scholarly journals Study of ecology of malnutrition with respect to infection, infestation pattern, immunization and feeding practices in children attending tertiary care hospital

2016 ◽  
Vol 4 (1) ◽  
pp. 197
Author(s):  
Gautam M. Kabbin ◽  
Vinod P. Chavan

Background: It often quipped that half of the world is starving and other half is tyring to lose weight!!.Unfortunately India is in the former half of the world. Out of 667 million children under age five worldwide, 151 million children are stunted and 50 million children are wasted.Methods: The present study showed a very poor immunization status of malnourished children only 7.26% were completely immunized and 74.39% and 8.47% of malnourished children were partially immunized and unimmunized respectively. Study also showed a high incidence of wrong feeding practices like early weaning, prolonged exclusive breast feeding without adequate supplementation, and top feeding in the malnourished cohort. Study also showed a high prevalence of bronchopneumonia, UTI, GI infections in the study group. Tubercular meningitis, pyogenic meningitis, aspiration pneumonia contributed to majority of deaths. Malnourished children are more likely to have anemia, xerophthalmia, bacteremia, bacteriuria, pneumonia, GI infection and tuberculosis. The study was conducted in the Department of Pediatrics, VIMS and Head Quarters Hospital Bellary from December 2006 to December 2007.Results: In this study out of 8 HIV positive children 6 children had been breast fed and 2 were top fed. Study also showed a high prevalence of bronchopneumonia, UTI, GI infections in the study group. Tubercular meningitis, pyogenic meningitis, aspiration pneumonia contributed to majority of deaths. Malnourished children are more likely to have anemia, xerophthalmia, bacteremia, bacteriuria, pneumonia, GI infection and tuberculosis. In cases with severe malnutrition, screening for HIV infection must be done.Conclusions: Education regarding early initiation of breast feeding within one hour of birth, exclusive breast feeding for 4 to 6 months and continued breast feeding for 2 years or beyond with adequate supplementation must be emphasized. Last but not the least, the importance of immunization in breaking the vicious cycle of infection and malnutrition should be made known to the community at large through effective usage of mass media. 

Author(s):  
Giscard KuatéKaptso ◽  
William Tchabo ◽  
Juliet Egbe Nkongho ◽  
Gillian Nkeudem Asoba ◽  
Athanasius Fonteh Amungwa

Aims: Malnutrition remains an issue of public health concern in Cameroon. Optimal infant feeding habits and maternal risk factors influence the prevalence of malnutrition. This work aimed to evaluate the influence of feeding habits and risk factors on the nutritional status of infants in Kumba hospitals. Study design: A descriptive cross-sectional study was carried out for a period of 3 months at the Maternal and Child Protection (PMI) and Kumba District hospitals. Methodology: The age of the children were recorded from their immunization cards. The measurements of length and weight of children were recorded. Questionnaires were administered through simple random sampling to care givers of 227 infants at the welfare clinics from which information on feeding habits, anthropometric parameters and socio-demographic status was obtained. The Z-score classifications for malnutrition was used to estimate the deterioration in weight and height of children in reference to the children of same age and sex. Results: There was a low prevalence (14%) of exclusive breast feeding. A high prevalence of early initiation of breast feeding within the first hour of birth at 85% was observed. Early introduction to energy dense complementary food at 67.2% was observed in infants between 0-5 months accounting for the high prevalence of overweight, and possible risk obesity. Furthermore, it was found that 17% of children were stunted, 14.60% were wasted, and 11.70% were underweight. Among them, stunting was highest in children 0-3 months who were on breast milk. Moreover, a significant relationship was observed between marital status and stunting (P<0.05), and underweight and unemployment (P<0.05). Conclusion: This study revealed that exclusive breast feeding from 0 to 6 months was poorly practiced. Thus leading to a high prevalence of wasting, overweight and obesity among admitted children in Kumba hospitals. This was also found to be linked to malnutrition, marital and professional status.


