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Sample records for change infant feeding

  1. Fertility, Infant Feeding, and Change in Yucatan.

    Science.gov (United States)

    Howrigan, Gail A.

    1988-01-01

    Although the Yucatec pattern of child care conforms on the whole to the pattern seen in other agrarian societies, it is currently becoming destabilized as the society becomes more modern. Some of the developing customs, such as bottle-feeding, are maladaptive, at least in the short run. (RH)

  2. Mothers' Working Models of Caregiving in the Context of Infant Feeding: Change through the First Year.

    Science.gov (United States)

    Pridham, Karen; And Others

    This study examined the change in mothers' working models of infant feeding through the first post-term year of full-term infants and of prematurely born infants with a history of lung disease. It also examined the contribution of maternal resources such as education and mental well-being and infant attributes (maturity at birth and lung disease…

  3. Infant feeding and HIV

    Directory of Open Access Journals (Sweden)

    Ameena Ebrahim Goga

    2009-12-01

    Full Text Available Recent studies on antiretroviral prophylaxis during breastfeeding show that maternal HAART (alone or with 1,4 or 24 weeks infant prophylaxis or infant prophylaxis alone (with limited maternal prophylaxis for 6, 14 or 24 weeks reduces HIV transmission through breastmilk (postnatal transmission. Maternal postnatal regimens appear to be as efficacious as infant postnatal regimens, although one study shows a trend favouring infant nevirapine over maternal HAART (both used from 1 week to 6 months post-delivery. These new findings necessitate a review of existing PMTCT interventions, and the immediate implementation of regimens that reduce postnatal transmission - where this is feasible – to save children’s lives. In the public sector, whilst stakeholders engage in discussions about which is the best regimen to minimise postnatal transmission SSSUPPORT should be given to all HIV-positive women, as explained below, to improve infant outcomes and reduce postnatal transmission: Screen all women for HIV, Send off CD4 cell counts on all HIV-positive women, Screen all HIV-positive women for AFASS using a standardised tool (e.g. Table 3; Understand the woman’s personal and socio-cultural context; Promote exclusive or predominant breastfeeding if all AFASS criteria are not met; Promote exclusive formula feeding if all AFASS criteria are met; Organise supplies of formula milk and cotrimoxazole; Review mothers and infants in the first 3 days post-delivery, in the first two weeks postnatally and monthly thereafter, and review health and feeding practices, regardless of feeding choice, at every visit; lastly Treat all pregnant women with HAART if they meet national criteria for HAART initiation.

  4. The difficulty with responding to policy changes for HIV and infant feeding in Malawi

    Directory of Open Access Journals (Sweden)

    de Paoli Marina

    2010-10-01

    Full Text Available Abstract Background When and how to wean breastfed infants exposed to HIV infection has provoked extensive debate, particularly in low-income countries where safe alternatives to breastfeeding are rarely available. Although there is global consensus on optimal infant-feeding practices in the form of guidelines, practices are sub-optimal in much of sub-Saharan Africa. Policy-makers and health workers face many challenges in adapting and implementing these guidelines. Methods This paper is based on in-depth interviews with five policy-makers and 11 providers of interventions to prevent mother-to-child transmission (PMTCT of HIV, participant observations during clinic sessions and site visits. Results The difficulties with adapting the global infant-feeding guidelines in Malawi have affected the provision of services. There was a lack of consensus on HIV and infant-feeding at all levels and general confusion about the 2006 guidelines, particularly those recommending continued breastfeeding after six months if replacement feeding is not acceptable, feasible, affordable, sustainable and safe. Health workers found it particularly difficult to advise women to continue breastfeeding after six months. They worried that they would lose the trust of the PMTCT clients and the population at large, and they feared that continued breastfeeding was unsafe. Optimal support for HIV-infected women was noted in programmes where health workers were multi-skilled; coordinated their efforts and had functional, multidisciplinary task forces and engaged communities. The recent 2009 recommendations are the first to support antiretroviral (ARV use by mothers or children during breastfeeding. Besides promoting maternal health and providing protection against HIV infection in children, the new Rapid Advice has the potential to resolve the difficulties and confusion experienced by health workers in Malawi. Conclusions The process of integrating new evidence into

  5. Perspectives and reflections on the practice of behaviour change communication for infant and young child feeding.

    Science.gov (United States)

    Pelto, Gretel H; Martin, Stephanie L; van Liere, Marti J; Fabrizio, Cecilia S

    2016-04-01

    Behaviour change communication (BCC) is a critical component of infant and young child feeding (IYCF) interventions. In this study we asked BCC practitioners working in low- and middle-income countries to participate in an examination of BCC practice. We focus here on results of their personal reflections related to larger issues of practice. We used a combination of iterative triangulation and snowball sampling procedures to obtain a sample of 29 BCC professionals. Major themes include (1) participants using tools and guidelines to structure their work, and many consider their organisation's tools to be their most important contribution to the field; (2) they value research to facilitate programme design and implementation; (3) half felt research needed to increase; (4) they have a strong commitment to respecting cultural beliefs and culturally appropriate programming; (5) they are concerned about lack of a strong theoretical foundation for their work. Based on participants' perspectives and the authors' reflections, we identified the following needs: (1) conducting a systematic examination of the alternative theoretical structures that are available for nutrition BCC, followed by a review of the evidence base and suggestions for future programmatic research to fill the gaps in knowledge; (2) developing a checklist of common patterns to facilitate efficiency in formative research; (3) developing an analytic compendium of current IYCF BCC guidelines and tools; (4) developing tools and guidelines that cover the full programme process, including use of innovative channels to support 'scaling up nutrition'; and (5) continued support for programmes of proven effectiveness. PMID:26194743

  6. A History of Infant Feeding

    OpenAIRE

    Stevens, Emily E.; Patrick, Thelma E.; Pickler, Rita

    2009-01-01

    The historical evolution of infant feeding includes wet nursing, the feeding bottle, and formula use. Before the invention of bottles and formula, wet nursing was the safest and most common alternative to the natural mother's breastmilk. Society's negative view of wet nursing, combined with improvements of the feeding bottle, the availability of animal's milk, and advances in formula development, gradually led to the substitution of artificial feeding for wet nursing. In addition, the adverti...

  7. Achieving behaviour change at scale: Alive & Thrive's infant and young child feeding programme in Bangladesh.

    Science.gov (United States)

    Sanghvi, Tina; Haque, Raisul; Roy, Sumitro; Afsana, Kaosar; Seidel, Renata; Islam, Sanjeeda; Jimerson, Ann; Baker, Jean

    2016-05-01

    The Alive & Thrive programme scaled up infant and young child feeding interventions in Bangladesh from 2010 to 2014. In all, 8.5 million mothers benefited. Approaches - including improved counselling by frontline health workers during home visits; community mobilization; mass media campaigns reaching mothers, fathers and opinion leaders; and policy advocacy - led to rapid and significant improvements in key practices related to breastfeeding and complementary feeding. (Evaluation results are forthcoming.) Intervention design was based on extensive formative research and behaviour change theory and principles and was tailored to the local context. The programme focused on small, achievable actions for key audience segments identified through rigorous testing. Promotion strategies took into account underlying behavioural determinants and reached a high per cent of the priority groups through repeated contacts. Community volunteers received monetary incentives for mothers in their areas who practised recommended behaviours. Programme monitoring, midterm surveys and additional small studies to answer questions led to ongoing adjustments. Scale-up was achieved through streamlining of tools and strategies, government branding, phased expansion through BRAC - a local non-governmental implementing partner with an extensive community-based platform - and nationwide mainstreaming through multiple non-governmental organization and government programmes. Key messages Well-designed and well-implemented large-scale interventions that combine interpersonal counselling, community mobilization, advocacy, mass communication and strategic use of data have great potential to improve IYCF practices rapidly. Formative research and ongoing studies are essential to tailor strategies to the local context and to the perspectives of mothers, family members, influential community members and policymakers. Continued use of data to adjust programme elements is also central to the process. Scale

  8. Infant Formula - Buying, Preparing, Storing, and Feeding

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/patientinstructions/000806.htm Infant Formula – Buying, Preparing, Storing, and Feeding To use the ... using infant formula . Buying, Preparing, and Storing Infant Formula The following tips can help you buy, prepare, ...

  9. Infant feeding practices in Malaysia.

    Science.gov (United States)

    Chen, S T

    1978-12-01

    Retrospective nutritional data on 100 children, aged 6 months to 2 1/2 years, who were admitted to the University Hospital in Kuala Lumpur, Malaysia, was obtained by interviewing the mothers of the children. Analysis of the data revealed that 1) only 49% of the children were breast-fed as infants; 2) 50% of the mothers who did breast-feed discontinued breast-feeding before the children were 3 months old; and 3) the weaning diet of at least 1/3 of the children was inadequate. 18% of the children were Malays, 49% were Chinese, and 33% were Indian. The proportion of breast-fed children was highest among the Malays and lowest among the Chinese. Mothers with higher incomes tended to stop breast-feeding earlier than mothers with lower incomes. 67% of the women said they stopped breast-feeding due to inadequate lactation. Most of the children received supplementary foods at relatively early ages. 50% of the infants received starchy foods by the time they were 3 1/2 months old, and 50% received fruit or fruit juice by the time they were 3 1/2 months old. Vegetable products, meat, fish, and eggs were not added to the diet until the children were considerably older. Recommendations, based on the study findings, were 1) hospitals should discontinue the practice of deferring breast-feeding initiation for 24 hours after delivery; 2) mothers should be encouraged to breast-feed fully; and 3) health personnel should discourage the widespread use of costly precooked cereals for supplementary feeding. Tables depicted 1) the frequency distribution of the 100 children by income and by milk feeding patterns according to ethnic affiliation and 2) the cost of serving precooked cereals as compared to the cost of serving home cooked meals. PMID:755160

  10. Feeding Vegetarian and Vegan Infants and Toddlers

    Science.gov (United States)

    ... Men For Women For Seniors Feeding Vegetarian and Vegan Infants and Toddlers By Dayle Hayes, MS, RD ... of Pediatrics (AAP) agree: Well-planned vegetarian and vegan eating patterns are healthy for infants and toddlers. ...

  11. Using formative research to design a context-specific behaviour change strategy to improve infant and young child feeding practices and nutrition in Nepal.

    Science.gov (United States)

    Locks, Lindsey M; Pandey, Pooja R; Osei, Akoto K; Spiro, David S; Adhikari, Debendra P; Haselow, Nancy J; Quinn, Victoria J; Nielsen, Jennifer N

    2015-10-01

    Global recommendations on strategies to improve infant feeding, care and nutrition are clear; however, there is limited literature that explains methods for tailoring these recommendations to the local context where programmes are implemented. This paper aims to: (1) highlight the individual, cultural and environmental factors revealed by formative research to affect infant and young child feeding and care practices in Baitadi district of Far Western Nepal; and (2) outline how both quantitative and qualitative research methods were used to design a context-specific behaviour change strategy to improve child nutrition. Quantitative data on 750 children aged 12-23 months and their families were collected via surveys administered to mothers. The participants were selected using a multistage cluster sampling technique. The survey asked about knowledge, attitude and behaviours relating to infant and young child feeding. Qualitative data on breastfeeding and complementary feeding beliefs and practices were also collected from a separate sample via focus group discussions with mothers, and key informant interviews with mothers-in-law and husbands. Key findings revealed gaps in knowledge among many informants resulting in suboptimal infant and young child feeding practices - particularly with relation to duration of exclusive breastfeeding and dietary diversity of complementary foods. The findings from this research were then incorporated into a context-specific nutrition behaviour change communication strategy. PMID:23557321

  12. An Ecological Model for Premature Infant Feeding

    OpenAIRE

    White-Traut, Rosemary; Norr, Kathleen

    2009-01-01

    Premature infants are at increased risk for poor health, feeding difficulties, and impaired mother-infant interaction leading to developmental delay. Social-environmental risks, such as poverty or minority status, compound these biologic risks, placing premature infants in double jeopardy. Guided by an ecological model, the Hospital-Home Transition: Optimizing Prematures’ Environment (H-HOPE) intervention combines the Auditory, Tactile, Visual, and Vestibular intervention with participatory g...

  13. Infant feeding practices: the case of Hmong women in Australia.

    Science.gov (United States)

    Liamputtong, Pranee

    2002-01-01

    I discuss infant feeding beliefs and practices among Hmong women in Melbourne, focusing particularly on changed patterns that have occurred since their settlement in Australia. Traditionally, Hmong women breastfeed their newborn infants. Most women can breastfeed successfully in their homeland. However, since their settlement in a new country, some women have changed to bottlefeeding. Reasons given include the need to study English and seek employment, the availability of infant formula, insufficient milk, and their concern about the health and well-being of the infants. Hmong women either choose breast- or bottlefeeding based on what they think is best for their babies; their clear intention is to have children who will be healthy and thrive. Understanding of women's beliefs and practices relating to feeding is essential in creating a breastfeeding campaign. More importantly, the information will assist health professionals to support mothers in their choice of a feeding method, whether it be breast or bottle. PMID:11822558

  14. Progress in developing an infant and child feeding index

    OpenAIRE

    Arimond, Mary; Ruel, Marie T.

    2002-01-01

    "Feeding practices are an important determinant of the nutritional status of infants and children. It is therefore useful to measure and describe infant and child feeding practices in a number of contexts. Such measurements could enable (1) international comparisons of the adequacy of infant and child feeding, (2) research linking infant and child feeding to determinants or outcomes, (3) advocacy regarding the importance of adequate infant and child feeding, and (4) monitoring and evaluation ...

  15. Infant-feeding practices among immigrants in Glasgow.

    Science.gov (United States)

    Goel, K M; House, F; Shanks, R A

    1978-10-28

    Two hundred and six Asian, 99 African, 99 Chinese, and 102 Scottish children from 172 families were studied to ascertain infant-feeding practices. After arriving in the United Kingdom most of the immigrant mothers had not wished to breast-feed their babies because of wrong information or misconceptions about British infant-feeding practices. The Asians had largely adopted British habits of introducing solid foods to their babies' diets, but the habits of the African and Chinese mothers in this respect had changed little. Furthermore, many of the African and Chinese children had received no vitamin preparation. The survey showed that all mothers resident in Britain urgently need advice on some aspects of infant feeding. PMID:719341

  16. IS INFANT FEEDING ON COMPLEMENTARY FOOD REQUIRES ADDITIONAL PREBIOTICS?

    Directory of Open Access Journals (Sweden)

    Befikadu Tariku

    2012-12-01

    Full Text Available Bacteria are normal inhabitants of the gastrointestinal tract, where more than 400 bacterial species are found. Bacterial colonization of the gut begins at birth, as newborns are maintained in a sterile status until the delivery begins, and continues throughout life, with notable age-specific changes. Human milk oligosaccharides are complex glycans that are highly abundant in human breast milk. It is generally accepted that human milk oligosaccharides have prebiotic effects, selectively serving as a source of energy and nutrients for desired bacteria to colonize the infant intestine. The concentration and composition of oligosaccharides varied, indicates that the protective ability of breast milk based on human milk oligosaccharides vary. Prebiotic is commonly tested on infants not started complementary food as ingredients in formula and in adults. This review was intended to describe the outcomes of the prebiotic on the infants of complementary feeding age range and their tolerance to it. The study tried to identify articles published on the prebiotic and infants with complementary feeding age range. There were four studies on the complementary feeding age range of infants about the tolerance and effect of prebiotics use. Based on the gastrointestinal symptoms finding of the studies, the addition of the prebiotics were tolerated. All studies were based on the supplementation of the prebiotics to the formula or cereals. There is a need to identify the effect of addition of prebiotics to the infants of breastfeeding during introduction of complementary feeding, both by supplementation and based on the foods containing prebiotics.

  17. 'These are modern times': infant feeding practice in Peninsular Malaysia.

    Science.gov (United States)

    Manderson, L

    1984-01-01

    Traditionally, Malaysian women (Malay, Indian and Chinese) breastfed their infants as a matter of course and for an extended period of time; only elite Chinese women might have resorted to a wet-nurse. But the introduction of condensed and dehydrated milk in colonial Malaya from the late nineteenth century, and the later marketing also of commercially manufactured baby foods, led to some variation in traditional practice. Structural changes, industrialiZation and urbanisation affected social as well as economic life, and again these broad changes had an impact on infant feeding. Today, few women remain unfamiliar with the wide range of infant food products sold in the most isolated provision shops. This paper focuses on key sociological factors that might predict the frequency and duration of breastfeeding and weaning patterns. The data analysed below, collected during semi-structured interviews with 278 women presenting at Maternal and Child Health Clinics in Peninsular Malaysia, are in part confusing. They suggest that the women most likely to bottle feed only or to breast feed for a short period, and to use commercial baby foods, are young, with one child only, who reside in urban or peri-urban areas and have a reasonable household income. Higher educated women, and women whose husbands are in non-traditional occupations, are also less likely to breast feed or to do so for an extended period. But the profile of infant feeding practices is by no means clear. One of the shortcomings of the study relates to the method of collection of data, and highlights the need for detailed ethnographic studies to better explore the variability and complexity of the patterns of infant feeding. PMID:6695200

  18. Development of Gastrointestinal Motility and Feeding Techniques in Premature Infants

    OpenAIRE

    Aydın, Ahmet; Çam, Halit; Fıçıcıoğlu, Can; Mıkla, Şerare

    1994-01-01

    Premature infants have high energy and nutrient requirements for their rapid growth On the other hand they have many feeding problems caused by motility immaturities such as poor sucking and swallow reflexes a small stomach capacity and a weak gag reflex The purpose of this review is to discuss the enteral feeding techniques and the feeding schedule in premature infants Key words: Premature Infant Development Of Gastrointestinal Motility Feeding Techniques

  19. [Changes in infant mortality].

    Science.gov (United States)

    Aguirre, A

    1997-01-01

    Mexico's infant mortality rate is estimated to have declined from 189 in 1930 to 129 in 1950 and 30 in 1995. The infant mortality rate has continued its decline despite the economic crisis of recent years. The use of oral rehydration therapy has reduced mortality from diarrhea, and the spread of family planning has reduced the numbers of births at high risk due to maternal age, parity, or short birth intervals. The types of causes of infant death have changed as the numbers have decreased. They can be grouped in ascending order according to the difficulty of prevention: diseases preventable by immunization, acute diarrhea, acute respiratory infections, perinatal disorders, and congenital anomalies. Over two-thirds of infant deaths recorded since 1950 have been due to these causes. Infectious diseases, including diarrhea, acute respiratory infections, and conditions preventable by immunization predominated as causes of infant mortality before 1930. As the epidemiological transition progresses, diseases preventable by immunization lose importance, and diarrhea and respiratory infections occupy the first two places, with perinatal disorders being third. Between 1980 and 1990, in Mexico, diarrhea and acute respiratory infections dropped to second and third place after perinatal disorders, with congenital anomalies in fourth place. In most developed countries, perinatal disorders and congenital anomalies are the two most frequent causes of death, while diarrhea and respiratory infections no longer appear in the top five. In 1995, the four main causes in Mexico in descending order were perinatal disorders, congenital anomalies, acute respiratory infections, and diarrhea. PMID:12158082

  20. Feeding Problems in Infants and Children.

    Science.gov (United States)

    Lifschitz, Carlos H.

    2001-10-01

    This article focuses on factors related to decreased food intake of infants and children, but does not address anorexia or bulimia nervosa. The nature of feeding problems may be behavioral, organic, or a mixture of both. Behavioral problems that affect intake have their roots in 1) parental or cultural expectations for food intake and body habit, 2) parental anxiety about weight gain in a vulnerable child or insecurity about parental skills, 3) power struggles between parent and child that manifest in eating habits, 4) conditions that may have enhanced the gag reflex, such as prolonged orotracheal intubation or a nasogastric tube, 5) failure to establish links between hunger, food intake, and satiety in infants who had not been fed orally for a relatively prolonged period of time at a critical age, and 6) anxiety or depression. Organic causes that lead to decreased food intake include swallowing problems (neurologic or conditioned hypersensitive gag, structural anomalies of the oropharynx, dyscoordinated swallow, painful swallow, and obstructed swallow ), respiratory distress, excessive fatigability (heart failure, respiratory failure), and lack of appetite (many chronic systemic illnesses). At particular risk for feeding problems are infants of premature birth, children with craniofacial anomalies, those with certain genetic syndromes, and those with neurologic involvement. An evaluation by specialists is recommended for children with obvious behavioral problems but for whom the usual recommendations have failed and for those in whom symptoms cannot be explained solely by behavioral issues or in whom organic causes are suspected. The evaluation preferably should be performed by a team specialized in pediatric feeding disorders or otherwise by an occupational therapist or speech pathologist with expertise in the area of feeding. PMID:11560792

  1. Early feeding and neonatal hypoglycemia in infants of diabetic mothers

    OpenAIRE

    Cordero, Leandro; Ramesh, Shilpa; Hillier, Kirsty; Giannone, Peter J.; Nankervis, Craig A

    2013-01-01

    Objectives: To examine the effects of early formula feeding or breast-feeding on hypoglycemia in infants born to 303 A1-A2 and 88 Class B-RF diabetics. Methods: Infants with hypoglycemia (blood glucose < 40 mg/dL) were breast-fed or formula-fed, and those with recurrences were given intravenous dextrose. Results: Of 293 infants admitted to the well-baby nursery, 87 (30%) had hypoglycemia, corrected by early feeding in 75 (86%), while 12 (14%) required intravenous dextrose. In all, 98 infants ...

  2. Infant milk feeding practices in the Netherlands and associated factors

    NARCIS (Netherlands)

    Lanting, Caren; Van Wouwe, JP; Reijneveld, SA

    2005-01-01

    Aim: The aim of the study was to describe infant feeding practices and associated factors, and to explore mothers' main reasons for starting and stopping breastfeeding. Methods: We performed a national inquiry into milk feeding practices among 9133 Dutch infants aged = 38 wk of gestation, with a bir

  3. Correlation of 4-month infant feeding modes with their growth and iron status in Beijing

    Institute of Scientific and Technical Information of China (English)

    GONG Yu-hua; JI Cheng-ye; ZHENG Xiu-xia; SHAN Jin-ping; HOU Rui

    2008-01-01

    Background Growth and development of infants has been an impoRant topic in pediatrics for a long time.Infants must be provided with food containing all necessary nutrienls.Breast milk js believed to be the most desirable natural and cheapest food for well-balanced nutrition.But with the progress in the development of substitute food in developed countries,it is thought that formula milk can meet the requirement for infant growth.During early infancy,growth,as the most sensitive index of health,is therefore a critical component in evaluating the adequacy of breast-feeding,mixed-feeding and formula feeding.Iron status is another important index of infant health.Iron deficiency anemia remains the most prevalent nutritional deficiency index in infants worldwide.This study is to compare infants in Beijing at 4 months who are on three different feeding modes(breast feeding,mixed feeding and formula feeding)in physical changes and iron status.The results may provide new mothers with support in feeding mode selection,which will also be helpful to the China Nutrition Association in feeding mode education.Methods This is a cohort study.One thousand and one normal Beijing infants were followed regularly for 12 months.Body weight and horizontal length were measured.Hemoglobin,red blood cell counts,mean corpuscular volume,mean corpuscular hemoglobin and serum iron were analyzed at 4 months.Results The breast feeding percentage in the first 4 months was 47.9%.The feeding mode was not significantly related to maternal delivery age,education,labor pathway nor infant sex(P>0.05).Infant boys and girls exclusively breast-fed from 0 to 4 months had the highest weight at 0-6 months.The anemia rate of breast-fed infant boys at 4 months was the highest.Conclusions Breast feeding should be given more emphasis.It is compulsory for new mothers to breast-feed their Infants if possible.Social environment should also guarantee the requirement for breast feeding.Furthermore the normal values

  4. Guidelines for Feeding Very Low Birth Weight Infants

    Directory of Open Access Journals (Sweden)

    Sourabh Dutta

    2015-01-01

    Full Text Available Despite the fact that feeding a very low birth weight (VLBW neonate is a fundamental and inevitable part of its management, this is a field which is beset with controversies. Optimal nutrition improves growth and neurological outcomes, and reduces the incidence of sepsis and possibly even retinopathy of prematurity. There is a great deal of heterogeneity of practice among neonatologists and pediatricians regarding feeding VLBW infants. A working group on feeding guidelines for VLBW infants was constituted in McMaster University, Canada. The group listed a number of important questions that had to be answered with respect to feeding VLBW infants, systematically reviewed the literature, critically appraised the level of evidence, and generated a comprehensive set of guidelines. These guidelines form the basis of this state-of-art review. The review touches upon trophic feeding, nutritional feeding, fortification, feeding in special circumstances, assessment of feed tolerance, and management of gastric residuals, gastro-esophageal reflux, and glycerin enemas.

  5. Historical Overview of Transitional Feeding Recommendations and Vegetable Feeding Practices for Infants and Young Children

    OpenAIRE

    Kleinman, Ronald E.; Coletta, Frances A.

    2016-01-01

    Although recommendations for introducing solid foods to infants and young children have changed significantly since the beginning of the 20th century, vegetable consumption recommendations have always been an important part of the child-feeding repertoire. In 1958, the first report of the American Academy of Pediatrics (AAP) Committee on Nutrition stated that developmental maturity of the gut and neuromuscular system, growth rate, and activity level were good indicators for determining when t...

  6. Nutritional management of very low birthweight infants: effects of different feeding regimens on calcium absorption

    Science.gov (United States)

    Adequate nutrition is a key aspect of care for very low birth weight (VLBW) infants. However, it is difficult to provide adequate nutrition to VLBW infants who have health problems that require fluid restriction and increased caloric density feedings. The effects of these changes on growth, calcium ...

  7. The influence of maternal psychosocial characteristics on infant feeding styles.

    Science.gov (United States)

    Barrett, Katherine J; Thompson, Amanda L; Bentley, Margaret E

    2016-08-01

    Maternal feeding styles in infancy and early childhood are associated with children's later risk for overweight and obesity. Maternal psychosocial factors that influence feeding styles during the complementary feeding period, the time during which infants transition from a milk-based diet to one that includes solid foods and other non-milk products, have received less attention. The present study explores how maternal psychosocial factors-specifically self-esteem, parenting self-efficacy, parenting satisfaction, and depression symptoms-influence mothers' infant feeding styles at nine months of age, a time during which solid foods eating habits are being established. Participants included 160 low-income, African-American mother-infant pairs in central North Carolina who were enrolled in the Infant Care and Risk of Obesity Study. Regression models tested for associations between maternal psychosocial characteristics and pressuring and restrictive feeding styles. Models were first adjusted for maternal age, education, marital status and obesity status. To account for infant characteristics, models were then adjusted for infant weight-for-length, distress to limitations and activity level scores. Maternal self-esteem was negatively associated with pressuring to soothe. Maternal parenting self-efficacy was positively associated with restriction-diet quality. Maternal parenting satisfaction and depression symptoms were not associated with feeding styles in the final models. Focusing on strengthening maternal self-esteem and parenting self-efficacy may help to prevent the development of less desirable infant feeding styles. PMID:27174251

  8. Infant and Young Child Feeding in Developing Countries

    Science.gov (United States)

    Arabi, Mandana; Frongillo, Edward A.; Avula, Rasmi; Mangasaryan, Nune

    2012-01-01

    Feeding practices are important determinants of growth and development of children. Using infant and young child feeding indicators and complementary feeding guidelines, 7 practices in 28 countries are described, showing substantial variation across countries. Only 25% of 0- to 5-month-olds were exclusively breastfed, and only half of 6- to…

  9. Knowledge, Attitude and Practices of Mothers Regarding Infant Feeding Practices

    Directory of Open Access Journals (Sweden)

    Sushma Sriram

    2013-04-01

    Full Text Available Background: Present study was conducted to assess the knowledge, attitude and practices of mothers towards infant feeding practices. Materials and methods: The mothers of infants, coming to a tertiary care centre, Ahmedabad, on outpatient basis were interviewed using a pre-designed questionnaire. Total 150 mothers were interviewed. Results: Out of the total, 18% mothers were illiterate.58.67% mothers have been counselled by doctor about feeding. Regarding breast feeding, 96% knew about exclusive breast feeding up to 6months. 90.67% think that colostrum is good for baby.34.67% mothers have given pre-lacteal feeds, tea and jaggery was most common.84.67% mothers knew that they should take extra food during lactation. Father (36% most commonly help in feeding while 31.33% don’t get any domestic help.78.67% women consult doctor for feeding problems. Most common reason of stopping breast feeding was inadequate milk secretion(54.67%.18% think that feeding should be stopped during illness. 75.33% women were completely satisfied with their feeding practices. Conclusion-Mothers had good knowledge about infant feeding practices. Inspite of good knowledge there are lacunae in the practices of mothers due to social and economic reasons. Level of education has positive impact on infant feeding practices. Counselling by doctors had a better impact on the attitude and practices of mothers. [Natl J Med Res 2013; 3(2.000: 147-150

  10. Breast Feeding And Its Significance In Infant Feeding Practices In India

    Directory of Open Access Journals (Sweden)

    Belavady Bhavani

    1987-01-01

    Full Text Available Surveys on breast-feeding practices have revealed a satisfactory situation in many parts of the country. However, adequacy in terms of quality and quantity of breast milk has not been studied much. Reports available indicate secretion of adequate amount of milk by the mother. This however should not be equated with adequacy of nutrients to this growing child. Concentrations of vitamins are low. The immunologica factors, proteins, minerals and calorie content are in the normal ranges observed in milk samples obtained from well-nourished mother. Breast-feeding should be recommended for as long as possible with adequate supplements. This will have a salubrious effect on the infant and help mothers in spacing births of children. Growth of infants fed soley on breast milk is satisfactory during the first 4 to 5 months. Proper time and type of supplements to be recommended for the community in general need to be studied. Effect of work outside the house on the mother and child, if any, has not received the attention it deserves. High priority has to be a corded to this study, in the present context of dynamic change occurring in the country in relation to the working status of women. Indian is considered a developing country and Indians are conservative by nature. Attitude of the community to infant feeding has not change much except in the educated urban elite and a small section of the poor who consider practice among the former as ideal. The concern and anxiety expressed with regard to breast-feeding by health personnel in foreign countries have not evoked the same response in our country. Reasons are many but if any single reason is to be assigned, it is the popularity of breast-feeding in a vast majority of our mothers. This article will highlight the findings of selected surveys on breast-feeding in the context of our present infant and pre-school feeding practices and refers to the quality and quantity of breast milk briefly.

  11. Mothers who formula feed: their practices, support needs and factors influencing their Infant feeding decision

    LENUS (Irish Health Repository)

    Tarrant, R C

    2013-01-01

    The majority of mothers in Ireland provide formula milk to their infants during the initial weeks postpartum; however, data are lacking on their formula feeding practices and support needs. This prospective Dublin-based observational study, which included 450 eligible mother-term infant pairs recruited and followed up to 6 months postpartum, aimed to advance our understanding of maternal formula feeding practices, their reasons for deciding to formula feed, sources of feeding information and perceived support needs; insights into infant formula milk consumption patterns in relation to current feeding guidelines are also provided. In summary, the vast majority of infants at 6 weeks were provided with formula milk (n = 368; 81.8%). Positive maternal perceptions of formula feeding were among the most frequently reported reasons underlying mothers’ decision to formula feed (e.g. convenience, 17.3%). Potential public health concerns over the large formula milk volumes consumed by infants (mean 205ml\\/kilogram\\/day) relative to infant feeding guidelines (150ml\\/kilogram\\/day) were raised from this study. Some mothers continue to add solid foods to infant bottle feeds at 6 weeks (3.8%) and 6 months (6%), a non-recommended feeding practice posing a choking risk for infants. Crucially, this study highlights the need to provide greater support and information to mothers who decide to formula feed postpartum including practical information on sterilisation and formula reconstitution. While breastfeeding promotion and research continues to be a public health priority in Ireland, addressing the support and information needs of mothers who formula feed, an underrepresented and understudied population in the literature, also needs to be considered to ensure optimal health and safety for their infants.

