PMID: 11332176May 3, 2001Paper

Breastfeeding and complementary feeding practices in rural Malawi

Acta Paediatrica
M VaahteraP Ashorn

Abstract

To facilitate optimal growth of newborns, many countries have developed infant feeding recommendations, usually suggesting 4-6 mo of exclusive breastfeeding and then the gradual introduction of complementary foods. We prospectively studied the changes in infant diets and predictors of adherence to national infant feeding recommendations in a cohort of 720 newborn babies in rural Malawi, Sub-Saharan Africa. Monthly interviews of the main guardians indicated that breastfeeding was universal for 18 mo. As most babies were given water or other supplemental foods soon after birth, the exclusive breastfeeding rates were only 19%, 8%, 2% and 0% at ages 1, 2, 3 and 4 mo, respectively. Complementary foods and family foods were introduced at median ages of 2.5 and 6.3 mo, i.e. much earlier than recommended. Better adherence to recommendations was associated with smaller number of children in the family, increased maternal education and some other socio-economic or environmental variables. Exclusive breastfeeding is uncommon and complementary foods were introduced early to newborns among these rural families. Education and family planning may improve adherence to infant feeding recommendations and reduce the incidence of early childhood m...Continue Reading

Citations

Sep 18, 2010·Maternal and Child Health Journal·B A AbuyaD Moore
Feb 5, 2008·Indian Journal of Pediatrics·Anju AggarwalUNKNOWN Dayachand
May 5, 2009·Transactions of the Royal Society of Tropical Medicine and Hygiene·Hirotsugu AigaSachio Yamamoto
Feb 19, 2008·Public Health Nutrition·Aysu Duyan CamurdanSancar Eminoglu
Jul 9, 2011·Journal of Tropical Pediatrics·Christine LudwigMichael B Krawinkel
Aug 4, 2005·BMC Medical Informatics and Decision Making·Anthony K WaruruThorkild Tylleskär
Oct 28, 2010·International Breastfeeding Journal·Jennifer M LevyDaniel W Sellen
Mar 30, 2010·Malawi Medical Journal : the Journal of Medical Association of Malawi·Chrissie ThakwalakwaPer Ashorn
Jan 15, 2014·BMC Pediatrics·Dennis J MatandaDorcus Mbithe D Kigaru
Nov 25, 2005·European Journal of Clinical Nutrition·B F KalandaB J Brabin
Jul 10, 2014·Paediatrics and International Child Health·J KuchenbeckerM B Krawinkel
Jan 9, 2010·Acta Paediatrica·P R KamudoniG Holmboe-Ottesen
Sep 15, 2015·Maternal & Child Nutrition·Abukari I IssakaMichael J Dibley
Mar 10, 2015·International Breastfeeding Journal·Mary Katepa-BwalyaSeter Siziya
Nov 10, 2007·Journal of Human Lactation : Official Journal of International Lactation Consultant Association·Penjani KamudoniGerd Holmboe-Ottesen

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