Author(s):  
R. Mark Beattie ◽  
Anil Dhawan ◽  
John W.L. Puntis

Benefits of breast-feeding 25Breast-feeding basics 26Contraindications to breast-feeding 27Promotion of breast-feeding 28Breast milk is the ideal food for infants. The World Health Organization recommends exclusive breast-feeding for at least the first 6 months of life. Until March 2001, the WHO recommended exclusive breast-feeding only for the first 4–6 months of life. This change in policy was based on a systematic review of the published scientific literature which highlighted a protective effect of prolonged breast-feeding against gastrointestinal disease, and confirmed health benefits to mothers. The applicability of these findings to developed countries has been questioned....


Author(s):  
Kamlesh Tiwari ◽  
Neha Savarna ◽  
Ishmat Khanam

Background: Exclusive breastfeeding up to 6 months of age is very beneficial not only to baby and mothers, but also to the family, society and the whole nation. In spite of best efforts by various organizations at government and NGO levels, the counselling for breast feeding during ante natal period is almost an unaddressed arena, which if proper attention is given, may result in very high incidence of successful breast feeding.Methods: It is a hospital based prospective study. A total of 150 primiparous mothers (100 study group and 50 control group) were counselled during every antenatal checkup for exclusive breast feeding attending the OPD of Obstetrics & Gynaecology department of Vardhman Institute of Medical sciences, Pawapuri, Nalanda, Bihar from January 2015 to December 2016 and the outcome of counselling was observed during follow up in puerperium for 6 weeks.Results: Similar profile primiparous mothers in both study and control group, the mothers who were counselled on their antenatal visit for exclusive breast feeding, the success rate was much higher in counselled group than study group (p value 0.0001). It was also observed that the prior information about breast feeding were provided by electronic media, papers and family members and in this regard contribution of health system is minimal.Conclusions: Every obstetrician and other care givers must include routine care of breast and counselling on breast feeding during antenatal check up to enhance the confidence of primiparous mothers. A few extra minutes spared in counselling on breast feeding has a long-lasting effect on successful breast feeding during the post-natal period. 


2015 ◽  
Vol 22 (12) ◽  
pp. 1531-1534
Author(s):  
Saadia Khan ◽  
Imran Iqbal ◽  
Reema Arshad ◽  
Kamran Ishfaq

Background: Breast feeding is the most natural way of feeding the infants and help to reduce child mortality and morbidity and millions of deaths could be prevented each year if mothers were aware of benefits of exclusive breast feeding for 4 -6 months and early initiation of breast feeding. Objective:To evaluate the awareness regarding breast feeding and complementary feeding in mothers of severely malnourished children. Study Design: This is a descriptive /cross sectional study. Place and duration of study: This study was conducted at the department of preventive pediatrics Children hospital and institute of child health, Multan from March 2013 to September 2013. Materials and Methods:This study included a total of 100 females that were the mothers of malnourished children visiting the follow up room of department of preventive pediatrics Children hospital and institute of child health, Multan. A questionnaire was designed and others were interviewed in detail after taking proper consent. Results:In this study, the mean age of the sample was25years +/_3 years. 70 % females (70/100) were from urban areas while 30 %(30/100) were from rural areas. Of the 100 respondents 54%( 54/100) of mothers were illiterate and this study showed that 99% (99/100) considered breast milk safe and effective than other feeds but practically only 23%(23/100) babies were breast fed while 77%(77/100) were bottle fed. Pre-lacteal feed was given by 82% (82/100). According to 58% (58/100) mothers there should be a early initiation of breast feeding, while 57% (57/100) were un aware of the facts that clostrum should be given while 43 %(43/100)of then considered it unhealthy and non effective,82%(82/100) considered 4 months a period of exclusive breast feeding,61% (61/100) were counseled by doctors regarding the benefits of breast feeding,50%(50/100) were aware of the use of exclusive breast feeding as a contraceptive tool and 34 % (34/100) were aware of its importance for the prevention of breast cancer. Conclusion:The findings of the study indicated the various important policy implications for the intervention of breastfeedig. Strategies to encourage mothers to follow breastfeeding recommendations should concentrate on improving their knowledge.