  12. The Value of Listening to Grandmothers’ Infant-Feeding Stories

    OpenAIRE

    Grassley, Jane S.; Eschiti, Valerie

    2011-01-01

    The purpose of this study was to examine the usefulness of storytelling as a foundation for communicating with grandmothers about breastfeeding. The benefits of storytelling are applied to an analysis of infant-feeding stories that grandmothers told during a focus group study conducted by the authors. Thirty-five grandmothers participated in the study. A qualitative content analysis of the interview transcripts revealed that grandmothers’ infant-feeding stories provided insights into the peop...

  13. Relationship between maternal obesity and infant feeding-interactions

    Directory of Open Access Journals (Sweden)

    Lifshitz Fima

    2005-05-01

    Full Text Available Abstract Background There are no data regarding the relationship between maternal adiposity and interaction and feeding of infants and possible contribution to childhood obesity. In this study we determined the relationship between maternal body weight and composition and infant feeding patterns and maternal-infant interaction during 24-hour metabolic rate measurements in the Enhanced Metabolic Testing Activity Chamber (EMTAC. Methods The amount of time four obese (BMI = 33.5 ± 5.3 kg/m2 and three normal weight (BMI = 23.1 ± 0.6 kg/m2 biological mothers, spent feeding and interacting with their infants, along with what they ingested, was recorded during 24-hour metabolic rate measurements in the EMTAC. The seven infants were 4.9 ± 0.7 months, 69 ± 3 cm, 7.5 ± 0.8 kg, 26 ± 3 % fat and 29 ± 25 percentile for weight for length. Energy and macronutrient intake (kcal/kg were assessed. Maternal body composition was determined by air displacement plethysmorgraphy and that of the infants by skin-fold thicknesses. Pearson correlations and independent t-tests were utilized for statistical analysis (p Results Infants born to obese biological mothers consumed more energy (87.6 ± 18.9 vs. 68.1 ± 17.3 and energy as carbohydrate (25 ± 6 vs.16 ± 3; p Conclusion Greater maternal body weight and percent body fat were associated with greater infant energy intakes. These infants were fed less frequently and consumed more carbohydrates in a shorter period of time as compared to infants from normal weight biological mothers. These variations in feeding patterns may predispose certain infants to obesity.

  14. Pap, gruel, and panada: early approaches to artificial infant feeding.

    Science.gov (United States)

    Obladen, Michael

    2014-01-01

    This paper collects information on artificial infant feeding published before 1860, the year when commercial formula became available. We have extensive artifactual evidence of thousands of feeding vessels since the Bronze Age. Special museum collections can be found in London, Paris, Cologne, Fécamp, Toronto, New Mexico, and elsewhere. The literature on the use of animal milk for infant feeding begins with Soranus in the 2nd century CE. Literature evidence from the very first printed books in the 15th century proves that physicians, surgeons, midwives, and the laity were aware of the opportunities and risks of artificial infant feeding. Most 17th to 19th century books on infant care contained detailed recipes for one or several of the following infant foods: pap, a semisolid food made of flour or bread crumbs cooked in water with or without milk; gruel, a thin porridge resulting from boiling cereal in water or milk, and panada, a preparation of various cereals or bread cooked in broth. During the 18th century, the published opinion on artificial feeding evolved from health concerns to a moral ideology. This view ignored the social and economic pressures which forced many mothers to forego or shorten breast-feeding. Bottle-feeding has been common practice throughout history. PMID:24577423

  15. Maternal Infant Feeding Behaviors and Disparities in Early Child Obesity

    OpenAIRE

    Gross, Rachel S.; Mendelsohn, Alan L.; Fierman, Arthur H.; Hauser, Nicole R.; Messito, Mary Jo

    2014-01-01

    Background: Although disparities in child obesity exist during infancy, the underlying mechanisms are unclear. Assessing dissimilarities in feeding practices, styles, and beliefs may provide a better understanding of these mechanisms. This study sought to identify modifiable maternal-infant feeding behaviors that may contribute to disparities in early child obesity.

  16. Effect of infant feeding on maternal body composition

    Directory of Open Access Journals (Sweden)

    McDougald Dawn M

    2008-08-01

    Full Text Available Abstract Background Women gain total body weight and accrue body fat during pregnancy. Breastfeeding has been suggested as an efficient means of promoting postpartum weight loss due to its high energy cost. We investigated the effect of infant feeding mode on maternal body composition. Methods This study evaluated maternal weight and percent body fat changes in exclusively breastfeeding versus mixed feeding mothers during the first 12 weeks postpartum using the BOD POD. Twenty four mothers aged 19 – 42 years were studied. Participants were recruited from Athens-Clarke County and surrounding areas of the State of Georgia, USA. The study was conducted between November 2005 and December 2006. Results Prepregnancy weight was higher in mixed feeding mothers than in exclusively breastfeeding mothers (68.4 kg vs. 61.4 kg but the difference was not statistically significant. At 12 weeks postpartum, exclusively breastfeeding mothers had lost more total body weight than mixed feeding mothers (4.41 ± 4.10 kg versus 2.79 ± 3.09 kg; p = 0.072. There was no significant difference in fat weight change between the two groups (4.38 ± 2.06 kg versus 4.17 ± 2.63 kg. However, mixed feeding mothers lost slightly more percent body fat than exclusively breastfeeding mothers (1.90 ± 4.18 kg versus 1.71 ± 3.48 kg, but the difference was not statistically significant. The trend in percent body fat loss was significant among exclusively breastfeeding mothers (p = 0.034 but not mixed feeding mothers (p = 0.081. Exclusively breastfeeding mothers consumed more calories than mixed feeding mothers (1980 ± 618 kcal versus 1541 ± 196 kcal p = 0.08. Physical activity levels were, however, higher in mixed feeding mothers than exclusively breastfeeding mothers. Conclusion Our results provide further evidence that exclusive breastfeeding promotes greater weight loss than mixed feeding among mothers even in the early postpartum period. This suggests that there is the need

  17. Oral Feeding Competences of Healthy Preterm Infants: A Review

    Directory of Open Access Journals (Sweden)

    N. Bertoncelli

    2012-01-01

    from 2009 up to 2011. Main Results. Increasingly robust alertness prior to and during feeding does positively impact the infant’s feeding Skills. The review found that oral and non-oral sensorimotor interventions, provided singly or in combination, shortened the transition time to independent oral feeding in preterm infants and that preterm infants who received a combined oral and sensorimotor intervention demonstrated more advanced nutritive sucking, suck-swallow and swallow-respiration coordination than those who received an oral or sensorimotor intervention singly.

  18. Feeding premature infants after hospital discharge

    OpenAIRE

    Yuen, Doris E

    1998-01-01

    Supplying adequate nutrition to premature infants is an ongoing challenge. Common medical conditions that premature infants develop and therapies given to them can increase their nutritional requirements or interfere with the delivery of nutrients. This article outlines factors to consider when prescribing appropriate diet and nutritional supplements at hospital discharge.

  19. Infant feeding practices among nursing personnel in Malaysia.

    Science.gov (United States)

    Sinniah, D; Chon, F M; Arokiasamy, J

    1980-07-01

    Concerned by the alarming decline in breast feeding in the urban and rural areas of Malaysia, we conducted a critical review of infant feeding practices among nursing personnel from representative centres using questionnaires. It was found that although 75% of mothers breast-fed their babies at birth only 19% did so at 2 months and 5% at 6 months respectively. Chinese mothers initiated breast feeding less frequently compared with Indian or Malay mothers. The prevalence of breast feeding was higher among lower category nurses, lower income groups and those from health centres. Decision for breast feeding was based in most instances on conviction derived from reading, lectures or advice from relatives. The vast majority of mothers listed "work' as the main reason for termination of breast feeding followed by "insufficient breast milk' and satisfactory past experience with bottle feeding. The ramifications of these findings and measures to improve the prevalence and duration of breast feeding are discussed. PMID:7446101

  20. Mothers Who Formula Feed: Their Practices, Support Needs and Factors Influencing Their Infant Feeding Decision

    Science.gov (United States)

    Tarrant, Roslyn C.; Sheridan-Pereira, Margaret; McCarthy, Roberta A.; Younger, Katherine M.; Kearney, John M.

    2013-01-01

    The majority of mothers in Ireland provide formula milk to their infants during the initial weeks postpartum; however, data are lacking on their formula feeding practices and support needs. This prospective Dublin-based observational study, which included 450 eligible mother-term infant pairs recruited and followed up to six months postpartum,…

  1. Feeding the feeble: steps towards nourishing preterm infants.

    Science.gov (United States)

    Obladen, Michael

    2015-09-01

    This paper describes historic steps in feeding techniques and knowledge on the nutritional needs of premature infants. Devices to overcome weak sucking and swallowing were developed from 1851 to 1920, including tube feeding by gavage, medicine droppers and pipettes, feeding bottles with an air inlet, and beaked spoons for nasal feeding. Indwelling nastrogastric tubes were in use from 1951. For alleged safety concerns in the 1950s, postnatal feeding was postponed until a week of starvation was reached, and studies showed an association with neurological handicaps. The premature infant's elevated need for energy, protein, and minerals has been established since 1919. However, these remained controversial, and nutritional practices continued to lag behind theoretical knowledge. Concentrated formula was developed in the 1940s, parenteral supplementation in the 1960s, and human milk fortifiers in the 1970s. In the 1990s, necrotizing enterocolitis was found to be more frequent in infants who were fed formula than in those who were fed human milk. Recently, probiotics were shown to reduce the risk of necrotizing enterocolitis. Nevertheless, compared with other aspects of neonatal medicine, there is still remarkably little evidence on how to feed preterm infants. PMID:24706425

  2. Feeding considerations in infants born with cleft lip and palate

    Directory of Open Access Journals (Sweden)

    M Subramanya Shetty

    2016-01-01

    Full Text Available Infants born with the congenital deformity of cleft lip and or palate suffer from varieties of complications since the day 1 of their life. The most important of which is the feeding difficulty which leads to insufficient food intake and thereby causing deleterious effects on their overall development leading to malnutrition and death in some cases. However, research into the anatomical variations of these infants in the region of lip and palate has led to the development of several types of feeders and their modifications which would help them thrive well in the initial days and also for later. Hence, it is worth important to know about them in detail and help these infants and their families psychologically so that the infants do not suffer from feeding difficulties anymore.

  3. Infant feeding practices of migrant farmlaborers in Northern Colorado

    OpenAIRE

    O'Malley, Beth

    1989-01-01

    The infant feeding practices and associated environment of 49 infants (6-23 months) of migrant farm laborers in Northern Colorado were investigated during the summer of 1987. Information was collected on 1) breastfeeding practices, 2) introduction of foods and liquids, 3) nutrition and health practices and inadequacies, 4) home living environment, 5) health history, and 6) demographics. Data on the sources of food and nutrition information was collected regarding the 1) u...

  4. Glucose polymer supplementation of feeds for very low birthweight infants.

    OpenAIRE

    Raffles, A; Schiller, G; Erhardt, P; Silverman, M

    1983-01-01

    The feeds of 14 very low birthweight infants (birth weight less than 1500 g) were supplemented with a glucose polymer (Caloreen) at the rate of 6 g/kg body weight daily. Seven day periods of supplementation were alternated with seven day periods of normal feeding. Adding the glucose polymer significantly increased the rate of weight gain in these infants from 105 g/week to 140 g/week; growth rates in terms of length and head circumference were not affected. No adverse effects were noted. Gluc...

  5. Social networks and infant feeding in Oaxaca, Mexico.

    Science.gov (United States)

    Wutich, Amber; McCarty, Christopher

    2008-04-01

    The health benefits of delaying the introduction of complementary foods to infants' diets are widely known. Many studies have shown that mothers with the support of close social network members are more compliant with medical recommendations for infant feeding. In our study, we examine the effects of a broader spectrum of network members (40 people) on mothers' infant feeding decisions. The survey was conducted in Oaxaca, Mexico as part of a follow-up to a nationwide Mexican Social Security Institute survey of infant health. Sixty mothers were interviewed from a stratified random sample of the original respondents. Multivariate tests were used to compare the efficacy of network-level variables for predicting the introduction of 36 foods into infants' diets, when compared with respondent-level variables. The study yields four findings. First, network-level variables were better predictors of the timing of food introduction than socio-demographic variables. Second, mothers with more indigenous networks delayed the introduction of some grains (oatmeal, cereal, noodle soup, rice) and processed pork products (sausage and ham) to the infant's diet longer than mothers with less indigenous networks. Third, mothers who had stronger ties to their networks delayed the introduction of rice and processed pork products (sausage and ham) to the infant's diet longer than mothers who had weaker ties to their networks. Fourth, mothers who heeded the advice of distant network members introduced some grains (rice and cereal) earlier than mothers who did not heed the advice of distant network members. PMID:18336645

  6. Association between Infant Feeding and Early Postpartum Infant Body Composition: A Pilot Prospective Study

    Directory of Open Access Journals (Sweden)

    Alex Kojo Anderson

    2009-01-01

    Full Text Available Research studies have produced conflicting results of the impact of breastfeeding on overweight/obesity. This study evaluated the impact of infant feeding on infant body composition. There were two groups of mother-infant pairs (exclusive breastfeeding [EBF; n=27] and mixed feeding [MF; n=13] in this study. At baseline, participants were similar in their demographic characteristics except prepregnancy weight, where MF mothers tended to be heavier than their EBF counterparts (67.3 kg versus 59.9 kg; P=.034. Infant birth weight was slightly higher among the MF group than their EBF counterparts (3.5 kg versus 3.4 kg, although the differences were not statistically significant. At 3 months postpartum, mean infant FMI (4.1 kg/m2 versus 3.8 kg/m2 and percent body fat (24.4% versus 23.1% were slightly higher among EBF infants than MF infants. In terms of growth velocity, EBF infants gained weight faster than their MF counterparts, although the differences were not statistically significant. The findings from this study suggest that EBF may promote faster weight gain and increase in both fat mass index (FMI and percent body fat in the early postpartum period in addition to the numerous health benefits enjoyed by the infant and the mother who exclusively breastfeeds her newborn.

  7. Infant feeding, poverty and human development

    Directory of Open Access Journals (Sweden)

    Amir Lisa H

    2007-10-01

    Full Text Available Abstract The relationship between poverty and human development touches on a central aim of the International Breastfeeding Journal's editorial policy which is to support and protect the health and wellbeing of all infants through the promotion of breastfeeding. It is proposed that exclusive breastfeeding for 6 months, followed by continued breastfeeding to 12 months, could prevent 1,301,000 deaths or 13% of all child deaths under 5 years in a hypothetical year. Although there is a conventional wisdom that poverty 'protects' breastfeeding in developing countries, poverty actually threatens breastfeeding, both directly and indirectly. In the light of increasingly aggressive marketing behaviour of the infant formula manufacturers and the need to protect the breastfeeding rights of working women, urgent action is required to ensure the principles and aim of the International Code of Breastmilk Substitutes, and subsequent relevant resolutions of the World Health Assembly, are implemented. If global disparities in infant health and development are to be significantly reduced, gender inequities associated with reduced access to education and inadequate nutrition for girls need to be addressed. Improving women's physical and mental health will lead to better developmental outcomes for their children.

  8. Feeding premature infants banked human milk homogenized by ultrasonic treatment.

    Science.gov (United States)

    Rayol, M R; Martinez, F E; Jorge, S M; Gonçalves, A L; Desai, I D

    1993-12-01

    Premature neonates fed ultrasonically homogenized human milk had better weight gain and triceps skin-fold thickness than did a control group given untreated human milk (p tube feeding (p Ultrasonic homogenization of human milk appears to minimize loss of fat and thus allows better growth of premature infants. PMID:8229535

  9. Simplified feeding appliance for an infant with cleft palate

    Directory of Open Access Journals (Sweden)

    Shaila Masih

    2014-01-01

    Full Text Available A child born with cleft palate may experience difficulties while feeding. Early surgical treatment may need to be postponed until certain age and weight gain of the infant. The case presented here is of a 1-month-old neonate born with cleft palate, assisted with a new feeding appliance made with ethylene vinyl acetate using pressure molding technique to aid in proper feeding. The patient′s weight and health significantly improved after the insertion of obturator. The advantages of this material included being lightweight, moldability, good palatal fit and decreased soft tissue injury.

  10. The Mother-Infant Feeding Relationship across the First Year and the Development of Feeding Difficulties in Low-Risk Premature Infants

    Science.gov (United States)

    Silberstein, Dalia; Feldman, Ruth; Gardner, Judith M.; Karmel, Bernard Z.; Kuint, Jacob; Geva, Ronny

    2009-01-01

    Although feeding problems are common during infancy and are typically accompanied by relational difficulties, little research observed the mother-infant feeding relationship across the first year as an antecedent to the development of feeding difficulties. We followed 76 low-risk premature infants and their mothers from the transition to oral…

  11. Infant-feeding practices and American Indian infants' gut microbiome: Rationale of the pilot study.

    Science.gov (United States)

    Zamor-Kapoor, Anna; Sinclair, Ka'imi

    2016-03-01

    This study aims to examine the relationship between infant-feeding practices and American Indian infants' gut microbiome--laying the foundation of a research program aimed at identifying potential aetiologies of childhood obesity in this population. Previous studies have emphasised the high prevalence of obesity in American Indian infants, but its underlying causes remain unclear. We received funding from the University of Washington to examine attitudes towards breastfeeding and formula feeding in American Indian mothers, their dietary and physical activity habits and the yield, quality and diversity of their infants' gut microbiome. Our study combines the strengths of qualitative and quantitative data with DNA sequencing. Results will be used to propose a larger study aimed at clarifying aetiologies of childhood obesity in this population and to identify prevention strategies. This protocol describes the theoretical basis of the study, rationale for the target population, study design, participant recruitment and data analysis plan. PMID:27188076

  12. The SHINE Trial Infant Feeding Intervention: Pilot Study of Effects on Maternal Learning and Infant Diet Quality in Rural Zimbabwe.

    Science.gov (United States)

    Desai, Amy; Smith, Laura E; Mbuya, Mduduzi N N; Chigumira, Ancikaria; Fundira, Dadirai; Tavengwa, Naume V; Malaba, Thokozile R; Majo, Florence D; Humphrey, Jean H; Stoltzfus, Rebecca J

    2015-12-15

    The Sanitation Hygiene Infant Nutrition Efficacy (SHINE) trial is designed to measure the independent and combined effects of improved water, sanitation, and hygiene and improved infant feeding on child stunting and anemia in Zimbabwe. We developed and pilot-tested the infant feeding intervention delivered by 9 village health workers to 19 mothers of infants aged 7-12 months. Between September 2010 and January 2011, maternal knowledge was assessed using mixed methods, and infant nutrient intakes were assessed by 24-hour recall. We observed positive shifts in mothers' knowledge. At baseline, 63% of infants met their energy requirement and most did not receive enough folate, zinc, or calcium; none met their iron requirement. Postintervention, all infants received sufficient fat and vitamin A, and most consumed enough daily energy (79%), protein (95%), calcium (89%), zinc (89%), folate (68%), and iron (68%). The SHINE trial infant feeding intervention led to significant short-term improvements in maternal learning and infant nutrient intakes. PMID:26602298

  13. A qualitative study exploring factors associated with mothers’ decisions to formula-feed their infants in Newfoundland and Labrador, Canada

    OpenAIRE

    Bonia, Kimberly; Twells, Laurie; Halfyard, Beth; Ludlow, Valerie; Newhook, Leigh Anne; Murphy-Goodridge, Janet

    2013-01-01

    Background Breastfeeding has numerous health benefits. In 2010, the province of Newfoundland and Labrador had the lowest breastfeeding initiation rate (64.0%) in Canada. Formula feeding is associated with well-known health risks. Exclusive formula feeding is the “cultural norm” in some regions of the province. Women appear resistant to changing their infant feeding behaviors and remain committed to their decision to formula-feed. The primary aim of this qualitative study was to examine indivi...

  14. Bovine milk usage and feeding practices for infants in India

    Directory of Open Access Journals (Sweden)

    Meha Mayuri

    2012-01-01

    Full Text Available Background: Milk and dairy products from animal sources (cow′s milk or buffalo′s milk are an important part of Indian diet and its consumption starts at an early age. Objective: The purpose of this study is to understand the processing, storage and modifications carried out before bovine milk is fed to the infants and compare it with recommendations by Health Care Professionals (HCPs. Materials and Methods: The study involved assessments involving HCPs and mothers of children below 1 year of age through both qualitative and quantitative methods. Feeding recommendations by HCPs were assessed through a quantitative method. Results: The children are commonly initiated on bovine milk post 3 months of age. The milk is not covered while boiling in 70% cases and boiled at suboptimal temperature (moderate: 62% or low: 31%. Half of the families store milk outside refrigerators openly in the kitchen or rooms. The milk is modified in the majority of cases (81% before being fed. Modification of the milk was often done with sugar (85%, followed by water (49%, biscuits, fennel seeds, cardamom or infant cereals before feeding the baby. Addition of water was more prevalent among mothers of infants between 3 and 6 months. HCPs do not advise consumption of bovine milk by infants unless there is no other option available. Conclusion: A clear gap exists between recommended and actual practices for infant feeding in India. There is a huge opportunity to educate mothers on importance of breast feeding and benefits of implementing appropriate processing, storage, and consumption practices of bovine milk.

  15. Migration of 2-butoxyethyl acetate from polycarbonate infant feeding bottles

    DEFF Research Database (Denmark)

    Petersen, Jens Højslev; Lund, K.H.

    2003-01-01

    An enforcement campaign was carried out to assess the migration of 2-butoxyethyl acetate (2-BEA) from polycarbonate infant feeding bottles intended for repeated use. Migration was measured by three successive migration tests into two of the European Union official food simulants: distilled water...... and 3% acetic acid testing at 40degrees C for 10 days. The Danish Veterinary and Food Administration (DVFA) has assessed that a migration above 0.33 mg for 2-BEA and a group of eight related substances kg(-1) foodstuff from plastics articles used exclusively for infants is unacceptable. Migration of 2...

  16. UNFAVORABLE INFANT FEEDING PRACTICES IN EAST LOMBOK HAVE NOT YET CHANGED MUCH IN THE LAST DECADE (PRAKTIK PEMBERIAN MAKAN BAYI YANG TIDAK TEPAT BELUM BANYAK MENGALAMI PERUBAHAN DALAM SATU DEKADE TERAKHIR DI LOMBOK TIMUR

    Directory of Open Access Journals (Sweden)

    Nur Handayani Utami

    2013-07-01

    mengenai praktek pemberian makanan bayi yang benar, dibutuhkan materi edukasi gizi yang spesifik di daerah tersebut disertai dengan partisipasi dari tokoh agama setempat. Saluran/media lain dalam masyarakat seperti arisan atau pertemuan kampung juga direkomendasikan untuk dapat dimanfaatkan dalam menyampaikan pesan-pesan kesehatan [Penel Gizi Makan 2011, 34(1:75-85]   ABSTRACT Background: One of the districts that haven’t reached the national nutrition recovery target was East Lombok, the prevalence of underweight among under two children was 25.5 percent. One of the underlying causes of under-nutrition is inappropriate feeding practices that occur during the first year of life. Several factors lies behind these practices, such as experiences, family demands, socio-economic circumstances, and cultural beliefs. Objective: To explore the infant feeding (breastfeeding and complementary feeding practices among 9-11 month infants in East Lombok. Methods: This cross-sectional study use qualitative method. Four Group Interview with the mothers of 9-11 month infants were conducted. Confirmation was done from Group Interview with the cadres, interview with local health officers and observation from study site. Analysis was done by making contrast, comparison or themes emerged from the data. Results: This study revealed that the infant feeding practices still haven’t optimal as indicated by low exclusive breastfeeding practices for 6th month, pre-lacteal feeding and the consumption of pre-masticated foods (“papah” still commonly happen in East Lombok. Furthermore, the early introduction of complementary food and less frequency of meals and snacks a day also still practiced. The hygiene practices also still have to be considered where the consumption of unboiled water (“air nyet” among infants still familiar in this area. Comparing to several studies have been conducted, these unfavorable infant feeding practices in East Lombok have not yet changed much in the last

  17. Do early infant feeding patterns relate to breast-feeding continuation and weight gain ? data from a longitudinal cohort study.

    OpenAIRE

    Casiday, R. E.; Wright, C M; Panter-Brick, C; Parkinson, K

    2004-01-01

    Objectives: To describe the first-week feeding patterns for breast- vs bottle-fed babies, and their association with sustained breast-feeding and infant weight gain at 6 weeks. Design: A longitudinal cohort study. Setting: Feeding diaries were completed by mothers in an urban UK community shortly after birth; follow-up weight and feeding data were collected at routine health checks. Subjects: Mothers of 923 full-term infants born during the recruiting period agreed to join the stud...

  18. Breastfeeding and lactation research: exploring a tool to measure infant feeding patterns

    OpenAIRE

    Noel-Weiss, Joy; Taljaard, Monica; Kujawa-Myles, Sonya

    2014-01-01

    Background Infant feeding categories, often referred to as breastfeeding definitions, form the basis to describe infant feeding patterns; especially, breastfeeding duration and degree of breastfeeding exclusivity. Researchers use a variety of algorithms and no validated tool exists to measure feeding patterns for research purposes. The goal of this research project was to develop and test a tool to measure patterns of infant feeding for breastfeeding and lactation research. Methods We used a ...

  19. Evaluating a bilingual video to improve infant feeding knowledge and behavior among immigrant Latina mothers.

    Science.gov (United States)

    Scheinmann, Roberta; Chiasson, Mary Ann; Hartel, Diana; Rosenberg, Terry J

    2010-10-01

    Childhood obesity is recognized as a major health problem in the United States and is occurring at ever younger ages. While most prevention efforts are aimed at school-age children, this project focuses on the caregivers of children from 0 to 24 months of age. This study is an evaluation of an educational English/Spanish infant feeding video, distributed for home viewing at one New York City Special Supplemental Food Program for Women, Infants and Children (WIC) center (video group) but not at three others (comparison group). Baseline, 3 and 6 month infant feeding knowledge and behavior surveys were conducted. For this report, analyses are restricted to Latina immigrant mothers. The video and comparison group mothers were similar in age, education, and parity. The video group was more likely to speak Spanish at home, and had lower knowledge scores at baseline. At the 6 month follow-up, knowledge increased for both groups, but the video group showed a greater increase in knowledge between baseline and 6 months: in ordered logistic regression analyses the video group had a 1.7 times greater score increase at each outcome level. The video group also showed positive changes in behavior-later age at first solid feeding was observed in the video group. We found that an inexpensive, low-intensity video intervention can positively impact maternal knowledge and behavior related to infant feeding among immigrant Latinas. Attention should be given to intervening early with high-risk populations. PMID:20039195

  20. Infant and child feeding index reflects feeding practices, nutritional status of urban slum children

    OpenAIRE

    Lohia, Neha; Udipi, Shobha A

    2014-01-01

    Background Infant and child feeding index (ICFI) an age-specific index, can be used to assess child feeding practices. We used the ICFI to assess feeding practices for urban slum children and the association between ICFI and child nutritional status. Methods 446 children aged 6 to 24 months from urban slums of Mumbai, India were studied. We used the 24-hour diet recall to study dietary diversity and a food frequency questionnaire for consumption of food groups during the preceding week. ICFI ...

  1. The Voice of Low-Income Adolescent Mothers on Infant Feeding

    Science.gov (United States)

    Horodynski, Mildred A.; Mills, Kristen J.

    2014-01-01

    Adolescent mothers' feeding practices impact infant weight gain. Infant obesity, especially in low-income families, is rapidly increasing. The aim of the exploratory study reported here was to identify factors affecting low-income African American and non-Hispanic White adolescent mothers' infant feeding practices and useful learning…

  2. Sources of influence on infant feeding practices in Hong Kong.

    Science.gov (United States)

    Hung, B K; Ling, L; Ong, S G

    1985-01-01

    The breastfeeding rate in Hong Kong is low compared to the rates in Western countries. To understand the relative importance of different sources of influence on infant feeding practices, 714 Chinese mothers with infants aged 4 weeks to 6 months were studied. It was found that the bottlefeeding mothers were influenced more by the medical professionals who did not support breastfeeding. This influence was further reinforced by the mass media and particularly television advertisements on infant formulae. The successful breastfeeding mothers, on the other hand, were influenced more by their social networks through which they were told of the dangers of bottlefeeding. The failed breastfeeding mothers differed from the other groups in the lack of support they experienced from friends and relatives. Although they received professional encouragement to breastfeed, they were more sheltered from the influence of mass media and social networks. From these findings, it is suggested that different sources of influence are related to different feeding practices. However, to be able to continue with the practice that one has chosen, the availability of social support is essential. Implications of these findings are discussed and several recommendations to promote breastfeeding are made. PMID:4023751

  3. Milk sharing and formula feeding: Infant feeding risks in comparative perspective?

    Directory of Open Access Journals (Sweden)

    Karleen D. Gribble

    2012-05-01

    Full Text Available The advent of Internet forums that facilitate peer-to-peerhuman milk sharing has resulted in health authorities statingthat sharing human milk is dangerous. There are risksassociated with all forms of infant feeding, includingbreastfeeding and the use of manufactured infant formulas.However, health authorities do not warn against usingformula or breastfeeding; they provide guidance on how tomanage risk. Cultural distaste for sharing human milk, notevidenced-based research, supports these official warnings.Regulating bodies should conduct research and disseminateinformation about how to mitigate possible risks of sharinghuman milk, rather than proscribe the practice outright.

