported barriers against exclusive breastfeeding.Conclusion: 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. Optimal breastfeeding promotion campaigns need to be carried out within the existing health care system such as the antenatal, after delivery and vaccination clinics.Journal of Nepalgunj Medical College Vol.13(1) 2015: 32-39


2016 ◽  
Vol 33 (4) ◽  
pp. 195-201 ◽  
Author(s):  
Shanjoy Kumar Paul ◽  
Sunirmal Roy ◽  
Quazi Rakibul Islam ◽  
Md Zakirul Islam ◽  
Md Akteruzzaman ◽  
...  

When breast milk is no longer enough to meet the nutritional needs of infants, complementary foods should be added to their diet. It is a very vulnerable period when malnutrition starts in many infants, contributing significantly to high prevalence of malnutrition in under-5 children world-wide. In Bangladesh, complementary feeding (CF) practices are not satisfactory. The objectives of the study were to look into the feeding patterns of under-2 children and to identify the causes which lead mothers/ caregivers to practice inappropriate CF. This cross-sectional study was done in the Pediatric department of Sir Salimullah Medical College Mitford Hospital, Dhaka and in a private chamber from a district town of Bangladesh from October, 2011 to December, 2011. Four hundred mother-child pairs were enrolled by non-random convenience sampling. Different aspects of feeding practices (age of initiation of CF, type of first complementary food, current main complementary food & its quantity, and frequency of CF) were analyzed. Bottle feeding, fast foods and lack of proper family support were most important barriers (p<0.05). High rate of early initiation of CF was mainly due to mothers’ perception that breast milk alone was not enough (81.8%) and main cause of late initiation was refusal of complementary foods by their babies (48.4%). Feeding practices were mainly influenced by relatives (25%), qualified doctors (15.3%), neighbors (14.5%) & mother-in-laws (13.5%). CF practices are still far from ideal. Strengthening of nutrition education to mothers/caregivers and family members/relatives along with awareness building in the community may change the wrong practices.J Bangladesh Coll Phys Surg 2015; 33(4): 195-201


Author(s):  
Uzma A. Shaikh ◽  
Swati T. Dahake

Background: Complementary feeding refers to food which supplements breast milk and ensures that the child continues to have enough energy protein and other nutrients to grow normally. Complementary feeding is started at 6 months of age, while continuing breast feeding. After 6 months of age breast milk alone is not enough to make an infant grow well.Methods: Cross sectional study conducted among 70 mothers coming to paediatric outpatient department. Data was collected regarding their knowledge and practices of complementary feeding. Mean, frequency table and chi-square test were used.Results: 77.1% women have sufficient knowledge about complementary feeding. 77.1% of mothers give complementary food after 6 months remaining i.e. 22.9% are unaware of age of starting it. All mothers are aware of the complementary food which is to be given to babies. 82.8% mothers properly know how to start with complementary feeds. 98.5% of mothers continue to breast feed their baby’s above 6 month.Conclusions: The study concluded that inadequate complementary feeding knowledge and practices were present among some study subjects.


2020 ◽  
Vol 47 (4) ◽  
pp. 324-329
Author(s):  
T. Yusuf ◽  
B. Jibrin

Background: Complementary feeding is the cornerstone of child’s nutrition. Most malnourished children had their predicament originating from  the period of transition from breastfeeding to family diet. Objectives: To determine the complementary feeding practices and nutritional status of young children in Gwiwa community. Materials and  Methods: This cross-sectional study was carried out in Gwiwa community, Wammakko LGA, Sokoto State between January and June,  2018. Three hundred and ten mothers with their children aged 6 –36 months were interviewed using structured interviewer - administered questionnaire and the children’s nutritional status was assessed using WHO classification of malnutrition. Data was analysed using SPSS version22.0.A p-value ≤0.05 was taken as significan. Results: One hundred and forty (45.2%) respondents were aged  15 – 24years and 168(54.2%) were of low socio-economic class. There were 190  males and 120 females with 66 (21.3%) children exclusively bre as t - fed for 6months. The mean age of cessation of breast feeding was 17.8 ±3.6 months. One hundred and sixty-nine (54.5%) children commenced complementary feeding at 6-8month of age with the mean age of 5.7(±2.6) months. One hundred and eighty-four (59.4%) used plain pap with 41.2% fed more than 3 times per day. Eighty-two (26.5%), 56(18.1%) and 76 (24.5%) children were underweight, wasted and stunted respectively. Conclusion: The complementary feeding practices were suboptimal in this community and might explain the poor nutritional status of their under- fives. Efforts should be geared towards optimal complementary feeding practices in this community. Key words: Complementary, Feeding, Practice, Nutritional, Status, Under-5.


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