How multiple episodes of exclusive breastfeeding impact estimates of exclusive breastfeeding duration: report from the eight‐site MAL‐ED birth cohort study

Autor: Margaret Kosek, Benjamin J.J. McCormick, Maribel Paredes Olortegui, Laura E. Caulfield, Crystal L. Patil, Ali Turab, Dennis Lang, Anuradha Bose, Laura L. Pendergast, Gwenyth O. Lee, M Munirul Islam, Manjeswori Ulak, Cloupas Mahopo, Laura E. Murray-Kolb, Bruna L L Maciel, Ramya Ambikapathi
Rok vydání: 2016
Předmět:
Male
Pediatrics
Time Factors
Psychological intervention
Breastfeeding
Tanzania
Cohort Studies
South Africa
0302 clinical medicine
Peru
Medicine
Pakistan
Longitudinal Studies
030212 general & internal medicine
Young adult
Bangladesh
education.field_of_study
Nutrition and Dietetics
Obstetrics and Gynecology
MAL‐ED
Breast Feeding
exclusive breastfeeding
Female
Original Article
Birth cohort
Brazil
Cohort study
Adult
medicine.medical_specialty
DHS
prevalence
Population
Mothers
India
metrics
Young Adult
03 medical and health sciences
Nepal
030225 pediatrics
Humans
education
Infant feeding
business.industry
Infant
Newborn
Public Health
Environmental and Occupational Health
Infant
duration
Original Articles
Logistic Models
Socioeconomic Factors
Pediatrics
Perinatology and Child Health
business
Breast feeding
Zdroj: Maternal & Child Nutrition
ISSN: 1740-8709
1740-8695
DOI: 10.1111/mcn.12352
Popis: The duration of exclusive breastfeeding (EBF) is often defined as the time from birth to the first non-breast milk food/liquid fed (EBFLONG), or it is estimated by calculating the proportion of women at a given infant age who EBF in the previous 24 h (EBFDHS). Others have measured the total days or personal prevalence of EBF (EBFPREV), recognizing that although non-EBF days may occur, EBF can be re-initiated for extended periods. We compared breastfeeding metrics in the MAL-ED study; infants' breastfeeding trajectories were characterized from enrollment (median 7 days, IQR: 4, 12) to 180 days at eight sites. During twice-weekly surveillance, caretakers were queried about infant feeding the prior day. Overall, 101 833 visits and 356 764 child days of data were collected from 1957 infants. Median duration of EBFLONG was 33 days (95% CI: 32–36), compared to 49 days based on the EBFDHS. Median EBFPREV was 66 days (95% CI: 62–70). Differences were because of the return to EBF after a non-EBF period. The median number of returns to EBF was 2 (IQR: 1, 3). When mothers re-initiated EBF (second episode), infants gained an additional 18.8 days (SD: 25.1) of EBF, and gained 13.7 days (SD: 18.1) (third episode). In settings where women report short gaps in EBF, programmes should work with women to return to EBF. Interventions could positively influence the duration of these additional periods of EBF and their quantification should be considered in impact evaluation studies. © 2016 The Authors. Maternal & Child Nutrition published by John Wiley & Sons Ltd
Databáze: OpenAIRE
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