  4. Infant feeding practices in the rural population of north India

    Directory of Open Access Journals (Sweden)

    Syed E Mahmood

    2012-01-01

    Full Text Available Background : Breastfeeding is one of the most important determinants of child survival, birth spacing, and the prevention of childhood infections. The beneficial effects of breastfeeding depend on its initiation, duration, and the age at which the breastfed child is weaned. Breastfeeding practices vary among different regions and communities. Objectives: To assess the pattern of infant feeding and its relation to certain practices of maternity and newborn care, and to assess the knowledge of mothers on the advantages of exclusive breastfeeding. Materials and Methods: The cross-sectional study was carried out in randomly selected villages of the Bhojipura Block of Bareilly district, Uttar Pradesh. A total of 123 women who had delivered within the last year were interviewed in a house-to-house survey. A study instrument was used to collect data. Chi- square test and regression analysis were used to analyze the data. Results: Most of the mothers were aged less than 30 years (78.04% and were Hindus (73.9%. Most were illiterate (69.9% and belonged to the lower socioeconomic class (97.5%. The majority were housewives (99.1% and multiparous (68.2%. Most had initiated breastfeeding (78.8% within 24 hours of delivery. About 15.4% of the infants did not receive colostrum and 22.8% of the infants were not exclusively breastfed. Ghutti (water mixed with honey and herbs, boiled water, tea, and animal milk were commonly used pre-lacteal feeds. About 47.2% of the respondents were not aware of the benefits of exclusive breastfeeding. About one quarter of the mothers started complementary feeding before the child was six months old. About half the deliveries had taken place at home and only a quarter of the females had had three or more antenatal visits during pregnancy. The birth weight of the majority (78% of newborns was not measured. A majority (69.9% of the mothers did not receive advice on child feeding. Multivariate logistic regression analysis showed

  5. Infant feeding study: knowledge and attitudes of selected pregnant women.

    Science.gov (United States)

    Kandiah, M; Ooi Guat San

    1984-12-01

    The purpose of this study was to investigate attitudes toward infant feeding among women in their 3rd trimester of pregnancy. A total of 74 primiparous and multiparous mothers ranging in age from 18-45 who were attending antenatal clinics near Kuala Lumpur were interviewed, 78.3% of which were Malay, 12.2% Chinese, and 9.5% Indian. Most were from middle class families, and only 6.5% had never attended school. Although 91.9% considered breastmilk as being the best food for babies, only 63.5% preferred to breastfeed; 8.1% chose powdered milk and 28.4% chose mixed feeding. Most of those who chose not to breastfeed were Chinese, working women, and/or women from higher income groups. Information on the intended duration of breastfeeding showed that multiparous women and working women did not intend to breastfeed for more than 6 months. Most women did not believe that either breast milk or powdered milk alone was sufficient for infants up to 5 months of age, and intended to supplement with solid food before that age. Since 93.2% of the respondents had already decided on feeding methods by their last trimester, it is important that nutritional information be given during this time. PMID:12280344

  6. Design of wireless multi-parameter monitoring system for oral feeding of premature infants.

    Science.gov (United States)

    Wang, Yu-Lin; Kuo, Hsing-Chien; Wang, Lin-Yu; Ko, Mei-Ju; Lin, Bor-Shyh

    2016-07-01

    Premature infants often cannot successfully and coordinately complete their oral feeding. Mature sucking, swallowing, and respiration activities are crucial indicators for the survival of newborn infants. Due to the vulnerability and unobvious muscle activities of premature infants, current clinical care givers mainly depend on the subjective behavioral observation of infants during oral feeding. There is still lack of an integrated oral feeding monitoring system to objectively and quantifiably monitor the related physiological parameters of premature infants. In this study, a wireless multi-parameter monitoring system for oral feeding of premature infants was proposed to monitor the sucking-swallowing-respiratory activities and the heart rate variability to provide quantitative indices of oral feeding. Here, a novel sucking pressure sensing module was also developed to monitor the premature infant's sucking pressure under oral feeding to avoid the immersion influence of milk. The experimental results showed that the proposed system detected the related physiological parameters of premature infants during oral feeding effectively and may provide an objective clinical evaluation tool for oral feeding ability and safety of premature infants in the future. PMID:26429347

  7. Effect of Four Approaches to Oral Feeding Progression on Clinical Outcomes in Preterm Infants

    Directory of Open Access Journals (Sweden)

    Rita H. Pickler

    2015-01-01

    Full Text Available Background. The purpose of this study of preterm infants was to test the effect of four approaches to the time of transition from gavage to full oral feedings, time to discharge, and weight gain during the transition. Methods. A randomized experimental design was used with four intervention groups: early start (32 weeks’ postmenstrual age/slow progressing experience (gradually increasing oral feedings offered per day; early start/maximum experience (oral feedings offered at every feeding opportunity; late start (34 weeks’ postmenstrual age/slow progressing experience; and late start/maximum experience. Results. The analysis included 86 preterm infants. Once oral feedings were initiated, infants in the late start/maximum experience group achieved full oral feeding and were discharged to home significantly sooner than infants in either early start group. Although not significantly different, these infants also achieved these outcomes sooner than infants in the late start/slow progressing experience group. There were no differences in weight gain across groups. Conclusions. Results suggest starting oral feedings later in preterm infants may result in more rapid transition to full oral feedings and discharge although not at early postnatal ages. Provision of a more consistent approach to oral feeding may support infant neurodevelopment and reduce length of hospitalization.

  8. Trends in infant and young child feeding practices in Bangladesh, 1993–2011

    Science.gov (United States)

    2013-01-01

    Background Optimal infant and young child feeding practices are crucial to improving the health and nutritional status of children. Bangladesh Breastfeeding Foundation, UNICEF and several other organizations are working in the country for the promotion of healthy feeding practices. This article presents trends in breastfeeding and complementary feeding practices in Bangladesh from 1993–2011, based on data in Bangladesh Demographic and Health Surveys. The following Bangladesh Demographic and Health Surveys were studied: BDHS 93–94, BDHS 96–97, BDHS 99–00, BDHS 04, BDHS 07 and BDHS 11. Values of indicators for infant and young child feeding proposed by WHO, along with their 95% confidence intervals, were calculated, and trends were assessed. Findings Among the core indicators, early initiation of breastfeeding, exclusive breastfeeding under six months, introduction of solid, semi-solid and soft foods, and consumption of iron-rich foods have improved, while continued breastfeeding at one year does not display a statistically significant development. Of the optional indicators, the prevalence of age-appropriate breastfeeding and children ever breastfed improved, while the prevalence of predominant breastfeeding under six months witnessed a decline. Median duration of breastfeeding declined, and there was no change in the other optional indicators (continued breastfeeding at two years and bottle feeding). Developments in the other optional indicators were not statistically significant. The ratings of early initiation of breastfeeding and complementary feeding have gone up from poor to fair, those of exclusive breastfeeding under six months from fair to good, while those of bottle-feeding are fair. Conclusion The developments in breastfeeding and complementary feeding practices in the country have been considerable, but there is still substantial scope for improvement. PMID:24073918

  9. Feeding Practices among Infants in a Rural Community in Bangladesh: A Cross-Sectional Study

    Directory of Open Access Journals (Sweden)

    Rajat Das Gupta

    2015-10-01

    Full Text Available Background: Proper feeding practices during infancy are necessary for the growth and development of infants and to prevent malnutrition. This study was conducted to describe the feeding practice among infants in a rural area in Bangladesh. Methods: A cross-sectional study was conducted between February and June 2013. Data was collected through face-to-face interviews of 212 mothers using a pretested questionnaire. Results: Exclusive breast feeding and complementary feeding rates were 40.6% and 97.3%, respectively. One third of the mothers practiced prelactal feeding, and honey was the most common item. Maternal illness (72.7% was the most common reason for not giving breast milk. Infant formula was used as an alternative food in majority of the cases (72.7%. Conclusion: Percentage of exclusive breast feeding was not satisfactory. Encouragement of female education is recommended to improve feeding practices and infant care.

  10. Using grounded theory methodology to conceptualize the mother-infant communication dynamic: potential application to compliance with infant feeding recommendations.

    Science.gov (United States)

    Waller, Jennifer; Bower, Katherine M; Spence, Marsha; Kavanagh, Katherine F

    2015-10-01

    Excessive, rapid weight gain in early infancy has been linked to risk of later overweight and obesity. Inappropriate infant feeding practices associated with this rapid weight gain are currently of great interest. Understanding the origin of these practices may increase the effectiveness of interventions. Low-income populations in the Southeastern United States are at increased risk for development of inappropriate infant feeding practices, secondary to the relatively low rates of breastfeeding reported from this region. The objective was to use grounded theory methodology (GTM) to explore interactions between mothers and infants that may influence development of feeding practices, and to do so among low-income, primiparous, Southeastern United States mothers. Analysis of 15 in-depth phone interviews resulted in development of a theoretical model in which Mother-Infant Communication Dynamic emerged as the central concept. The central concept suggests a communication pattern developed over the first year of life, based on a positive feedback loop, which is harmonious and results in the maternal perception of mother and infant now speaking the same language. Importantly, though harmonious, this dynamic may result from inaccurate maternal interpretation of infant cues and behaviours, subsequently leading to inappropriate infant feeding practices. Future research should test this theoretical model using direct observation of mother-infant communication, to increase the understanding of maternal interpretation of infant cues. Subsequently, interventions targeting accurate maternal interpretation of and response to infant cues, and impact on rate of infant weight gain could be tested. If effective, health care providers could potentially use these concepts to attenuate excess rapid infant weight gain. PMID:23795678

  11. Study on the relationship between infant rotavirus enteritis and breast feeding

    International Nuclear Information System (INIS)

    Objective: To study the relationship between infant rotavirus enteritis and breast feeding, with emphasis on early immuno-protection provided by breast feeding as well as later possible hazards with rotavirus carrier mothers. Methods: Stool specimens from 520 infants with diarrhea were screened for rotavirus with colloid gold method. Positive specimens were confirmed with RT-PCR. Results: In local (Qingdao) infants with enteritis, the over-all incidence of rotavirus infection was 31.2%. Positive rate in breast-feeding infants was only 26.8%, being significantly lower than that in bottle-feeding ones (45.2%). The virus infectivity rate in both groups of breast- feeding infants (below 6 months and 7-12 months) was lower than the corresponding rate in the bottle feeding group. However, infant fed from rotavirus carriers had significantly higher fecal positive rate of rotavirus than that in infants fed from non-carriers. Conclusion: (1) At beginning, especially below 6 months, breast-feeding provided important protection again rotavirus enteritis in the infants. (2) certain infections could be transmitted through breast feedings, which deserved closer observation. (authors)

  12. The scope and practice of behaviour change communication to improve infant and young child feeding in low- and middle-income countries: results of a practitioner study in international development organizations.

    Science.gov (United States)

    Pelto, Gretel H; Martin, Stephanie L; Van Liere, Marti; Fabrizio, Cecilia S

    2016-04-01

    We describe features of the landscape of behaviour change communication (BCC) practice devoted to infant and young child feeding (IYCF) in low- and middle-income countries by practitioners in international development organizations. We used an iterative, snowball sampling procedure to identify participants, and the self-administered questionnaire contained pre-coded questions and open-ended questions, relying primarily on content analysis to derive generalizations. Highlights of findings include (i) IYCF-specific BCC is usually delivered within the context of other public health messages and programmes; (ii) technical assistance with programme development and implementation are primary activities, and evaluation-related work is also common; and (iii) formative research and evaluation is universal, but process evaluation is not. With respect to scaling up nutrition: (i) use of mass media and digital technology generally play only a minor role in BCC activities and are not currently an integral part of BCC programming strategies and (ii) only 58% of the participants report activities related to communication with policy makers. The individuals who comprise the community of BCC leaders in the area of IYCF are a diverse group from the perspective of academic backgrounds and nationalities. In addition to nutrition, public health, agriculture and adult learning are common disciplinary backgrounds. In our view, this diversity is a source of strength. It facilitates continuing growth and maturation in the field by assuring inputs of different perspectives, theoretical orientations and experiences. PMID:25753402

  13. Women's liberation and the rhetoric of "choice" in infant feeding debates

    OpenAIRE

    Hausman Bernice L

    2008-01-01

    Abstract This short essay examines infant formula marketing and information sources for their representation of "choice" in the infant feeding context, and finds that while providing information about breast and bottle feeding, infant formula manufacturers focus on mothers' feelings and intuition rather than knowledge in making decisions. In addition, the essay considers how "choice" operates in the history of reproductive rights, shifting the discourse from a rights-based set of arguments to...

  14. Infant Feeding Practices in a Multi-Ethnic Asian Cohort: The GUSTO Study.

    Science.gov (United States)

    Toh, Jia Ying; Yip, Grace; Han, Wee Meng; Fok, Doris; Low, Yen-Ling; Lee, Yung Seng; Rebello, Salome A; Saw, Seang-Mei; Kwek, Kenneth; Godfrey, Keith M; Chong, Yap-Seng; Chong, Mary Foong-Fong

    2016-01-01

    The optimal introduction of complementary foods provides infants with nutritionally balanced diets and establishes healthy eating habits. The documentation of infant feeding practices in multi-ethnic Asian populations is limited. In a Singapore cohort study (GUSTO), 842 mother-infant dyads were interviewed regarding their feeding practices when the infants were aged 9 and 12 months. In the first year, 20.5% of infants were given dietary supplements, while 5.7% took probiotics and 15.7% homeopathic preparations. At age 9 months, 45.8% of infants had seasonings added to their foods, increasing to 56.3% at 12 months. At age 12 months, 32.7% of infants were given blended food, although 92.3% had begun some form of self-feeding. Additionally, 87.4% of infants were fed milk via a bottle, while a third of them had food items added into their bottles. At both time points, more than a third of infants were provided sweetened drinks via the bottle. Infants of Indian ethnicity were more likely to be given dietary supplements, have oil and seasonings added to their foods and consumed sweetened drinks from the bottle (p < 0.001). These findings provide a better understanding of variations in infant feeding practices, so that healthcare professionals can offer more targeted and culturally-appropriate advice. PMID:27187461

  15. Infant Feeding Practices in a Multi-Ethnic Asian Cohort: The GUSTO Study

    Science.gov (United States)

    Toh, Jia Ying; Yip, Grace; Han, Wee Meng; Fok, Doris; Low, Yen-Ling; Lee, Yung Seng; Rebello, Salome A.; Saw, Seang-Mei; Kwek, Kenneth; Godfrey, Keith M.; Chong, Yap-Seng; Chong, Mary Foong-Fong

    2016-01-01

    The optimal introduction of complementary foods provides infants with nutritionally balanced diets and establishes healthy eating habits. The documentation of infant feeding practices in multi-ethnic Asian populations is limited. In a Singapore cohort study (GUSTO), 842 mother-infant dyads were interviewed regarding their feeding practices when the infants were aged 9 and 12 months. In the first year, 20.5% of infants were given dietary supplements, while 5.7% took probiotics and 15.7% homeopathic preparations. At age 9 months, 45.8% of infants had seasonings added to their foods, increasing to 56.3% at 12 months. At age 12 months, 32.7% of infants were given blended food, although 92.3% had begun some form of self-feeding. Additionally, 87.4% of infants were fed milk via a bottle, while a third of them had food items added into their bottles. At both time points, more than a third of infants were provided sweetened drinks via the bottle. Infants of Indian ethnicity were more likely to be given dietary supplements, have oil and seasonings added to their foods and consumed sweetened drinks from the bottle (p < 0.001). These findings provide a better understanding of variations in infant feeding practices, so that healthcare professionals can offer more targeted and culturally-appropriate advice. PMID:27187461

  16. A study of marketing and its effect on infant feeding practices.

    Science.gov (United States)

    Suleiman, A

    2001-09-01

    A baby milk market was created in the late nineteenth and early twentieth centuries and was conceived through the mutual attraction of the manufacturers and doctors. This has partly attributed to the change from breast to artificial feeding. This study was conducted to determine whether marketing had any effect on infant feeding practices. Fifty Malay mothers whose last child was aged less than five years were asked, by questionnaire and by interview, to identify whether several marketing methods influenced their decision on the selection of infant feeding practice. It was found that these mothers felt milk advertisements on television were attractive (72%), were influenced by others to buy a particular brand of formula (38.4%), were influenced by free milk samples to buy a particular brand of milk formula (65.2%) and were not influenced by their doctors on the chosen method of feeding (68%). More studies should be conducted on a bigger sample in other settings and targeting other methods of marketing to substantiate the above results. Further, similar studies among Chinese and Indian mothers are also required. PMID:11732077

  17. Assessment of Infant and Young Child Feeding Practices Among Mothers in Rural Madhya Pradesh.

    OpenAIRE

    Swati Jain, Amod Borle, Sanjay S Agrawal, Mahesh Kumar Mishra, Sanjay Kumar Gupta, Vishal Bathma

    2014-01-01

    "Introduction: Feeding during early childhood is important for normal physical and mental growth as well as for health in later life. In India, poor feeding practices in early childhood contribute to the burden of malnutrition and infant and child mortality. Objective: Objective of the study was to assess the Infant and young child feeding practices among the children less than two year of age. Methods: A community based cross-sectional study was conducted. A total of 300 children ...

  18. Physiological development of the infant and its implications for complementary feeding

    OpenAIRE

    1989-01-01

    From the standpoint of nutritional needs, physiological maturation, and immunological safety the provision of foods other than breast milk before about four months of age is unnecessary and may also be harmful. On the other hand, many infants require some complementary feeding by about six months of age. There are a number of known disadvantages and risks involved in too early complementary feeding, including interference with the infant's feeding behaviour, reduced breast-milk production, de...

  19. Women Literacy and Infant Feeding Practices in Rural Integrated Child Development Scheme (ICDS) Block of Delhi

    OpenAIRE

    Davey Sanjeev , Davey Anuradha

    2012-01-01

    Background: Infant feeding practices have significant effect on the child nutrition, which largely dependent upon the mothers correct knowledge and awareness for the same. Objective: To find out effect of rural women empowerment through literacy on infant feeding practices in an ICDS block. Material and Methodology: Interview of the mothers of registered children up to 6 years in the rural ICDS block for the feeding practices and recording of the weight of those registered children by the sal...

  20. Antibiotics, Formula Feeding Might Change Baby's 'Microbiome'

    Science.gov (United States)

    ... nih.gov/medlineplus/news/fullstory_159392.html Antibiotics, Formula Feeding Might Change Baby's 'Microbiome' C-section birth ... microbiomes" are altered by cesarean births, antibiotics and formula feeding. "The microbiome is really important in how ...

  1. A focused ethnographic assessment of Middle Eastern mothers' infant feeding practices in Canada.

    Science.gov (United States)

    Jessri, Mahsa; Farmer, Anna P; Olson, Karin

    2015-10-01

    The aim of this study was to examine the barriers to following complementary feeding guidelines among Middle Eastern mothers and the cultural considerations of practitioners from an emic perspective. This is a two-phase focused ethnographic assessment of infant feeding among 22 Middle Eastern mothers in Western Canada who had healthy infants aged Arabic/Farsi, and were further complemented by comprehensive survey data collected in the second phase of study. Mothers' main criterion for choosing infant foods was whether or not foods were Halal, while food allergens were not causes for concern. Vitamin D supplements were not fed to 18/22 of infants, and mashed dates (Halawi), rice pudding (Muhallabia/Ferni) and sugared water/tea were the first complementary foods commonly consumed. Through constant comparison of qualitative data, three layers of influence emerged, which described mothers' process of infant feeding: socio-cultural, health care system and personal factors. Culture was an umbrella theme influencing all aspects of infant feeding decisions. Mothers cited health care professionals' lack of cultural considerations and lack of relevance and practicality of infant feeding guidelines as the main reasons for ignoring infant feeding recommendations. Early introduction of pre-lacteal feeds and inappropriate types of foods fed to infants among immigrant/refugee Middle Eastern mothers in Canada is cause of concern. Involving trained language interpreters in health teams and educating health care staff on cultural competency may potentially increase maternal trust in the health care system and eventually lead to increased awareness of and adherence to best practices with infant feeding recommendations. PMID:23795644

  2. Fabricating feeding plate in CLP infants with two different material: A series of case report

    OpenAIRE

    Gupta, R; P Singhal; K Mahajan; Singhal, A.

    2012-01-01

    Feeding is a family′s biggest concerns when a child is born with cleft lip and/or palate. The goal for that child is to have as near normal feeding as possible. This report presents fabrication of feeding plates in two infants born with cleft lip and palate using two different materials.

  3. Fabricating feeding plate in CLP infants with two different material: A series of case report

    Directory of Open Access Journals (Sweden)

    R Gupta

    2012-01-01

    Full Text Available Feeding is a family′s biggest concerns when a child is born with cleft lip and/or palate. The goal for that child is to have as near normal feeding as possible. This report presents fabrication of feeding plates in two infants born with cleft lip and palate using two different materials.

  4. Picky Eating Habits or Sensory Processing Issues? Exploring Feeding Difficulties in Infants and Toddlers

    Science.gov (United States)

    Thompson, Stacy D.; Bruns, Deborah A.; Rains, Kari W.

    2010-01-01

    For infants and toddlers demonstrating feeding problems, it is critical to find the basis for the problems to create more pleasurable mealtimes for the child, his or her family members, and caregivers. Feeding difficulties can affect general health, developmental gains, and emotional well-being. Understanding the cause of feeding problems and…

  5. Circulating GLP-1 in infants born small-for-gestational-age: breast-feeding versus formula-feeding.

    Science.gov (United States)

    Díaz, M; Bassols, J; Sebastiani, G; López-Bermejo, A; Ibáñez, L; de Zegher, F

    2015-10-01

    Prenatal growth restraint associates with the risk for later diabetes, particularly if such restraint is followed by postnatal formula-feeding (FOF) rather than breast-feeding (BRF). Circulating incretins can influence the neonatal programming of hypothalamic setpoints for appetite and energy expenditure, and are thus candidate mediators of the long-term effects exerted by early nutrition. We have tested this concept by measuring (at birth and at age 4 months) the circulating concentrations of glucagon-like peptide-1 (GLP-1) in BRF infants born appropriate-for-gestational-age (AGA; n=63) and in small-for-gestational-age (SGA) infants receiving either BRF (n=28) or FOF (n=26). At birth, concentrations of GLP-1 were similar in AGA and SGA infants. At 4 months, pre-feeding GLP-1 concentrations were higher than at birth; SGA-BRF infants had GLP-1 concentrations similar to those in AGA-BRF infants but SGA-FOF infants had higher concentrations. In conclusion, nutrition appears to influence the circulating GLP-1 concentrations in SGA infants and may thereby modulate long-term diabetes risk. PMID:26088812

  6. Infant and maternal predictors of early life feeding decisions. The timing of solid food introduction.

    Science.gov (United States)

    Doub, Allison E; Moding, Kameron J; Stifter, Cynthia A

    2015-09-01

    There is limited research on the maternal and infant characteristics associated with the timing of solid food introduction. The current study examined how maternal feeding style and infant temperament independently and interactively predicted the age at which infants were introduced to solid food. Data from 115 predominately white, middle-class mothers were collected when infants were 4 and 6 months of age. The timing of solid food introduction was positively correlated with mothers' age, education, breastfeeding at 4 months, self-reported responsiveness to infants' hunger and satiety cues, and negatively correlated with mothers' pre-pregnancy body mass index (BMI), beliefs about feeding infants solid food prior to 6 months of age, and infants' temperamental motor reactivity. When controlling for maternal age, education, pre-pregnancy BMI, and milk feeding method at 4 months, the timing of solid food introduction was negatively predicted by mothers' beliefs about feeding solid food prior to 6 months of age. Exploratory interaction analyses suggested that infant temperament marginally moderated maternal feeding style in predicting the timing of solid food introduction. PMID:26025089

  7. Breast feeding and growth in a group of selected 0 to 24 months infants

    International Nuclear Information System (INIS)

    WHO is undertaking a combined growth study in several countries, in order to establish adequate growth curves for breast-feeding infants. Present growth charts in use, were obtained in a sample of breast and artificial feeding infants, which have overestimated the growth needs. In our country during the last two decades the number of mothers who decide to breast-feed their infants has permanently grown, due to the implementation of health care programs that promote, mother-infant interaction tight after birth, in all Public Hospitals, and education programs for the mothers, during both antenatal and post natal control of mother and child. The last figures obtained in a country sample of 10000 mother-infant pair, shows that 45% of the mothers are exclusively breast-feeding their infants at 6 months of age. This figure could increase if our infants were evaluated by the adequate charts, because it is of common use that many health professionals suggest to stop breast-feeding because the infant is not growing according the charts in use. The anthropometric study proposed by WHO will benefit considerably by adding determination of breast-milk intake using isotopic dilution of deuterium, a standard procedure proposed by Coward et al and extensively used in our country. The proposed study will also include milk composition (fat, protein and lactose) and energy density of milk to correlate energy supply, milk volume and growth. (author)

  8. HIV and infant feeding in resource-rich settings: considering the clinical significance of a complicated dilemma.

    Science.gov (United States)

    Yudin, Mark H; Kennedy, V Logan; MacGillivray, S Jay

    2016-08-01

    With advances in the care of HIV-positive pregnant women, the likelihood of perinatal transmission is now less than 1%. In resource-rich settings women are instructed to abstain from breastfeeding, as studies have shown that breastfeeding increases the likelihood of infant acquisition of HIV. As practitioners caring for HIV-positive parents, we are now facing growing tension about the complex issues that inform decisions about infant feeding. In the face of changing guidelines and global immigration patterns, simply telling women that breastfeeding is contraindicated may no longer be good enough. We must fully open the lines of communication regarding this important and evolving issue. This commentary will review the clinical, social and cultural considerations that impact decisions regarding infant feeding in the context of HIV. PMID:26881474

  9. The relationship between maternal feeding beliefs and practices and perceptions of infant eating behaviours at 4 months.

    Science.gov (United States)

    Mallan, Kimberley M; Sullivan, Serena E; de Jersey, Susan J; Daniels, Lynne A

    2016-10-01

    Parental feeding practices and children's eating behaviours are inter-related and both have been implicated in the development of childhood obesity. However, research on the parent-child feeding relationship during the first few months of life is limited. The aim of this study was to examine the cross-sectional relationship between maternal feeding beliefs and practices and infant eating behaviours in a community sample. Mothers (N = 413) of 4 month old infants recruited during pregnancy for the New Beginnings: Healthy Mothers and Babies study self-reported feeding beliefs/practices and eating behaviours of their infants on established tools. Data on a comprehensive range of maternal and infant characteristics were also collected. Multivariable regression models were used to assess the associations between five feeding beliefs and practices and four eating behaviours, adjusting for key maternal and infant covariates. Mothers concerned about their infant becoming underweight rated the infant higher on satiety responsiveness and lower on enjoyment of food. Higher awareness of infant feeding cues was associated with higher infant enjoyment of food. Mothers concerned about their infant becoming overweight and those who used food to calm their baby rated the infant as higher on food responsiveness. Feeding to a schedule (vs on demand) was not associated with any of the infant eating behaviours. A relationship between maternal feeding beliefs and practices and infant eating behaviours is apparent early in life, therefore longitudinal investigation to establish the directions of this relationship is warranted. PMID:27133549

  10. Something fishy about home-cooked infant feeding recipes.

    Science.gov (United States)

    Carstairs, Sharon A; Marais, Debbi; Craig, Leone C A; Kiezebrink, Kirsty

    2016-04-01

    There is no evidence available indicating whether popular infant and young child feeding (IYCF) cookbooks provide nutritious options for home-cooking, what the most common food types are within the recipes, and what accompanying dietary advice is provided to parents. This study surveyed available IYCF cookbooks from local libraries and Amazon UK's top 20 bestsellers (May to July 2013 to examine the prevalence and nutritional content of cookbook recipes comparing these to recommendations whilst investigating the messages portrayed towards parents on giving different foods to their child during IYCF. Vegetable-based recipes (median=29) predominated main-meal options while a proportional number of red meat, poultry and seafood-based recipes were included providing parents with options of protein-rich recipes for their young child. These home-cooked recipes adequately met or exceeded age-specific dietary recommendations. Mixed messages were apparent on the inclusion of foods during IYCF within and across these cookbooks, in particular for seafood, highlighting a lack of consistent advice portrayed to parents during the early years. Community-based health professionals should advise parents of the inconsistent and incorrect messages on food inclusion portrayed in some IYCF cookbooks and guide them towards formal recommendations. PMID:27183751

  11. Culturally appropriate nutrition education improves infant feeding and growth in rural Sichuan, China.

    Science.gov (United States)

    Guldan, G S; Fan, H C; Ma, X; Ni, Z Z; Xiang, X; Tang, M Z

    2000-05-01

    Chinese studies indicate that the growth of rural infants and children lags behind that of their urban counterparts after 4 mo of age and that the gap is widening. However, the rural areas are home to >85% of China's 300 million children. Clearly, culturally appropriate rural complementary feeding interventions are needed to close the growth and health gaps. After a 1990 survey of infants in rural Sichuan confirmed that poor infant feeding practices rather than inadequate household food resources were responsible for the growth faltering, a year-long community-based pilot nutrition education intervention (n congruent with 250 infants each in Education and Control groups) was undertaken in four townships. The goal was to improve infant growth by improving infant feeding practices. Features of the intervention included the training and mobilizing of village nutrition educators who made monthly growth monitoring and complementary feeding counseling visits to all pregnant women and families with infants born during the intervention in the study villages. After 1 y, the Education group mothers showed significantly higher nutrition knowledge and better reported infant feeding practices than their Control group counterparts. Also, the Education group infants were significantly heavier and longer, but only at 12 mo (weight-for-age -1.17 vs. -1.93; P = 0.004; height-for-age -1.32 vs. -1.96; P = 0.022), had higher breast-feeding rates overall (83% vs. 75%; P = 0.034) and lower anemia rates (22% vs. 32%; P = 0.008) than the Control group infants. We conclude that these methods have potential for adaptation and development to other rural areas in the county, province and nation. PMID:10801920

  12. Mother's Beliefs, Attitudes, and Decision Making Related to Infant Feeding Choices.

    Science.gov (United States)

    Radzyminski, Sharon; Callister, Lynn Clark

    2016-01-01

    All mothers at some point make a decision about whether to breast- or formula feed their infant. Marital status, education, age, culture, and confidence have all been identified as variables affecting this decision. Previous research has concentrated on the decision-making process in breastfeeding mothers. This qualitative descriptive study investigated the beliefs, attitudes, and decisions of both breast- and formula-feeding mothers. Four categories were identified influencing maternal decision making: (a) infant nutritional benefits, (b) maternal benefits, (c) knowledge about infant feeding, and (d) personal and professional support. Analysis of the data indicated that mothers differed in their choice depending on whether they were infant- or maternal-centered and that most women combine both methods of feeding. PMID:26848247

  13. Feeding very-low-birth-weight infants: our aspirations versus the reality in practice

    NARCIS (Netherlands)

    W.E. Corpeleijn; M.J. Vermeulen; C.H. van den Akker; J.B. van Goudoever

    2011-01-01

    Recently, new guidelines for enteral feedings in premature infants were issued by the European Society of Pediatric Gastroenterology, Hepatology, and Nutrition Committee on Nutrition. Nevertheless, practice proves difficult to attain suggested intakes at all times, and occurrence of significant pote

  14. Infant feeding information, attitudes and practices: a longitudinal survey in central Nepal

    OpenAIRE

    Karkee, Rajendra; Lee, Andy H.; Khanal, Vishnu; Colin W. Binns

    2014-01-01

    Background Infant feeding is governed by environmental as well as cultural factors. Breastfeeding knowledge and attitudes are known to be associated with breastfeeding duration. This study investigated breastfeeding information, attitudes and supplementary feeding in the central hills district of Nepal. Methods A community-based prospective cohort study of 701 pregnant women was conducted. Information on breastfeeding attitudes, feeding practices and supplementary feeding was sought from the ...

  15. Is there an advantage for preterm infants to feed orally in an upright or sidelying position?

    OpenAIRE

    LAU, CHANTAL

    2013-01-01

    Over the last decade, nursing staff and feeding therapists have promoted the upright and sidelying bottle feeding positions as ‘optimal’ for preterm infants. To verify such benefits, very low birth weight infants were randomized to being fed in the customary semi-reclined (control), upright, or side-lying position. The primary outcome was days from start to independent oral feeding. Secondary outcomes included infants’ oral feeding skill levels monitored when taking 1,2, 3–5, and 6–8 oral fee...

  16. Ethnic variation in infant-feeding practices in the Netherlands and Weight Gain at 4 months

    NARCIS (Netherlands)

    Bulk-Bunschoten, A.M.W.; Pasker-Jong, P.C.M. de; Wouwe, J.P. van; Groot, C.J. de

    2008-01-01

    This prospective study of 4438 infants (0-4 months) examined differences in infant-feeding patterns in relation to the ethnic origin of their mothers, based on the mother's native language: Dutch (87%), Turkish (4%), Moroccan (3%), other European languages (3%), and various other languages (4%). Bre

  17. A descriptive study of Cambodian refugee infant feeding practices in the United States

    OpenAIRE

    Labbok Miriam; Melvin Cathy; Straub Becky

    2008-01-01

    Abstract Background The purpose of this exploratory study was to examine Cambodian refugee mothers' infant feeding beliefs, practices, and decision making regarding infant feeding in the U.S. and to explore if a culturally-specific breastfeeding program is appropriate for this community. Methods A self-administered questionnaire and a 30 minute in-person interview were used to collect information from nine women. The audio-taped interviews were transcribed, answers compiled, and themes from e...

  18. Influences on infant feeding decisions of first-time mothers in five European countries

    OpenAIRE

    Gage, H; Williams, P.; Von Rosen-Von Hoewel, J; Laitinen, K.; Jakobik, V; Martin-Bautista, E; Schmid, M.; Egan, B; Morgan, J.; Decsi, T.; Campoy, C.; Koletzko, B; Raats, MM

    2012-01-01

    BACKGROUND/OBJECTIVES: Infant feeding decisions made by new parents have significant health implications. The study aimed to investigate: influences on infant feeding decisions; characteristics of mothers reporting reliance on alternative information sources; associations between reliance on different sources and intentions to exclusively breastfeed and introduce complementary foods later; and subsequent breastfeeding and weaning behaviours. SUBJECTS/METHODS: First-time mothers in five Europe...

