Breast-Feeding and Infectious Illness, Power and Confidence Intervals

PEDIATRICS ◽  
1991 ◽  
Vol 88 (5) ◽  
pp. 1079-1080
Author(s):  
JUDY HOPKINSON

The article "Relationship Between Infant Feeding and Infectious Illness: A Prospective Study of Infants During the First Year of Life" by Rubin et al in the April issue of Pediatrics was provocative. Like Mulford, I too am concerned about the definitions of breast-feeding used in the study. Breast-feeding and formula-feeding are defined in such a way that the study actually examines the impact of the degree of breast-feeding on health of breast-fed infants. This may be an important issue in Denmark where the incidence of breast-feeding at 1 month is more than 90%.

PEDIATRICS ◽  
1990 ◽  
Vol 86 (5) ◽  
pp. 806-806
Author(s):  
FRED AGRE

To the Editor.— In the article "Relationship Between Infant Feeding and Infectious Illness: A Prospective Study of Infants during the First Year of Life" the authors comment on the methodologic failures of other studies.1 These failures include: (1) prospective data on infection and feeding, (2) specifying what is meant by infectious illness and breast-feeding, (3) controlling for other variables, and (4) exposure to illness through time. Such a study accounting for the above methodologic flaws was conducted by me and reported in the American Journal of Diseases of Children.2


PEDIATRICS ◽  
1990 ◽  
Vol 86 (5) ◽  
pp. 806-807
Author(s):  
CHRIS MULFORD

To the Editor.— I read with interest the article "Relationship Between Infant Feeding and Infectious Illness: A Prospective Study of Infants During the First Year of Life" by Rubin et al in the April issue.1 Two things puzzle me. The first is that, despite the authors' stated goal of paying close attention to methodology, their definition of breast-feeding fails to meet the standards set forth by most experts on lactation. The second is that, given their substantial investment of time and money in obtaining detailed data on 500 babies for a full year, the authors chose to ask their particular research question.


1984 ◽  
Vol 119 (3) ◽  
pp. 335-349 ◽  
Author(s):  
M. R. FORMAN ◽  
B. I. GRAUBARD ◽  
H. J. HOFFMAN ◽  
R. BEREN ◽  
E. E. HARLEY ◽  
...  

1984 ◽  
Vol 13 (4) ◽  
pp. 447-453 ◽  
Author(s):  
M R FORMAN ◽  
B I GRAUBARD ◽  
H J HOFFMAN ◽  
R BEREIM ◽  
E E HARLEY ◽  
...  

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Tülin Ayşe Özden ◽  
Gülbin Gökçay ◽  
M. Serdar Cantez ◽  
Özlem Durmaz ◽  
Halim İşsever ◽  
...  

2018 ◽  
Vol 5 (3) ◽  
pp. 804 ◽  
Author(s):  
Naresh Kumar ◽  
Supriya Malik

Background: Diarrhoea is one of the major and most frequently encounter problem by the paediatrician. Diarrhoeal disease is the second leading cause of death n children under 5 yrs and is responsible for killing around 5,25,000 children every year. In low income counties, children under three years old, experience on an average three episodes of diarrhoea every year. Each episode deprives the child of the nutrition necessary for growth. Current study was conducted to assess maternal knowledge, attitude over practice regarding diarrhoeal disease.Methods: The present study is a prospective study, carried out at department of paediatrics, at Sri Guru Ram Das University of Medical Sciences and Research Amritsar from Jan 2016—Jan 2018 over period of 2 years. Total 25-0 mothers were intervened to assess their knowledge, attitude and practices during episodes of diarrhoea on basis of educational qualification of mothers, data were divided into three categories: Illiterate, moderately educated including mothers having qualification up to graduation, highly educated-mothers who did post-graduation or some professional education.Results: Total 250 mothers were included in the study with prior informed consent and question were asked as per preformed questionnaire and vernacular language and English too. In present study, it was observed that maximum number of diarrhoea causes 77.76% were seen in first year of life and there was higher incidence (74.4%) among male children. Incidence of diarrhoea was 67.6% among children of illiterate mother in contrast to 12% among a mother of having higher qualification.Conclusions: Finding of present study indicated low proportion of maternal knowledge and practice about etiologies and management of diarrhoeal disease among children under 5 years of age. Programme should focus on provided awareness to patients and education of mother should focus on symptoms of dehydration, knowledge on ORS, hoe to prepare an ORS, prevention on danger sign and diseases. rural population.


