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1.
Am J Perinatol ; 37(S 02): S46-S53, 2020 09.
Artículo en Inglés | MEDLINE | ID: mdl-32898882

RESUMEN

OBJECTIVE: We aimed at reviewing the currently available guidelines and scientific recommendations regarding the neonatal in-hospital management and feeding in the light of the coronavirus disease 2019 (COVID-19) pandemic. STUDY DESIGN: We systematically searched the guideline databases, Medline, Embase, and nationale/international neonatal societies websites as of June 19, 2020, for guidelines on neonatal management and feeding during the COVID-19 pandemic, at the same time assessing the methodological quality using the Appraisal of Guidelines for Research and Evaluation II tool. RESULTS: Eleven guidelines were included. The Chinese and American recommendations suggest separation of the mother and her neonate, whereas in French, Italian, UK, Canadian, and World Health Organization consensus documents the rooming-in is suggested, with Centers for Disease Control and Prevention guidelines suggesting to decide on a case-by-case basis. All the guidelines recommend breastfeeding or feeding with expressed maternal milk; the only exception is the Chinese recommendations, these last suggesting to avoid breastfeeding. CONCLUSION: This review may provide a useful tool for clinicians and organizers, highlighting differences and similarities of the existing guidelines on the management and feeding strategies in the light of the COVID-19 pandemic. KEY POINTS: · This study compares guidelines on management and nutrition of a newborn born to a mother with SARS-CoV-2 infection.. · Existing guidelines on neonatal management and nutrition during the SARS-CoV-2 pandemic show many differences.. · The majority of recommendations are mainly based on experts' opinion and are not evidence-based..


Asunto(s)
Lactancia Materna/estadística & datos numéricos , Infecciones por Coronavirus/epidemiología , Fenómenos Fisiológicos Nutricionales del Lactante , Neumonía Viral/epidemiología , Guías de Práctica Clínica como Asunto , Femenino , Humanos , Recién Nacido , Transmisión Vertical de Enfermedad Infecciosa/prevención & control , Leche Humana , Pandemias , Organización Mundial de la Salud
2.
Recurso de Internet en Portugués | LIS - Localizador de Información en Salud | ID: lis-47781

RESUMEN

Estudo do Ministério da Saúde aponta que mais da metade das crianças brasileiras continua sendo amamentada no primeiro ano de vida, e mais de 45% das menores de seis meses recebem leite materno exclusivo.


Asunto(s)
Lactancia Materna/tendencias , Lactancia Materna/estadística & datos numéricos , Brasil
4.
PLoS One ; 15(7): e0236080, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32667942

RESUMEN

BACKGROUND: Exclusive breastfeeding (EBF) means that an infant should be breastfed only for the first six months of life to achieve optimal child development and to prevent infant morbidity and mortality. The aim of this analysis was to determine the individual-, household-, and community-level factors associated with EBF practice in Bangladesh. METHODS: A total of 1,440 women-child pairs data were analysed extracted from 2011 and 2014 Bangladesh Demographic and Health Survey. Multilevel logistic regression models were used separately for individual-, household-, and community level factors to identify the different level of factors associated with EBF practice. RESULTS: Around 61% women in Bangladesh practiced EBF with significant variation across several individual-, household-, and community-level factors. At the individual level, higher odds of EBF practice was found among mothers' received higher number of antenatal care and lower age of child. Mothers' higher education and engagement in formal jobs were found negatively associated with EBF practice. At the community level, higher odds of EBF was found among women live in Barishal, Dhaka, and Rajshahi divisions, and resided in the community with moderate level of female education, higher level of fertility, and higher use of antenatal and delivery care. CONCLUSIONS: One in every three children in Bangladesh do not breastfeed exclusively which needs special attention for the policymakers. In this case, educated women engaged in income generating activities and women did not use antenatal care should be given priority. At the community level, priority should be given for the women's resides in the community with lower level of antenatal and delivery healthcare services use.


Asunto(s)
Lactancia Materna/estadística & datos numéricos , Conocimientos, Actitudes y Práctica en Salud , Madres/psicología , Madres/estadística & datos numéricos , Atención Prenatal/estadística & datos numéricos , Factores Socioeconómicos , Adulto , Bangladesh , Femenino , Encuestas Epidemiológicas , Humanos , Lactante , Recién Nacido , Masculino , Embarazo
5.
Medicine (Baltimore) ; 99(28): e20815, 2020 Jul 10.
Artículo en Inglés | MEDLINE | ID: mdl-32664074