  19. A New Bottle Design Decreases Hypoxemic Episodes during Feeding in Preterm Infants

    Directory of Open Access Journals (Sweden)

    Alejandro Jenik

    2012-01-01

    Full Text Available Oxygen saturation is lower during bottle feeding than during breastfeeding in preterm infants. Our objective was to compare two different bottle systems in healthy preterm infants before discharge in terms of SpO2 and oral feeding efficiency (rate of milk intake. Infants without supplement oxygen needs were evaluated twice on the same day during two consecutive feeds, by the same nurse. Infants served as their own controls for comparison of two systems of bottles, the order of which was randomized. The new bottle's nipple design mimics mom's breast in shape and feel, and the bottle vents to air when the child sucks on the nipple. The other system was the hospital's standard plastic bottle with silicone nipple. The rate of milk intake was calculated as the total volume transferred minus volume lost divided by time of feeding, mL/min. Thirty-four infants (BW: 1,163±479.1 g were studied at 35.4±1.3 weeks after-conception. SpO2 was significantly higher in infants fed with the new bottle design. Milk intake rate was significantly higher with the new bottle than with the standard bottle design. The new bottle design improves oral feeding performance in preterm infants near to discharge when compared to that of a standard bottle.

  20. Mothers' Beliefs about Infant Size: Associations with Attitudes and Infant Feeding Practices

    Science.gov (United States)

    Holub, Shayla C.; Dolan, Elaine A.

    2012-01-01

    Few studies have examined maternal attitudes toward infant body size, but extant work suggests there might be less negativity toward overweight sizes and less positivity toward thin sizes for infants than older children. Fifty mothers of 12 to 25 month-old infants completed questionnaires examining attitudes toward infants', children's and their…

  1. A Innovative Technique - Modified Feeding Bottle for a Cleft Palate Infant

    Science.gov (United States)

    Lingegowda, Ashwini Budunur; Rayannavar, Sounyala; Kumari, Nirmala

    2016-01-01

    Cleft lip and cleft palate are one of the most common craniofacial anomalies. Infants suffer a lot of difficulty in sucking during the initial few days after birth. There is even psychological stress to the parents due to improper feeding and the infants lose weight and are prone to nutritional insufficiency. Due to recent advancement in the medical field, there is a total repair of cleft lip and cleft palate and these procedures are performed in the later stages of infants. It is the multidisciplinary approach which includes pedodontist, oral surgeon, prosthodontist and speech therapist. In this article, the technique is highlighted to fulfill the feeding problem of infants in the early stages of birth with a modified feeding bottle. PMID:27190971

  2. Feeding practices in infants: ritual factors dominating mother's education - a cross sectional study

    Directory of Open Access Journals (Sweden)

    Dinesh Kumar

    2014-08-01

    Conclusion: Ritual and customary factors have much impact then mother's education on breast feeding practices of infants. Apart from education, breast feeding awareness programme should be increased including both literate and illiterate mothers. [Int J Res Med Sci 2014; 2(4.000: 1642-1647

  3. Complementary Feeding and Growth of Infant and Young Child in China

    Institute of Scientific and Technical Information of China (English)

    SU-YING CHANG; WU HE; CHUN-MING CHEN

    2008-01-01

    Objective To understand the status and problems of complementary feeding and to explore the strategy of improving complementary feeding for infants and young children in China. Method Data of urban and rural children were selected from the China Food and Nutrition Surveillance System (CFNSS) dataset to describe the status of complementary feeding and growth of children. Logistic Regression was used to analyze the relationship between child growth and the complementary feeding pattern. Results Applications of foods that come from animals, vegetable/fruit and dairy product in complementary feeding were negatively correlated to the prevalence of stunting and underweight. Attributable risk (AR) of no application of vegetable/fruit in complementary feeding to stunting was 30.2%, to underweight 35.4%; AR of no application of foods from animal products in complementary feeding to stunting was 2g.2%, to underweight 11.7%; and the AR of no application of diary products in complementary feeding to stunting was 27.4%, to underweight was 15.9%. Conclusion Complementary feeding contributed to the improvement of infants and young children growth in China. There is an urgent need to develop health education in the public on infants and young children complementary feeding, in the mean time, it is pressing to pay attention and take actions to develop and promote affordable, acceptable, and accessible fortified complementary food in rural areas of China.

  4. The influence of infant feeding patterns on growth of children in American Samoa.

    Science.gov (United States)

    Bindon, J R

    1985-01-01

    This paper examines the trends in infant feeding practices in American Samoa and analyzes the relationship between infant feeding and growth among children born in American Samoa from 1976 to 1982. The study population is composed of the Polynesian inhabitants of the islands comprising the Territory of American Samoa. The sample is drawn from the records of the Well Baby Clinic in American Samoa. Feeding habit information and health of the infant was solicited by the nurses and doctor during clinic visits. The mothers were questioned about the child's diet. About 40% of the infants were exclusively breastfed; 13% had bottle supplements; 6% were classified as milk drinkers; and 40% were formula-fed. Frequently more than 1 feeding pattern was noted for a given child. Feeding influences were found to be significant on weight up to age 4, and height up to age 3. The timing of the introduction of solids was found to have a significant relationship with length through age 2. There appears to be a complex set of interactions between socioeconomic, growth and health factors. Mothers wean children early to return of work. This results from the availability of infant formula in Samoan stores, more jobs for women and the desire to improve socioeconomic status. Bottlefed infants of working mothers are more likely to have gastrointestinal problems than other infants. As a group, however, bottlefed infants are likely to have higher weights. The most significant contributing factor to morbidity and mortality among adults in American Samoa is the high prevalence of obesity. Extended breastfeeding of the infant can promote health in infancy and in later years. PMID:3836322

  5. Survival of infants born to HIV-positive mothers, by feeding modality, in Rakai, Uganda.

    Directory of Open Access Journals (Sweden)

    Joseph Kagaayi

    Full Text Available BACKGROUND: Data comparing survival of formula-fed to breast-fed infants in programmatic settings are limited. We compared mortality and HIV-free of breast and formula-fed infants born to HIV-positive mothers in a program in rural, Rakai District Uganda. METHODOLOGY/PRINCIPAL FINDINGS: One hundred eighty two infants born to HIV-positive mothers were followed at one, six and twelve months postpartum. Mothers were given infant-feeding counseling and allowed to make informed choices as to whether to formula-feed or breast-feed. Eligible mothers and infants received antiretroviral therapy (ART if indicated. Mothers and their newborns received prophylaxis for prevention of mother-to-child HIV transmission (pMTCT if they were not receiving ART. Infant HIV infection was detected by PCR (Roche Amplicor 1.5 during the follow-up visits. Kaplan Meier time-to-event methods were used to compare mortality and HIV-free survival. The adjusted hazard ratio (Adjusted HR of infant HIV-free survival was estimated by Cox regression. Seventy-five infants (41% were formula-fed while 107 (59% were breast-fed. Exclusive breast-feeding was practiced by only 25% of breast-feeding women at one month postpartum. The cumulative 12-month probability of infant mortality was 18% (95% CI = 11%-29% among the formula-fed compared to 3% (95% CI = 1%-9% among the breast-fed infants (unadjusted hazard ratio (HR = 6.1(95% CI = 1.7-21.4, P-value < 0.01. There were no statistically significant differentials in HIV-free survival by feeding choice (86% in the formula-fed compared to 96% in breast-fed group (Adjusted RH = 2.8[95%CI = 0.67-11.7, P-value = 0.16] CONCLUSIONS/SIGNIFICANCE: Formula-feeding was associated with a higher risk of infant mortality than breastfeeding in this rural population. Our findings suggest that formula-feeding should be discouraged in similar African settings.

  6. Shame if you do--shame if you don't: women's experiences of infant feeding.

    Science.gov (United States)

    Thomson, Gill; Ebisch-Burton, Katherine; Flacking, Renee

    2015-01-01

    Emotions such as guilt and blame are frequently reported by non-breastfeeding mothers, and fear and humiliation are experienced by breastfeeding mothers when feeding in a public context. In this paper, we present new insights into how shame-related affects, cognitions and actions are evident within breastfeeding and non-breastfeeding women's narratives of their experiences. As part of an evaluation study of the implementation of the UNICEF UK Baby Friendly Initiative Community Award within two primary (community based) care trusts in North West England, 63 women with varied infant feeding experiences took part in either a focus group or an individual semi-structured interview to explore their experiences, opinions and perceptions of infant feeding. Using a framework analysis approach and drawing on Lazare's categories of shame, we consider how the nature of the event (infant feeding) and the vulnerability of the individual (mother) interact in the social context to create shame responses in some breastfeeding and non-breastfeeding mothers. Three key themes illustrate how shame is experienced and internalised through 'exposure of women's bodies and infant feeding methods', 'undermining and insufficient support' and 'perceptions of inadequate mothering'. The findings of this paper highlight how breastfeeding and non-breastfeeding women may experience judgement and condemnation in interactions with health professionals as well as within community contexts, leading to feelings of failure, inadequacy and isolation. There is a need for strategies and support that address personal, cultural, ideological and structural constraints of infant feeding. PMID:25138617

  7. [Effect of breast feeding and psychosocial variables upon psychomotor development of 12-month-old infants].

    Science.gov (United States)

    De Andraca, I; Salas, M I; López, C; Cayazzo, M S; Icaza, G

    1999-09-01

    This study evaluates the participation of psychosocial variables in the relation between breast feeding (BF) and psychomotor development (PMD) in dyads with different BF duration. We assessed 138 mother-infant dyads, divided in two groups: 86 received BF as unique source of milk feeding for at least 6 months (prolonged BF group) and 52 were weaned before 45 days of age (early weaning group). General information about pregnancy, delivery and feeding was collected in a non experimental prospective design. At 6-7 months of age a milk feeding situation was observed at home, and mother-infant interactional patterns were recorded through a specially designed scale. At 12 months of age the PMD was assessed (Bayley Scales of Infant Development). Infant temperament, home stimulation, mother depression and family stress were also measured. Similar family characteristics were observed in both study groups. Early bonding and first feeding experiences were different, both reported as better in the prolonged BF group. Moreover, dyads of this group showed a higher variety and quality of mother-infant interactional patterns during feeding, with a higher synchrony and reciprocity in the relationship. Mean Mental Development Index (MDI) and Psychomotor Developmental Index (PDI) were similar in both groups. Explicatory variables for MDI and PDI are different in both study groups. Dyads who attained prolonged BF conform from a psychosocial perspective--a different group than the early weaned. PMID:10667261

  8. Effect of maternal antibiotics on breast feeding infants

    OpenAIRE

    Mathew, J.

    2004-01-01

    Antibiotic usage is fairly common among breastfeeding mothers and there is potential for transfer to infants through breast milk. While most medicines taken by lactating women cause no harm to their babies, at times it can result in serious consequences. This article reviews the principles governing tranfer of maternal antibiotics to breast milk, its clinical significance, and ways to minimise inadvertent infant exposure.

  9. Parents' beliefs about appropriate infant size, growth and feeding behaviour: implications for the prevention of childhood obesity

    OpenAIRE

    Swift Judy A; Siriwardena A Niroshan; Nathan Dilip; Atkinson Philippa; Redsell Sarah A; Glazebrook Cris

    2010-01-01

    Abstract Background A number of risk factors are associated with the development of childhood obesity which can be identified during infancy. These include infant feeding practices, parental response to infant temperament and parental perception of infant growth and appetite. Parental beliefs and understanding are crucial determinants of infant feeding behaviour; therefore any intervention would need to take account of their views. This study aimed to explore UK parents' beliefs concerning th...

  10. Preserved visual representations despite change blindness in infants

    OpenAIRE

    Wang, Su-Hua; Mitroff, Stephen R.

    2009-01-01

    Combining theoretical hypotheses of infant cognition and adult perception, we present evidence that infants can maintain visual representations despite their failure to detect a change. Infants under 12 months typically fail to notice a change to an object’s height in a covering event. The present experiments demonstrated that 11-month-old infants can nevertheless maintain a viable representation of both the pre- and post-change heights despite their ‘change blindness’. These results suggest ...

  11. Salivary FOXP2 expression and oral feeding success in premature infants

    OpenAIRE

    Zimmerman, Emily; Maki, Monika; Maron, Jill

    2016-01-01

    The objective of the study is to determine whether salivary FOXP2 gene expression levels at the initiation of oral feeding attempts are predictive of oral feeding success in the premature newborn. In this prospective study, saliva samples from 21 premature infants (13 males; birth gestational age [GA]: 30–34 wk) were collected around the initiation of oral feeding trials. Total RNA was extracted and underwent reverse transcription-quantitative polymerase chain reaction amplification for FOXP2...

  12. Effect of the change of peripheral blood serum lgG and different feeding methods on the immune function of infants%婴儿外周血血清IgG变化情况及不同喂养方式对其免疫功能的影响

    Institute of Scientific and Technical Information of China (English)

    李玉姣

    2014-01-01

    目的:探讨婴儿外周血血清免疫球蛋白G( IgG)变化情况及不同喂养方式对免疫功能的影响。方法:将180例婴儿随机分为对照组(母乳喂养无抚触)、母乳喂养抚触组、人工喂养抚触组和混合喂养抚触组各45例。分别于婴儿出生后3、20、43 d,3、6个月采外周血,进行放射免疫法测定血清中IgG含量,并进一步采用APAP单抗桥酶标法测定T细胞亚群,散射法免疫浊度测定IgM、IgA含量。结果:母乳喂养抚触组IgG含量相对于其他各组下降趋势较为缓慢( P<0.05);通过检测婴儿血清中T细胞亚群补体,发现母乳喂养抚触组中CD8+与其他各组含量比较差异有统计学意义( P<0.05);采用Spearman相关分析得出婴儿血清中免疫功能相关蛋白的高低与纯母乳喂养、抚触以及年龄具有相关性( P<0.01,P<0.05)。结论:通过母乳喂养并进行一定的抚触干预,可使婴儿体内的免疫功能得到提高,降低IgG的下降速度,有利于婴儿健康成长。%Objective:To investigate the effect of the change of peripheral blood serum IgG and different feeding methods on the immune function of infants. Methods:180 infants were randomly divided into the control group( without breast feeding),breast feeding group,bottle-feeding group and miXed feeding group(45 infants in each group). The peripheral blood of the infants were drawn respectively on the 3rd,20th and 43rd and in 3 and 6 months after the infants were born,the content of IgG,T cell subsets and the content of IgM and IgA were respectively determined. Results:The contents of IgG in serum decreased and the tending was more slowly in the breast feeding group than the other groups(P<0. 05);through the detection of T cell subsets,the difference in the comparison of the content of CD8+ was sta-tistically significant between the breast feeding group and the other groups(P<0. 05);the associated protein level with immune

  13. Development of a questionnaire to assess maternal attitudes towards infant growth and milk feeding practices

    Directory of Open Access Journals (Sweden)

    Schiff Annie

    2011-04-01

    Full Text Available Abstract Background There is increasing recognition that public health strategies to prevent childhood obesity need to start early in life. Any behavioural interventions need to target maternal attitudes and infant feeding practices, This paper describes the development and preliminary validation of a questionnaire to assess maternal attitudes towards infant growth and milk feeding practices. Methods We designed a 57-item (19 questions, self-administered questionnaire to measure the following four domains- 1 type of milk feeding, decision making and sources of advice; 2 frequency and quantity of milk feeds; 3 attitudes to infant feeding and growth; and 4 theory-based beliefs about following infant feeding recommendations. Forty mothers completed the questionnaire on two occasions six days apart (to assess test-retest reliability and then participated in a semi-structured, open-ended telephone interview covering the same domains (to assess criterion validity. Percentage agreement, Cohen's Kappas (for categorical variables and Spearman's correlation coefficients (for continuous variables were used to quantify reliability and validity. Internal consistency between theory-based constructs (self-efficacy, outcome expectancy and intention was quantified by Chronbach's alpha. Results Of the 57 questionnaire items 51 (89% had percentage agreement above 70% indicating good test-retest reliability, and the remaining 6 items had moderate or substantial levels of agreement (kappa 0.41-0.68. Comparing questionnaire with interview coding (validity, percentage agreement was above 66% for 39/57 items (68%. Of the 16 items with percentage agreement below 66%, only five had kappa values below 0.20 (two items had insufficient interview responses. Internal consistency was 0.51, 0.79 and 0.90 for self-efficacy, outcome expectancy and intention respectively. Conclusions This questionnaire could be a useful tool in understanding the determinants of infant feeding and

  14. Review of Infant Feeding: Key Features of Breast Milk and Infant Formula

    OpenAIRE

    Martin, Camilia R.; Pei-Ra Ling; Blackburn, George L

    2016-01-01

    Mothers’ own milk is the best source of nutrition for nearly all infants. Beyond somatic growth, breast milk as a biologic fluid has a variety of other benefits, including modulation of postnatal intestinal function, immune ontogeny, and brain development. Although breastfeeding is highly recommended, breastfeeding may not always be possible, suitable or solely adequate. Infant formula is an industrially produced substitute for infant consumption. Infant formula attempts to mimic the nutritio...

  15. [A study on the mother-infant interaction in teaching and feeding situations].

    Science.gov (United States)

    Cho, K J

    1990-12-31

    This study was conducted to provide the basic information for nursing intervention in infant teaching and feeding situation. The subjects were 30 pairs of mother and her infant (9 month) who were normally delivered at 3 university hospital in Seoul area. The data collection was conducted by observation using videotaperecord from September 27, 1989 to February 26, 1990 in their home. The measurement tools used by this researcher were Nursing child Assessment Teaching scale (NCATS) and Nursing child Assessment Feeding Scale (NCAFS) which was developed by Barnard. The higher sum of "yes" score means the higher mother-infant interaction level. Mother-Infant interaction behaviors in both situations were based on 6 subcategories;sensitivity to cue, response to distress, social-emotional growth fostering, cognitive growth fostering, clarity of + cues, and responsiveness to parent. The data collected through above method were analyzed by mean and t-test and the results were as follows. 1. The sum of maternal behavior score was 40.2 out of 50.0 in teaching situation and 37.9 out of 50.0 in feeding situation. Out of the 4 subcategories on maternal behavior in both situation, the highest subcategory was shown by response to infant's distress and the lowest subcategory by cognitive growth fostering. 2. The sum of infant behavior score was 14.7 out of 23 in teaching situation and 17.9 out of 26 in feeding situation. Out of the 2 categories on infant behavior in both situation, the highest sub category was shown by the clarity of infant's cue in both situation. 3. There was a statistical significance between father's educational level and mother-infant interaction in teaching situation; college group was higher than high school group, particularly in category of sensitivity to infant's cue and cognitive growth fostering. 4. There was a statistical significance in teaching situation between mother's educational level and mother-infant interaction; college group was higher than

  16. Early complementary feeding is associated with low nutritional status of young infants recovering from diarrhoea.

    Science.gov (United States)

    Haider, R; Islam, A; Kabir, I; Habte, D

    1996-06-01

    Young infants admitted to hospital for diarrhoea were studied to identify and understand the reasons for early complementary feeding and to examine its effect on nutritional status. Of 132 infants, 71 percent were being breastfed, 24 percent had already stopped, and 5 percent had never been breastfed. Complementary feeds were started by the mothers when infants' median age (range) was 27 (1-180) days. Mothers' perceptions regarding breastmilk being insufficient (53 per cent) or causing diarrhoea (19 percent), were the major reasons for complementary feeding. The mean weight-for-age of the infants given complementary feeds before the age of 2 months was 72 percent of the National Centre for Health Statistics (NCHS) standards, compared to 82 percent in those starting after 2 months of age (P = 0.01). Similarly, the mean weight-for-length in these two groups were 86 and 91 percent, respectively (P = 0.04). Initiation of early complementary feeding is associated with infant malnutrition and this alarming trend should be strongly discouraged. PMID:8699586

  17. Exclusive breastfeeding rate and factors associated with infant feeding practices in Indonesia

    Directory of Open Access Journals (Sweden)

    Yovita Ananta

    2016-01-01

    Full Text Available Background Breast milk is the ideal food for infants. According to the 2007 Indonesian National Household Health Survey, only 23% of mothers exclusively breastfeed for six months. Objectives To determine the rate of exclusive breastfeeding in Indonesia, to evaluate factors associated with infant feeding practices, and to compare the nutritional and developmental status between exclusively-breastfed and formula-fed infants. Methods A survey was conducted in hospitals located in 17 provinces in Indonesia. The rate of exclusive breastfeeding was calculated. Many variables were investigated as potential predictors for exclusive breastfeeding using a multivariable logistic regression analysis. Further analysis was performed to compare the nutritional and developmental status between exclusively breastfed and formula-fed infants at the time of survey. Results From 1,804 infant subjects, the overall rate of exclusive breastfeeding was 46.3%, ranging from 10.5% in East Java to 66.9% in Jambi. Predominant breastfeeding, complementary feeding, and formula feeding rates were 14.3%, 8.6%, and 30.7%, respectively. Maternal unemployment was associated with a longer duration of breastfeeding (P=0.000. There were significantly more formula-fed infants who were undernourished compared to exclusively-breastfed infants (14% vs. 8%, P=0.001. There were also significantly more infants in the formula-fed group who had abnormal head circumference compared to those in the exclusively-breastfed group (9% vs. 6%, P=0.031. Child development, as assessed by the Pre-screening Developmental Questionnaire, was similar between the two groups (P=0.996. Conclusion The overall rate of exclusive breastfeeding in Indonesia is 46.3%. Maternal unemployment is associated with longer duration of breastfeeding. Exclusive breastfed infants have significant better growth and head circumference compared toformula fed infants, while the development is similar between the two groups.

  18. Exclusive breastfeeding rate and factors associated with infant feeding practices in Indonesia

    Directory of Open Access Journals (Sweden)

    Yovita Ananta

    2016-05-01

    Full Text Available Background Breast milk is the ideal food for infants. According to the 2007 Indonesian National Household Health Survey, only 23% of mothers exclusively breastfeed for six months.Objectives To determine the rate of exclusive breastfeeding in Indonesia, to evaluate factors associated with infant feeding practices, and to compare the nutritional and developmental status between exclusively-breastfed and formula-fed infants.Methods A survey was conducted in hospitals located in 17 provinces in Indonesia. The rate of exclusive breastfeeding was calculated. Many variables were investigated as potential predictors for exclusive breastfeeding using a multivariable logistic regression analysis. Further analysis was performed to compare the nutritional and developmental status between exclusively breastfed and formula-fed infants at the time of survey.Results From 1,804 infant subjects, the overall rate of exclusive breastfeeding was 46.3%, ranging from 10.5% in East Java to 66.9% in Jambi. Predominant breastfeeding, complementary feeding, and formula feeding rates were 14.3%, 8.6%, and 30.7%, respectively. Maternal unemployment was associated with a longer duration of breastfeeding (P=0.000. There were significantly more formula-fed infants who were undernourished compared to exclusively-breastfed infants (14% vs. 8%, P=0.001. There were also significantly more infants in the formula-fed group who had abnormal head circumference compared to those in the exclusively-breastfed group (9% vs. 6%, P=0.031. Child development, as assessed by the Pre-screening Developmental Questionnaire, was similar between the two groups (P=0.996.Conclusion The overall rate of exclusive breastfeeding in Indonesia is 46.3%. Maternal unemployment is associated with longer duration of breastfeeding. Exclusive breastfed infants have significant better growth and head circumference compared to formula fed infants, while the development is similar between the two groups.

  19. HIV and infant feeding counselling: challenges faced by nurse-counsellors in northern Tanzania

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    Blystad Astrid

    2007-07-01

    Full Text Available Abstract Background Infant feeding is a subject of worry in prevention of mother to child transmission (pMTCT programmes in settings where breastfeeding is normative. Nurse-counsellors, expected to counsel HIV-positive women on safer infant feeding methods as defined in national/international guidelines, are faced with a number of challenges. This study aims to explore the experiences and situated concerns of nurses working as infant feeding counsellors to HIV-positive mothers enrolled in pMTCT programmes in the Kilimanjaro region, northern Tanzania. Methods A qualitative study was conducted using in-depth interviews and focus group discussions (FGDs with 25 nurse-counsellors at four pMTCT sites. Interviews were handwritten and FGDs were tape-recorded and transcribed, and the programme Open Code assisted in sorting and structuring the data. Analysis was performed using 'content analysis.' Results The findings revealed a high level of stress and frustration among the nurse-counsellors. They found themselves unable to give qualified and relevant advice to HIV-positive women on how best to feed their infants. They were confused regarding the appropriateness of the feeding options they were expected to advise HIV-positive women to employ, and perceived both exclusive breastfeeding and exclusive replacement feeding as culturally and socially unsuitable. However, most counsellors believed that formula feeding was the right way for an HIV-positive woman to feed her infant. They expressed a lack of confidence in their own knowledge of HIV and infant feeding, as well as in their own skills in assessing a woman's possibilities of adhering to a particular method of feeding. Moreover, the nurses were in general not comfortable in their newly gained role as counsellors and felt that it undermined the authority and trust traditionally vested in nursing as a knowledgeable and caring profession. Conclusion The findings illuminate the immense burden placed on

  20. A COMMUNITY BASED STUDY ON INFANT AND YOUNG FEEDING PRACTICES IN A RURAL AREA OF KARNATAKA

    Directory of Open Access Journals (Sweden)

    Sharvanan Udayar

    2012-09-01

    Full Text Available ABSTRACT: BACKGROUND: Adequate nutrition during infancy and early childho od is critical to the development of children’s full human potential . OBJECTIVE : The main objective was to assess the Infant and Young Child Feeding (IYCF pra ctices and associated socio demographic variables among children aged less than two years i n rural areas METHODS: A community based, cross sectional descriptive study was done du ring Sept 09-Aug 2010 which is the rural field practice area of Shri. B. M. Patil Medical Col lege SBMPMC. The data was computed and analyzed using SPSS statistical package (version 13. 0. RESULTS: During the study period 264 mothers of infants and young children interviewed w ith the questionnaire and 159 out of 264 had received prelacteal feeds (males 64 % and female s56.3 %. Illiterate mothers (69.7% practiced more prelacteal feeding than the literate m others (54.6%. 36% received exclusive breast feeding for a period six months. Majority of the illiterate mothers were practicing early (31.4% and delayed weaning (32.5%.Poor socioecono mic status, illiteracy, birth spacing and cultural beliefs had significant effect on infant a nd young children feeding practices. CONCLUSIONS: The study re-emphasized the need for conducting con tinued infant and child feeding intervention programmes especially for the mo ther during antenatal and postnatal checkups.

  1. Infant-feeding practices in Al-Ain, United Arab Emirates.

    Science.gov (United States)

    Osman, N A; el-Sabban, F F

    1999-01-01

    A survey was conducted to study the practices of infant-feeding and the influencing factors in Al-Ain, United Arab Emirates. It involved 375 mothers of different nationalities and backgrounds and 300 healthy infants. The mothers were interviewed at four primary health care clinics in Al-Ain. Results showed that 46% of infants were breastfed for 4-6 months. The mother's nationality and her educational status were significant influences on the mother's decision to exclusively breast-feed the infant, for how long and when to introduce supplementary food. Fresh cow and goat milk were the most common supplements. Inclusion of baby formula as a supplement generally occurred early, perhaps because of advertising and the affluence in Al-Ain. PMID:10793786

  2. Does maternal autonomy influence feeding practices and infant growth in rural India?

    OpenAIRE

    Shroff, Monal R.; Griffiths, Paula L.; Suchindran, Chirayath; Nagalla, Balakrishna; Vazir, Shahnaz; Bentley, Margaret E

    2011-01-01

    The high prevalence of child under-nutrition remains a profound challenge in the developing world. Maternal autonomy was examined as a determinant of breast feeding and infant growth in children 3 to 5 months of age. Cross-sectional baseline data on 600 mother-infant pairs were collected in 60 villages in rural Andhra Pradesh, India. The mothers were enrolled in a longitudinal randomized behavioral intervention trial. In addition to anthropometric and demographic measures, an autonomy questio...

  3. The Milky Way : The implications of using animal milkproducts in infant feeding

    OpenAIRE

    Howcroft, Rachel; Eriksson, Gunilla; Lidén, Kerstin

    2012-01-01

    Animal milks have been used in infant feeding for at least a few millennia, but this can only have become a common practice after the domestication of dairy animals during the Neolithic. Neolithic population increase has often been attributed to the effect of a reduction in breastfeeding duration on female fertility. It is possible, therefore, that animal milks were first introduced to the infant diet at this time as a replacement for the lost breastmilk. Milks are complex liquids and are spe...

  4. An analysis of infant feeding content found within the Hong Kong print media.

    Science.gov (United States)

    Dodgson, Joan E; Tarrant, Marie; Thompson, Jackie T; Young, Branda

    2008-08-01

    Worldwide public media greatly affect women's decisions about infant feeding and may not reflect evidence-based practices. The aims of this research were to (1) describe the characteristics of printed articles having infant-feeding content, (2) describe this thematic content, and (3) compare the thematic content found in groupings based on media type and language (English and Chinese). Four Chinese-language newspapers, the English-language newspaper, and 3 bilingual parenting magazines were analyzed. A multiphase qualitative and quantitative content analysis found 5 themes (social context, mothers' information, effects on baby, the value of breast milk, and the utility of formula). Significant differences were found based on media type and language. Although breastfeeding was usually positively framed in all the media, Chinese media had more inaccurate information. Through this analysis, areas where actions could be taken to improve the quality of information about infant feeding received by the public have been identified. PMID:18689719

  5. Infant feeding practices among mildly wasted children: a retrospective study on Nias Island, Indonesia

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    Inayati Dyah

    2012-03-01

    Full Text Available Abstract Background This study investigated the infant feeding practices of participating mothers who were recruited into a research project aimed at improving the nutritional status of mildly wasted children (-scores aged ≥ 6 to Methods Cross-sectional, questionnaire-based interview of mothers of the index children (n = 215 who were admitted to the community program for mildly wasted children in the study area. Four focus groups and twenty in-depth interviews were conducted to explore further information on infant feeding practices in the study area. Results Retrospective results indicated that 6% of the mothers never breastfed. Fifty two percent of mothers initiated breastfeeding within six hours of birth, but 17% discarded colostrum. Exclusive breastfeeding until 6 months of age was practiced by 12%. Seventy-four percent of the mothers offered supplementary liquids besides breast milk within the first 7 days of life, and 14% of infants received these supplementary liquids from 7 days onwards until 6 months of age. Moreover, 79% of the infants were given complementary foods (solid, semi-solid, or soft foods before 6 months of age. About 9% of the children were breastfed at least two years. Less than one in five of the mildly wasted children (19% were breastfed on admission to the community program. Qualitative assessments found that inappropriate infant feeding practices were strongly influenced by traditional beliefs of the mothers and paternal grandmothers in the study areas. Conclusion Generally, suboptimal infant feeding was widely practiced among mothers of mildly wasted children in the study area on Nias Island, Indonesia. To promote breastfeeding practices among mothers on Nias Island, appropriate nutrition training for community workers and health-nutrition officers is needed to improve relevant counseling skills. In addition, encouraging public nutrition education that promotes breastfeeding, taking into account social

  6. Prevailing breast feeding practices of infants attending paediatric out-patient department

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    Manjunatha Swamy R

    2015-01-01

    Full Text Available Background: Objectives of current study were to know the prevailing infant feeding practices in infants and to identify the problems affecting infant and young child feeding practices and to analyze the environmental factors influence the mothers, families and caregivers in infant feeding. Methods: The present study is a hospital based observation study. A total of 501 mothers and their infants attending new born paediatric OPD, immunization clinic of department of paediatrics for various reasons of health care were recruited for the study after their informed consent and institutional ethical clearance. Information about the first feed after birth, time of initiation of breastfeeding, duration of exclusive breast feeding, time of introduction of complementary feeding, knowledge of feeding skills, mother's concept of adequacy of breast milk were collected in the structured, pre tested proforma by personal one to one interview with the mothers. All the mothers of infants from 0 to 1 year were included. Statistical analysis: The data obtained by the interview were analyzed with regarding to mothers education level, religion and other related parameters pertaining to feeding practices. Percentages of parameters were calculated and analyzed. Results: Majority of the mothers belong to the age group of 18 to 30 years (96.01%, prelacteal feeds were given by a good number of mothers (42.32%, 60.66% mothers were given the sugar water as the prelacteal feed and 71.56% mothers have used cup and spoon to give prelacteal feeds. 75.25% of the mothers have practiced giving colostrum, 72.26% of mothers were breastfeeding their baby for 5 to 10 minutes during each feed at an interval of 0.5 hours to 3.5 hours. Majority of mothers (34.73% had the knowledge of starting of weaning at six months and 46.88% of mothers were giving weaning food twice daily. Conclusion: Significant number of mothers had discarded colostrum and most of the mothers intended to give only

  7. Infants-feeding practices and their relationship with socio-economic and health conditions in Lahore, Pakistan

    OpenAIRE

    Saadia Ijaz; Tayyaba Ijaz; Raja Kamran Afzal; Muhammad Masood Afzal; Osama Mukhtar; Nayab Ijaz

    2015-01-01

    Background: Pakistan, has high infant mortality rate. Among every 1000 live births 0.76% becomes the victim of death due to malnutrition and fatal infections. Therefore, feeding modes and practices may serve as important factors for assessment of an infant's growth and nutritional status. This study was designed to assess the exclusive breast feeding rate, frequency of diseases during breast feeding, status of breast feeding along with weaning, level of education, occupation and socio-economi...

