Effect of a Prenatal Nutritional Intervention Program On Initiation and Duration of Breastfeeding

2008 ◽  
Vol 69 (2) ◽  
pp. 101-105 ◽  
Author(s):  
Gisèle Léger-Leblanc ◽  
France M. Rioux
Keyword(s):  
Intervention Program ◽  
Nutritional Intervention ◽  
Hemoglobin Level ◽  
Breastfeeding Initiation ◽  
Initiation Rate ◽  
Factors Affecting ◽  
Modifiable Factors ◽  
Duration Of Breastfeeding ◽  
Early Childhood Initiative ◽  
Intention To Breastfeed

Purpose: To evaluate initiation and duration of breastfeeding of infants born to mothers who participated in the Early Childhood Initiative (ECI) program. Factors affecting the initiation and the early cessation of breastfeeding were also explored. Methods: Twenty-five pregnant women participating in the ECI program completed this prospective study. At 36 weeks’ gestation, a questionnaire was administered to assess socioeconomic status, intention to breastfeed and breastfeeding experience. When the infants were three and six months of age, feeding practices were assessed with a questionnaire. Results: The breastfeeding initiation rate was 62.5%. At one and three months postpartum, exclusive breastfeeding rates were 39% and 4%, respectively. At six months, none of the women was exclusively breastfeeding. Primiparity, prenatal classes, having been breastfed and intention to breastfeed at 36 weeks’ gestation were positively associated with breastfeeding initiation. Father’s education, intention to breastfeed at 36 weeks’ gestation, no water or formula given to the infant during hospitalization and higher maternal hemoglobin level at 36 weeks’ gestation were positively associated with the duration of breastfeeding. Conclusions: The rate of initiation and duration of breastfeeding for ECI participants were low. To achieve successful interventions, it is important to target modifiable factors known to influence the initiation and duration of breastfeeding within this population.

Breastfeeding Practices Among Resident Physicians

PEDIATRICS ◽  
1996 ◽  
Vol 98 (3) ◽  
pp. 434-437
Author(s):  
Nancy H. Miller ◽  
David J. Miller ◽  
Melissa Chism
Keyword(s):  
Maternity Leave ◽  
Breastfeeding Initiation ◽  
Initiation Rate ◽  
Cross Sectional ◽  
Resident Physicians ◽  
Breastfeeding Practices ◽  
Breastfeeding Rate ◽  
Modifiable Factors ◽  
Insufficient Time ◽  
Attending Physicians

Objective. To determine how employment as a resident physician (resident) affects breastfeeding practices and experiences. Design. Cross-sectional questionnaire survey. Setting. US resident physicians in the second half of their postgraduate year three (PGY3). Participants. 1500 questionnaires were mailed at random to female 1990 graduates of American medical schools. After eliminating unusable surveys, an adjusted response rate of 45% produced 450 surveys; 60 delivered a child during residency. Interventions. None. Measurement/Main Results. Forty-eight (80%) of 60 residents who delivered initiated breastfeeding, and continued for the duration of their maternity leave (mean, 7 weeks). With a return to residency half (24) of those who had initiated breastfeeding discontinued breastfeeding. The breastfeeding rate dropped to 15% (9/60) at 6 months. Residency work schedule was the most common reason (80%) for discontinuing breastfeeding. Of the 24 residents who continued breastfeeding while working, 83% pumped breast milk during their work shifts; 79% felt there was insufficient time during work, and 42% reported no appropriate place at work to express milk. Only 54% who continued felt supported by their attending physicians for their efforts to breastfeed; 67% felt colleagues were supportive. Conclusions. The breastfeeding initiation rate for resident mothers was in compliance with the Healthy People 2000 guidelines, but the rate at infant age 6 months fell well below the goal of 50%. Modifiable factors in residents' work sites include both physical and emotional accommodations to encourage resident mothers to breastfeed.

scholarly journals Factors Affecting Initiation and Duration of Breastfeeding Among Off-Reserve Indigenous Children in Canada

2019 ◽  
Vol 10 (1) ◽  
Author(s):  
Isabella Romano ◽  
Martin Cooke ◽  
Piotr Wilk
Keyword(s):  
First Nations ◽  
School Attendance ◽  
Breastfeeding Initiation ◽  
Birth Mothers ◽  
Factors Affecting ◽  
Indigenous Children ◽  
Region Of Residence ◽  
Nationally Representative ◽  
Duration Of Breastfeeding ◽  
Lower Household Income

Indigenous children in Canada are less likely to be breastfed compared to non-Indigenous children; however, little information about rates and correlates of breastfeeding exist. We used a nationally representative survey to examine breastfeeding initiation (n = 9,330) and duration (n = 6,760) among First Nations, Métis, and Inuit children. In our sample, 72.5% of children had been breastfed, and 57.9% of these individuals were breastfed until six months. Factors associated with increased breastfeeding included mothers’ educational attainment, children’s weight at birth, mothers' residential school attendance, and region of residence. Having Indian Status and lower household income were associated with lower breastfeeding initiation and duration. Our findings suggest that targeted efforts to encourage and support breastfeeding among Indigenous women are needed. Additional research using contemporary data are required in Canada.