RESUMEN

BACKGROUND: The high rate of cesarean section is an important factor affecting breastfeeding in China. To improve the nation's current situation of breastfeeding, promoting breastfeeding in women undergoing cesarean section is essential. OBJECTIVE: To explore the effects of health belief model-based interventions on breastfeeding knowledge, breastfeeding behaviors, and breastfeeding satisfaction of Chinese cesarean women. METHODS: A total of 346 cesarean section women were enrolled in the randomized controlled trial conducted at a center in Chengdu, China, between July 1, 2018 and August 31, 2018. While the control group (n = 173) received conventional breastfeeding guidance only, the intervention group (n = 173) received additional interventions based on the health belief model. Questionnaires were distributed to assess breastfeeding knowledge, breastfeeding behavior, and breastfeeding satisfaction at discharge, 42 days postpartum, and 4 months postpartum, respectively. RESULTS: At discharge from hospital, the breastfeeding knowledge score of the intervention group was higher than that of the control group (Z = -11.753, P < .001). The exclusive breastfeeding rates in the intervention group at the time of discharge, 42 days postpartum, and 4 months postpartum were 67.3%, 60.7%, and 52.9%, respectively, while those of the control group were 41.2%, 41.6%, and 40.4%, respectively. The differences were statistically significant (χ = 23.353, P < .001; χ = 11.853, P < .001; χ = 4.805, P = .03). The breastfeeding satisfaction of the intervention group was also higher than the control group at the time of discharge, 42 days postpartum and 4 months postpartum (t = 4.955, P < .001; t = 3.051, P = .002; Z = -3.801, P < .001). CONCLUSION: The health belief model-based interventions can effectively increase breastfeeding knowledge for Chinese cesarean women and improve their breastfeeding behaviors and breastfeeding satisfaction within 4 months after delivery. CLINICAL TRIAL REGISTRATION: ChiCTR1900026006 .


Asunto(s)
Lactancia Materna/psicología , Cesárea/efectos adversos , Conocimientos, Actitudes y Práctica en Salud/etnología , Adulto , Lactancia Materna/etnología , Lactancia Materna/estadística & datos numéricos , Cesárea/estadística & datos numéricos , China/etnología , Cultura , Femenino , Humanos , Alta del Paciente/estadística & datos numéricos , Alta del Paciente/tendencias , Satisfacción del Paciente/etnología , Satisfacción del Paciente/estadística & datos numéricos , Periodo Posparto/fisiología , Embarazo , Estudios Prospectivos , Encuestas y Cuestionarios
6.
Chemosphere ; 255: 127003, 2020 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-32679629

RESUMEN

In this study, we assessed the presence of 14 phthalate metabolites in the urine of 104 lactating mothers from Valencia (Spain) who took part in the human biomonitoring project BETTERMILK. Nine of the metabolites studied showed detection frequencies >80%, whereas the rest of the metabolites presented low detection frequencies (<5%). The concentrations ranged from

Asunto(s)
Monitoreo Biológico , Lactancia Materna/estadística & datos numéricos , Exposición Materna/estadística & datos numéricos , Ácidos Ftálicos , Adulto , Recolección de Datos , Dietilhexil Ftalato , Exposición a Riesgos Ambientales/análisis , Contaminantes Ambientales/metabolismo , Femenino , Humanos , Lactancia , Madres , Embalaje de Productos , Medición de Riesgo , España
7.
Pediatrics ; 146(1)2020 07.
Artículo en Inglés | MEDLINE | ID: mdl-32518168

RESUMEN

BACKGROUND: In-hospital formula feeding (IHFF) of breastfed infants is associated with shorter duration of breastfeeding. Despite evidence-based guidelines on when IHFF is appropriate, many infants are given formula unnecessarily during the postpartum hospital stay. To account for selection bias inherent in observational data, in this study, we estimate liberal and conservative bounds for the association between hospital formula feeding and duration of breastfeeding. METHODS: Infants enrolled in the Minnesota Special Supplemental Nutrition Program for Women, Infants, and Children were selected. Breastfed infants given formula were matched with infants exclusively breastfed (n = 5310) by using propensity scoring methods to adjust for potential confounders. Cox regression of the matched sample was stratified on feeding status. A second, more conservative analysis (n = 4836) was adjusted for medical indications for supplementation. RESULTS: Hazard ratios (HR) for weaning increased across time. In the first analysis, the HR across the first year was 6.1 (95% confidence interval [CI] 4.9-7.5), with HRs increasing with age (first month: HR = 4.1 [95% CI 3.5-4.7]; 1-6 months: HR = 8.2 [95% CI 5.6-12.1]; >6 months: HR = 14.6 [95% CI 8.9-24.0]). The second, more conservative analysis revealed that infants exposed to IHFF had 2.5 times the hazard of weaning compared with infants who were exclusively breastfed (HR = 2.5; 95% CI 1.9-3.4). CONCLUSIONS: IHFF was associated with earlier weaning, with infants exposed to IHFF at 2.5 to 6 times higher risk in the first year than infants exclusively breastfed. Strategies to reduce IHFF include prenatal education, peer counseling, hospital staff and physician education, and skin-to-skin contact.