  8. Review of Infant Feeding: Key Features of Breast Milk and Infant Formula

    Directory of Open Access Journals (Sweden)

    Camilia R. Martin

    2016-05-01

    Full Text Available Mothers’ own milk is the best source of nutrition for nearly all infants. Beyond somatic growth, breast milk as a biologic fluid has a variety of other benefits, including modulation of postnatal intestinal function, immune ontogeny, and brain development. Although breastfeeding is highly recommended, breastfeeding may not always be possible, suitable or solely adequate. Infant formula is an industrially produced substitute for infant consumption. Infant formula attempts to mimic the nutritional composition of breast milk as closely as possible, and is based on cow’s milk or soymilk. A number of alternatives to cow’s milk-based formula also exist. In this article, we review the nutritional information of breast milk and infant formulas for better understanding of the importance of breastfeeding and the uses of infant formula from birth to 12 months of age when a substitute form of nutrition is required.

  9. Feeding practices and nutritional status of infants in Morogoro Municipality, Tanzania.

    Science.gov (United States)

    Safari, John G; Kimambo, Stella C; Lwelamira, James E

    2013-07-01

    Breast feeding practice especially exclusive breast feeding (EBF) is a major determinant of child growth and development. In Tanzania, most women breastfeed their infants for long periods, but many introduce alternative feeding too early in life. The objective of this study was to determine factors affecting EBF and the relationship between feeding practices and the nutritional status of infants. This cross-sectional survey, using a semi-structured questionnaire, was conducted in Morogoro Municipality in Tanzania. The study involved lactating women recruited from five randomly selected health facilities. Demographic, clinical, knowledge and practices related to infant feeding as well as infant anthropometric information were collected. Infant nutritional status was assessed based on weight-for-age, height-for-age and weight- for- height. There were wide variations in knowledge and practice of breastfeeding among women. Majority (92%) of the respondents gave colostrums to infants although more than 50% did not know its benefits. Eight percent of the respondents discarded colostrums on the account that it is not good for their neonates. Only 23.1% of the respondents thought that infants should be breastfed exclusively during the first six months of infancy. Ninety-eight percent of infants < 1 month of age received breast milk only, compared with 28.5% of infants aged 2-3 months and 22.3% among those who were above 3 months of age. No child in the ≥ 4 months old was exclusively breastfed. Over 80% of the infants had normal weights, 13% were stunted and 8% wasted. EBF was associated with higher scores for height- for- age Z (P < 0.05) and weight- for- height Z (P < 0.01). Age, education level and occupation of respondents were important predictors of EBF. Overall, breast feeding practices in the study population were largely suboptimal. As a result, considerable proportions of children had poor health indicators. Thus, correct breastfeeding practices should be

  10. Use of probiotics and prebiotics in infant feeding.

    Science.gov (United States)

    Bertelsen, Randi J; Jensen, Elizabeth T; Ringel-Kulka, Tamar

    2016-02-01

    Gut colonization by beneficial bacteria in early life is necessary for establishing the gut mucosal barrier, maturation of the immune system and preventing infections with enteric pathogens. Mode of delivery, prematurity, breastfeeding, and use of antibiotics are some of many factors that have been described to influence early life colonization. Dysbiosis, the absence of normal colonization, is associated with many disease conditions. Pre- and probiotics are commonly used as supplementation in infant formula, such as prebiotic oligosaccharides for stimulation of Bifidobacterium growth aiming to mimic the high levels of these commensal bacteria in the gut of breastfed infants. Studies suggest that probiotic supplementation may be beneficial in prevention and management of disease (e.g., reducing the risk of necrotizing enterocolitis in preterm infants and treatment of acute gastroenteritis in children). Although these studies show promising beneficial effects, the long-term risks or health benefits of pre- and probiotic supplementation are not clear. PMID:27048895

  11. Exploring the Effect of Mass Media on Perceptions of Infant Feeding.

    Science.gov (United States)

    Bylaska-Davies, Paula

    2015-09-01

    This qualitative study explored women's perceptions of mass media and infant feeding. Mass media is a universal means of communication with potential to impact social norms. Data obtained from interviews with women (n = 20) were compared with text and visual representation from Internet sites (n = 12) on parenting and infant feeding. Themes from interviews reflected information represented on Internet sites. Participants offered suggestions for future media messages, such as public service announcements of breastfeeding. Participants emphasized that public opinion needs to be altered, and breastfeeding in public would then be viewed as the norm. PMID:25611574

  12. The Infant Feeding Activity and Nutrition Trial (INFANT) an early intervention to prevent childhood obesity: Cluster-randomised controlled trial

    OpenAIRE

    Campbell Karen; Hesketh Kylie; Crawford David; Salmon Jo; Ball Kylie; McCallum Zoë

    2008-01-01

    Abstract Background Multiple factors combine to support a compelling case for interventions that target the development of obesity-promoting behaviours (poor diet, low physical activity and high sedentary behaviour) from their inception. These factors include the rapidly increasing prevalence of fatness throughout childhood, the instigation of obesity-promoting behaviours in infancy, and the tracking of these behaviours from childhood through to adolescence and adulthood. The Infant Feeding A...

  13. Feeding, Fussing and Play: Parent-Infant Interaction in the First Year as a Function of Early Medical Problems.

    Science.gov (United States)

    Goldberg, Susan; And Others

    This longitudinal study investigated the relationship of stress arising from medical problems of newborns to parent-infant interaction through the infant's first year. Significant interactive differences between full term and premature infants were found in feeding situations during the neonatal period and in floor play at eight months. The sample…

  14. Feeding Patterns and Emotional Care in Breastfed Infants

    Science.gov (United States)

    Smith, Julie P.; Ellwood, Mark

    2011-01-01

    A number of studies have suggested breastfed infants have improved bonding and attachment or cognitive development outcomes. However, mechanisms by which these differences might develop are poorly understood. We used maternal time use data to examine whether exclusively breastfeeding mothers spend more time in close interactive behaviors with…

  15. Infant feeding practices at routine PMTCT sites, South Africa: results of a prospective observational study amongst HIV exposed and unexposed infants - birth to 9 months

    Directory of Open Access Journals (Sweden)

    Goga Ameena E

    2012-04-01

    Full Text Available Abstract Background We sought to investigate infant feeding practices amongst HIV-positive and -negative mothers (0-9 months postpartum and describe the association between infant feeding practices and HIV-free survival. Methods Infant feeding data from a prospective observational cohort study conducted at three (of 18 purposively-selected routine South African PMTCT sites, 2002-2003, were analysed. Infant feeding data (previous 4 days were gathered during home visits at 3, 5, 7, 9, 12, 16, 20, 24, 28, 32 and 36 weeks postpartum. Four feeding groups were of interest, namely exclusive breastfeeding, mixed breastfeeding, exclusive formula feeding and mixed formula feeding. Cox proportional hazards models were fitted to investigate associations between feeding practices (0-12 weeks and infant HIV-free survival. Results Six hundred and sixty five HIV-positive and 218 HIV-negative women were recruited antenatally and followed-up until 36 weeks postpartum. Amongst mothers who breastfed between 3 weeks and 6 months postpartum, significantly more HIV-positive mothers practiced exclusive breastfeeding compared with HIV-negative: at 3 weeks 130 (42% versus 33 (17% (p Conclusions Although feeding practices were poor amongst HIV-positive and -negative mothers, HIV-positive mothers undertake safer infant feeding practices, possibly due to counseling provided through the routine PMTCT programme. The data on differences in infant outcome by feeding practice and site validate the WHO 2009 recommendations that site differences should guide feeding practices amongst HIV-positive mothers. Strong interventions are needed to promote exclusive breastfeeding (to 6 months with continued breastfeeding thereafter amongst HIV-negative motherswho are still the majority of mothers even in high HIV prevalence setting like South Africa.

  16. HIV and infant feeding in Malawi: public health simplicity in complex social and cultural contexts

    Directory of Open Access Journals (Sweden)

    Chinkonde Jacqueline R

    2012-08-01

    Full Text Available Abstract Background The question of when and how to best wean infants born to mothers with HIV requires complex answers. There are clinical guidelines on best approaches but limitations persist when applying them in diverse low-income settings. In such settings, infant-feeding practices are not only dependent on individual women’s choices but are also subject to social and cultural pressures. However, when developing infant-feeding policies little attention has been paid to these pressures, even though they may yield useful empirical knowledge on the various forces that shape the infant-feeding dilemmas confronting women with HIV. This study aimed to a identify the infant-feeding challenges that women with HIV faced when they were advised to wean their children at an early age of six months and b explore how the women adhered to their infant-feeding options while facing and managing these challenges. Methods This study was conducted between February 2008 and April 2009 at two public health facilities where services to prevent mother-to-child transmission of HIV were implemented. Repeated in-depth interviews were conducted with 20 HIV-positive women. Two of the 20 women were also chosen for case studies which included home visits. Results Several interdependent factors including the conflicting pressures of sexual morality and the demands of nurturing and motherhood, in conditions of abject poverty, impeded the participating women from following medical advice on infant feeding. If they adhered to the medical advice, the women would encounter difficulty maintaining their ascribed roles as respected wives, mothers and members of the society at large. The necessity of upholding their moral standing through continued breastfeeding, which signified HIV-negative status, put pressure on them to ignore the medical advice. Conclusions The infant-feeding dilemmas for women with HIV are complex. The integration of public health efforts with context

  17. Gut Microbiome Developmental Patterns in Early Life of Preterm Infants: Impacts of Feeding and Gender

    Science.gov (United States)

    Xu, Wanli; Janton, Susan; Henderson, Wendy A.; Matson, Adam; McGrath, Jacqueline M.; Maas, Kendra; Graf, Joerg

    2016-01-01

    Gut microbiota plays a key role in multiple aspects of human health and disease, particularly in early life. Distortions of the gut microbiota have been found to correlate with fatal diseases in preterm infants, however, developmental patterns of gut microbiome and factors affecting the colonization progress in preterm infants remain unclear. The purpose of this prospective longitudinal study was to explore day-to-day gut microbiome patterns in preterm infants during their first 30 days of life in the neonatal intensive care unit (NICU) and investigate potential factors related to the development of the infant gut microbiome. A total of 378 stool samples were collected daily from 29 stable/healthy preterm infants. DNA extracted from stool was used to sequence the V4 region of the 16S rRNA gene region for community analysis. Operational taxonomic units (OTUs) and α-diversity of the community were determined using QIIME software. Proteobacteria was the most abundant phylum, accounting for 54.3% of the total reads. Result showed shift patterns of increasing Clostridium and Bacteroides, and decreasing Staphylococcus and Haemophilus over time during early life. Alpha-diversity significantly increased daily in preterm infants after birth and linear mixed-effects models showed that postnatal days, feeding types and gender were associated with the α-diversity, p< 0.05–0.01. Male infants were found to begin with a low α-diversity, whereas females tended to have a higher diversity shortly after birth. Female infants were more likely to have higher abundance of Clostridiates, and lower abundance of Enterobacteriales than males during early life. Infants fed mother’s own breastmilk (MBM) had a higher diversity of gut microbiome and significantly higher abundance in Clostridiales and Lactobacillales than infants fed non-MBM. Permanova also showed that bacterial compositions were different between males and females and between MBM and non-MBM feeding types. In conclusion

  18. Gut Microbiome Developmental Patterns in Early Life of Preterm Infants: Impacts of Feeding and Gender.

    Directory of Open Access Journals (Sweden)

    Xiaomei Cong

    Full Text Available Gut microbiota plays a key role in multiple aspects of human health and disease, particularly in early life. Distortions of the gut microbiota have been found to correlate with fatal diseases in preterm infants, however, developmental patterns of gut microbiome and factors affecting the colonization progress in preterm infants remain unclear. The purpose of this prospective longitudinal study was to explore day-to-day gut microbiome patterns in preterm infants during their first 30 days of life in the neonatal intensive care unit (NICU and investigate potential factors related to the development of the infant gut microbiome. A total of 378 stool samples were collected daily from 29 stable/healthy preterm infants. DNA extracted from stool was used to sequence the V4 region of the 16S rRNA gene region for community analysis. Operational taxonomic units (OTUs and α-diversity of the community were determined using QIIME software. Proteobacteria was the most abundant phylum, accounting for 54.3% of the total reads. Result showed shift patterns of increasing Clostridium and Bacteroides, and decreasing Staphylococcus and Haemophilus over time during early life. Alpha-diversity significantly increased daily in preterm infants after birth and linear mixed-effects models showed that postnatal days, feeding types and gender were associated with the α-diversity, p< 0.05-0.01. Male infants were found to begin with a low α-diversity, whereas females tended to have a higher diversity shortly after birth. Female infants were more likely to have higher abundance of Clostridiates, and lower abundance of Enterobacteriales than males during early life. Infants fed mother's own breastmilk (MBM had a higher diversity of gut microbiome and significantly higher abundance in Clostridiales and Lactobacillales than infants fed non-MBM. Permanova also showed that bacterial compositions were different between males and females and between MBM and non-MBM feeding types

  19. Highest Plasma Phenylalanine Levels in (Very Premature Infants on Intravenous Feeding; A Need for Concern.

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    Ernesto Cortés-Castell

    Full Text Available To analyse the association in newborns between blood levels of phenylalanine and feeding method and gestational age.This observational, cross-sectional study included a sample of 11,829 infants between 2008 and 2013 in a Spanish region. Data were recorded on phenylalanine values, feeding method [breast, formula, mixed (breast plus formula, or partial or fully intravenous feeding], gestational age in weeks (<32, 32-37, ≥37, gender and days since birth at the moment of blood collection. Outcomes were [phenylalanine] and [phenylalanine] ≥95th percentile. Associations were analysed using multivariate models [linear (means difference and logistic regression (adjusted odds ratios].Higher phenylalanine values were associated with lower gestational age (p<0.001 and with intravenous feeding (p<0.001.The degree of prematurity and intravenous feeding influenced the plasma concentration of phenylalanine in the newborn. Caution should be taken in [phenylalanine] for newborns with intravenous feeding, monitoring them carefully. Very preterm infants given the recommended amount of amino acids should also be strictly monitored. These findings should be taken into consideration and call for adapting the amounts to the needs of the infant.

  20. Parents' beliefs about appropriate infant size, growth and feeding behaviour: implications for the prevention of childhood obesity

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    Swift Judy A

    2010-11-01

    Full Text Available Abstract Background A number of risk factors are associated with the development of childhood obesity which can be identified during infancy. These include infant feeding practices, parental response to infant temperament and parental perception of infant growth and appetite. Parental beliefs and understanding are crucial determinants of infant feeding behaviour; therefore any intervention would need to take account of their views. This study aimed to explore UK parents' beliefs concerning their infant's size, growth and feeding behaviour and parental receptiveness to early intervention aimed at reducing the risk of childhood obesity. Method Six focus groups were undertaken in a range of different demographic localities, with parents of infants less than one year of age. The focus groups were audio-recorded, transcribed verbatim and thematic analysis applied using an interpretative, inductive approach. Results 38 parents (n = 36 female, n = 2 male, age range 19-45 years (mean 30.1 years, SD 6.28 participated in the focus groups. 12/38 were overweight (BMI 25-29.99 and 8/38 obese (BMI >30. Five main themes were identified. These were a parental concern about breast milk, infant contentment and growth; b the belief that the main cause of infant distress is hunger is widespread and drives inappropriate feeding; c rationalisation for infants' larger size; d parental uncertainty about identifying and managing infants at risk of obesity and e intentions and behaviour in relation to a healthy lifestyle. Conclusions There are a number of barriers to early intervention with parents of infants at risk of developing obesity. Parents are receptive to prevention prior to weaning and need better support with best practice in infant feeding. In particular, this should focus on helping them understand the physiology of breast feeding, how to differentiate between infant distress caused by hunger and other causes and the timing of weaning. Some parents also need

  1. Breast-feeding Protects against Arsenic Exposure in Bangladeshi Infants

    OpenAIRE

    Fängström, Britta; Moore, Sophie; Nermell, Barbro; Kuenstl, Linda; Goessler, Walter; Grandér, Margaretha; Kabir, Iqbal; Palm, Brita; Arifeen, Shams El; Vahter, Marie

    2008-01-01

    Background Chronic arsenic exposure causes a wide range of health effects, but little is known about critical windows of exposure. Arsenic readily crosses the placenta, but the few available data on postnatal exposure to arsenic via breast milk are not conclusive. Aim Our goal was to assess the arsenic exposure through breast milk in Bangladeshi infants, living in an area with high prevalence of arsenic-rich tube-well water. Methods We analyzed metabolites of inorganic arsenic in breast milk ...

  2. Bovine milk usage and feeding practices for infants in India

    OpenAIRE

    Meha Mayuri; Vivek Garg; Chandan Mukherji; Divya Aggarwal; Sanjeev Ganguly

    2012-01-01

    Background: Milk and dairy products from animal sources (cow′s milk or buffalo′s milk) are an important part of Indian diet and its consumption starts at an early age. Objective: The purpose of this study is to understand the processing, storage and modifications carried out before bovine milk is fed to the infants and compare it with recommendations by Health Care Professionals (HCPs). Materials and Methods: The study involved assessments involving HCPs and mothers of children below 1 year o...

  3. Influence of Early Feeding Practices on Celiac Disease in Infants

    OpenAIRE

    Radlović, Nedeljko P.; Mladenović, Marija M.; Leković, Zoran M.; Stojšić, Zorica M.; Radlović, Vladimir N.

    2010-01-01

    Aim To investigate whether duration of breastfeeding and timing of gluten introduction influence the age at diagnosis and severity of celiac disease. Methods Medical records of 89 infants (59 girls and 30 boys; mean age of 14.2 months, standard deviation 4.80) diagnosed with classic celiac disease at the University Children’s Hospital in Belgrade from 2000 to 2008 were retrospectively analyzed to determine the duration of breastfeeding and timing of gluten introduction...

  4. Complementary feeding with cow's milk alters sleeping metabolic rate in breast-fed infants

    NARCIS (Netherlands)

    Haisma, H; Wells, JCK; Coward, WA; Duro, D; Victora, CG; Vonk, RJ; Wright, A; Visser, GH

    2005-01-01

    Although it is widely accepted that energy expenditure in infants is a function of feeding pattern, the mechanism behind this is not well understood. The objectives of this observational study were as follows: 1) to compare minimal observable energy expenditure (MOEE) between 2 subgroups of breast-f

  5. Interactions During Feeding with Mothers and Their Infants with Symptoms of Gastroesophageal Reflux

    OpenAIRE

    Neu, Madalynn; Schmiege, Sarah J; Pan, Zhaoxing; Fehringer, Karen; Workman, Rachel; Marcheggianni-Howard, Cassandra; Furuta, Glenn T.

    2014-01-01

    Objectives: To examine whether maternal–child interaction during feedings was suboptimal in dyads in which the infant had gastroesophageal reflux disease (GERD) and to compare massage therapy to a nonmassage therapy sham treatment in improving the mother–child interaction in these dyads.

  6. Does Breast Feeding Protect the Hypothyroid Infant Diagnosed by Newborn Screening?

    Science.gov (United States)

    Rovet, Joanne F.

    Because breast milk contains small quantities of thyroid hormones not found in commercial formula preparations, it was hypothesized that breast feeding may provide some protective benefit to the hypothyroid infant before medical treatment is begun. Of 108 children with congenital hypothyroidism, breast-fed children had higher thyroid hormone…

  7. Evaluation of potential factors predicting attainment of full gavage feedings in preterm infants

    Science.gov (United States)

    The clinical measures of gastric residuals and abdominal distention are often used to guide feeding in preterm infants, but there are few data demonstrating their usefulness. Similarly, techniques are now available to investigate gastrointestinal (GI) function noninvasively and safely, but their abi...

  8. An Assessment of the Breastfeeding Practices and Infant Feeding Pattern among Mothers in Mauritius

    Directory of Open Access Journals (Sweden)

    Ashmika Motee

    2013-01-01

    Full Text Available Proper breastfeeding practices are effective ways for reducing childhood morbidity and mortality. While many mothers understand the importance of breastfeeding, others are less knowledgeable on the benefits of breastfeeding and weaning. The aim in here is to assess breastfeeding pattern, infant formula feeding pattern, and weaning introduction in Mauritius and to investigate the factors that influence infant nutrition. 500 mothers were interviewed using a questionnaire which was designed to elicit information on infant feeding practices. Statistical analyses were done using SPSS (version 13.0, whereby chi-square tests were used to evaluate relationships between different selected variables. The prevalence of breastfeeding practice in Mauritius has risen from 72% in 1991 to 93.4% as found in this study, while only 17.9% breastfed their children exclusively for the first 6 months, and the mean duration of EBF (exclusive breastfeeding is 2.10 months. Complementary feeding was more commonly initiated around 4–6 months (75.2%. Despite the fact that 60.6% of mothers initiate breastfeeding and 26.1% of mothers are found to breastfeed up to 2 years, the practice of EBF for the first 6 months is low (17.9%. Factors found to influence infant feeding practices are type of delivery, parity, alcohol consumption, occupation, education, and breast problems.

  9. Feeding and Fussing: Parent-Infant Interaction as a Function of Neonatal Medical Status.

    Science.gov (United States)

    Quinn, Barbara, Goldberg, Susan

    This study examined mother/child interactions during feedings for full-term, healthy premature, and sick premature newborns. Ten first-born infants in each of these categories were observed with their parents once in the hospital, twice at home, and once in the laboratory during the first 4 months of life. Observations focused on the position in…

  10. Behavioral Change Strategies for Improving Complementary Feeding and Breastfeeding.

    Science.gov (United States)

    Osendarp, Saskia J M; Roche, Marion L

    2016-01-01

    Improving infant and young child feeding (IYCF) practices, including breastfeeding and complementary feeding, has been identified as one of the most effective interventions to improve child survival, stunting and wasting. Evidence from randomized controlled trials suggests that effective promotion of breastfeeding and complementary feeding, with or without food provision, has the potential to improve IYCF practices and child nutrition. However, in many countries, breastfeeding practices and complementary feeding practices are still far from optimal. The lack of implementation of available, effective, affordable interventions in scale-up programs is in part attributed to a lack of innovative, creative and effective behavioral change strategies that enable and encourage caregivers. Successful behavioral change strategies should be based on a rigorous situational analysis and formative research, and the findings and insights of formative research should be used to further design interventions that address the identified barriers and enablers, to select delivery channels, and to formulate appropriate and effective messages. In addition, successful behavioral change interventions should a priori define and investigate the program impact pathway to target behavioral change and should assess intermediary behavioral changes and indicators to learn why the expected outcome was achieved or not achieved by testing the program theory. The design of behavioral change communication must be flexible and responsive to shifts in societies and contexts. Performance of adequate IYCF also requires investments to generate community demand through social mobilization, relevant media and existing support systems. Applying these principles has been shown to be effective in improving IYCF practices in Vietnam, Bangladesh and Ethiopia and is recommended to be adopted by other programs and countries in order to accelerate progress in improving child nutrition. PMID:27197978

  11. Feeding patterns of mexican infants recorded in the 1988 National Nutrition Survey

    OpenAIRE

    Miguel Ángel Lezana; Kurt Long; Marta Rivera; Juan Rivera; Mauricio Hernández

    1995-01-01

    Infant feeding patterns iii Mesico were cirm.red using dato frorn the 1988 Narioiicrl Nutrition Surve?.. The l~revalence of brecist:feeding ~r~nong infi111t.s declined porn 86% at hirtl~ to approsiriiate~ 40% qfter three nlonths r,f age. The Izcicard rafe of terinintrting brerist- feeding increused by 38% cit tlie ntrtioncrl leve1 and by 87% iil the northern regio11 with ecich increineilt in kousehold lii~ing conditions, decreased 50% in rzird rnuniciycilitie.s in the south and decreasecl l7y...

  12. ASSESSMENT OF INFANT AND YOUNG CHILD FEEDING PRACTICES AMONG UNDER-3 YEARS CHILDREN IN URBAN SLUMS OF HUBBALLI CITY

    OpenAIRE

    Anjana P, Dattatreya D Bant

    2015-01-01

    Background: Malnutrition is a serious public health problem affecting the growth and development of children which have detrimental effect in later adolescent and adult life. Although Malnutrition is multifaceted problem, Infant and young child feeding practices by mothers is crucial for optimum growth and development of the children Objectives: 1) To Assess the Infant and Young child feeding practices followed by the Mothers. 2) To study the influence of feeding practices on weight of Under...

  13. Nutritional requirements and feeding recommendations for small for gestational age infants.

    Science.gov (United States)

    Tudehope, David; Vento, Maximo; Bhutta, Zulfiqar; Pachi, Paulo

    2013-03-01

    We define the small for gestational age (SGA) infant as an infant born ≥ 35 weeks' gestation and define: infants who have "true" growth restriction and are at high risk for adverse metabolic outcomes in later life; optimal growth velocity and "catch-up" growth rates that are conducive with life-long health and well being; global approaches to management of hypoglycemia; and an optimal model for postdischarge care. Large, rigorously conducted trials are required to determine whether aggressive feeding of SGA infants results in improved nutritional rehabilitation, growth, and neurodevelopmental outcomes. Before birth, maternal supplementation with specific nutrients reduces the rate and severity of growth restriction and may prevent nutrient deficiency states if infants are born SGA. After birth, the generally accepted goal is to provide enough nutrients to achieve postnatal growth similar to that of a normal fetus. In addition, we recommend SGA infants be allowed to "room in" with their mothers to promote breastfeeding, mother-infant attachment, and skin-to-skin contact to assist with thermoregulation. PMID:23445853

  14. The role of infant appetite in extended formula feeding

    NARCIS (Netherlands)

    Syrad, H.; Jaarsveld, C.H.M. van; Wardle, J.; Llewellyn, C.H.

    2015-01-01

    OBJECTIVE: Parental decision-making around extended formula feeding (12 months+) has not been explored previously. This study tested the hypotheses that extended formula milk use (i) is associated with poorer appetite and (ii) supplements lower food intake. METHODS: Appetite was assessed with the Ch

  15. Translating global recommendations on HIV and infant feeding to the local context: the development of culturally sensitive counselling tools in the Kilimanjaro Region, Tanzania

    Directory of Open Access Journals (Sweden)

    Åstrøm Anne N

    2006-10-01

    Full Text Available Abstract Background This paper describes the process used to develop an integrated set of culturally sensitive, evidence-based counselling tools (job aids by using qualitative participatory research. The aim of the intervention was to contribute to improving infant feeding counselling services for HIV positive women in the Kilimanjaro Region of Tanzania. Methods Formative research using a combination of qualitative methods preceded the development of the intervention and mapped existing practices, perceptions and attitudes towards HIV and infant feeding (HIV/IF among mothers, counsellors and community members. Intervention Mapping (IM protocol guided the development of the overall intervention strategy. Theories of behaviour change, a review of the international HIV/IF guidelines and formative research findings contributed to the definition of performance and learning objectives. Key communication messages and colourful graphic illustrations related to infant feeding in the context of HIV were then developed and/or adapted from existing generic materials. Draft materials were field tested with intended audiences and subjected to stakeholder technical review. Results An integrated set of infant feeding counselling tools, referred to as 'job aids', was developed and included brochures on feeding methods that were found to be socially and culturally acceptable, a Question and Answer Guide for counsellors, a counselling card on the risk of transmission of HIV, and an infant feeding toolbox for demonstration. Each brochure describes the steps to ensure safer infant feeding using simple language and images based on local ideas and resources. The brochures are meant to serve as both a reference material during infant feeding counselling in the ongoing prevention of mother to child transmission (pMTCT of HIV programme and as take home material for the mother. Conclusion The study underscores the importance of formative research and a systematic theory

  16. Capacity of frontline ICDS functionaries to support caregivers on infant and young child feeding (IYCF) practices in Gujarat, India.

    Science.gov (United States)

    Chaturvedi, Anuraag; Nakkeeran, N; Doshi, Minal; Patel, Ruchi; Bhagwat, Sadhana

    2014-01-01

    Improved infant and young child feeding practices have the potential to improve child growth and development outcomes in India. Anganwadi Workers, the frontline government functionaries of the national nutrition supplementation programme in India, play a vital role in promoting infant and young child feeding practices in the community. The present study assessed the Anganwadi Workers' knowledge of infant and young child feeding practices, and their ability to counsel and influence caregivers regarding these practices. Eighty Anganwadi Workers from four districts of Gujarat participated in assessment centres designed to evaluate a range of competencies considered necessary for the successful promotion of infant and young child feeding practices. The results of the evaluation showed the Anganwadi Workers possessing more knowledge about infant and young child feeding practices like initiation of breastfeeding, pre-lacteal feeding and colostrum, age of introduction of complementary foods, portion size and feeding frequency than about domains which appear to have a direct bearing on practices. A huge contrast existed between the Anganwadi Workers' knowledge and their ability to apply this in formal counselling sessions with caregivers. Inability to empathetically engage with caregivers, disregard for taking the feeding history of children, poor active listening skills and inability to provide need-based advice were pervasive during counselling. In conclusion, to ensure enhanced interaction between the Anganwadi Workers and caregivers on infant and young child feeding practices, a paradigm shift in training is required, making communication processes and counselling skills central to the training. PMID:25384724

  17. KNOWLEDGE, ATTITUDE AND PRACTICES OF INFANT FEEDING PRACTICES AMONG RURAL WOMEN IN EASTERN INDIA

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    Ratan

    2015-11-01

    Full Text Available Poor infant feeding practices and their consequences are one of the world's major problems and a serious obstacle to social and economic development. Breastfeeding is one of the most important determinants of child survival , birth spacing , and the prevent ion of childhood infections. The beneficial effects of breastfeeding depend on its initiation , duration , and the age at which the breastfed child is weaned. Breastfeeding practices vary among different regions and communities. AIMS AND OBJECTIVES : To assess the knowledge , attitude and practices of infant feeding and , to assess the prevalence of exclusive breastfeeding practices among women in rural area of West Bengal , India. MATERIALS AND METHODS: This cross - sectional study was conducted on mothers of childr en less than two year of age attending the outpatient department of Malda Medical College and Hospital , a rural medical college in Eastern India. A total of 200 mothers were interviewed who were randomly selected. A structured , pretested and predesigned qu estionnaire was used to collect information on the socio - demographic profile and infant feeding practice. RESULTS : Mothers of male children were 65% and female children were 35%. 44% were literate upto middle school and 28% with primary education. 14% mothe rs were illiterate. 52% of mothers had the knowledge about initiation of breast feeding within 1 hour of birth whereas only 28% practiced it. 80% mothers had the knowledge of exclusive breast feeding but only 60% practiced it. 24% of infants had received p relacteal feeds and only 2% breast fed upto 24 months. CONCLUSIONS : Despite higher rates of early initiation of breastfeeding and exclusive breastfeeding , awareness of the benefits of exclusive breastfeeding was low. Creating an awareness of the advantages of breastfeeding will strengthen and support this common practice in rural communities and avoid early introduction of complementary foods for socio - cultural

  18. Women's liberation and the rhetoric of "choice" in infant feeding debates

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    Hausman Bernice L

    2008-08-01

    Full Text Available Abstract This short essay examines infant formula marketing and information sources for their representation of "choice" in the infant feeding context, and finds that while providing information about breast and bottle feeding, infant formula manufacturers focus on mothers' feelings and intuition rather than knowledge in making decisions. In addition, the essay considers how "choice" operates in the history of reproductive rights, shifting the discourse from a rights-based set of arguments to one based on a consumerist mentality. Utilizing the work of historian Rickie Solinger and a 2007 paper for the National Bureau of Labor Statistics, I argue that the structure of market work, and not abstract maternal decision making, determine mothers' choices and practices concerning infant feeding. For true freedoms for mothers to be achieved, freedoms that would include greater social provisions for mothers, our culture will have to confront how structural constraints make breastfeeding difficult, as well as how the concept of choice divides mothers into those who make good choices and those who do not.