What Are the Factors Affecting Total Sleep Time During Video Polysomnography in Infants?

2020 ◽  
Author(s):  
Grace R. Paul ◽  
Don Hayes ◽  
Dmitry Tumin ◽  
Ish Gulati ◽  
Sudarshan Jadcherla ◽  
...  
Keyword(s):  
Total Sleep Time ◽  
Sleep Time ◽  
Time Of Day ◽  
Apnea Hypopnea Index ◽  
Clinical Factors ◽  
Initial Management ◽  
Factors Affecting ◽  
Modifiable Factors ◽  
Key Points ◽  
Medical Complexity

Objective The aim of the study is to investigate factors affecting total sleep time (TST) during infant polysomnography (PSG) and assess if <4 hours of TST is sufficient for accurate interpretation. Study Design Overall, 242 PSGs performed in 194 infants <6 months of chronological age between March 2013 and December 2015 were reviewed to identify factors that affect TST, including age of infant, location and timing of study, presence of medical complexity, and presence of nasal tubes. A continuum of apnea-hypopnea index (AHI) in relation to TST was reviewed. Data were examined in infants who had TST <4 hours and low AHI. Results Greater TST (p < 0.001) was noted among infants during nocturnal PSGs, at older chronological and post-menstrual ages, and without medical complexity. The presence of nasogastric/impedance probes reduced TST (p = 0.002). Elevated AHIs were identified even in PSGs with TST <4 hours. Short TST may have affected interpretation and delayed initial management in one infant without any inadvertent complications. Conclusion Clinical factors such as PMA and medical complexity, and potentially modifiable factors such as time of day and location of study appeared to affect TST during infant PSGs. TST < 4 hours can be sufficient to identify high AHI allowing physician interpretation. Key Points

scholarly journals Postnatal care services and factors affecting its utilization in slum areas of Dhaka city

2020 ◽  
Vol 13 (2) ◽  
pp. 53-58
Author(s):  
Nilufar Yeasmin Nili
Keyword(s):  
Infant Mortality ◽  
Intervention Program ◽  
Sampling Technique ◽  
Dhaka City ◽  
Factors Affecting ◽  
Cultural Aspects ◽  
Care Services ◽  
Cultural Status ◽  
Mass Media Exposure ◽  
Slum Areas

Background and objectives: Maternal as well as infant mortality is high in Bangladesh. Utilization of post natal care (PNC) services is important to reduce maternal and infant mortality. Considering this matter, this study attempted to find out the level of PNC utilization by women living in slum areas of Dhaka city as well as to identify the factors associated with the utilization of PNC services. Methods: This study was conducted in Khilgaon and Rampura slums of Dhaka city. In each slum, women aged between 15-49 years who had given birth to at least one child were enrolled in the study by random sampling technique. Participants were interviewed with a semi-structured questionnaire which included information on socio-economic, demographic, cultural status as well as information on PNC service utilization. Results: Out of total 360 enrolled women in both slums, 58.6% utilized PNC services. The rate of utilization of PNC services was 55% and 62.2% in Khilgaon and Rampura slum respectively. Compared to 40-49 years age group, significantly (p<0.01) higher percentage of women aged <20, 20-29 and 30-39 years utilized PNC services (69.6%, 67.0% and 56.4% respectively). The significant associates of receiver of PNC were respondent’s education, number of antenatal care (ANC) received, level of tetanus vaccination, place of delivery, distance between home and clinic, mass media exposure, male participation and autonomy. Conclusion: Local socioeconomic and cultural aspects should be considered while planning intervention program to improve the utilization of PNC service. Ibrahim Med. Coll. J. 2019; 13(2): 53-58

scholarly journals Factors Related to Breastfeeding Discontinuation Between Hospital Discharge and 2 Weeks Postpartum

2011 ◽  
Vol 20 (1) ◽  
pp. 36-44 ◽  
Author(s):  
Elizabeth Brand ◽  
Catherine Kothari ◽  
Mary Ann Stark
Keyword(s):  
Longitudinal Study ◽  
Hospital Discharge ◽  
Secondary Analysis ◽  
Perceived Support ◽  
Breastfeeding Initiation ◽  
New Mothers ◽  
Early Discontinuation ◽  
Problem Solving Skills ◽  
Study Support ◽  
Duration Of Breastfeeding