Asunto(s)
Lactancia Materna/estadística & datos numéricos , Fórmulas Infantiles , Destete , Hospitalización , Humanos , Recién Nacido , Factores de Tiempo
8.
PLoS Genet ; 16(6): e1008790, 2020 06.
Artículo en Inglés | MEDLINE | ID: mdl-32525877

RESUMEN

Recent discoveries from large-scale genome-wide association studies (GWASs) explain a larger proportion of the genetic variability to BMI and obesity. The genetic risk associated with BMI and obesity can be assessed by an obesity-specific genetic risk score (GRS) constructed from genome-wide significant genetic variants. The aim of our study is to examine whether the duration and exclusivity of breastfeeding can attenuate BMI increase during childhood and adolescence due to genetic risks. A total sample of 5,266 children (2,690 boys and 2,576 girls) from the Avon Longitudinal Study of Parents and Children (ALSPAC) was used for the analysis. We evaluated the role of breastfeeding (exclusivity and duration) in modulating BMI increase attributed to the GRS from birth to 18 years of age. The GRS was composed of 69 variants associated with adult BMI and 25 non-overlapping SNPs associated with pediatric BMI. In the high genetic susceptible group (upper GRS quartile), exclusive breastfeeding (EBF) to 5 months reduces BMI by 1.14 kg/m2 (95% CI, 0.37 to 1.91, p = 0.0037) in 18-year-old boys, which compensates a 3.9-decile GRS increase. In 18-year-old girls, EBF to 5 months decreases BMI by 1.53 kg/m2 (95% CI, 0.76 to 2.29, p<0.0001), which compensates a 7.0-decile GRS increase. EBF acts early in life by delaying the age at adiposity peak and at adiposity rebound. EBF to 3 months or non-exclusive breastfeeding was associated with a significantly diminished impact on reducing BMI growth during childhood. EBF influences early life growth and development and thus may play a critical role in preventing overweight and obesity among children at high-risk due to genetic factors.


Asunto(s)
Índice de Masa Corporal , Lactancia Materna/estadística & datos numéricos , Obesidad/genética , Adiposidad/genética , Adolescente , Lactancia Materna/métodos , Femenino , Predisposición Genética a la Enfermedad , Humanos , Lactante , Masculino , Obesidad/epidemiología , Obesidad/prevención & control , Polimorfismo de Nucleótido Simple , Adulto Joven
9.
Ars pharm ; 61(2): 97-103, abr.-jun. 2020. tab, graf
Artículo en Español | IBECS | ID: ibc-191329

RESUMEN

INTRODUCCIÓN: La OMS recomienda que durante los seis primeros meses de vida, los lactantes debieran ser alimentados exclusivamente con leche materna. A partir de ese momento, deberían recibir alimentos complementarios adecuados e inocuos, sin abandonar la lactancia natural al menos hasta los dos años de edad. El tratamiento farmacológico es una de las razones de abandono de la lactancia materna a pesar de que la mayoría de los medicamentos actuales son compatibles con la lactancia. OBJETIVO: Determinar las causas de la interrupción de la lactancia materna en mujeres participantes dedos plataformas virtuales nacionales. MÉTODO: Estudio observacional, descriptivo utilizando una encuesta virtual en 33 mujeres que hayan suspendido la lactancia materna de abril 2015 a abril 2017, participantes de dos plataformas virtuales de apoyo a la lactancia y maternidad del Paraguay. El muestreo no probabilístico por conveniencia. RESULTADOS: La edad promedio de 28±4,2 años, la mayoría universitarias, residentes en el departamento Central. Se detectó 30,3% de destetes antes de los 6 meses, y solo 9,0% alcanzaron los 24 meses de lactancia materna recomendada por la OMS. Las causas de la interrupción de la lactancia más frecuente fue la medicación (36,4%), seguida de sensación de falta de leche (27,3%) y de que el niño se quedaba con hambre (18,2%). CONCLUSIONES: La medicación representó la mayor causa de destete involuntario, siendo medicamentos compatibles con la lactancia en más de la mitad de los casos reportados. El farmacéutico, profesional con mayor conocimiento de fuentes de información sobre medicamentos, podría haber contribuido en estos casos para la preservación de la lactancia