Mediscope ◽  
2020 ◽  
Vol 7 (1) ◽  
pp. 25-30
Author(s):  
Refat Zahan ◽  
Farhana Ferdaus ◽  
Md Abdur Rahman ◽  
Shahin Chowdhury ◽  
Effat Zahan ◽  
...  

The study attempted to describe the pattern of breast feeding practice among the rural women of Bangladesh with last child below 5 years of age living in the villages of Dumuria Upazilla. Due to small size of study group limited analysis were possible yet important variables such as the level of maternal education, age of starting complementary food, food used during weaning period, maternal knowledge of importance of colostrum and feeding of colostrum to the infant were considered. One of the important variables of the study was the level of the education of the respondents. As per the study, the majority (41.06%) of the respondents passed secondary level. Maximum 90.0% mothers gave breast milk, 4.4% gave honey, 4.4% gave others and minimum 1.2% gave mixed food just after delivery. Majority 46% started breast feeding after 4 hours, 44.8% had within 1 hour, 6.8% after 1st hours, 2.4% after 3 hours of delivery. Maximum 89.2% of the respondent fed exclusive breast feeding up to 1-2 months, 9.6% fed up to 3-4 months, and 1.2% fed up to 5-6 months. Maximum 48.4% fed breast milk for 3-4 months. Maximum 88.8% started complementary food within 6 months, 11.2% after 6 months. Mediscope Vol. 7, No. 1: Jan 2020, Page 25-30


Diabetes ◽  
1990 ◽  
Vol 39 (3) ◽  
pp. 390-396 ◽  
Author(s):  
G. K. Dowse ◽  
H. Gareeboo ◽  
P. Z. Zimmet ◽  
K. G. Alberti ◽  
J. Tuomilehto ◽  
...  

2020 ◽  
Vol 1 (1) ◽  
pp. 55-57
Author(s):  
Dildora Khaydarova ◽  
◽  
Hilola Davronova ◽  
Asliddin Akbarov ◽  

Cerebrovascular diseases remain one of the most pressing medical and social problems in many countries of the world, due to their high prevalence, severity of complications and mortality. In Uzbekistan, the number of patients with cerebral stroke is quite large -about 40-45 thousandcases of cerebral stroke are registered annually


2017 ◽  
Vol 19 (1) ◽  
pp. 68-78
Author(s):  
Rahmad Nugroho ◽  
Waryana Waryana ◽  
Irianton Aritonang

Background: The problem of low exclusive breast feeding achievement in Indonesia is caused by social cultural factors, i.e. the minimal understanding of expecting mother, family, society, and health servant with the exclusive breast feeding. The husband’s and grandmother’s motivation will influence on successful breast feeding. Objective: This study is aimed to reveal the exclusive breast feeding achievement ang the role of grandmother. Method: This is an observational study. The researcher observes the society phenomena in Bangunjiwo Village, Bantul Regency. The subjects of the study are: 1) grandmothers aging ≥ 55 yeras old, 2) breast feeding mothers, and 3) Posyandu cadres. The data are collected by the focus group discussion, detail interview, and documentation.The instruments of the study are FGD, stationaries, tape recorder, and camera. The data are analyzed from the preparation of transcript, data reduction, data presentation, and conclusion. Results: the success of breast feeding is motivated by grandmother’s role, i.e. 1) suggesting, 2) motivating, 3) caring, 4) reminding when mother goes out, 5) giving the stored mother’s milk for working mother, and midwive’s explanation and training for expecting mother. Conclusion: The role of grandmother in exclusive breast feeding will increase: 1) mother’s understanding of breast feeding advantages, 2) mother’s awareness of exclusive breast feeding, and 3) mother’s attitude of exclusive breast feeding. Therefore, a breast feeding mother will be able to increase in practicing exclusive breast feeding by: 1) overcoming obstacles, 2) consuming balanced nutrition, 3) maintaning health and drinking herb. Finally, these will influence the succssful exclusive breast feeding.   Keywords: exclusive breastfeeding, The role of grandmother, mother’s attitude


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


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