Although breastfeeding is known to be beneficial to both mother and infant, many women encounter barriers to breastfeeding, even after successful breastfeeding initiation, which may put them at greater risk for early cessation of breastfeeding. The objectives of this study were to conduct a secondary analysis of data from a longitudinal study of postpartum depression to (a) examine factors related to very early discontinuation of breastfeeding (at 2 weeks postpartum) following hospital discharge and (b) identify women’s reasons for very early cessation of breastfeeding. The results of this study support findings from previous research. Having a perceived support system, whether it is personal or professional, may have an effect on both the initiation and duration of breastfeeding. Educating expectant and new mothers, especially women who encounter multiple barriers and are at risk for very early cessation of breastfeeding, of the benefits of breastfeeding and supporting them in developing efficient techniques and problem-solving skills can help increase the duration of breastfeeding.

scholarly journals What does early initiation and duration of breastfeeding have to do with childhood mortality? Analysis of pooled population-based data in 35 sub-Saharan African countries

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Michael Ekholuenetale ◽  
Amadou Barrow
Keyword(s):  
Infant Mortality ◽  
Early Initiation ◽  
Childhood Mortality ◽  
Breastfeeding Initiation ◽  
African Countries ◽  
Live Births ◽  
Breastfeeding Practices ◽  
Sub Saharan ◽  
Duration Of Breastfeeding ◽  
Pooled Sample

Abstract Background Breastfeeding practices and their impact on infant health and survival are unquestionably of global interest. The aim of this study was to examine the link between breastfeeding initiation within one hour of birth, breastfeeding duration and childhood mortality in sub-Saharan Africa. Methods This study used data from the Demographic and Health Survey, which was conducted in 35 Sub-Saharan African countries between 2008 and 2017. Early initiation and duration of breastfeeding, food consumption indices, and infant mortality were all important variables. Analysis used percentage, median/interquartile range, and regression models (logistic, linear, Cox). Results Early initiation of breastfeeding within one hour after birth was lowest in Chad (23.0%) and highest in Burundi (85.0%). The pooled median duration of breastfeeding was 12 months. Female children had 3% significant lower odds of consuming tinned, powdered or fresh milk, compared with male children (OR 0.97; 95% CI 0.94, 0.99). Conversely, female children were more likely to be put to breast within one hour after birth, compared with male children (OR 1.03; 95% CI 1.01, 1.05). Results from the pooled sample showed approximately 20% (HR 0.80; 95% CI 0.67, 0.96) and 21% (HR 0.79; 95% CI 0.77, 0.80) reduction in infant mortality for children breastfed within one hour after birth and for every unit increase in the months of breastfeeding respectively. In addition, countries with the leading infant mortality rate include; Sierra Leone (92 deaths per 1000 live births), Chad (72 deaths per 1000 live births), Nigeria (69 deaths per 1000 live births), Cote d’ Ivoire (68 deaths per 1000 live births), Guinea (67 deaths per 1000 live births), Burkina-Faso (65 deaths per 1000 live births) and Mozambique (64 deaths per 1000 live births) respectively. Conclusions The findings from this study underscores the need for early breastfeeding initiation and prolong breastfeeding to be considered in programmes on improving childhood survival. Efforts should be made to improve optimal breastfeeding practices as only about half of children in the pooled sample had best practices of breastfeeding.

scholarly journals Children’s Health Capital Investment: Effects of U.S. Infant Breastfeeding on Teenage Obesity

Econometrics ◽  
2021 ◽  
Vol 9 (4) ◽  
pp. 42
Author(s):  
Albert Okunade ◽  
Ahmad Reshad Osmani ◽  
Toluwalope Ayangbayi ◽  
Adeyinka Kevin Okunade
Keyword(s):  
Standard Deviation ◽  
Capital Investment ◽  
Breastfeeding Duration ◽  
Development Theory ◽  
Breastfeeding Initiation ◽  
Obesity Prevalence ◽  
Long Term Effects ◽  
Health Capital ◽  
Initiation Rate ◽  
Teenage Obesity

Obesity, as a health and social problem with rising prevalence and soaring economic cost, is increasingly drawing scholarly and public policy attention. While many studies have suggested that infant breastfeeding protects against childhood obesity, empirical evidence on this causal relationship is fragile. Using the health capital development theory, this study exploited multiple data sources from the U.S. and a three-way error components model (ECM) with a jackknife resampling plan to estimate the effect of in-hospital breastfeeding initiation and breastfeeding for durations of 3, 6, and 12 months on the prevalence of obesity during teenage years. The main finding was that a 1% rise in the in-hospital breastfeeding initiation rate reduces the teenage obesity prevalence rate by 1.7% (9.6% of a standard deviation). The magnitude of this effect declines as the infant breastfeeding duration lengthens—e.g., the 12-month infant breastfeeding duration rate is associated with a 0.53% (3.7% of a standard deviation) reduction in obesity prevalence in the teenage years (9th to 12th grades). The study findings agree with both the behavioral and physiological theories on the long-term effects of breastfeeding, and have timely implications for public policies promoting infant breastfeeding to reduce the economic burden of teenage and later adult-stage obesity prevalence rates.

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