INTRODUCTION: Who recommends that during the first six months of life, infants should be fed exclusively with breast milk. From that moment, they should receive adequate and safe complementary foods, without abandoning breastfeeding at least until two years of age. Pharmacological treatment is one of the reasons for abandoning breastfeeding despite the fact that most current medications are compatible with breastfeeding. OBJECTIVE: To determine the causes of the interruption of breastfeeding in women participants of two national virtual platforms. METHOD: Observational, descriptive study using a virtual survey of 33 women who have suspended breastfeeding from April 2015 to April 2017, participants of two virtual breastfeeding and maternity support platforms in Paraguay. Sampling not probabilistic for convenience. RESULTS: The average age of 28 ± 4.2 years, mostly university, residents in the Central department.30.3% of weaning was detected before 6 months, and only 9.0% reached 24 months of breastfeeding recommended by WHO. The causes of the most frequent interruption of breastfeeding were medication (36.4%), followed by a feeling of lack of milk (27.3%) and that the child was left hungry (18.2%). CONCLUSIONS: The medication represented the major cause of involuntary weaning, being compatible with breastfeeding drugs in more than half of the cases reported. The pharmacist, a professional with greater knowledge of information sources on medications, could have contributed in these cases to the preservation of breastfeeding


Asunto(s)
Humanos , Femenino , Recién Nacido , Lactante , Preescolar , Adulto Joven , Adulto , Utilización de Medicamentos/estadística & datos numéricos , Lactancia Materna/estadística & datos numéricos , Factores Socioeconómicos , Estudios Transversales , Factores de Tiempo , Paraguay
10.
Am J Trop Med Hyg ; 103(1): 515-519, 2020 07.
Artículo en Inglés | MEDLINE | ID: mdl-32431274

RESUMEN

Adequate dietary intake is critically important for child growth and development. This study aimed to analyze the prevalence of undernutrition and its association with infant and child feeding index (ICFI). This cross-sectional study was conducted among children (younger than5 years) and their mothers from Lhaviyani Atoll, Maldives. The data were obtained by interviewing the children's mothers via pretested questionnaires. Infant and child feeding index scores were calculated from the dietary information. Weight-for-age z-scores (WAZ), length/height-for-age z-scores (LAZ/HAZ), and weight-for-length/height z-scores were calculated from anthropometric data taken according to the WHO criterion. Linear regression tests were used to find the association of nutritional status with ICFI scores. A total of 800 children and their mothers participated in this study. The prevalence of underweight, stunting, and wasting was 24.6%, 32.4%, and 16.3%, respectively. The mean ICFI scores (13.0) of children aged 6-8 months were better than those of children in other age-groups. In food groups, the intake of fish was higher among the respondents, whereas the consumption of vegetables and fruits was lower. Infant and child feeding index scores were significantly associated (P < 0.05) with WAZ and LAZ/HAZ after adjustment for confounders. Overall, the findings showed that Maldivian children consumed the limited number of food items that resulted in an inadequate intake of nutrients which further resulted in the high prevalence of malnutrition.


Asunto(s)
Dieta/estadística & datos numéricos , Trastornos del Crecimiento/epidemiología , Desnutrición/epidemiología , Delgadez/epidemiología , Síndrome Debilitante/epidemiología , Alimentación Artificial/estadística & datos numéricos , Lactancia Materna/estadística & datos numéricos , Preescolar , Estudios Transversales , Productos Lácteos , Carbohidratos de la Dieta , Huevos , Femenino , Frutas , Humanos , Islas del Oceano Índico/epidemiología , Lactante , Modelos Lineales , Masculino , Carne , Proteínas de Vegetales Comestibles , Alimentos Marinos , Verduras
11.
PLoS One ; 15(5): e0231755, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32365108

RESUMEN

OBJECTIVE: A primary objective of this study was to identify specific facilitators and challenges around exclusive breastfeeding (EBF) in our community in India, from the perspective of breastfeeding mothers and their support networks. METHODS: We conducted eight focus groups incorporating 75 women and their support networks in the Belagavi District, Karnataka State, India. We used a directed content analysis to guide the analysis. RESULTS: The specific facilitator that emerged as a theme, broad support for and knowledge about breastfeeding on the individual, family and community levels, was a seeming contraction to the identified specific challenge, the paradox of the common practice of supplemental feeds. CONCLUSIONS: Despite voicing strong support for and knowledge about EBF, participants were familiar with a variety of supplemental feeding practices in their communities. In place of universal condemnation of all supplemental feeding, policy makers might consider strategies to address the most potentially dangerous of these practices.


