Limitations of maternal recall for measuring exclusive breastfeeding rates in South African mothers

International Breastfeeding Journal
Helen Mulol, Anna Coutsoudis

Abstract

Maternal recall is most commonly used to determine exclusive breastfeeding rates. A gold standard stable isotope method is available which can determine intake of breast milk versus water from sources other than breast milk and thus objectively determine exclusive breastfeeding. The objectives of this study were to determine exclusive breastfeeding rates by both maternal recall and the objective stable isotope method and discuss the limitations and usefulness of the two methods. The study involved 100 mother-infant pairs in a peri-urban area in Durban, South Africa and study visits took place from July 2012 to September 2014. Maternal recall of exclusive breastfeeding was carried out using the World Health Organization's 24 hour recall of infant feeding and this was compared to the objective measurement of exclusive breastfeeding using the stable isotope technique at three time points: six weeks, three and 5.5 months. The objective measurements were carried out using two different cut off values for exclusive breastfeeding. Kappa analysis was used to quantify the relationship between maternal recall and results from the stable isotope technique for each mother-infant pair. Over reporting of exclusive breastfeeding was common at...Continue Reading

References

Apr 1, 1991·Clinical Science·P J Jones, S T Leatherdale
May 5, 2005·Nutrition Reviews·Ruowei LiMary K Serdula
Apr 21, 2011·Maternal and Child Health Journal·Gurpreet KindraTonya Esterhuizen
Oct 20, 2011·European Journal of Clinical Nutrition·T M SamuelA V Kurpad
Mar 21, 2015·Public Health Nutrition·Anne Marie Thow, Corinna Hawkes
Feb 11, 2016·Breastfeeding Medicine : the Official Journal of the Academy of Breastfeeding Medicine·Helen Mulol, Anna Coutsoudis
Feb 13, 2016·Lancet·Nigel C RollinsUNKNOWN Lancet Breastfeeding Series Group

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Citations

Dec 31, 2020·Journal of Human Lactation : Official Journal of International Lactation Consultant Association·Priya Bhoola, Chara Biggs
Oct 7, 2020·Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners·Lauren R SorcePaula P Meier

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