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International Breastfeeding Journal

Usama Roshdy El Safy, Manar Mohamed Fathy, Tamer Hasan Hassan, Marwa Zakaria, Mohamed Abdel Kader Al Malky, Mohamed Arafa, Hany El Sayed, Ashgan Al Ghobashy, Boshra Zaho, Attia Abdel Wahab, Mohamed Hosam Mourad
BACKGROUND: Thalassemia major or Cooley's anemia is the most severe form of beta thalassemia in which the complete lack of beta protein in the hemoglobin causes a life-threatening anemia requiring regular blood transfusions and extensive ongoing medical care. These extensive, lifelong blood transfusions lead to iron-overload that must be treated with chelation therapy to prevent early death from organ failure. We compared serum iron and ferritin levels amongst infants aged up to one year with beta thalassemia major according to their feeding types, including exclusively breastfed, exclusively formula fed and combined (both breast and formula) fed types...
2016: International Breastfeeding Journal
Coceka N Mnyani, Carol L Tait, Jean Armstrong, Duane Blaauw, Matthew F Chersich, Eckhart J Buchmann, Remco P H Peters, James A McIntyre
BACKGROUND: South Africa has a history of low breastfeeding rates among women with and without Human Immunodeficiency Virus (HIV). In this study, we assessed infant feeding knowledge, perceptions and practices among pregnant and postpartum women with and without HIV, in the context of changes in infant feeding and Prevention of Mother-to-Child Transmission of HIV (PMTCT) guidelines. METHODS: This was a cross-sectional survey conducted from April 2014 to March 2015 in 10 healthcare facilities in Johannesburg, South Africa...
2016: International Breastfeeding Journal
Felix A Ogbo, John Eastwood, Andrew Page, Amit Arora, Anne McKenzie, Bin Jalaludin, Elaine Tennant, Erin Miller, Jane Kohlhoff, Justine Noble, Karina Chaves, Jennifer M Jones, John Smoleniec, Paul Chay, Bronwyn Smith, Ju-Lee Oei, Kate Short, Laura Collie, Lynn Kemp, Shanti Raman, Sue Woolfenden, Trish Clark, Victoria Blight, Valsamma Eapen
BACKGROUND: Optimal breastfeeding has benefits for the mother-infant dyads. This study investigated the prevalence and determinants of cessation of exclusive breastfeeding (EBF) in the early postnatal period in a culturally and linguistically diverse population in Sydney, New South Wales, Australia. METHODS: The study used routinely collected perinatal data on all live births in 2014 (N = 17,564) in public health facilities in two Local Health Districts in Sydney, Australia...
2016: International Breastfeeding Journal
Jessica L Thomson, Lisa M Tussing-Humphreys, Melissa H Goodman, Alicia S Landry, Sarah E Olender
BACKGROUND: Despite the benefits of breastfeeding for both infant and mother, rates in the United States remain below Healthy People 2020 breastfeeding objectives. This paper describes breastfeeding outcomes of the Delta Healthy Sprouts participants during gestational and postnatal periods. Of specific interest was whether breastfeeding intent, knowledge, and beliefs changed from the early to late gestational period. Additionally, analyses were conducted to test for associations between breastfeeding initiation and breastfeeding intent, knowledge and beliefs as well as sociodemographic characteristics and other health measures...
2016: International Breastfeeding Journal
Nicola Singletary, Ellen Chetwynd, L Suzanne Goodell, April Fogleman
BACKGROUND: Breastfeeding provides numerous health benefits for mothers and infants, but worldwide breastfeeding rates fall below recommendations. As part of efforts to increase breastfeeding initiation and duration, the World Health Organization and UNICEF UK recommend educational interventions to increase awareness and positive attitudes towards breastfeeding beginning during the school years. Breastfeeding education in the school setting offers the opportunity to improve the knowledge base, address misconceptions, and positively influence beliefs and attitudes for students from a wide range of socioeconomic and cultural backgrounds...
2016: International Breastfeeding Journal
Abigail Kusi-Amponsah Diji, Victoria Bam, Ernest Asante, Alberta Yemotsoo Lomotey, Samuel Yeboah, Haim Acquah Owusu
BACKGROUND: The challenges and predictors of exclusive breastfeeding (EBF) have been examined in many parts of the world. Considering the socio-cultural dynamics and the few research studies in Ghana, the factors that hinder and predict EBF practice in other countries may be different in the Ghanaian setting. The study therefore sought to assess the challenges and predictors of EBF among mothers attending a child welfare clinic at a regional hospital in Ghana. METHODS: A descriptive cross-sectional study was carried out between January and March, 2015 to elicit information from 240 mothers who were sampled using simple random sampling technique...