Asunto(s)
Lactancia Materna/estadística & datos numéricos , Madres/estadística & datos numéricos , Sistemas de Apoyo Psicosocial , Adulto , Actitud del Personal de Salud , Lactancia Materna/psicología , Escolaridad , Femenino , Grupos Focales , Conocimientos, Actitudes y Práctica en Salud , Humanos , India/epidemiología , Lactante , Fenómenos Fisiológicos Nutricionales del Lactante/fisiología , Recién Nacido , Madres/psicología , Sistema de Registros , Factores Socioeconómicos , Encuestas y Cuestionarios , Adulto Joven
12.
Acta Obstet Gynecol Scand ; 99(7): 839-847, 2020 07.
Artículo en Inglés | MEDLINE | ID: mdl-32441332

RESUMEN

INTRODUCTION: The aim of this study is to report our clinical experience in the management of pregnant women infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) during the first 30 days of the coronavirus disease (COVID-19) pandemic. MATERIAL AND METHODS: We reviewed clinical data from the first 60 pregnant women with COVID-19 whose care was managed at Puerta de Hierro University Hospital, Madrid, Spain from 14 March to 14 April 2020. Demographic data, clinical findings, laboratory test results, imaging findings, treatment received, and outcomes were collected. An analysis of variance (Kruskal-Wallis test) was performed to compare the medians of laboratory parameters. Fisher's exact test was used to evaluate categorical variables. A correspondence analysis was used to explore associations between variables. RESULTS: A total of 60 pregnant women were diagnosed with COVID-19. The most common symptoms were fever and cough (75.5% each) followed by dyspnea (37.8%). Forty-one women (68.6%) required hospital admission (18 because of disease worsening and 23 for delivery) of whom 21 women (35%) underwent pharmacological treatment, including hydroxychloroquine, antivirals, antibiotics, and tocilizumab. No renal or cardiac failures or maternal deaths were reported. Lymphopenia (50%), thrombocytopenia (25%), and elevated C-reactive protein (CRP) (59%) were observed in the early stages of the disease. Median CRP, D-dimer, and the neutrophil/lymphocyte ratio were elevated. High CRP and D-dimer levels were the parameters most frequently associated with severe pneumonia. The neutrophil/lymphocyte ratio was found to be the most sensitive marker for disease improvement (relative risk 6.65; 95% CI 4.1-5.9). During the study period, 18 of the women (78%) delivered vaginally. All newborns tested negative for SARS-CoV-2 and none of them were infected during breastfeeding. No SARS-CoV-2 was detected in placental tissue. CONCLUSIONS: Most of the pregnant women with COVID-19 had a favorable clinical course. However, one-third of them developed pneumonia, of whom 5% presented a critical clinical status. CRP and D-dimer levels positively correlated with severe pneumonia and the neutrophil/lymphocyte ratio decreased as the patients improved clinically. Seventy-eight percent of the women had a vaginal delivery. No vertical or horizontal transmissions were diagnosed in the neonates during labor or breastfeeding.


Asunto(s)
Infecciones por Coronavirus , Parto Obstétrico , Pandemias , Neumonía Viral , Complicaciones Infecciosas del Embarazo , Adulto , Betacoronavirus/aislamiento & purificación , Lactancia Materna/estadística & datos numéricos , Proteína C-Reactiva/análisis , Infecciones por Coronavirus/diagnóstico , Infecciones por Coronavirus/tratamiento farmacológico , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/fisiopatología , Parto Obstétrico/métodos , Parto Obstétrico/estadística & datos numéricos , Femenino , Productos de Degradación de Fibrina-Fibrinógeno/análisis , Humanos , Recién Nacido , Pandemias/estadística & datos numéricos , Neumonía Viral/sangre , Neumonía Viral/diagnóstico , Neumonía Viral/tratamiento farmacológico , Neumonía Viral/epidemiología , Neumonía Viral/etiología , Neumonía Viral/fisiopatología , Embarazo , Complicaciones Infecciosas del Embarazo/tratamiento farmacológico , Complicaciones Infecciosas del Embarazo/epidemiología , Complicaciones Infecciosas del Embarazo/fisiopatología , Complicaciones Infecciosas del Embarazo/virología , Resultado del Embarazo , España/epidemiología , Evaluación de Síntomas/métodos , Evaluación de Síntomas/estadística & datos numéricos
13.
PLoS One ; 15(5): e0233181, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32413062