  19. Nutritional and behavioural aspects of nasogastric tube feeding in infants receiving chronic peritoneal dialysis.

    Science.gov (United States)

    Warady, B A; Kriley, M; Belden, B; Hellerstein, S; Alan, U

    1990-01-01

    Eight infants initiated chronic peritoneal dialysis and received nasogastric tube feedings during their first month of life. In each case, the nasogastric tube feedings were initiated because of poor oral intake and the desire to avert the development of an aversive feeding interaction between parent and child. The nutritional regimen was designed to allow normal or catch up weight gain appropriate for height age. The caloric and protein intake of the infants averaged 98.5 +/- 10.2 kcal/kg/day and 2.7 gm/kg/day, respectively, during the first year of life. Between 25% and 100% of the formula intake was provided by the nasogastric route. Group standard deviation score for height was -1.74 +/- 0.7 at one year. Five of the infants received behavioral therapy because of persistent food refusal. Therapy consisted of reinforcing prompted food acceptance and ignoring food refusal. This approach was conducted by a multidisciplinary team and successfully converted the non-oral feeder to a total oral feeding regimen in each case. PMID:1982822

  20. [Feeding disorders in infants and toddlers: At-risk situations and predisposing factors].

    Science.gov (United States)

    Dubedout, S; Cascales, T; Mas, E; Bion, A; Vignes, M; Raynaud, J-P; Olives, J-P

    2016-06-01

    Feeding disorders and food refusal can be found in 25% of infants, with a minority of them having an organic explanation. Failure to thrive and/or severe malnutrition are found in 3-5% of infants in this population. The objective of this study was to analyze the risk factors of feeding disorders in infants and children less than 3 years of age. This study was conducted from January 2011 to December 2014 and included 103 children, 57 with feeding and/or eating disorders and 46 healthy children considered to be normal eaters. Parents participated in a structured interview and completed a data sheet to record the mode of delivery, neonatal status, medical history, milk feeding, and medical treatment. Statistical analysis indicated that cesarean delivery, prematurity, neonatal diseases, history of eating disorders in the family, consumption of protein hydrolysates, and treatment with proton pump inhibitors were highly significant risk factors in children with eating disorders. In the present study, we showed that several prenatal and postnatal conditions or interventions were associated with the development of eating disorders in young children. Recommendations for future studies include identifying environmental risk factors and implementing prevention programs focused on family, caregivers, as well as healthcare professionals. The objective is to allow physicians to efficiently sort out the wide variety of conditions, categorize them for therapy, and when necessary refer patients to specialists in the field. PMID:27133367

  1. Anemia and feeding practices among infants in rural Shaanxi Province in China.

    Science.gov (United States)

    Luo, Renfu; Shi, Yaojiang; Zhou, Huan; Yue, Ai; Zhang, Linxiu; Sylvia, Sean; Medina, Alexis; Rozelle, Scott

    2014-12-01

    Anemia is one of the most prevalent public health problems among infants and iron deficiency anemia has been related to many adverse consequences. The overall goal of this study is to examine the prevalence of anemia among infants in poor rural China and to identify correlates of anemia. In April 2013, we randomly sampled 948 infants aged 6-11 months living in 351 villages across 174 townships in nationally-designated poverty counties in rural areas of southern Shaanxi Province, China. Infants were administered a finger prick blood test for hemoglobin (Hb). Anthropometric measurement and household survey of demographic characteristics and feeding practices were conducted in the survey. We found that 54.3% of 6-11 month old infants in poor rural China are anemic, and 24.3% of sample infants suffer from moderate or severe anemia. We find that children still breastfed over 6 months of age had lower Hb concentrations and higher anemia prevalence than their non-breastfeeding counterparts (p anemia prevalence than their non-formula-fed counterparts (p breastfeeding. PMID:25533008

  2. Anemia and Feeding Practices among Infants in Rural Shaanxi Province in China

    Directory of Open Access Journals (Sweden)

    Renfu Luo

    2014-12-01

    Full Text Available Anemia is one of the most prevalent public health problems among infants and iron deficiency anemia has been related to many adverse consequences. The overall goal of this study is to examine the prevalence of anemia among infants in poor rural China and to identify correlates of anemia. In April 2013, we randomly sampled 948 infants aged 6–11 months living in 351 villages across 174 townships in nationally-designated poverty counties in rural areas of southern Shaanxi Province, China. Infants were administered a finger prick blood test for hemoglobin (Hb. Anthropometric measurement and household survey of demographic characteristics and feeding practices were conducted in the survey. We found that 54.3% of 6–11 month old infants in poor rural China are anemic, and 24.3% of sample infants suffer from moderate or severe anemia. We find that children still breastfed over 6 months of age had lower Hb concentrations and higher anemia prevalence than their non-breastfeeding counterparts (p < 0.01, and that children who had ever been formula-fed had significantly higher Hb concentrations and lower anemia prevalence than their non-formula-fed counterparts (p < 0.01. The results suggest the importance of iron supplementation or home fortification while breastfeeding.

  3. The Breast vs. Bottle Battle: Infant Feeding Mis/Information

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    Melissa Rothfus

    2012-04-01

    ="false" Priority="21" SemiHidden="false" UnhideWhenUsed="false" QFormat="true" Name="Intense Emphasis" />

    That “breast is best” is a truism even infant formula manufacturers do not openly dispute, and the choice to breastfeed has increasingly become part of the measure of a good mother in modern Canadian society.  Yet the information in support of breastfeeding’s purported benefits is problematic, even as public discourse vilifies the alternative.  This paper examines the issues surrounding infant feeding choices and the way in which information is utilized and manipulated by both sides of the emotionally charged breast vs. bottle debate.  While there are good reasons to support breastfeeding practices, the current state of our knowledge of its benefits does not justify the often strident

  4. Feeding obturator appliance for an infant with cleft lip and palate

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    P Chandna

    2011-01-01

    Full Text Available Clefts of the palate, alveolus and lip are some of the most frequently encountered anomalies of the face. This article presents a case report of a neonate with cleft lip and palate in whom a feeding obturator was delivered. This article demonstrates the indications, construction, and benefits of a palatal obturator in an 11-day-old infant with a bilateral cleft lip and palate.

  5. Infant feeding practices at the Pitted Ware Culture site of Ajvide, Gotland

    OpenAIRE

    Howcroft, Rachel; Eriksson, Gunilla; Lidén, Kerstin

    2014-01-01

    The infant feeding practices used at the Pitted Ware Culture (PWC) site of Ajvide on the Baltic island of Gotland were investigated using carbon and nitrogen stable isotope ratio analysis. The PWC weremarine hunters with a seal-based economy who lived in the Baltic region during the Middle Neolithic, and were contemporary with the farming Funnel Beaker and Boat Axe Cultures. The carbon and nitrogen stable isotope ratios of bone collagen from adult females (14 individuals) and bone and dentine...

  6. Infant milk feeding influences adult bone health: a prospective study from birth to 32 years.

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    Satu Pirilä

    Full Text Available BACKGROUND: Peak bone mass, attained by early adulthood, is influenced by genetic and life-style factors. Early infant feeding and duration of breastfeeding in particular, associate with several health-related parameters in childhood. The aim of this study was to examine whether the effects of early infant feeding extend to peak bone mass and other bone health characteristics at adult age. METHODS AND FINDINGS: A cohort of 158 adults (76 males born in Helsinki, Finland, 1975, prospectively followed up from birth, underwent physical examination and bone densitometry to study bone area, bone mineral content (BMC, and bone mineral density (BMD at 32 years of age. Life-style factors relevant for bone health were recorded. For data analysis the cohort was divided into three equal-size groups according to the total duration of breastfeeding (BF: Short (≤3 months, Intermediate and Prolonged (≥7 months BF groups. In males short BF is associated with higher bone area, BMC, and BMD compared to longer BF. Males in the Short BF group had on average 4.7% higher whole body BMD than males in the Prolonged BF group. In multivariate analysis, after controlling for multiple confounding factors, the influence of BF duration on adult bone characteristics persisted in males. Differences between the three feeding groups were observed in lumbar spine bone area and BMC, and whole body BMD (MANCOVA; p = 0.025, p = 0.013, and p = 0.048, respectively, favoring the Short BF group. In women no differences were observed. CONCLUSIONS: In men, early infant milk feeding may have a significant impact on adult bone health. A potential explanation is that the calcium and phosphate contents were strikingly higher in formula milk and commercial cow milk/cow milk dilutions as opposed to human milk. Our novel finding merits further studies to determine means to ensure optimal bone mass development in infants with prolonged breastfeeding.

  7. Infant Feeding Practices and Nut Allergy over Time in Australian School Entrant Children

    OpenAIRE

    Jessica Paton; Marjan Kljakovic; Karen Ciszek; Pauline Ding

    2012-01-01

    Aim. To measure the association between infant feeding practices and parent-reported nut allergy in school entrant children. Method. The Kindergarten Health Check Questionnaire was delivered to all 110 Australian Capital Territory (ACT) primary schools between 2006 and 2009. Retrospective analyses were undertaken of the data collected from the kindergarten population. Results. Of 15142 children a strong allergic reaction to peanuts and other nuts was reported in 487 (3.2%) and 307 (3.9%), chi...

  8. KNOWLEDGE, ATTITUDE AND PRACTICES OF INFANT FEEDING PRACTICES AMONG RURAL WOMEN IN EASTERN INDIA

    OpenAIRE

    Ratan; Amitava

    2015-01-01

    Poor infant feeding practices and their consequences are one of the world's major problems and a serious obstacle to social and economic development. Breastfeeding is one of the most important determinants of child survival , birth spacing , and the prevent ion of childhood infections. The beneficial effects of breastfeeding depend on its initiation , duration , and the age at which the breastfed child is weaned. Breastfeeding practices vary among differ...

  9. Height, infant-feeding practices and cardiovascular functioning among 3 or 4 year old children in three ethnic groups.

    Science.gov (United States)

    Baranowski, T; Bryan, G T; Harrison, J A; Rassin, D K; Greaves, K A; Baranowski, J H

    1992-05-01

    Barker recently hypothesized that factors affecting prenatal and infant growth are related to adult blood pressure and CVD mortality. Predictions from Barker's hypothesis in regard to infant feeding were tested among a sample of 3 or 4 year old children. The relationship of infant-feeding characteristics (duration of breast-feeding, times of introduction of high fat, high carbohydrate, high potassium foods and table salt) to indicators of cardiovascular functioning (resting blood pressures and heart rates, and heart rate response to graded activity) while controlling for anthropometric (height, sum of seven skinfolds, BMI) and demographic (ethnicity, gender, social status) characteristics revealed that infant-feeding practices were not related to CV functioning in the predicted directions among this sample of 3 or 4 year old children. Furthermore, the positive relationship between height and systolic blood pressure was inconsistent with the Barker hypothesis. PMID:1588357

  10. TRANSPYLORIC TUBE FEEDING IN VERY LOW BIRTHWEIGHT INFANTS WITH SUSPECTED GASTROESOPHAGEAL REFLUX: IMPACT ON APNEA AND BRADYCARDIA

    OpenAIRE

    Malcolm, WF; Smith, PB; Mears, S.; Goldberg, RN; Cotten, CM

    2009-01-01

    OBJECTIVE Our aim was to assess safety and efficacy of transpyloric tube feeding as a therapeutic option to reduce apnea and bradycardia in hospitalized very low birthweight infants with clinical signs suggestive of gastroesophageal reflux. PATIENTS AND METHODS This was a retrospective single center cohort study of VLBW infants hospitalized from 2001–2004 with signs of GER who received transpyloric enteral tube feedings. Apnea (>10 sec) and bradycardia (

  11. Clinical Management of the Breast-Feeding Mother-Infant Dyad in Recovery From Opioid Dependence.

    Science.gov (United States)

    Busch, Deborah W

    2016-01-01

    Human milk is one of the most health-promoting and cost-effective nutritional substances known to humankind. Breastmilk provides substantial and remarkable physiological and psychological health benefits. Within the last decade, there has been a resurgence of breast-feeding in the United States and worldwide and an increased awareness of the immense health benefits for mothers, infants, and societies that support it. Each mother-baby dyad is a unique pair, with distinct relationships, biases, barriers, and obstacles. This article aims to address clinical management for the opioid-recovering breast-feeding dyad and to translate current evidenced-based practice findings, recommendations, and resources to best support this unique population. The recovering breast-feeding mother and newborn with opioid dependence deserve special consideration and expert care to foster their recovery and breast-feeding efforts. It is our moral and ethical responsibility as healthcare professionals to enable, foster, and promote breast-feeding among all families, especially those who stand to benefit the greatest. Substance recovery cannot be treated in isolation, nor can breast-feeding efforts; an interdisciplinary professional team effort promises the greatest chances for recovery success. With appropriate evidence-based practice support, training, and intervention by knowledgeable professionals, many women can overcome the biases and obstacles associated with opioid recovery to successfully breast-feed their babies. PMID:27272990

  12. Women Literacy and Infant Feeding Practices in Rural Integrated Child Development Scheme (ICDS Block of Delhi

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    Davey Sanjeev , Davey Anuradha

    2012-09-01

    Full Text Available Background: Infant feeding practices have significant effect on the child nutrition, which largely dependent upon the mothers correct knowledge and awareness for the same. Objective: To find out effect of rural women empowerment through literacy on infant feeding practices in an ICDS block. Material and Methodology: Interview of the mothers of registered children up to 6 years in the rural ICDS block for the feeding practices and recording of the weight of those registered children by the salter weighing scale for their nutritional status. Results: Three fourth of the children had received ceremonial feed in the form of honey or gutti and 40 percent of the mothers in our study has discarded colostrums, considering it as ‘bad milk’. Exclusive breast feeding was received by 34.6% children. As literacy level of mothers increased the nutritional status of children was better. This could be because most of the women who are middle school passed or above are non working, so are able to give more time for care and feeding practices. The Severe malnutrition (grade III and IV was evident only in illiterate category of mothers, where 58.7% women were working in unskilled or semiskilled job outside home. Conclusion: Women living in chronic hunger are forced to unskilled jobs for income generation for the family, thereby influencing the feeding practices of their children. In such scenario AWCs and AWWs can be a unique opportunity with their focused approach to take care of severe and moderate malnutrition.

  13. Continuities and changes in infant attachment patterns across two generations.

    Science.gov (United States)

    Raby, K Lee; Steele, Ryan D; Carlson, Elizabeth A; Sroufe, L Alan

    2015-01-01

    This study examined the intergenerational continuities and changes in infant attachment patterns within a higher-risk longitudinal sample of 55 female participants born into poverty. Infant attachment was assessed using the Strange Situation when participants were 12 and 18 months as well as several decades later with participants' children. Paralleling earlier findings from this sample on the stability of attachment patterns from infancy to young adulthood, results provided evidence for intergenerational continuities in attachment disorganization but not security. Children of adults with histories of infant attachment disorganization were at an increased risk of forming disorganized attachments. Although changes in infant attachment patterns across the two generations were not correlated with individuals' caregiving experiences or interpersonal stresses and supports during childhood and adolescence, higher quality social support during adulthood was associated with intergenerational changes from insecure to secure infant-caregiver attachment relationships. PMID:26213155

  14. Infants-feeding practices and their relationship with socio-economic and health conditions in Lahore, Pakistan

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    Saadia Ijaz

    2015-08-01

    Full Text Available Background: Pakistan, has high infant mortality rate. Among every 1000 live births 0.76% becomes the victim of death due to malnutrition and fatal infections. Therefore, feeding modes and practices may serve as important factors for assessment of an infant's growth and nutritional status. This study was designed to assess the exclusive breast feeding rate, frequency of diseases during breast feeding, status of breast feeding along with weaning, level of education, occupation and socio-economic status of parents. Methods: In the descriptive and cross-sectional study, a total of one hundred (100 infants were included. The sampling technique was non-probability convenience sampling. This study was conducted at vaccination centers and children clinics in different hospitals in city of Lahore -Pakistan. Results: The results showed that 67% of the mothers exclusively breastfed their babies. 64% of the mothers had knowledge of exclusive breast feeding. The practice of breast feeding was found as 81% while artificial feeding was practiced among 19% of the mothers. Majority of the mothers started weaning their babies at the age 4 (31% and 6 months (32% whereas 28% mothers started after 6 months. 54% of mothers continued breastfeeding along with weaning. 72% of the mothers were aware of the importance of colostrum. Conclusion: Maternal education and women's employment have been found major determinants for breastfeeding. The result indicates that in Pakistan, mothers receive counseling on breast feeding which is quite satisfactory and feeding practices of infants are found as better in Pakistan.

  15. FOXP2 gene deletion and infant feeding difficulties: a case report.

    Science.gov (United States)

    Zimmerman, Emily; Maron, Jill L

    2016-01-01

    Forkhead box protein P2 (FOXP2) is a well-studied gene known to play an essential role in normal speech development. Deletions in the gene have been shown to result in developmental speech disorders and regulatory disruption of downstream gene targets associated with common forms of language impairments. Despite similarities in motor planning and execution between speech development and oral feeding competence, there have been no reports to date linking deletions within the FOXP2 gene to oral feeding impairments in the newborn. The patient was a nondysmorphic, appropriately and symmetrically grown male infant born at 35-wk gestational age. He had a prolonged neonatal intensive care unit stay because of persistent oral feeding incoordination requiring gastrostomy tube placement. Cardiac and neurological imagings were within normal limits. A microarray analysis found an ∼9-kb loss within chromosome band 7q3.1 that contains exon 2 of FOXP2, demonstrating a single copy of this region instead of the normal two copies per diploid gene. This case study expands our current understanding of the role FOXP2 exerts on motor planning and coordination necessary for both oral feeding success and speech-language development. This case report has important consequences for future diagnosis and treatment for infants with FOXP2 deletions, mutations, and varying levels of gene expression. PMID:27148578

  16. FOXP2 gene deletion and infant feeding difficulties: a case report

    Science.gov (United States)

    Zimmerman, Emily; Maron, Jill L.

    2016-01-01

    Forkhead box protein P2 (FOXP2) is a well-studied gene known to play an essential role in normal speech development. Deletions in the gene have been shown to result in developmental speech disorders and regulatory disruption of downstream gene targets associated with common forms of language impairments. Despite similarities in motor planning and execution between speech development and oral feeding competence, there have been no reports to date linking deletions within the FOXP2 gene to oral feeding impairments in the newborn. The patient was a nondysmorphic, appropriately and symmetrically grown male infant born at 35-wk gestational age. He had a prolonged neonatal intensive care unit stay because of persistent oral feeding incoordination requiring gastrostomy tube placement. Cardiac and neurological imagings were within normal limits. A microarray analysis found an ∼9-kb loss within chromosome band 7q3.1 that contains exon 2 of FOXP2, demonstrating a single copy of this region instead of the normal two copies per diploid gene. This case study expands our current understanding of the role FOXP2 exerts on motor planning and coordination necessary for both oral feeding success and speech–language development. This case report has important consequences for future diagnosis and treatment for infants with FOXP2 deletions, mutations, and varying levels of gene expression.

  17. IS INFANT FEEDING ON COMPLEMENTARY FOOD REQUIRES ADDITIONAL PREBIOTICS?

    OpenAIRE

    Befikadu Tariku; Singh Pragya

    2012-01-01

    Bacteria are normal inhabitants of the gastrointestinal tract, where more than 400 bacterial species are found. Bacterial colonization of the gut begins at birth, as newborns are maintained in a sterile status until the delivery begins, and continues throughout life, with notable age-specific changes. Human milk oligosaccharides are complex glycans that are highly abundant in human breast milk. It is generally accepted that human milk oligosaccharides have prebiotic effects, selectively servi...

  18. Gendered perceptions on infant feeding in Eastern Uganda: continued need for exclusive breastfeeding support

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    Karamagi Charles A

    2010-10-01

    Full Text Available Abstract Background In resource-poor settings, HIV positive mothers are recommended to choose between 'Exclusive breastfeeding' (EBF or 'Exclusive replacement feeding' (ERF. Acceptability, Feasibility, Affordability, Sustainability and Safety (AFASS has been the World Health Organization (WHO's a priori criteria for ERF the last ten years. 'AFASS' has become a mere acronym among many workers in the field of prevention of mother-to-child transmission of HIV, PMTCT. Thereby, non-breastfeeding has been suggested irrespective of social norms. EBF for the first half of infancy is associated with huge health benefits for children in areas where infant mortality is high. But, even if EBF has been recommended for a decade, few mothers are practicing it. We set out to understand fathers' and mothers' infant feeding perceptions and the degree to which EBF and ERF were 'AFASS.' Methods Eight focus groups with 81 informants provided information for inductive content analysis. Four groups were held by men among men and four groups by women among women in Mbale District, Eastern Uganda. Results Two study questions emerged: How are the different feeding options understood and accepted? And, what are men's and women's responsibilities related to infant feeding? A mother's commitment to breastfeed and the husband's commitment to provide for the family came out strongly. Not breastfeeding a newborn was seen as dangerous and as unacceptable, except in cases of maternal illness. Men argued that not breastfeeding could entail sanctions by kin or in court. But, in general, both men and women regarded EBF as 'not enough' or even 'harmful.' Among men, not giving supplements to breast milk was associated with poverty and men's failure as providers. Women emphasised lack of time, exhaustion, poverty and hunger as factors for limited breast milk production. Although women had attended antenatal teaching they expressed a need to know more. Most men felt left out from

  19. Healthy babies through infant-centered feeding protocol: an intervention targeting early childhood obesity in vulnerable populations

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    Horodynski Mildred A

    2011-11-01

    Full Text Available Abstract Background Poor feeding practices during infancy contribute to obesity risk. As infants transition from human milk and/or formula-based diets to solid foods, these practices interfere with infant feeding self-regulation and healthy growth patterns. Compared with other socioeconomic groups, lower-income mothers are more likely to experience difficulty feeding their infants. This may include misinterpreting feeding cues and using less-than-optimal feeding styles and practices, such as pressuring infants during mealtimes and prematurely introducing solid food and sweetened beverages. The Healthy Babies trial aims to determine the efficacy of a community-based randomized controlled trial of an in-home intervention with economically and educationally disadvantaged mother-infant dyads. The educational intervention is being conducted during the infant's first 6 months of life to promote healthy transition to solids during their first year and is based on the theory of planned behavior. Methods/Design We will describe our study protocol for a multisite randomized control trial being conducted in Colorado and Michigan with an anticipated sample of 372 economically and educationally disadvantaged African American, Hispanic, and Caucasian mothers with infants. Participants are being recruited by county community agency staff. Participants are randomly assigned to the intervention or the control group. The intervention consists of six in-home visits by a trained paraprofessional instructor followed by three reinforcement telephone contacts when the baby is 6, 8, and 10 months old. Main maternal outcomes include a maternal responsiveness, b feeding style, and c feeding practices. Main infant outcome is infant growth pattern. All measures occur at baseline and when the infant is 6 and 12 months old. Discussion If this project is successful, the expected outcomes will address whether the home-based early nutrition education intervention is effective

  20. Women's experiences of infant feeding support in the first 6 weeks post-birth.

    Science.gov (United States)

    Sheehan, Athena; Schmied, Virginia; Barclay, Lesley

    2009-04-01

    Research suggests women find the first 2 to 6 weeks to be the most difficult time for breastfeeding. It has been identified that women need and seek support with breastfeeding during this time. Support is a difficult concept to define. When discussed by professionals, support for breastfeeding is generally viewed in terms of providing information and educational interventions. There is little understanding of the different elements of breastfeeding support strategies and the mechanisms by which support operates. Further, there is a paucity of qualitative research specifically reporting women's experiences and expectations of professional support. This paper describes women's expectations and experiences of 'infant feeding support' provided by health professionals in the first 6 weeks post-birth. The findings are drawn from a grounded theory study exploring women's infant feeding decisions in the first 6 weeks post-birth. Participants were recruited from a variety of socio-demographic areas of Sydney and the NSW Central Coast, Australia in 2003-2004. The women in this study discussed aspects of what they considered helpful and/or unhelpful in terms of professional support. In addition, they also provided insight into aspects of interactions that were deemed important to them as new mothers learning to feed their babies. The results are presented in three sections: expecting support, experiencing support and evaluating support. The findings help to better understand components of professional practices and behaviours that can be considered supportive. The support behaviours are far more complex than simply increasing education and knowledge of infant feeding. They demonstrate the need for sensitive individualized care and show that this type of support can increase women's confidence to breastfeed. PMID:19292748

  1. Progress in promoting breast-feeding, combating malnutrition, and composition and use of infant formula, 1981-2006

    Science.gov (United States)

    More than 90% of women in developing countries and 50 to 90% of women in industrialized countries now initiate breast-feeding, a marked improvement from 25 y ago. The duration of breast-feeding has lengthened, but fewer than 35% of infants worldwide are still exclusively breast-fed at 4 mo of age. C...

  2. Feeding and Nutrition of Infants and Young Children. Guidelines for the WHO European Region. WHO Regional Office for Europe. 2000

    DEFF Research Database (Denmark)

    Robertson, Aileen; Fleischcer Michælsen, Kim

    2000-01-01

    Good feeding practices will prevent malnutrition and early growth retardation, which is still common in some parts of the WHO European Region, especially countries of the former Soviet Union. Despite the importance of nutrition and feeding of infants and young children, limited attention has been...

  3. Homologous human milk supplement for very low birth weight preterm infant feeding

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    Thayana Regina de Souza Grance

    2015-03-01

    Full Text Available OBJECTIVE: To develop a homologous human milk supplement for very low-birth weight infant feeding, using an original and simplified methodology, to know the nutritional composition of human milk fortified with this supplement and to evaluate its suitability for feeding these infants. METHODS: For the production and analysis of human milk with the homologous additive, 25 human milk samples of 45mL underwent a lactose removal process, lyophilization and then were diluted in 50mL of human milk. Measurements of lactose, proteins, lipids, energy, sodium, potassium, calcium, phosphorus and osmolality were performed. RESULTS: The composition of the supplemented milk was: lactose 9.22±1.00g/dL; proteins 2.20±0.36g/dL; lipids 2.91±0.57g/dL; calories 71.93±8.69kcal/dL; osmolality 389.6±32.4mOsmol/kgH2O; sodium 2.04±0.45mEq/dL; potassium 1.42±0.15mEq/dL; calcium 43.44±2.98mg/dL; and phosphorus 23.69±1.24mg/dL. CONCLUSIONS: According to the nutritional contents analyzed, except for calcium and phosphorus, human milk with the proposed supplement can meet the nutritional needs of the very low-birth weight preterm infant.

  4. A descriptive study of Cambodian refugee infant feeding practices in the United States

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    Labbok Miriam

    2008-01-01

    Full Text Available Abstract Background The purpose of this exploratory study was to examine Cambodian refugee mothers' infant feeding beliefs, practices, and decision making regarding infant feeding in the U.S. and to explore if a culturally-specific breastfeeding program is appropriate for this community. Methods A self-administered questionnaire and a 30 minute in-person interview were used to collect information from nine women. The audio-taped interviews were transcribed, answers compiled, and themes from each question identified. Results All participants practiced either traditional Cambodian diet (pregnancy and postpartum diet including, tnam sraa, herbs mixed with either wine or tea, traditional Cambodian rituals (like spung, amodified sauna or both, despite having lived in the U.S. for many years. All nine women initiated breastfeeding, however eight women introduced infant formula while in hospital. Perceived low milk supply and returning to work were the main reasons cited for partial breastfeeding and early cessation of breastfeeding. Conclusion While causes of initiation of other foods are similar to those found in the U.S. as a whole, a culturally-specific Cambodian breastfeeding support program may help overcome some breastfeeding problems reported by Cambodian refugee mothers who have immigrated to the United States.

  5. Feeding practices and nutritional status of HIV-exposed and HIV-unexposed infants in the Western Cape

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    Magdel E. Rossouw

    2016-02-01

    Full Text Available Background: Optimal infant- and young child–feeding practices are crucial for nutritional status, growth, development, health and, ultimately, survival. Human breast milk is optimal nutrition for all infants. Complementary food introduced at the correct age is part of optimal feeding practices. In South Africa, widespread access to antiretrovirals and a programme to prevent mother-to-child transmission of HIV have reduced HIV infection in infants and increased the number of HIV-exposed uninfected (HEU infants. However, little is known about the feeding practices and nutritional status of HEU and HIV-unexposed (HU infants.Objective: To assess the feeding practices and nutritional status of HIV-exposed and HIV-unexposed (HU infants in the Western Cape.Design: Prospective substudy on feeding practices nested in a pilot study investigating the innate immune abnormalities in HEU infants compared to HU infants. The main study commenced at week 2 of life with the nutrition component added from 6 months. Information on children’s dietary intake was obtained at each visit from the caregiver, mainly the mother. Head circumference, weight and length were recorded at each visit. Data were obtained from 6-, 12- and 18-month visits. World Health Organization feeding practice indicators and nutrition indicators were utilised.Setting: Tygerberg Academic Hospital, Western Cape. Mothers were recruited from the postnatal wards.Subjects: Forty-seven mother–infant pairs, 25 HEU and 22 HU infants, participated in this nutritional substudy. Eight (17% infants, one HU and seven HEU, were lost to follow-up over the next 12 months. The HEU children were mainly Xhosa (76% and HU were mainly mixed race (77%.Results: The participants were from poor socio-economic backgrounds. In both groups, adherence to breastfeeding recommendations was low with suboptimal dietary diversity. We noted a high rate of sugar- and salt-containing snacks given from a young age. The HU

  6. DDT in fishes from four different Amazon sites: exposure assessment for breast feeding infants

    Energy Technology Data Exchange (ETDEWEB)

    D' Amato, C.; Torres, J.P.; Malm, O. [Lab. de Radioisotopos Eduardo Penna Franca, Inst. de Biofisica, UFRJ, RJ (Brazil); Bastos, W. [Lab. de Biogeoquimica, UNIR, Porto Velho (Brazil); Claudio, L.; Markowitz, S. [International Training Program on Environmental and Occupational Health, Mount Sinai School of Medicine, Queens Coll., NY (United States)

    2004-09-15

    Concerning DDT in food, based on clinical observations as well as experimental animals, the annual Joint FAO/WHO Meetings on Pesticide Residues held in 2000 estimated a Provisional Tolerable Daily Intake (PTDI) for DDT in 0.01 mg/kg/day. Marien and Laflamme have proposed a Tolerable Daily Intake (TDI) for breast feedings infants of 5 x 10{sup -3} mg/kg/day, and conducted an assessment to evaluate the public health significance of eating {sigma}ODDT contaminated fish, accomplished by establishing a daily intake level of DDT for the population of greatest concern, like breastfeeding infants. Their results indicated that mothers who frequently consume contaminated fish could have breast milk DDT concentrations highly enough to expose their infants to levels above the TDI. The aim of this study was to evaluate the ODDT (o,p'-DDT + p,p'-DDT + o,p'-DDE + p,p'-DDE + o,p'-DDD) levels in commercial fish samples from distinct Brazilian Amazon sites, which are consumed by the riverine populations, and to assess the potential health impacts from eating these fishes, especially for breastfeeding infants.