2016: International Breastfeeding Journal
Tilahun Tewabe, Alemnesh Mandesh, Tenaw Gualu, Girma Alem, Getnet Mekuria, Haymanot Zeleke
BACKGROUND: Exclusive breastfeeding means babies are given only breast milk and nothing else: no other milk, food, drink, not even water for one day (24 hrs) before the survey was conducted. It prevents 13% of childhood mortality; i.e, at least 1.2 million children worldwide would be saved every year. The objective of this study was to assess the prevalence exclusive breastfeeding (EBF) practice and its associated factor among mothers who have infants less than six months of age in Motta town, East Gojjam, Amhara Regional State, Ethiopia...
2016: International Breastfeeding Journal
Tamara H Hashim, Melina Mgongo, Johnson Katanga, Jacqueline G Uriyo, Damian J Damian, Babill Stray-Pedersen, Margareta Wandel, Sia E Msuya
BACKGROUND: Knowledge on infant feeding among pregnant women is essential when promoting optimal breastfeeding practices. This study aimed to assess the knowledge of women on optimal breastfeeding during pregnancy and associated factors as well as performance of the health system in reaching women with information on breastfeeding and infant feeding issues. METHODS: A cross-sectional study was conducted from October 2013 to April 2014 among pregnant women, in their third trimester, attending for routine care at two primary health care facilities in Moshi urban, northern Tanzania...
2016: International Breastfeeding Journal
Jacqueline Nkrumah
BACKGROUND: Maternal work has been identified as one of the factors that affect exclusive breastfeeding in the first six months of life. In Ghana, mothers engaged in the formal sector of employment are unable to exclusively breastfeed after maternity leave because facilities at their work places and conditions of work do not support exclusive breastfeeding. Even though maternal work and exclusive breastfeeding does not seem well matched, not all maternal work are incompatible with the practice of exclusive breastfeeding...
2016: International Breastfeeding Journal
Felix A Ogbo, Andrew Page, John Idoko, Fernanda Claudio, Kingsley E Agho
BACKGROUND: Nigeria initiated a range of programs and policies (from 1992 to 2005) to improve infant and young child feeding (IYCF) practices. However, the prevalence of children fed in accordance with IYCF recommendations in Nigeria remains low. This paper presents time trends in IYCF practices in Nigeria for the period (1999-2013), and considers trends in the context of key national policy responses and initiatives. METHODS: Prevalence and percentage change (including 95% confidence intervals) of IYCF indicators were investigated over the period 1999-2013 based on a total of 88,152 maternal responses from the Nigeria Demographic and Health Surveys, (n = 8,199 in 1999; n = 7,620 in 2003; n = 33,385 in 2008 and n = 38,948 in 2013)...
2016: International Breastfeeding Journal
Anna Gavine, Steve MacGillivray, Mary J Renfrew, Lindsay Siebelt, Haggi Haggi, Alison McFadden
BACKGROUND: Current evidence suggests that women need effective support to breastfeed, but many healthcare staff lack the necessary knowledge, attitudes and skills. There is therefore a need for breastfeeding education and training for healthcare staff. The primary aim of this review is to determine whether education and training programs for healthcare staff have an effect on their knowledge and attitudes about supporting breastfeeding women. The secondary aim of this review was to identify whether any differences in type of training or discipline of staff mattered...
2016: International Breastfeeding Journal
Inger Aakre, Anne Marie Lilleengen, Marie Lerseth Aarsand, Tor A Strand, Ingrid Barikmo, Sigrun Henjum
BACKGROUND: Appropriate breastfeeding and infant feeding practices are crucial to a child's growth and development. The objective of this paper is to describe breastfeeding and general feeding practices and the nutrition status among children from birth to 6 months of age, in the Saharawi refugee camps located in Algeria. METHODS: A cross-sectional study was carried out among 111 lactating mothers with infants from birth to 6 months of age. Data regarding breastfeeding practices and a 24 h dietary recall for the infants were collected to assess the World Health Organization's (WHO) indicators for infant and young child feeding...
2016: International Breastfeeding Journal
Brian A Juber, Kristina Harris Jackson, Kristopher B Johnson, William S Harris, Michelle L Baack
BACKGROUND: Docosahexaenoic acid (DHA), an omega-3 fatty acid found in breast milk, has many health benefits for both mother and baby. A 2007 meta-analysis found U.S. women had breast milk DHA levels (0.20% of total fatty acids) below the worldwide mean (0.32%). In 2008, international dietary recommendations were made for pregnant and lactating women to consume 200 mg of DHA per day. This community-based study aimed to define current milk DHA levels from upper Midwest USA lactating mothers and to determine if providing information about their own level along with dietary recommendations would incite changes to increase breast milk DHA content...