RESUMEN

INTRODUCTION: Many women cease breastfeeding earlier than desired. This study examined the cessation of breastfeeding among mothers of preterm infants. Thus, the aim was to describe the cessation of breastfeeding in mothers of preterm infants up to 12 months after birth. METHOD: This mixed methods study used a convergent design with both qualitative data, consisting of written comments, and quantitative data, on breastfeeding status and breastfeeding satisfaction. The data were collected from questionnaires sent to the mothers at three points during the first year after birth. In total, 270 mothers of preterm infants who breastfed at the time of discharge from the neonatal unit provided data for the study. The quantitative and qualitative data were analysed separately with statistical tests and hermeneutical analysis, respectively and then together according to the convergent mixed methods design. RESULTS: Four themes of the meanings of the cessation of breastfeeding were identified in the qualitative analysis: "Desire to regain the mother's and the infant's well-being", "The mothers interpretation that the infants actively ceased breastfeeding", "The mother's body and/or the infants' signals showing the way" and "The mother's own will and perceived external obstacles". Mothers who did not breastfeed as long as they wanted were more likely to report less satisfaction with breastfeeding, a shorter breastfeeding period, and less activity when ceasing breastfeeding. In comparison, mothers who breastfed as long as they wanted were more satisfied with breastfeeding, breastfed for a longer period of time and were more active in decision making in breastfeeding cessation. CONCLUSION: Maternal passivity or activity influenced the cessation of breastfeeding in mothers of preterm infants who breastfed at the time of discharge from the neonatal unit. Passive behaviour related to breastfeeding may result in early cessation of breastfeeding, and low breastfeeding satisfaction while active behaviour may increase breastfeeding length and satisfaction.


Asunto(s)
Lactancia Materna/estadística & datos numéricos , Recien Nacido Prematuro , Adulto , Femenino , Conductas Relacionadas con la Salud , Humanos , Lactante , Recién Nacido , Persona de Mediana Edad , Madres , Factores de Riesgo , Encuestas y Cuestionarios , Adulto Joven
14.
PLoS One ; 15(4): e0232316, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32353021

RESUMEN

BACKGROUND: Studies in sub-Saharan Africa indicated the overall prevalence of optimal breast feeding ranged between a lowest of 17.63% in East Africa and a highest of 46.37% in West Africa. It's estimated that 823,000 deaths of children could be prevented every year through optimal breastfeeding practices. However optimal breastfeeding practices is low in most setting of Ethiopia. Therefore, this study aimed to assess optimal breastfeeding practices and associated factors in Worabe town. METHOD: A community-based analytical cross-sectional study was conducted from April 15th-25th, 2018. A systematic sampling technique was applied on 347 sampled mothers who had children greater than or equal to 2 years old. The data was entered into EpiData (version 3.1) and subsequently exported to SPSS Statistics (version 22) for analysis. Descriptive statistics were used for presenting summary data using tables and graph. Bivariate and multi variable logistic regression analysis to identify were used to identify associated factors. The statistical significance was declared at P<0.05. RESULT: Optimal breastfeeding was exhibited by 42.1% of mothers. Government employees (AOR = 8.0; 95% CI: 1.7, 36.4), families with a household income of 1,500-3,000 Ethiopian birr (AOR = 4.6; 95% CI: 1.0, 20.1), individuals knowledgeable about optimal breastfeeding practices (AOR: 5.5 95% CI: 1.6, 18.1), individuals counselled about breastfeeding practices during postnatal follow-ups (AOR = 4.940, 95% CI: 1.313, 10.195), and individuals that had a caesarean section delivery (AOR = 4.2, 95% CI: 1.2, 14.1) had a higher chance of practicing optimal breastfeeding. However, mothers who did not attend or have access to antenatal care follow-ups (AOR = 0.1, 95% CI: 0.04, 0.5) were less likely to practice optimal breastfeeding. CONCLUSIONS: Less than half of mothers breastfed their children optimally. Factors that influenced this included knowledge of optimal breastfeeding practices, total household income, the woman's occupation, access to breastfeeding counselling during postnatal care follow-ups, access to antenatal care follow-ups, and mode of delivery. It is strongly recommended that optimal breastfeeding awareness programs through health education be done in collaboration with health extension workers, and zonal health offices.


Asunto(s)
Lactancia Materna/estadística & datos numéricos , Modelos Estadísticos , Guías de Práctica Clínica como Asunto , Adolescente , Adulto , Actitud Frente a la Salud , Lactancia Materna/economía , Lactancia Materna/etnología , Cesárea/estadística & datos numéricos , Etiopía , Utilización de Instalaciones y Servicios/estadística & datos numéricos , Femenino , Humanos , Lactante , Recién Nacido , Masculino , Persona de Mediana Edad , Atención Posnatal/estadística & datos numéricos , Atención Prenatal/estadística & datos numéricos , Educación Prenatal/estadística & datos numéricos , Factores Socioeconómicos
15.
PLoS One ; 15(5): e0232027, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32384096