  7. Infant-feeding practices among African American women: social-ecological analysis and implications for practice.

    Science.gov (United States)

    Reeves, Elizabeth A; Woods-Giscombé, Cheryl L

    2015-05-01

    Despite extensive evidence supporting the health benefits of breastfeeding, significant disparities exist between rates of breastfeeding among African American women and women of other races. Increasing rates of breastfeeding among African American women can contribute to the improved health of the African American population by decreasing rates of infant mortality and disease and by enhancing cognitive development. Additionally, higher rates of breastfeeding among African American women could foster maternal-child bonding and could contribute to stronger families, healthier relationships, and emotionally healthier adults. The purpose of this article is twofold: (a) to use the social-ecological model to explore the personal, socioeconomic, psychosocial, and cultural factors that affect the infant feeding decision-making processes of African American women and (b) to discuss the implications of these findings for clinical practice and research to eliminate current disparities in rates of breastfeeding. PMID:24810518

  8. Correlations among parental and neonatal anthropometric parameters, feeding practices and infant obesity

    Directory of Open Access Journals (Sweden)

    Daniel Sabau

    2014-08-01

    Full Text Available Background and aims: Infant and adult obesity is becoming a real public health concern in Romania, similar to other countries of the European Union. Maternal obesity and excessive weight gain during pregnancy are proven risk factors for the obesity of the child. The protective role of the breastfeeding against obesity has also been demonstrated. The most important issue is whether the choice of a milk formula with the right protein composition could or not protect the newborn from becoming a future obese infant and child. Our study aims to describe the characteristics of a group of macrosomic newborns,in relation to the mothers’ weight gain during pregnancy, mode of delivery, birth weight, complications at birth, time of first feeding and type of feeding during maternity stay. Patients and methods: we conducted a retrospective study on 179 newborns with birth weights > 4000 grams, born over a period of three months (March-May in 6 large maternity hospitals in Romania. Results: the newborns had a mean gestational age of 39.5 weeks and a mean birth weight of 4195 grams. Male newborns were prevalent (74%. More than half were born by Cesarian section and had Apgar scores with a median of 9. Macrosomes are prone to complications at birth and in our study those were mainly hypoglycemia and birth trauma. Time at first feeding was 95 minutes (mean, with a high percentage of formula/mixed feeding (68%. Conclusion: Macrosomia itself attracts the risk of birth by cesarean section (54% of study group, birth trauma and a low rate of exclusive breast milk feeding (32% of study group at discharge.

  9. The Infant Feeding Activity and Nutrition Trial (INFANT an early intervention to prevent childhood obesity: Cluster-randomised controlled trial

    Directory of Open Access Journals (Sweden)

    Campbell Karen

    2008-03-01

    Full Text Available Abstract Background Multiple factors combine to support a compelling case for interventions that target the development of obesity-promoting behaviours (poor diet, low physical activity and high sedentary behaviour from their inception. These factors include the rapidly increasing prevalence of fatness throughout childhood, the instigation of obesity-promoting behaviours in infancy, and the tracking of these behaviours from childhood through to adolescence and adulthood. The Infant Feeding Activity and Nutrition Trial (INFANT aims to determine the effectiveness of an early childhood obesity prevention intervention delivered to first-time parents. The intervention, conducted with parents over the infant's first 18 months of life, will use existing social networks (first-time parent's groups and an anticipatory guidance framework focusing on parenting skills which support the development of positive diet and physical activity behaviours, and reduced sedentary behaviours in infancy. Methods/Design This cluster-randomised controlled trial, with first-time parent groups as the unit of randomisation, will be conducted with a sample of 600 first-time parents and their newborn children who attend the first-time parents' group at Maternal and Child Health Centres. Using a two-stage sampling process, local government areas in Victoria, Australia will be randomly selected at the first stage. At the second stage, a proportional sample of first-time parent groups within selected local government areas will be randomly selected and invited to participate. Informed consent will be obtained and groups will then be randomly allocated to the intervention or control group. Discussion The early years hold promise as a time in which obesity prevention may be most effective. To our knowledge this will be the first randomised trial internationally to demonstrate whether an early health promotion program delivered to first-time parents in their existing social groups

  10. Effects of breast-feeding compared with formula-feeding on preterm infant body composition: a systematic review and meta-analysis.

    Science.gov (United States)

    Huang, Pan; Zhou, Jianghua; Yin, Yanan; Jing, Wenjuan; Luo, Biru; Wang, Jiang

    2016-07-01

    We conducted a systematic review and meta-analysis to compare the effect of breast-feeding and formula-feeding on body composition of preterm infants. We searched the literature using PubMed, Cochrane Central Library Issue, Ovid (Medline), Embase and other resources such as Google Scholar, electronic databases and bibliographies of relevant articles; two reviewers collected and extracted data independently. All the authors assessed risk of bias independently using the Newcastle-Ottawa Scale (NOS). A fixed-effects meta-analysis was undertaken with RevMan 5 software (The Cochrane Collaboration) using the inverse variance method (P≥0·05; χ 2 test). In contrast, a random-effects meta-analysis was carried out. Altogether, 630 articles were identified using search strategy, and the references within retrieved articles were also assessed. A total of six studies were included in this systematic review. In formula-fed infants, fat mass was higher at term (mean difference 0·24 (95 % CI 0·17, 0·31) kg), fat-free mass was higher at 36 weeks of gestational (mean difference 0·12 (95 % CI 0·04, 0·21) kg) and the percentage of fat mass was higher at 36 weeks of gestation (mean difference 3·70 (95 % CI 1·81, 5·59) kg) compared with breast-fed infants. Compared with breast-feeding, formula-feeding is associated with altered body composition from birth to term in preterm infants. The effects of formula-feeding on preterm infant body composition from term to 12-month corrected age are inconclusive in our study. Well-designed studies are required in the future to explore the effects of formula-feeding compared with breast-feeding. PMID:27181767

  11. Infant feeding modalities addressed in two different ways in Eastern Uganda

    Directory of Open Access Journals (Sweden)

    Tumwine James K

    2010-02-01

    Full Text Available Abstract Background Durations of exclusive breastfeeding (EBF and predominant breastfeeding (PBF from two different assessments, among the same mother-infant population, were investigated to determine the degree to which the assessments yielded overlapping results. Methods Thirty Ugandan mother-infant pairs were followed up weekly from birth to three months of age with weekly short-time feeding recall: the 24-hour recall asked prior to the 1-week recall. In addition, at week 6 and 12 dietary recalls since-birth were conducted. Variables for the duration of EBF and PBF were created from the short-time feeding recalls and the dietary recalls since-birth, respectively. Mean durations of EBF and PBF from the two assessments were compared with Kaplan Meier analysis at week 6 and 12. Reproducibility of dietary recall instruments was also assessed. Results At six weeks postpartum the mean durations of EBF were 0.50 weeks (95% CI: 0, 1.02 according to the weekly short-time recalls and 1.51 weeks (95% CI: 0.66, 2.35 according to the recall since-birth (Mantel-Cox test, p = 0.049. The mean durations of PBF were 4.07 weeks (95% CI: 3.38, 4.77 according to the frequent short-time recalls and 4.50 weeks (95% CI: 3.93, 5.07 according to the recall since-birth, (Mantel-Cox-test, p = 0.82. At twelve weeks the mean durations of EBF were 0.5 weeks (95% CI: 0, 1.1 according to the weekly short-time recalls and 1.4 weeks (95% CI: 0.1, 2.7 according to the recall since-birth (Mantel-Cox-test, p = 0.15. The mean durations of PBF were 5.2 weeks (95% CI: 3.9, 6.5 according to the weekly short-time recalls and 6.6 weeks (95% CI: 5.4, 7.8 according to recall since-birth (Mantel-Cox-test, p = 0.20. Reports of feeding categories and early feeding practices showed high reproducibility. Conclusion Comparing duration of EBF and PBF in this group of mother-infant pairs showed overlapping results from the weekly short-time assessment and the recall since-birth at twelve weeks

  12. Infant feeding concerns in times of natural disaster: lessons learned from the 2014 flood in Kelantan, Malaysia.

    Science.gov (United States)

    Sulaiman, Zaharah; Mohamad, Noraini; Ismail, Tengku Alina Tengku; Johari, Nazirah; Hussain, Nik Hazlina Nik

    2016-01-01

    The flood that hit Kelantan in December 2014 was the worst in Malaysian history. Women and their infants accounted for a large proportion of the people at risk who were badly affected, as almost half of the population in Kelantan was in the reproductive age group. This report serves to raise awareness that breastfeeding mothers and infants are a special population with unique needs during a disaster. Four of their concerns were identified during this massive flood: first, the negative impact of flood on infant nutritional status and their health; second, open space and lack of privacy for the mothers to breastfeed their babies comfortably at temporary shelters for flood victims; third, uncontrolled donations of infant formula, teats, and feeding bottles that are often received from many sources to promote formula feeding; and lastly, misconceptions related to breastfeeding production and quality that may be affected by the disaster. The susceptibility of women and their infant in a natural disaster enhances the benefits of promoting the breastfeeding rights of women. Women have the right to be supported which enables them to breastfeed. These can be achieved through monitoring the distribution of formula feeding, providing water, electricity and medical care for breastfeeding mothers and their infants. A multifaceted rescue mission team involving various agencies comprising of local government, including the health and nutrition departments, private or non-governmental organizations and individual volunteers have the potential to improve a satisfactory condition of women and infants affected by floods and other potential natural disasters. PMID:27440698

  13. Feeding Intolerance and Poor Growth in Infants with Gastroschisis: Longitudinal Experience with Consecutive Patients over Thirteen Years

    Directory of Open Access Journals (Sweden)

    Saloni Balgi

    2015-10-01

    Full Text Available Objectives: 1 To investigate in-hospital factors associated with delayed tolerance of full volume enteral nutrition and 2 To assess longitudinal growth in a contemporary population of infants with gastroschisis.Design: Retrospective single-center study of all infants with gastroschisisSetting: Level III neonatal intensive care unit in a free-standing Children’s HospitalDuration: 13.5 yearsMaterials & Methods: Detailed data regarding demographics, nutritional support, growth, and infant outcomes was collected for all infants with gastroschisis. Linear regression was used to investigate in-hospital factors associated with feeding intolerance and poor growth.Results: For 52 infants, the median gestational age at birth was 36 weeks, the median postnatal age to achieve full feeds was 22 days, and median in-hospital weight gain was 18 gm/day. With linear regression, there was a positive association between time to full feeds and both hospital length of stay (adjusted R2=0.503, p<0.0001 and (unexpectedly in-hospital weight gain (adjusted R2=0.125, p=0.0248. There was a negative association between in-hospital weight gain and preterm birth (adjusted R2=0.125, p=0.0356. For infants with longitudinal growth data, 35% had a weight <5th percentile (of whom 67% were preterm.Conclusions: Many infants with gastroschisis have poor growth before and after hospital discharge. Aggressive feeding advancement may be a contributing factor to this finding and preterm infants may be at greater risk for poor growth than term infants.

  14. Infant-feeding practices in urban and rural communities of the Sudan.

    Science.gov (United States)

    el Bushra, H M; Salih, M A; Satti, S A; Ahmed, M el F; Kamil, I A

    1994-01-01

    Infant-feeding and weaning practices were investigated in a multistage randomly selected sample of 1,039 Sudanese mothers who represented six of the nine States of the Sudan. The majority (77.9%) believed that breast milk was best for their babies, emphasizing the previously reported high breast-feeding rate in Sudanese mothers. Food supplementation started by 6 months in 82.5% mainly in urban middle and high classes (UMC and UHC) compared to urban poor class (UPC) and the rural group (RG; p fresh goat's or cow's milk (77.6%), followed by powdered or formula milk (16.1%). The commonest second preferred food was a starch gruel (39.1%) made either of rice (24.5%) or fermented sorghum. PMID:7855919

  15. Effect of mother-infant early skin-to-skin contact on breast feeding status: a randomized controlled trial

    International Nuclear Information System (INIS)

    Objective: To evaluate the effect of mother-infant early skin-to-skin contact on breast feeding behavior of infants. Study Design: A randomized controlled trial. Place and Duration of Study: The study was conducted in the Department of Obstetrics of Pakistan Institute of Medical Sciences, Islamabad, from November to December 2009. Methodology: Eligible mothers were assessed for the successful breast feeding by using IBFAT tool. The time to initiate the first feed, time to effective breast feeding, maternal satisfaction with the care provided, preference for the same care in future and level of exclusive breast feeding at the age of one month were also noted. The data was compared by using X2 and t-test. Significant p-value was taken as < 0.05. Results: A total of 183 mother-infant pairs (92 in skin-to-skin care [SSC] group and 91 in conventional care [CC] group) were analyzed for breast feeding behavior of the infants. The first breast feed was 26.25% more successful in SSC group (58.8% in SSC group as compared to 32.5% in CC group with p-value of 0.001). In SSC group, the mean time to initiate first breast feed was 61.6 minutes shorter than CC group (40.62 vs. 101.88; p < 0.001). Mean time to achieve effective breast feeding was 207 minutes earlier in SSC group (149.69 vs. 357.50; p < 0.001). The level of satisfaction in the mothers of SSC group was significantly high as compared to controls (56% vs. 6.2%). Similarly, 53.8% mothers of SSC group showed reference for similar care in future as compared to 5% in CC group. In SSC group 85.3% infants were exclusively breast fed at one month as compared to 65.7% in CC group (p=0.025). Conclusion: Maternal-infant early skin-to-skin contact significantly enhanced the success of first breast feed and continuation of exclusive breast feeding till one month of age. It also reduced the time to initiate first feed and time to effective breast feeding. (author)

  16. Early gradual feeding with bovine colostrum improves gut function and NEC resistance relative to infant formula in preterm pigs.

    Science.gov (United States)

    Shen, René L; Thymann, Thomas; Østergaard, Mette V; Støy, Ann Cathrine F; Krych, Łukasz; Nielsen, Dennis S; Lauridsen, Charlotte; Hartmann, Bolette; Holst, Jens J; Burrin, Douglas G; Sangild, Per T

    2015-09-01

    It is unclear when and how to start enteral feeding for preterm infants when mother's milk is not available. We hypothesized that early and slow advancement with either formula or bovine colostrum stimulates gut maturation and prevents necrotizing enterocolitis (NEC) in preterm pigs, used as models for preterm infants. Pigs were given either total parenteral nutrition (TPN, n = 14) or slowly advancing volumes (16-64 ml·kg(-1)·day(-1)) of preterm infant formula (IF, n = 15) or bovine colostrum (BC, n = 13), both given as adjunct to parenteral nutrition. On day 5, both enteral diets increased intestinal mass (27 ± 1 vs. 22 ± 1 g/kg) and glucagon-like peptide 2 release, relative to TPN (P colostrum supports gut maturation when mother's milk is absent during the first week after preterm birth. A diet-dependent feeding guideline may be required for newborn preterm infants. PMID:26138468

  17. The influence of maternal infant feeding practices and beliefs on the expression of food neophobia in toddlers.

    Science.gov (United States)

    Cassells, Erin L; Magarey, Anthea M; Daniels, Lynne A; Mallan, Kimberley M

    2014-11-01

    Food neophobia is a highly heritable trait characterized by the rejection of foods that are novel or unknown and potentially limits dietary variety, with lower intake and preference particularly for fruits and vegetables. Understanding non-genetic (environmental) factors that may influence the expression of food neophobia is essential to improving children's consumption of fruits and vegetables and encouraging the adoption of healthier diets. The aim of this study was to examine whether maternal infant feeding beliefs (at 4 months) were associated with the expression of food neophobia in toddlers and whether controlling feeding practices mediated this relationship. Participants were 244 first-time mothers (M=30.4, SD=5.1 years) allocated to the control group of the NOURISH randomized controlled trial. The relationships between infant feeding beliefs (Infant Feeding Questionnaire) at 4 months and controlling child feeding practices (Child Feeding Questionnaire) and food neophobia (Child Food Neophobia Scale) at 24 months were tested using correlational and multiple linear regression models (adjusted for significant covariates). Higher maternal Concern about infant under-eating and becoming underweight at 4 months was associated with higher child food neophobia at 2 years. Similarly, lower Awareness of infant hunger and satiety cues was associated with higher child food neophobia. Both associations were significantly mediated by mothers' use of Pressure to eat. Intervening early to promote positive feeding practices to mothers may help reduce the use of controlling practices as children develop. Further research that can further elucidate the bi-directional nature of the mother-child feeding relationship is still required. PMID:25014743

  18. Feeding demand conditions and plasma cortisol in socially-housed squirrel monkey mother-infant dyads.

    Science.gov (United States)

    Champoux, M; Hwang, L; Lang, O; Levine, S

    2001-07-01

    Previous studies have demonstrated that experimentally altering the accessibility and availability of food can have profound impact on behavior and adrenocortical activity in nonhuman primate species. In this study, groups of mother-infant squirrel monkey dyads were housed in either high demand (HFD: 120% normal daily food intake provided), low demand (LFD: 600% normal daily food intake provided) or variable demand (VFD: alternating two-week blocks of low demand and high demand) conditions for 12 weeks. During the 12-week experimental foraging phase, animals in the HFD group exhibited prolonged and consistent cortisol elevations. The cortisol levels in the VFD group reflected the ambient demand condition, with higher levels exhibited during the high demand phases of the study, and lower values when the low demand condition was in effect. Overall, mothers were more affected by the experimental manipulation than were infants. The experimental condition did not affect the infants' response to a 24-h separation from their mothers. A suppression of cortisol levels, particularly in the HFD group, was observed upon resumption of ad-libitum feeding. PMID:11337131

  19. Mercury Exposure in Healthy Korean Weaning-Age Infants: Association with Growth, Feeding and Fish Intake

    Directory of Open Access Journals (Sweden)

    Ju Young Chang

    2015-11-01

    Full Text Available Low-level mercury (Hg exposure in infancy might be harmful to the physical growth as well as neurodevelopment of children. The aim of this study was to investigate postnatal Hg exposure and its relationship with anthropometry and dietary factors in late infancy. We recruited 252 healthy Korean infants between six and 24 months of age from an outpatient clinic during the 2009/2010 and 2013/2014 seasons. We measured the weight and height of the infants and collected dietary information using questionnaires. The Hg content of the hair and blood was assessed using inductively coupled plasma mass spectroscopy. The geometric mean Hg concentration in the hair and blood was 0.22 (95% confidence interval: 0.20–0.24 µg/g and 0.94 (n = 109, 95% confidence interval: 0.89–0.99 µg/L, respectively. The hair Hg concentration showed a good correlation with the blood Hg concentration (median hair-to-blood Hg ratio: 202.7, r = 0.462, p < 0.001 and was >1 µg/g in five infants. The hair Hg concentration showed significant correlations with weight gain after birth (Z-score of the weight for age—Z-score of the birthweight; r = −0.156, p = 0.015, the duration (months of breastfeeding as the dominant method of feeding (r = 0.274, p < 0.001, and the duration of fish intake more than once per week (r = 0.138, p = 0.033. In an ordinal logistic regression analysis with categorical hair Hg content (quartiles, dietary factors, including breastfeeding as the dominant method of feeding in late infancy (cumulative odds ratio: 6.235, 95% confidence interval: 3.086–12.597, p < 0.001 and the monthly duration of fish intake more than once per week (cumulative odds ratio: 1.203, 95% confidence interval: 1.034–1.401; p = 0.017, were significantly associated with higher hair Hg content. Weight gain after birth was not, however, significantly associated with hair Hg content after adjustment for the duration of breastfeeding as the dominant method of feeding. Low-level Hg

  20. The influence of infant feeding attitudes on breastfeeding duration: evidence from a cohort study in rural Western Australia

    OpenAIRE

    Cox, Kylee N.; Giglia, Roslyn C.; Binns, Colin W.

    2015-01-01

    Background Breast milk is the optimal source of nutrition for infants in the first six months of life. Promoting and protecting breastfeeding is reflected in public health policy across the globe, but breastfeeding rates in both developing and industrialised countries continue to demonstrate that few mothers meet these recommendations. In addition to sociodemographic factors such as age, education and income, modifiable factors such as maternal infant feeding attitudes have been shown to infl...

  1. Infant feeding practices and determinants of poor breastfeeding behavior in Kinshasa, Democratic Republic of Congo: a descriptive study

    OpenAIRE

    Yotebieng, Marcel; Chalachala, Jean Lambert; Labbok, Miriam; Behets, Frieda

    2013-01-01

    Background Although breastfeeding is almost universally accepted in the Democratic Republic (DR) of Congo, by the age of 2 to 3 months 65% of children are receiving something other than human milk. We sought to describe the infant feeding practices and determinants of suboptimal breastfeeding behaviors in DR Congo. Methods Survey questionnaire administered to mothers of infants aged ≤ 6 months and healthcare providers who were recruited consecutively at six selected primary health care facili...

  2. Infant feeding and allergy prevention: a review of current knowledge and recommendations. A EuroPrevall state of the art paper

    DEFF Research Database (Denmark)

    Grimshaw, K.E.C.; Allen, K.; Edwards, C.A.;

    2009-01-01

    The relationship between infant feeding patterns and the later development of food allergies has been the focus of much debate and research over the last decade. National recommendations have been made by many countries on how to feed infants to reduce the risk of food allergy but due to the lack...... allergy prevention feeding recommendations and to identify areas where further research is needed. This review will also provide information which, when combined with the infant feeding data collected as part of EuroPrevall, will give an indication of compliance to national feeding guidelines which can be...

  3. The impact of early growth patterns and infant feeding on body composition at 3 years of age

    DEFF Research Database (Denmark)

    Ejlerskov, Katrine Tschentscher; Christensen, Line Brinch; Ritz, Christian;

    2015-01-01

    -scores (WAZ) from 0 to 5, 5 to 9, 9 to 18 and 18 to 36 months were analysed for relations with body composition (anthropometry and bioelectrical impedance) at 3 years by multivariate regression analysis. BWZ and change in WAZ from 0 to 5 months were positively associated with BMI, fat mass index (FMI) and fat......-free mass index (FFMI) at 3 years. Full breastfeeding for 6 months (compared to less than 1 month) eliminated the effect of early growth (P= 0·01). Full breastfeeding for 6 months (compared to less than 1 month) also eliminated the positive relation between BWZ and FMI (P= 0·009). No effect modification of...... infant feeding was found for FFMI. In conclusion, high birth weight and rapid growth from 0 to 5 months were associated with increased FMI and FFMI at 3 years. Longer duration of full breastfeeding reduced the effect of birth weight and early weight gain on fat mass....

  4. Infant feeding patterns and risk of acute respiratory infections in Baghdad/Iraq

    Directory of Open Access Journals (Sweden)

    Shatha S. Al-Sharbatti

    2012-09-01

    Full Text Available

    Background: exclusive breastfeeding has been shown to protect infants from contracting various diseases. The aims of this study were: to examine the relationships between infant feeding patterns and the risk of Acute Respiratory Infections (ARI, and to assess the importance of some factors that can increase such risk.

    Methods: a case-control study was carried out during the period between February 1st 2005 - May 1st 2005. The study included 137 infants who were hospitalized in the Children Welfare Teaching Hospital for ARIs during the period of study (a case definition of acute lower respiratory infection as given by the WHO (1995 was used. The Control group included 157 healthy infants who were randomly selected from two primary health care centers of the AI-Karkh sector of Baghdad for immunization. The risk of various factors thought to be associated to ARI were studied, these being: non-modifiable (age, gender, birth order, parent education, crowded residence, family history of asthma and history of ARIs in household members in previous 2 weeks and modifiable (short duration of breastfeeding, cigarette smoking in proximity to the infant, delayed immunization and malnutrition. Logistic regression was used to adjust for confounders and for calculating adjusted odds ratios.

    Results: formula fed infants had a 2.7 times higher risk (CI:1.6-4.68 for ARIs compared to breast fed infants. Infants who had undergone a short duration of breastfeeding (<3 months had a 1.4 times increased risk or ARI (CI: 0.89—2.23. Additional factors that were associated with higher ARIs were, female gender (OR= 2.0, CI:1.3-3.3, low educational level of mothers (OR= 6.4, CI:3.2-12.7 and fathers (OR=4.5, CI:2.27-8.78, crowded residence (OR= 4.5, CI: 2.6-7.8, positive history of ARIs in household members in the 2 weeks prior to the study (OR= 5.5, CI:3.3-9.3, family history of asthma (OR = 2.6, CI:1

  5. Fortifier and Cream Improve Fat Delivery in Continuous Enteral Infant Feeding of Breast Milk

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    Mika Tabata

    2015-02-01

    Full Text Available Premature and high-risk infants require accurate delivery of nutrients to promote appropriate growth. Continuous enteral feeding methods may result in significant fat and micronutrient loss. This study evaluated fat loss in enteral nutrition using current strategies for providing high-risk infants fortified human milk (HM. The fat content of HM was measured by IR analyzer in a simulated feeding system using the Kangaroo epumpTM and the MedFusionTM 2010 pump. Comparisons in fat loss were made between HM, HM supplemented with donor HM-derived fortifier Prolacta + H2MFTM (H2MF, and HM supplemented with H2MF and donor HM-derived cream ProlactCRTM (cream. When using the Kangaroo epumpTM, the addition of H2MF and cream to HM increased fat delivery efficiency from 75.0% ± 1.2% to 83.7% ± 1.0% (p < 0.0001. When using the MedFusionTM 2010 pump, the addition of H2MF to HM increased fat delivery efficiency from 83.2% ± 2.8% to 88.8% ± 0.8% (p < 0.05, and the addition of H2MF and cream increased fat delivery efficiency to 92.0% ± 0.3% (p < 0.01. The addition of H2MF and cream to HM provides both the benefits of bioactive elements from mother’s milk and increased fat delivery, making the addition of H2MF and cream an appropriate method to improve infant weight gain.

  6. Infant and young child feeding practices and its determinants in an urbanized village of Delhi

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    Anita Gupta

    2015-07-01

    Full Text Available Introduction: Optimal infant and young child feeding (IYCF practices are fundamental for the survival, health, growth, and development of children. It is important to study factors that determine these practices in a community. The present study is designed to assess the prevalence of optimal IYCF practices and its determinants in an urbanized village of Delhi. Materials and Methods: Mothers of children 0-23 months of age were interviewed using a structured and semi open-ended questionnaire to record information on IYCF practices. Results: A total of 194 children were included in the study. Breastfeeding (BF was initiated within 1 h of birth in 49.5% of children. Early initiation of BF was significantly higher in children born in government institutions, normal births and in families with higher income. Prelacteal feeds were given by 47.4% of mothers, children born at home and private institution and caesarean births received prelacteal feeds more often. Colostrum was given by 79.4% of the mothers. Children born in the government institution were more likely to receive colostrum (P < 0.05. The prevalence of exclusive BF (EBF for 6 months or more was 56.5%. It was higher in children of first birth order and institutional births (P < 0.05. Complementary feeding was started at 6 months in 54.6% of these children. Children of mothers with higher education and boys were more likely to be started on timely complementary feeding than girls. Conclusions: The IYCF practices in the area were not satisfactory, although better than the national average. Early initiation and EBF for 6 months were higher in children born in government institutions. Thus, awareness about IYCF practices has to be increased among the health personnel in the public and private sectors and mothers.

  7. A STUDY ON FEEDING PRACTICES OF INFANTS IN THE FIELD PRACTICING AREA OF RURAL HEALTH TRAINING CENTER, SANTHIRAM MEDICAL COLLEGE, NANDYAL

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    Bharathi

    2015-06-01

    Full Text Available : BACK GROUND: Good nutrition is essential for growth, development and survival of infants. Objective: To study knowledge, attitude and practices of infant feeding among rural mothers. To identify factors associated with growth and morbidity among infants. METHODOLOGY: Community based cross sectional study which was conducted from June 2012 to October 2012.Rural mothers were selected by simple random sampling method and interviewed using pretested questionnaire. STATISTICAL ANALYSIS: Data was analyzed by means, proportions, percentages and chi-square test. Pinfants were males. 39.3% of infants were females. Statistical correlation exists between social class and birth weight. (p<0.02.In 90.6% of infants colostrum was not given.94% of infants were breast fed. In 41% of infants weaning was started at 9 to 12 months. Only 20% infants were normal and 52.7% were with grade-1 malnutrition. 20.7% mothers were boiling utensils which were used for infant feeding.96.7% mothers told breast feeding was best for babies.38.7% mothers were not aware that colostrum given in first hour would reduce infant mortality rate. CONCLUSION: Awareness must be generated among mothers regarding infant feeding and better living conditions through health education. Health workers should provide it at grass root levels

  8. Appropriate timing for complementary feeding of the breast-fed infant. A review.

    Science.gov (United States)

    Underwood, B A; Hofvander, Y

    1982-01-01

    The initiative for this review of appropriate timing for complementary feeding of the breastfed infant came from the Consultative Group on Maternal and Young Child Nutrition, an expert supportive group to the UN/ACC Subcommittee on Nutrition. Evidence assessing the duration of breastfeeding adequacy and the advantages and disadvantages of early versus later introduction of complementary foods is reviewed. Several years ago the Protein Advisory Group (PAG) recommended that complementary foods be provided between 4-6 months of age. In later studies, the variability of circumstances in different ecologies were reported to have a significant impact on the ability and desire of a woman to breastfeed and for how long. Hence the appropriate time to provide a breast milk complement is again under examination. Nutritionists, health professionals, and the baby food industry (their pro and antagonists) have renewed their interest in this issue, but differences in opinion and distorted claims among the interested groups have left many people confused. The appropriate time for the introduction of complementary feeding varies considerably in different sociocultural settings and among different socioeconomic groups. In developed countries very early complementation is usual not because of nutritional need, but because of social pressures, availability of convenient alternatives, and other considerations. In developing countries, early complementation may be needed in circumstances with a high prevalence of maternal malnutrition that may contribute to low milk output. Hazards accompany both too early and too late complementation. If a complement is introduced too early, there is the danger of diarrheal disease and food allergies. There is also an economic burden on poor families to purchase complementary food. In some underprivileged areas, cultural patterns in which the introduction of complementary food is too much delayed is the primary cause of faltering growth and

  9. Caterpillar cereal as a potential complementary feeding product for infants and young children: nutritional content and acceptability.

