PATTERN OF INFANT FEEDING

Authors

  • Tariq Kkudair Hussien Department of pediatrics , college of medicine, university of Thi-Qar, Thi-Qar, Iraq

Abstract

The aims of this study were to find the prevalence  of different patterns of  infants feeding in relation to the back ground characteristics  of their  mothers   and to explore the causes of breast  feeding failure in Thi-Qar. Across sectional study was conducted in four primary health care centers in Thi- Qar .Total sample of 512 mothers ,whose infants  less than two years were included in the study . Data about  feeding practices were collected by interviewing the mothers using standard  questionnaire designed for the study. The  rate of different infants feeding practices were (90.8%)  breast feeding,   (55.1%)exclusive breast feeding ,  (35.7%) mixed feeding and (9.1%) bottle feeding among infants less than 6 months old. The rate  of breast feeding decreased rapidly  among other age groups reaching (72.2%) at age 1-2 years . There was no significant association between patterns of infants feeding and age, parity and educational  level of mothers .However, going to work ,    oral contraceptive use and delivery by caesarean section were significantly associated with bottle feeding . The main reasons for bottle feeding were insufficient breast milk (53.4%)  and going back to work (18.2%),and Pediatricians  (45.6%) were found to be the main persons prescribing  infants formula for mothers. In conclusion, breast feeding   was  common practice of infants feeding among mothers in Thi-Qar regardless their age, parity and level of education ,while pediatricians , going to work  oral contraceptive use  and delivery by caesarean section were the main contributors to breast feeding cessation and switch to bottle feeding. Therefore, the health  educational programs  to promote breast feeding are necessary for both mothers and health care providers  ,and  the  health care providers  should also take into  consideration the negative impact of  caesarean section deliveries and early oral contraceptive use on breast feeding practice.     

References

- Arke J . Infant feeding : The physiological basis. WHO bulletin OMS 1989 ; 64 : 41 –56.

- WHO: Nutrition : Information and attitudes among health personnel about early infant feeding practices. Wkly Epidemiol Rec 1995 ; 70 : 117 – 120 .

- Feachem RG , Koblinsky MA . Interventions for control of diarrheal diseases among children : promotion of breast feeding . Bull WHO 1984 ; 62 : 271 – 291.

- Cunningham AS, Jelliffe DB , Jellife EF . Breast feeding and health in the 1980 : a global epidemiologic review. J Ped 1991 ; 118 : 659 – 666.

- Newburg DS, Peterson JA , Ruiz – palacios GM et al. Role of human milk lactadherin in protection against symptomatic rota virus infection . Lancet 1998 ; 351 : 1160 – 1164 .

- Marandi A , AFzali HM , Hossaini AF . The reasons for early weaning among mothers in Tehran . Bull. WHO 1993 ; 71 : 561 – 569.

- Nasser SS, El- Fattah AM , Afifi ZE. Maternal Factors influencing infant feeding . Egypt J Nutr 1978 ; 2 : 65 – 76 .

- Wiemann CM , Dobios JC , Berenson AB . Racial/ethnic differences in the decision to breast feed among adolescent mother. pediatric 1998; 101 : e11.

- Imong SM , Jackson DA , Wongsawasdil L etal . predictors of breast milk intake in rural northern Thailand . J pediat Gastroenterol 1998 ; 8: 359 – 370 .

- Hally MR , Bond J, Gregson B , phillips P, Russell L . Factors influencing the feeding of the first born infant . Acta pediatric Scand 1984;73: 33 - 39.

- Wylic J ,Verber I. Why woman fail to breast –feed : a prospective study from booking to 28 days post partum . J Nutr Dietetics 1994 ; 7 : 115 – 120.

- Mansteed AS , profit C , Smart JL . Predicting and understanding mother´s infant feeding intentions and behavior : testing the theory of reasoned action . J pers Soc psychl 1983 ; 44: 657 – 671 .

- Indicator for assessing breast practices : report of information meeting, 11- 12 June1991 . Geneva , WHO , 1991 .

- Harfouche JK ,Musaiger AO . Breast feeding patterns . A review of studies in the eastern Mediterranean region ,2nd ed . 1993 ; 80 – 86 . ( EMRO Technical publications series No. 4).

- Benyamen YS , Hassan Mk . Feeding patterns in the first two years of life in Basra , Iraq. Eastern Mediterranean Health J 1998;4(3):448-451.

- Infant formula distribution in northern Iraq. Field exchange, issue(20), November 2003. (http://fex.ennonline. net/20/ infant.aspx).

- Nadia M , Jumana Y . pattern of infant feeding at university hospital in Western Saudi Arabia. Saudi Med J 2003 ; 24 (7) : 725 – 729 .

- Srivastara SP , Sharma VK , Knmar V . Breast feeding pattern in neonates . Indian pediatric 1994 ; 31 : 1079 – 82 .

- The Baby Friendly Hospital Initiative : Unicef (http://www.unicef.org/progromme/breastfeeding /baby . htm).

- International code of marketing of breast milk substitutes , WHO, chronicle 1981;35:112-7.

- Al- Othman AM ,Saeed AA, Bani IA ,Al-Murshed KS .Mothers practices during pregnancy, lactation and care of their children in Riyadh, KSA. Saudi Med J 2002;23:909-14.

- Msuya JM , Harding WR , Robinson MF , Mckenzie – Parnell J . The extent of breast feeding in Dunedin 1974 -83 . N Z Med J 1990 ; 103 : 68 – 70.

- Aghaji MN . Exclusive breast feeding practice and associated factors in Enugu , Nigeria . West Afr J Med 2002 ; 21 : 66- 99.

- Granthan – Mc Gregor SM, Back EM . Breast feeding in Kingston , Jamaica . Arch Dis child 1970;45:404 – 9 .

- Braveman p, Cubbin C , Marchi K, Egerter S , Chavez G. Measuring socioeconomic status position in studies of racial / ethnic disparities : maternal and infants health . public Health Rep 2001 ; 116 : 449 – 463 .

- Perez - Escamilla R, Maulen – Radovan I, Dewey KG . The association between caesarean deliver and Breast feeding outcome among Mexican woman . Am J of public Health 1996 ; 86:832 – 836.

- Rosa FW . Resolving the public health Dilemma´ of steroid contraception and its effect on lactation . Am J of public Health 1976; 66:791 – 792 .

- WHO task force on oral contraceptives .Effects of hormonal contraceptive on breast milk composition and infant growth . Studies in family planning 1988; 19: 361 -69.

- Al-Thammery DM, Mohammed H, Kutty R. A pilot enquiry into lactation failure among woman in southern Iraq . Basra university medical j 1982;5(1):141-151.

- Ineichen B, pierce M, Lawtenson RJ .Teenage mothers as breast feeder: attitudes and behavior . Adolescence 1997 ; 20 :505 -509 .

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Published

2021-05-24

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