RESUMEN

BACKGROUND: World Health Organization (WHO) suggests that exclusive breastfeeding (EBF) is the best nutrition for the neonate. Still, it remains a big challenge to establish EBF not only in Bangladesh but also in any developing countries. OBJECTIVE: The aim of this study was to determine the level of knowledge and practices on EBF and its relationship between different socioeconomic and demographic factors among mothers having at least one child of aged 6-12 months in the rural area of Rajshahi District, Bangladesh. METHODOLOGY: A community clinic (CC) based study has been conducted by using semi-structured questionnaire. A total of 513 mothers having at least one child aged 6-12 months from 32 different CC in the rural area of Rajshahi District, Bangladesh during September to December 2015. A composite index, chi-square test, and logistic regression model were utilized in this study. RESULTS: The prevalence of knowledge and practices on EBF were 34.5% and 27.9% among mothers having at least one child aged 6-12 months. From the analyses, mothers age of ≥21 years were (adjusted odds ratio (AOR) = 13.840, 95% CI: 7.394-25.904; p<0.001) times more likely to have knowledge on EBF and (AOR = 0.084, 95% CI: 0.050-0.143; p<0.05) times less likely to have practices of EBF compared to mother's age ≤20 years. Service holders mothers were (AOR = 9.992, 95% CI: 4.485-22.260, p<0.05) times more likely to have practices than that of house wife. Home delivery mothers was (AOR = 0.208, 95% CI: 0.111-0.389; p<0.05) times less likely to have practices of EBF than that of the hospital delivery mothers. Those mothers monthly family income ≥10,000 Bangladeshi taka (BDT) currency was (AOR = 0.092, 95% CI: 0.050-0.168, p<0.05) times less likely to have practices of EBF compared to their counterparts. CONCLUSIONS: This study was found poor knowledge and practices on EBF. This study suggested that education and EBF related intervention could play an important role to increase good knowledge and practices on EBF among mothers. Malnutrition will be decreased if EBF was widely established in Bangladesh.


Asunto(s)
Lactancia Materna/estadística & datos numéricos , Conocimientos, Actitudes y Práctica en Salud , Madres/psicología , Adulto , Bangladesh , Femenino , Humanos , Lactante , Masculino , Oportunidad Relativa , Población Rural , Factores Socioeconómicos , Adulto Joven
17.
An Acad Bras Cienc ; 92(1): e20190833, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32321028

RESUMEN

Malocclusions are changes in the development of craniofacial structures of high prevalence. Associated risk factors are diverse and nutritional and non-nutritional suction habits are the most reported. The aim of this study was to estimate the prevalence of malocclusions in the mixed dentition and to study possible association with practices of breastfeeding and suction habits among Brazilian schoolchildren. A cross-sectional study involving a sample of 664 6-year-old children and their families was carried out. Data collection was done through interviews with mothers in the homes and oral examinations of children in schools. Multivariate analyses were performed using the Poisson regression with a robust estimator. The prevalence of overjet over 4 mm was 21.1% and of posterior crossbite was 12.2%; 91.9% of the children were breastfed, 79.0% used a nursing bottle and 49.4% used a pacifier. Significant and independent associations were observed between father's unemployment, private school, interruption of breastfeeding before the fourth month and pacifier use with certain malocclusions. High rates of malocclusion were found in the studied sample. Socioeconomic conditions, breastfeeding practices and suction habits were shown to be statistically associated with their occurrence.


Asunto(s)
Alimentación Artificial/efectos adversos , Lactancia Materna/estadística & datos numéricos , Dentición Mixta , Hábitos , Maloclusión/epidemiología , Chupetes/efectos adversos , Brasil/epidemiología , Niño , Estudios Transversales , Femenino , Humanos , Masculino , Maloclusión/etiología , Prevalencia , Factores de Riesgo , Factores Socioeconómicos , Factores de Tiempo
18.
BMC Public Health ; 20(1): 440, 2020 Apr 03.
Artículo en Inglés | MEDLINE | ID: mdl-32245371