PEDIATRICS ◽  
1995 ◽  
Vol 96 (3) ◽  
pp. 504-510
Author(s):  
Roberta J. Cohen ◽  
Kenneth H. Brown ◽  
Judy Canahuati ◽  
Leonardo Landa Rivera ◽  
Kathryn G. Dewey

Objectives. To evaluate the impact of introducing complementary foods to exclusively breast-fed infants at 4 vs 6 months on growth from 6 to 12 months, and to compare growth patterns of Honduran infants with those of breast-fed infants in the United States. Design. Randomized intervention trial from 4 to 6 months and longitudinal study of infants from birth to 12 months. Setting. Low-income communities in San Pedro Sula, Honduras. Subjects. Primiparous, breast-feeding mothers and their infants (n = 141) recruited from public maternity hospitals. Intervention. Infants were randomly assigned to exclusive breast-feeding to 6 months, or exclusive breast-feeding with addition of hygienically prepared, nutritionally adequate complementary foods at 4 months, with or without maintenance of baseline breast-feeding frequency. After 6 months, mothers continued to breast-feed and also fed their infants home-prepared foods after receiving instruction in appropriate feeding practices. Outcome Measures. Infant weight was measured monthly during the first year of life and infant length monthly from 4 to 12 months. Statistical Analysis. Growth parameters were compared between the Honduran and US cohorts using multiple-regression and repeated-measures analysis of variance. Stepwise multiple regression was used to identify determinants of infant growth. Results. There were no differences in growth patterns by intervention group. Mean birth weight of the Honduran infants was significantly less than that of a cohort of breast-fed infants in an affluent US population (n = 46) (2889 ± 482 vs 3611 ± 509 g), but the Honduran infants exhibited rapid catch up in weight in the first few months of life, and the cohorts were similar in weight by 3 months. Mean weight and length gain were similar to those of the US cohort from 4 to 9 months but were lower from 9 to 12 months. Mean length for age was significantly less than that of the US cohort from 4 to 12 months; this was attributable to the difference in maternal height (12 cm shorter in Honduras on average). Within the Honduran cohort, growth velocity of low birth weight infants (<2500 g; n = 28) was similar to that of their normal birth weight peers; thus, the former subgroup remained smaller than the latter throughout the first year of life. Conclusions. In poor populations, when breast-feeding is exclusive for the first 4 to 6 months, continues from 6 to 12 months, and is accompanied by generally adequate complementary foods, faltering in weight does not occur before 9 months among infants born with birth weights of more than 2500 g.


2008 ◽  
Vol 36 (4) ◽  
pp. 344-350
Author(s):  
Jagna Ciochariska ◽  
Boiena Langner- Tyszka ◽  
Zbignie Osiowski ◽  
Bogna Schmidr-Sidor

2013 ◽  
Vol 17 (2 (66)) ◽  
pp. 97-100
Author(s):  
Yu. M. Nechytailo ◽  
I. S. Seman'-Min`ko ◽  
O. G. Buriak

The paper analyzes the principles of feeding infants of the first year of life, which modern mothers adhere to. A total of 87 infants aged under one year who were breast-fed have been examined. It is shown that the approaches to feeding children and introducing complementary feeding guidelines are somewhat different from the international recommendations on supporting breastfeeding. The main difficulties faced by the mother during natural breastfeeding an infant have been mentioned and analyzed.


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