Infant feeding practices in Bhaktapur, Nepal: a cross-sectional, health facility based survey.
Infant feeding practices in Bhaktapur, Nepal: a cross-sectional, health facility based survey.
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DOI：
10.1186/1746-4358-7-1
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发表时间：
2012-01-10
影响因子：
3.5
通讯作者：
Strand TA
中科院分区：
文献类型：
--
作者：
Ulak M;Chandyo RK;Mellander L;Shrestha PS;Strand TA
在婴儿出生后的头六个月内推广适当的母乳喂养做法，是降低儿童发病率和死亡率的最具成本效益的干预措施。然而，许多发展中国家对母乳喂养建议的遵守情况并不令人满意。这项研究的目的是确定母乳喂养和婴儿喂养模式在9个月大，并评估影响纯母乳喂养的做法的因素。在尼泊尔巴克塔普尔，我们对325名9个月大的婴儿进行了麻疹疫苗接种的横断面调查。对母亲进行了访谈，详细了解了婴儿的喂养情况和出生后的健康状况。四分之三的母亲报告说，她们在产前检查期间没有得到任何关于母乳喂养的信息。295名（91%）母亲在分娩后1小时内给予初乳，185名（57%）母亲开始母乳喂养。在1、3和6个月时纯母乳喂养的流行率分别为240（74%）、78（24%）和29（9%），分别有49（15%）、124（38%）和257（79%）名婴儿开始部分喂养。据这位母亲说，在婴儿六个月大之前引入其他食物的主要原因是母乳不足。在逻辑回归分析，母亲的知识多久的孩子应该只给母乳，而不是生活在联合家庭正相关的纯母乳喂养或主要为4个月或更长时间。尽管产后立即开始母乳喂养的母亲比例很高，但持续纯母乳喂养长达六个月的情况并不常见。在产前检查期间，很少有母亲得到关于母乳喂养的任何信息，这表明需要就纯母乳喂养提供咨询。这种咨询的可能选择可以是在产前检查和定期门诊接种疫苗。
Promotion of proper breastfeeding practices for the first six months of life is the most cost-effective intervention for reducing childhood morbidity and mortality. However, the adherence to breastfeeding recommendations in many developing countries is not satisfactory. The aims of the study were to determine breastfeeding and infant feeding patterns at nine months of age and to assess factors influencing exclusive breastfeeding practices. In Bhaktapur, Nepal, we carried out a cross-sectional survey of 325 infants who came for measles vaccination at the age of nine months. Mothers were interviewed on details regarding feeding of their child and health since birth. Three quarters of all mothers reported that they did not receive any information on breastfeeding during the antenatal visit. Two hundred and ninety five (91%) mothers gave colostrum and 185 (57%) initiated breastfeeding within one hour of delivery. The prevalence of exclusively breastfeeding at 1, 3 and 6 months were 240 (74%), 78 (24%) and 29 (9%), and partial feeding was initiated in 49 (15%), 124 (38%) and 257 (79%) babies, respectively. The main reason, according to the mother, for introducing other foods before six months of age was insufficient breast milk. In logistic regression analyses, mother's knowledge on how long child should be given only breast milk and not living in joint families were associated positively with exclusive or predominant breastfeeding for four months or beyond. Despite the high proportion of mothers who initiated breastfeeding immediately after birth, continuation of exclusive breastfeeding for up to six months was not common. Very few mothers received any information on breastfeeding during the antenatal visit, indicating a need for counseling on exclusive breastfeeding. Possible options for this counseling could be during antenatal visits and at regular clinic visits for vaccination.