RESUMEN

BACKGROUND: KwaZulu-Natal (KZN) Initiative for breastfeeding support (KIBS) was a multipronged intervention to support the initiation and sustaining of breastfeeding, implemented between 2014 and 2017. We present results of two surveys conducted before and after KIBS implementation to assess changes in infant feeding practices in KZN over this time period. METHODS: Two cross-sectional surveys were conducted in primary health care clinics. Multistage stratified random sampling was used to select clinics and participants. Sample size was calculated to provide district estimates of 14-week exclusive breastfeeding (EBF) rates at baseline (KIBS1), and provincial estimates at endpoint (KIBS2). At KIBS1 the sample required was nine participating clinics in each of 11 districts (99 clinics) with 369 participants per district (N = 4059), and at KIBS2 was 30 clinics in KZN with 30 participants per clinic (N = 900). All caregivers aged ≥15 years attending the clinic with infants aged 13- < 16 weeks were eligible to participate. Data was collected using structured interviews on android devices. Multi-variable logistic regression was used to adjust odds ratios for differences between time points. RESULTS: At KIBS1 (May2014- March2015), 4172 interviews were conducted with carers, of whom 3659 (87.6%) were mothers. At KIBS2 (January-August 2017), 929 interviews were conducted which included 788 (84.8%) mothers. Among all carers the proportion exclusively breastfeeding was 44.6 and 50.5% (p = 0.1) at KIBS1 and KIBS2 respectively, but greater improvements in EBF were shown among mothers (49.9 vs 59.1: p = 0.02). There were reductions in mixed breastfeeding among all infants (23.2% vs 16.3%; p = 0.016). Although there was no change in the proportion of carers who reported not breastfeeding (31.9% vs 32.8%; p = 0.2), the duration of breastfeeding among mothers who had stopped breastfeeding was longer at KIBS2 compared to KIBS1 (p = 0.0015). Mothers who had returned to work or school were less likely to be breastfeeding (adjusted odds ratio [AOR] 3.76; 95% CI 3.1-4.6), as were HIV positive mothers (AOR 2.1; 95% CI 1.7-2.6). CONCLUSION: Despite improvements to exclusive breastfeeding, failure to initiate and sustain breastfeeding is a challenge to achieving optimal breastfeeding practices. Interventions are required to address these challenges and support breastfeeding particularly among working mothers and HIV positive mothers.


Asunto(s)
Lactancia Materna/estadística & datos numéricos , Madres/estadística & datos numéricos , Adolescente , Adulto , Lactancia Materna/psicología , Estudios Transversales , Femenino , Humanos , Lactante , Modelos Logísticos , Madres/psicología , Análisis Multivariante , Oportunidad Relativa , Sudáfrica , Encuestas y Cuestionarios , Adulto Joven
20.
PLoS One ; 15(4): e0230978, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32236145

RESUMEN

BACKGROUND: Acute respiratory infection (ARI) and diarrhoea are the leading causes of childhood morbidity and mortality in Ethiopia. Understanding the associations between infant and young child feeding (IYCF) and ARI and diarrhoea can inform IYCF policy interventions and advocacy in Ethiopia. This study aimed to investigate the relationship between IYCF practices and ARI and diarrhoea in Ethiopian children. METHODS: This study used the Ethiopia Demographic and Health Survey (EDHS) data for the years 2000 (n = 3680), 2005 (n = 3528), 2011 (n = 4037), and 2016 (n = 3861). The association between IYCF practices and (i) ARI and (ii) diarrhoea were investigated using propensity score matching and multivariable logistic regression models. The IYCF practices include early initiation of breastfeeding, exclusive breastfeeding (EBF), predominant breastfeeding, introduction of complementary foods, continued breastfeeding at two years and bottle feeding. RESULTS: Infants and young children who were breastfed within 1-hour of birth and those who were exclusively breastfed had a lower prevalence of ARI. Infants who were exclusively and predominantly breastfed had a lower prevalence of diarrhoea. Early initiation of breastfeeding (Odds ratio [OR]: 0.81; 95% confidence interval [CI]: 0.72, 0.92) and EBF (OR: 0.65; 95% CI: 0.51, 0.83) were associated with lower risk of ARI. Bottle-fed children had higher odds of ARI (OR: 1.36; 95% CI: 1.10, 1.68). Early initiation of breastfeeding and EBF were associated with lower odds of diarrhoea (OR: 0.88; 95% CI: 0.79, 0.94 for Early initiation of breastfeeding and OR: 0.51; 95% CI: 0.39, 0.65 for EBF). Infants who were predominantly breastfed were less likely to experience diarrhoea (OR: 0.69; 95% CI: 0.53, 0.89). CONCLUSION: The recommended best practices for preventing ARI and diarrhoeal diseases in infants and young children namely: the early initiation of breastfeeding, EBF and avoidance of bottle feeding should be institutionalized and scale-up in Ethiopia as part of implementation science approach to cover the know-do-gaps.


Asunto(s)
Fenómenos Fisiológicos Nutricionales Infantiles , Diarrea/epidemiología , Fenómenos Fisiológicos Nutricionales del Lactante , Infecciones del Sistema Respiratorio/epidemiología , Alimentación Artificial/estadística & datos numéricos , Lactancia Materna/estadística & datos numéricos , Preescolar , Diarrea/prevención & control , Etiopía/epidemiología , Femenino , Política de Salud , Encuestas Epidemiológicas , Humanos , Lactante , Alimentos Infantiles/estadística & datos numéricos , Recién Nacido , Modelos Logísticos , Masculino , Análisis Multivariante , Oportunidad Relativa , Prevalencia , Puntaje de Propensión , Infecciones del Sistema Respiratorio/prevención & control , Factores de Riesgo
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