2016: International Breastfeeding Journal
Milka Wanjohi, Paula Griffiths, Frederick Wekesah, Peter Muriuki, Nelson Muhia, Rachel N Musoke, Hillary N Fouts, Nyovani J Madise, Elizabeth W Kimani-Murage
BACKGROUND: Despite numerous interventions promoting optimal breastfeeding practices in Kenya, pockets of suboptimal breastfeeding practices are documented in Kenya's urban slums. This paper describes cultural and social beliefs and practices that influence breastfeeding in two urban slums in Nairobi, Kenya. METHODS: Qualitative data were collected in Korogocho and Viwandani slums through 10 focus group discussions and 19 in-depth interviews with pregnant, breastfeeding women and community health volunteers and 11 key-informant interviews with community leaders...
2016: International Breastfeeding Journal
Bo-Yeoul Kim
BACKGROUND: This study aimed to evaluate the factors that influence breastfeeding throughout the hospital stay, including prenatal preparation, early skin-to-skin contact directly after delivery, rooming-in, feeding before the first breastfeed, time to first breastfeed, and postpartum support. This study also aimed to verify whether these factors were significant after adjusting for the mother's characteristics, the newborn's characteristics, and the delivery characteristics. METHODS: A retrospective survey was used to collect the data...
2016: International Breastfeeding Journal
Anja Lange, Anke Nautsch, Kerstin Weitmann, Till Ittermann, Matthias Heckmann
BACKGROUND: The Nationale Stillkommission was founded in Germany in 1994 to increase the acceptance of breastfeeding as the primary means of infant nutrition. Scientific studies like "Stillen und Säuglingsernährung (SuSe-Studie)", and regional studies in Bavaria, Freiburg, Hamburg, and Berlin demonstrated breastfeeding initiation rates of 90 to 95%, but the total breastfeeding rate decreased to 25-61% after infants were 6 months old. One predictor of breastfeeding duration may be maternal motivation...
2016: International Breastfeeding Journal
Mohd Azri Mohd Suan, Azrina Ayob, Maheran Rodzali
BACKGROUND: The role of childcare workers at registered nurseries in supporting exclusive breastfeeding practice is important, as many newborn babies are placed in nurseries during working hours. To increase exclusive breastfeeding rates among working mothers, understanding childcare workers' experiences and needs relating to supporting these mothers is crucial. This study aimed to explore childcare workers' experiences of supporting breastfeeding at registered nurseries. METHODS: We used a qualitative design to conduct in-depth, semi-structured interviews with ten childcare workers at seven registered nursery centres in Kuala Muda District, Malaysia...
2016: International Breastfeeding Journal
Misrak Getnet Beyene, Nigatu Regassa Geda, Tesfa Dejenie Habtewold, Zuriash Mengistu Assen
BACKGROUND: The early initiation of breastfeeding (EIBF), or timely initiation of breastfeeding, is the proportion of children put to the breast within one hour of birth. It is an important strategy for reducing perinatal and infant morbidity and mortality, but it remains under practiced in Ethiopia. The aim of the study was to assess the prevalence and the predicting factors associated with EIBF. METHODS: A community based cross-sectional study was conducted in 634 mothers in Dale Woreda, South Ethiopia...
2016: International Breastfeeding Journal
Ayele Lenja, Tsegaye Demissie, Bereket Yohannes, Mulugeta Yohannis
BACKGROUND: World Health Organization (WHO) recommends timely initiation of breastfeeding after birth and only feeding breast milk to infants during the first 6 months of life. It was estimated that exclusive breastfeeding can reduce infant deaths by 13%. The practice of exclusive breastfeeding is suboptimal in many parts of Ethiopia to a varied extent. Factors associated with exclusive breastfeeding practice and the proportion of its practice was not well documented in Offa district...
2016: International Breastfeeding Journal
Maria E Sundaram, Hasmot Ali, Sucheta Mehra, Abu Ahmed Shamim, Barkat Ullah, Mahbubur Rashid, Saijuddin Shaikh, Parul Christian, Rolf D W Klemm, Keith P West, Alain Labrique
BACKGROUND: Early and exclusive breastfeeding may improve neonatal survival in low resource settings, but suboptimal breastfeeding still exists in areas with high infant mortality. Prelacteal feeding, the practice of giving a non-breastmilk food as a neonate's first food, has been associated with suboptimal breastfeeding practices. We examined the association of feeding a non-breastmilk food in the first three days of life (early neonatal food, or ENF) with time from birth to initiation of breastfeeding among 25,286 Bangladeshi mother-neonate pairs, in a secondary analysis of a randomized controlled trial in northwestern rural Bangladesh conducted from 2001-2007...
2016: International Breastfeeding Journal
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