    Science.gov (United States)

    Bauserman, Melissa; Lokangaka, Adrien; Kodondi, Kule-Koto; Gado, Justin; Viera, Anthony J; Bentley, Margaret E; Engmann, Cyril; Tshefu, Antoinette; Bose, Carl

    2015-12-01

    Micronutrient deficiency is an important cause of growth stunting. To avoid micronutrient deficiency, the World Health Organization recommends complementary feeding with animal-source foods. However, animal-source foods are not readily available in many parts of the Democratic Republic of Congo (DRC). In such areas, caterpillars are a staple in adult diets and may be suitable for complementary feeding for infants and young children. We developed a cereal made from dried caterpillars and other locally available ingredients (ground corn, palm oil, sugar and salt), measured its macro- and micronutrient contents and evaluated for microbiologic contamination. Maternal and infant acceptability was evaluated among 20 mothers and their 8-10-month-old infants. Mothers were instructed in the preparation of the cereal and asked to evaluate the cereal in five domains using a Likert scale. Mothers fed their infants a 30-g portion daily for 1 week. Infant acceptability was based on cereal consumption and the occurrence of adverse events. The caterpillar cereal contained 132 kcal, 6.9-g protein, 3.8-mg iron and 3.8-mg zinc per 30 g and was free from microbiologic contamination. Mothers' median ratings for cereal characteristics were (5 = like very much): overall impression = 4, taste = 5, smell = 4, texture = 4, colour = 5, and consistency = 4. All infants consumed more than 75% of the daily portions, with five infants consuming 100%. No serious adverse events were reported. We conclude that a cereal made from locally available caterpillars has appropriate macro- and micronutrient contents for complementary feeding, and is acceptable to mothers and infants in the DRC. PMID:23557509

  10. Determinants of Child Malnutrition and Infant and Young Child Feeding Approaches in Cambodia.

    Science.gov (United States)

    Reinbott, Anika; Jordan, Irmgard

    2016-01-01

    Women's diets often decrease with regard to amounts per meal and day as well as diversity if a household's access to food is limited. The result is a monotonous diet that, in particular, negatively affects women's nutritional status during pregnancy and lactation and, thus, the infant. The infant's diet is of utmost importance, as it needs to meet the nutrient requirements especially during the first 2 years of life, a critical window for the child's healthy development. In Cambodia, infant and young child feeding (IYCF) practices are poor. Preparation of a special complementary meal in addition to breast milk feeds for children aged 6-23 months is often not a common habit. Instead, children eat watery, plain rice porridges that do not meet the nutrient requirements at this young age. A lack of adequate caring practices such as responsive feeding exacerbates the risk of malnutrition. Caregivers are often unaware of the importance of nutrition during the first 2 years of life regarding its effects on children's growth. In 2012, a randomized controlled trial (RCT) was started in two provinces of northern Cambodia: Oddar Meanchey and Preah Vihear. To contribute to reducing child mortality by addressing malnutrition among children 6-23 months of age, the Food and Agriculture Organization of the United Nations (FAO) implemented a nutrition-sensitive agriculture project with nutrition-specific actions, i.e. a nutrition education intervention was embedded in a food security project. Wealth, a child's age, and maternal education were identified as determinants of a child's dietary diversity. The older the child and/or the wealthier the household, the more diverse the child's diet. Maternal education was positively associated with the child's dietary diversity. Household dietary diversity was significantly associated with child dietary diversity in a model including group, child's age, maternal education, and wealth as confounders. The RCT also showed that a 2- to 3-month

  11. Dynamic Change of Fecal Calprotectin in Very Low Birth Weight Infants during the First Month of Life

    Science.gov (United States)

    Yang, Qing; Smith, P. Brian; Goldberg, Ronald N.; Cotten, C. Michael

    2008-01-01

    Background Calprotectin is a cytosolic component of neutrophils. Fecal calprotectin (FC) level is a useful marker for exacerbation of inflammatory bowel disease in children. FC may be a useful marker for necrotizing enterocolitis (NEC). Objective To determine normal baseline levels of FC and observe dynamic changes of FC levels over the first postnatal month in very low birth weight (VLBW) infants. Methods FC levels of 14 VLBW infants (gestational age 23–30 weeks, birth weight ≤1,500 g) were serially measured in the first postnatal month. Demographics, feeding regimens, antibiotic use, laboratory and x-ray results, and maternal information were recorded. We assessed how FC levels changed over time, varied with nutritional source and differed between sick versus well infants. Results FC levels were not related to gestational age or feedings regimen. FC levels tended to decrease with increasing age (p = 0.121) and feeding volumes (p = 0.179). FC levels differed between ‘well’ and ‘sick’ infants (122.8 ± 98.9 vs. 380.4 ± 246.3 μg/g stool, p 350 μg/g stool was noted with signs of gastrointestinal injury, such as bloody stool and bowel perforation. FC levels decreased after initiation of treatments in sick infants who recovered. Conclusions FC levels may be a marker for early diagnosis and resolution of gastrointestinal illnesses in VLBW infants. Its utility for early diagnosis and assessment of resolution of NEC should be studied in a larger cohort of VLBW infants. PMID:18784422

  12. Reflections on global policy documents and the WHO's infant feeding guidelines: lessons learnt

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    Sellen Daniel W

    2010-10-01

    Full Text Available Abstract As the papers in this thematic series have illustrated, the postnatal prevention of mother to child transmission of HIV (PMTCT strategy has struggled with lack of local relevance. In an attempt to increase our understanding of the great dissonance between the policy intention and the experiences of the participants in concrete PMTCT programmes, we will in these concluding remarks draw upon writings in institutional ethnography. Through the concept of 'global texts' we reflect upon the scientific and ideological underpinnings of the WHO policy guidelines on HIV and infant feeding, and the influence that this policy has had across multiple local settings. The particular impact of the global postnatal PMTCT policy guidelines on the position of breastfeeding lies at the core of the discussion.

  13. Evidence-Based Systematic Review: Effects of Oral Motor Interventions on Feeding and Swallowing in Preterm Infants

    Science.gov (United States)

    Arvedson, Joan; Clark, Heather; Lazarus, Cathy; Schooling, Tracy; Frymark, Tobi

    2010-01-01

    Purpose: To conduct an evidence-based systematic review and provide an estimate of the effects of oral motor interventions (OMIs) on feeding/swallowing outcomes (both physiological and functional) and pulmonary health in preterm infants. Method: A systematic search of the literature published from 1960 to 2007 was conducted. Articles meeting the…

  14. Early gradual feeding with bovine colostrum improves gut function and NEC resistance relative to infant formula in preterm pigs

    Science.gov (United States)

    It is unclear when and how to start enteral feeding for preterm infants when mother's milk is not available. We hypothesized that early and slow advancement of either formula or bovine colostrum stimulates gut maturation and prevents necrotizing enterocolitis (NEC) in preterm pigs, used as models fo...

  15. Infant and Young Child Feeding: a Key area to Improve Child Health

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    Habibolah Taghizade Moghaddam

    2015-11-01

    Full Text Available Good nutrition is essential for survival, physical growth, mental development, performance, productivity, health and well-being across the entire life-span: from the earliest stages of fetal development, at birth, and through infancy, childhood, adolescence and on into adulthood. Poor nutrition in the first 1,000 days of children’s lives can have irreversible consequences. For millions of children, it means they are, forever, stunted. Every infant and child has the right to good nutrition according to the Convention on the Rights of the Child; so the World Health Assembly has adopted a new target of reducing the number of stunted children under the age of 5 by 40 percent by 2025. The first 2 years of a child’s life are particularly important, as optimal nutrition during this period lowers morbidity and mortality, reduces the risk of chronic disease, and fosters better development overall. Breastfeeding and complementary feeding are a critical aspect of caring for infants and young children.

  16. Commercial 'ready-to-feed' infant foods in the UK: macro-nutrient content and composition.

    Science.gov (United States)

    Zand, Nazanin; Chowdhry, Babur Z; Pollard, Lucie V; Pullen, Frank S; Snowden, Martin J; Zotor, Francis B

    2015-04-01

    Quantitative analyses of the macronutrient content of eight popular commercial 'ready-to-feed' baby meals for 6-9-month old infants in the UK market have been undertaken in order to ascertain their nutritional suitability in relation to the total daily dietary intake as well as nutritional profiling of the products. The chemical analyses conducted included Kjeldhal for protein, acid hydrolysis and extraction for fat, phenol sulphuric acid for carbohydrate and Association of Official Analytical Chemists 985.29 for fibre. The only difference found between different varieties (meat- and vegetable-based) was with respect to the protein content (P=0.04) per 100 g of food. The experimentally determined concentrations of macronutrients (g/100 kcal) were compared with the declared values provided by the manufacturers on the product labels and, despite some variations, the values obtained comply with regulatory requirements (Commission Directive 2006/125/EC). The total daily intake of fat (27.0 g per day) - based on the menu composed from commercial complementary food - is suggested to exceed the daily recommended values for fat (31%), if the intake of snacks and desserts are incorporated. These findings imply that the formulation of recipes, based on a standard commercial menu, is an important consideration in relation to the nutritional quality of the diet of infants. PMID:23020067

  17. Cardiovascular MRI without sedation or general anesthesia using a feed-and-sleep technique in neonates and infants

    Energy Technology Data Exchange (ETDEWEB)

    Windram, Jonathan; Grosse-Wortmann, Lars; Shariat, Masoud; Greer, Mary-Louise; Yoo, Shi-Joon [Hospital for Sick Children, Department of Diagnostic Imaging, Toronto (Canada); Crawford, Mark W. [Hospital for Sick Children, Department of Anesthesia, Toronto (Canada)

    2012-02-15

    MRI in small children generally necessitates the use of general anesthesia. We describe our initial results with a new technique that we name the feed-and-sleep method, whereby an infant can undergo a cardiac MRI without the need for general anesthesia or sedation. The infant is fasted for 4 h prior to the scan and is then fed by his mother prior to the scan. He is then swaddled with 1 to 2 infant sheets before being placed in a vacuum-bag immobilizer. As air is removed from the bag, the immobilizer becomes a rigid cradle that fits the infant's body. We prioritize the sequences according to the purpose of the study and in the order of clinical importance. Between January 2010 and January 2011 a total of 20 infants with the median age 14.5 days (minimum 2 days, maximum 155 days) underwent CMR studies via this method. All were performed successfully with no distress to the infant. The median scan time was 46.5 min (minimum 20, maximum 66). All had complex congenital heart defects and all planned sequences were acquired with sufficient quality to allow accurate diagnosis and to plan appropriate surgery. Using this technique, infants younger than 6 months can complete a cardiovascular MRI without the need for sedation or general anesthesia. We advocate the incorporation of this safe and reliable technique into routine clinical practice. (orig.)

  18. Cardiovascular MRI without sedation or general anesthesia using a feed-and-sleep technique in neonates and infants

    International Nuclear Information System (INIS)

    MRI in small children generally necessitates the use of general anesthesia. We describe our initial results with a new technique that we name the feed-and-sleep method, whereby an infant can undergo a cardiac MRI without the need for general anesthesia or sedation. The infant is fasted for 4 h prior to the scan and is then fed by his mother prior to the scan. He is then swaddled with 1 to 2 infant sheets before being placed in a vacuum-bag immobilizer. As air is removed from the bag, the immobilizer becomes a rigid cradle that fits the infant's body. We prioritize the sequences according to the purpose of the study and in the order of clinical importance. Between January 2010 and January 2011 a total of 20 infants with the median age 14.5 days (minimum 2 days, maximum 155 days) underwent CMR studies via this method. All were performed successfully with no distress to the infant. The median scan time was 46.5 min (minimum 20, maximum 66). All had complex congenital heart defects and all planned sequences were acquired with sufficient quality to allow accurate diagnosis and to plan appropriate surgery. Using this technique, infants younger than 6 months can complete a cardiovascular MRI without the need for sedation or general anesthesia. We advocate the incorporation of this safe and reliable technique into routine clinical practice. (orig.)

  19. The Effect of Creating an Artificial Night On Physiological Changes in Preterm Infants

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    Tayebeh Reyhani

    2014-12-01

    Full Text Available Introduction Preterm infants are exposed to irregular light for several weeks or months in the Neonatal intensive-care unit (NICU. This lack of maternal entrainment, the exposure to irregular extrauterine lighting and care in the nursery may contribute to the disturbances in body temperature, sleep and physiological changes that are commonly experienced by preterm infants. Materials and Methods This is a randomized clinical trial dual group study, 38 preterm infants (gestational age of 30-34 weeks due to prematurity hospitalized at NICU of Ghaem Hospital, Iran, were evaluated within 10 days. Infants were divided into two groups of 1200-1700 and 1701-2200g based on the weight and the weight of each group were randomized into artificial night (dark period was from 19 to 7 during incubator was covered with linen cloth & light period was from 7 to 19 removed the cover and control groups (continuous lighting. Mothers & infants through questionnaires, interviews, observation & document completion, changes in physiologic & weight before entering the study & then physiologic changes twice a day, weight & feeding tolerance were collected daily. Data were analyzed using SPSS version16 software. Results The two groups were matched in terms of other variables. Mean gestational age was (31.39+1.39 weeks in both groups, mean weight at study entry in period light of the (1415.8+ 263.46 and (1471.6 + 244.47 was in continuous lighting. The difference in oxygen saturation, respiratory rate, respectively, higher and lower in the intervention group than the control group. Result of the statistical analysis of repeated measures suggests that the difference between the two groups was significant (P

  20. Energy intake and requirements of infants in southern Brazil - the influence of breast feeding pattern and socio-economic status

    International Nuclear Information System (INIS)

    Energy requirements are a function of age, sex, and feeding mode. Work from others has demonstrated increased total energy expenditure (TEE) and sleeping metabolic rate (SMR) in formula-fed infants as compared to breast-fed infants. However, in practice many breast-fed infants also receive additional formula or cows' milk. At 4 months, we found that energy intake (kcal/d) in breast-fed infants also receiving cows' milk (BCFM) was 18% higher than that of infants who receive breast milk as the only source of milk (BM) (BCFM infants, 97.9 kcal/kg/d, BM infants, 83.1 kcal/kg/d, p=0.008). At 8 months increased minimal observable energy expenditure (MOEE) and SMR were found in BCFM infants (MOEE: BCFM infants, 51.6 kcal/kg/d, BM infants, 48.0 kcal/kg/d, p=0.041). TEE was also slightly higher, but not significantly so. Fat mass and fat mass index were higher in BCFM infants (p=0.016 and p=0.013). Reference data for growth or energy requirements have been based on infants from high SES to assure that they would be growing optimally with no constraints to health. In developed countries, obesity used to be a problem in the higher SES families. In countries in transition, there is a shift of the prevalence of obesity towards lower SES infants, but this depends on the stage of transition. On the other hand, poor living conditions may result in growth faltering, and an increase in TEE and ER. We observed higher TEE in low SES as compared to high SES infants (high SES, 62.9 kcal/kg/d, low SES, 75.9 kcal/kg/d, p=0.005), MOEE was not increased, and the higher TEE in low SES infants should be contributed to high activity energy expenditure. Analysis of covariance showed that this should be contributed increased crowding in the low SES families. In conclusion, the development of universally applicable values for energy requirements based on data from infants selected from particular social groups, without reference to feeding pattern, may not be acceptable. At both 4 and 8 months

  1. Infants' Responses to Frustrating Situations: Continuity and Change in Reactivity and Regulation.

    Science.gov (United States)

    Braungart-Rieker, Julia M.; Stifter, Cynthia A.

    1996-01-01

    Examined continuity, stability, and change in behaviors reflecting infant reactivity and regulation. Subjects were 100 infants of 5 and 10 months old. Found that infant behaviors during frustrating situations showed both change and continuity, but the relationship between reactivity and regulation changed in that both factors became more…

  2. Skeletal changes during pneumonia in infants

    International Nuclear Information System (INIS)

    Analysis of 35 roentgenograms has revealed that similarity of changes at pneumonia and congenital syphilis in babies requires thorough study of the totality of climico-roentgenological and laboratory data for removal of erroneous interpretation of variations

  3. Infant feeding and school attainment in five cohorts from low- and middle-income countries.

    Directory of Open Access Journals (Sweden)

    Bernardo L Horta

    Full Text Available BACKGROUND: Performance in intelligence tests tends to be higher among individuals breastfed as infants, but little is known about the association between breastfeeding and achieved schooling. We assessed the association of infant feeding with school achievement in five cohorts from low- and middle-income countries. Unlike high-income country settings where most previous studies come from, breastfeeding is not positively associated with socioeconomic position in our cohorts, thus reducing the likelihood of a spurious positive association. METHODOLOGY AND PRINCIPAL FINDINGS: Participants included 10,082 young adults from five birth cohorts (Brazil, India, Guatemala, the Philippines, and South Africa. The exposures variables were whether the subject was ever breastfed, total duration of breastfeeding, and age at introduction of complementary foods. We adjusted the estimates for age at follow up, sex, maternal age, smoking during pregnancy, birthweight and socioeconomic position at birth. The key outcome was the highest grade achieved at school. In unadjusted analyses, the association between ever breastfeeding and schooling was positive in Brazil, inverse in the Philippines, and null in South Africa; in adjusted analyses, these associations were attenuated. In Brazil, schooling was highest among individuals breastfed for 3-12 months whereas in the Philippines duration of breastfeeding was inversely associated with schooling; and null associations were observed in South Africa and Guatemala. These associations were attenuated in adjusted models. Late introduction of solid foods was associated with lower schooling achievement in Brazil and South Africa. CONCLUSION: Measures of breastfeeding are not consistently related to schooling achievement in contemporary cohorts of young adults in lower and middle-income countries.

  4. Effectiveness of peer-counseling for promoting optimal complementary feeding practices among infants belonging to urban slums of Delhi

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    Sabharwal Vandana, Passi Santosh Jain

    2014-04-01

    Full Text Available Background : Promotion of appropriate complementary feeding practices is important in reducing malnutrition in infants and young children. Yet, India has dismal rates of optimal complementary feeding practices which are not rising. Aim: This study aimed to find the impact of the educational intervention directed through peer counselors to promote optimal complementary feeding practices. Methods and materials: This is an Interventional study, which has been conducted in an urban slum of Delhi using multi-stage random sampling. From the study area two sectors were randomly selected. From one sector, 54 pregnant women were selected who were not given any counselling forming the non-intervention group. From the other sector, 159 pregnant women were selected to form the intervention group (Igr which were further divided into 3 sub-groups; one sub-group was imparted counselling by a nutrition professional (Igr A; n=53 and the other two (Igr B1;n=53 and Igr B2;n=53 by the peer counselors who where the local health workers trained for promoting optimal infant feeding practices. The infants were followed up till their first birthday and in order to study the impact of counseling, the complementary feeding practices of the intervention and the non-intervention groups have been compared Results: In the intervention groups, the prevalence of exclusive breastfeeding at 6 months was significantly higher as compared to the non-intervention group (67.5 % vs. 4.2 %. In the intervention groups, 2.6 per cent infants received semi-solid/ solid foods before the age of 6 months, 75.1 percent between 6 – 7 months and the rest by the age of 9 months. However, in the Non-Igr, the respective figures were 48.9, 19.4 and 25.4 per cent; and at the age of one year, 6.4 per cent infants were still being given predominantly mother’s milk. 99.3 per cent infants in the Igrs as compared to 82.3 per cent in the Non-Igr (P<0.05 continued to receive breast milk till the age of

  5. Intestinal proteome changes during infant necrotizing enterocolitis

    DEFF Research Database (Denmark)

    Jiang, Pingping; Smith, Birgitte; Qvist, Niels;

    2013-01-01

    Background: Changes in the intestinal and colonic proteome in patients with necrotizing enterocolitis (NEC) may help to characterize the disease pathology and identify new biomarkers and treatment targets for NEC. Methods: Using gel-based proteomics, proteins in NEC-affected intestinal and coloni...

  6. The Effects of Pre-feeding Oral Stimulations and Non-nutritive Sucking on Physical Growth and Independent Oral Feeding of Preterm Infants

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    Nasrin Khalessi

    2015-12-01

    Full Text Available Background: Breastfeeding failures and oral feeding problems in preterm infants result in long-term health complications. In this study, therefore, we aimed to evaluate the effect of oral stimulation along with non-nutritive sucking (NNS on independent oral feeding initiation and weight gain in preterm infants. Methods: This prospective randomized clinical trial was carried out at Aliasghar Hospital in Tehran, Iran, 2014. A total of 50 26-32 weeks gestational age hospitalized infants, who were fed through tubes, were recruited in the study. The newborns were randomized into A, B and C groups. In the A and B groups, the neonates were stimulated through oral stimulation as well as non-nutritive sucking for 5 or 10 days, while in the group C, no especial intervention was performed. Infants' mean daily weight gain, the number of days until initiation of oral feeding, oral feeding progression, the number of days until reaching full oral feeding and date of discharge were recorded. The obtained data were analyzed and compared in the three groups using SPSS version 16.0. Results: Of all the participants, 25 cases (55.55% were male. Mean gestational age at birth and mean birth weight were 28.64±1.93 weeks and 1337.11±185.07 grams, respectively. In the group A, newborns' weight at reaching four and eight oral feedings per day and their weights at discharge were significantly higher than the other two groups (P=0.016, 0.001 and 0.001, respectively. Mean daily weight gain in the group A was higher (84.2850 g than the other groups (69.5814 vs. 64.2677 g. However, ANOVA results showed that this difference was not significant (P=0.108. Moreover, independent samples t-test indicated that this difference between groups A and C was significant (P=0.049. Conclusion: In clinically stable preterm neonates, oral stimulation and should be implemented to increase their weight; however, further studies are required to address this issue.

  7. Infant feeding and allergy prevention: a review of current knowledge and recommendations. A EuroPrevall state of the art paper.

    LENUS (Irish Health Repository)

    Grimshaw, K E C

    2009-10-01

    The relationship between infant feeding patterns and the later development of food allergies has been the focus of much debate and research over the last decade. National recommendations have been made by many countries on how to feed infants to reduce the risk of food allergy but due to the lack of firm evidence the recommendations differ widely. This review has been developed as part of EuroPrevall, a European multicentre research project funded by the European Union, to document the differing feeding recommendations made across Europe, to investigate the current evidence base for any allergy prevention feeding recommendations and to identify areas where further research is needed. This review will also provide information which, when combined with the infant feeding data collected as part of EuroPrevall, will give an indication of compliance to national feeding guidelines which can be utilised to assess the effectiveness of current dissemination and implementation strategies.

  8. Predictors of ante-natal care, delivery and infant feeding practices among rural women in Madhya Pradesh, India

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    Indrapal Ishwarji Meshram

    2014-10-01

    Full Text Available Background: Maternal and infant mortality rates and prevalence of under nutrition are high in the State Madhya Pradesh. Regular ante-natal check-ups (ANC, delivery by trained health personnel, delivery practices and optimal infant feeding practices are important to reduce maternal and infant mortality. Objectives: The aim was to assess antenatal care, delivery and infant feeding practices of mothers of <1-year-old children in Madhya Pradesh. Materials and Methods: This was community-based cross-sectional study carried out in the rural areas of Madhya Pradesh by adopting systematic random sampling procedure. Data were collected from 5324 mothers having <1-year-old children. Information on household (HH socioeconomic and demographic particulars was collected from the mothers. Bivariate and multivariate analysis was performed to study the association between dependent and independent variables. Results and Interpretations: About 36% mothers had undergone at least three ante-natal check-ups and 73% delivered either at government or private hospitals. Only 26% mothers initiated breastfeeding within 1-h of birth and 92% fed colostrum. Step-wise regression analysis showed that ante-natal care for <3 times was significantly (P < 0.01 higher among women with high parity (≥5, illiterate women, and among lower socioeconomic group,s while home delivery was higher among women with high parity (≥5 (odds ratio [OR]: 2.3, among Scheduled Caste and Tribe women (OR: 1.5, illiteracy of head of HH (OR: 2, and among lower socioeconomic groups (OR: 1.3. Discarding colostrum was higher among illiterate women (OR: 1.6, belonging to lower socioeconomic groups (OR: 1.4 and delivery conducted by untrained person (OR: 3.9, while initiation of breastfeeding after 1-h of childbirth was higher among ≥30 years women (OR: 1.9, illiterate women (OR: 1.4, and delivery by untrained person (OR: 2.9. Conclusions: It was observed that antenatal care, delivery and infant and

  9. Changing mothers' perception of infant emotion: A pilot study

    Science.gov (United States)

    Carnegie, R; Shepherd, C; Pearson, R.M.; Button, K. S; Munafò, M. R; Evans, J; Penton-Voak, I.S.

    2016-01-01

    Cognitive Bias Modification (CBM) techniques, which experimentally retrain abnormal processing of affective stimuli, are becoming established for various psychiatric disorders. Such techniques have not yet been applied to maternal processing of infant emotion, which is affected by various psychiatric disorders. Materials and Methods In a pilot study, mothers of children under 3 years old (n = 32) were recruited and randomly allocated to one of three training exercises, aiming either to increase or decrease their threshold of perceiving distress in a morphed continuum of 15 infant facial images. Differences between pre- and post-training threshold were analysed between and within subjects. Results Compared to baseline thresholds, the threshold for perceiving infant distress decreased in the lowered threshold group (mean difference -1.7 frames, 95% confidence intervals (CI) -3.1 to -0.3 p=0.02), increased in the raised threshold group (1.3 frames, 95% CI 0.6 to 2.1 p<0.01), and was unchanged in the control group (0.1 frames, 95% CI -0.8 to 1.1 p=0.80). Between group differences were similarly robust in regression models, and were not attenuated by potential confounders. Conclusions The findings suggest that it is possible to change the threshold at which mothers perceive ambiguous infant faces as distressed, either to increase or decrease sensitivity to distress. This small study was intended to provide proof of concept (i.e., that it is possible to alter a mother’s perception of infant distress.) Questions remain as to whether the effects persist beyond the immediate experimental session, have an impact on maternal behaviour, and could be used in clinical samples to improve maternal sensitivity and child outcomes. PMID:26260038

  10. ASSESSMENT OF INFANT AND YOUNG CHILD FEEDING PRACTICES AMONG UNDER-3 YEARS CHILDREN IN URBAN SLUMS OF HUBBALLI CITY

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    Anjana P, Dattatreya D Bant

    2015-11-01

    Full Text Available Background: Malnutrition is a serious public health problem affecting the growth and development of children which have detrimental effect in later adolescent and adult life. Although Malnutrition is multifaceted problem, Infant and young child feeding practices by mothers is crucial for optimum growth and development of the children Objectives: 1 To Assess the Infant and Young child feeding practices followed by the Mothers. 2 To study the influence of feeding practices on weight of Under 3 years children. Methodology: Cross-sectional study conducted in an urban slum of Hubli. 110 mother-child pairs recruited , where the child was between 7 months to 3 years of age. Employed a pre-structured questionnaire as tool and Child’s Anthropometry done. Data presented as percentages and proportions. Chi square test is applied to test association between Feeding practices and underweight, P value less than 0.05 considered as significant. Results: 22.7 % mothers had Breast fed within recommended time following delivery, prelacteal feeding practices observed in 47.3 % and 37.3% followed Exclusively Breast Feeding. However Timely Initiation of complementary foods was seen only in 34.5%. Breast feeding continued in 47.3 % beyond 6 months. 53.6 % & 86.4% didn’t satisfy the Minimum meal frequency and dietary diversity respectively. 50.9% of children were Normal, 49.09% were Underweight. Conclusions: Nearly 50% of the children under this study were underweight. Mothers who had not Exclusively Breast fed for 6 months, not continued Breast feeding beyond 6 months and inadequate meal frequency of the child were significantly associated with underweight of the children.

  11. Early gradual feeding with bovine colostrum improves gut function and NEC resistance relative to infant formula in preterm pigs

    DEFF Research Database (Denmark)

    Shen, René Liang; Thymann, Thomas; Østergaard, Mette Viberg;

    2015-01-01

    It is unclear when and how to start enteral feeding for preterm infants when mother's milk is not available. We hypothesized that early and slow advancement with either formula or bovine colostrum stimulates gut maturation and prevents necrotizing enterocolitis (NEC) in preterm pigs, used as models......, Val), and higher intestinal permeability, compared with BC pigs (all P < 0.05). Colonic microbiota analyses showed limited differences among groups. Early feeding with formula induces intestinal dysfunction whereas bovine colostrum supports gut maturation when mother's milk is absent during the first...

  12. Early gradual feeding with bovine colostrum improves gut function and NEC resistance relative to infant formula in preterm pigs

    DEFF Research Database (Denmark)

    Shen, René L.; Thymann, Thomas; Østergaard, Mette V.;

    2015-01-01

    It is unclear when and how to start enteral feeding for preterm infants when mother’s milk is not available. We hypothesized that early and slow advancement with either formula or bovine colostrum stimulates gut maturation and prevents necrotizing enterocolitis (NEC) in preterm pigs, used as models......, Val), and higher intestinal permeability, compared with BC pigs (all P <0.05). Colonic microbiota analyses showed limited differences among groups. Early feeding with formula induces intestinal dysfunction whereas bovine colostrum supports gut maturation when mother’s milk is absent during the first...

  13. Childcare arrangements and infant feeding practices by family structure and household income among US children aged 0 to 2 years.

    Science.gov (United States)

    Kim, Juhee; Gallien, Tara L

    2016-07-01

    The primary objective of this study is to examine the disparities in childcare and infant feeding practices by family structure (single-mother vs. two-parent households) and whether household income level may modify the observed associations by family structure. The cross-sectional data analysis was conducted using a nationally representative sample of children aged 0 to 2 years enrolled in the 2007 National Survey of Children's Health. The analytic sample is children from single mothers (n = 1801, 16.0%) and children from two parents (n = 11 337, 84.0%). Children of single mothers used more non-parental childcare [adjusted odds ratios (AOR) = 2.67, 95% confidence intervals (CI) = 1.99-3.58], especially relative care and centre care, than children of two parents. Lower rates of any breastfeeding for 6 months (AOR = 0.57, 95% CI = 0.43-0.77) and ever breastfed (AOR = 0.66, 95% CI = 0.50-0.89) were reported among children of single mothers than those of two parents. The many observed differences in childcare arrangements and breastfeeding by family structure remained significant in both low- and high-income households. However, children of low-income single mothers had more last-minute changes of childcare arrangement (AOR = 2.34, 95% CI = 1.55-3.52) than children of low-income two-parent households and children of high-income single mothers had more early introduction of complementary foods (AOR = 1.92, 95% CI = 1.12-3.29) than children of high-income two-parent households. This study documented disparities in childcare arrangements and infant feeding practices by family structure, regardless of income level. These findings support the need to for comprehensive policies that address maternal employment leave, childcare support and workplace accommodations and support for breastfeeding for children 0 to 2 years, especially among single mothers, regardless of income. PMID:25393914

  14. Micronutrient powder use and infant and young child feeding practices in an integrated program.

    Science.gov (United States)

    Mirkovic, Kelsey R; Perrine, Cria G; Subedi, Giri Raj; Mebrahtu, Saba; Dahal, Pradiumna; Jefferds, Maria Elena D

    2016-01-01

    Integrated infant and young child feeding (IYCF)/micronutrient powder (MNP) programs are increasingly used to address poor IYCF practices and micronutrient deficiencies in low-income settings; however, little is known about how MNP use may affect IYCF practices. We describe how MNP use was associated with IYCF practices in a pilot program in select districts of Nepal where free MNP for children 6-23 months were added to an existing IYCF platform. Representative cross-sectional surveys were conducted in pilot districts with mothers of eligible children at 3 months (plains ecozone, n=1054) or 15 months (hill ecozone, rural only, n=654) after implementation of an integrated MNP/IYCF program. We used logistic regression to assess how IYCF practices varied by MNP use (none, 1-30, 30-60 sachets). At both time points, consuming 30-60 MNP sachets vs. none was associated with achieving minimum dietary diversity and minimum acceptable diet. In the 3 month survey consuming 30- 60 MNP sachets vs none was also associated with achieving minimum meal frequency and continued breastfeeding at 2 years. In this setting, addition of MNP to an existing platform of IYCF messaging did not appear detrimental to IYCF practices. PMID:27222419

  15. A study on infant and young child feeding practices among mothers attending an urban health center in East Delhi

    OpenAIRE

    Amir Maroof Khan; Priscilla Kayina; Paras Agrawal; Anita Gupta; Anjur Tupil Kannan

    2012-01-01

    A cross sectional study was conducted to study the diet pattern of children less than 2 years with regard to certain infant and young child feeding (IYCF) indicators. A total of 374 children less than 24 months of age coming to the immunization clinic were studied using a standard pretested and prevalidated questionnaire. Exclusive breastfeeding was followed by 57.1% of children under 6 months of age. Minimum dietary diversity, minimum meal frequency, and minimum acceptable diet were seen ade...

  16. Barriers to infant and child-feeding practices: a qualitative study of primary caregivers in Rural Uganda.

    Science.gov (United States)

    Nankumbi, Joyce; Muliira, Joshua K

    2015-03-01

    The purpose of this study was to explore the barriers to the use of appropriate infant and young child-feeding practices by primary caregivers living in a rural Ugandan district. A community-based qualitative design and focus group discussions were used for collecting data from primary caregivers of children aged 0 to 24 month(s). On an average, each of the four focus group discussions had 11 participants. The focus group discussions were conducted using a structured interview guide and were tape-recorded. The recorded data were later transcribed and analyzed using qualitative thematic analysis techniques. All the participants were females, and the majority had low levels of education and at least one child in the age-group of 0-24 month(s) in their household. The findings show that the main barriers to the use of appropriate infant and young child-feeding practices fall under four themes: caregiver's knowledge about breastfeeding, caregiver's knowledge about complimentary feeding, influence of culture custodians on the caregivers, and patterns and burden of other responsibilities the caregivers have in the household. The four categories of barriers imply that there are various missed opportunities to implement hospital and community-based interventions to improve infant and young child-feeding practices, which is one way of preventing malnutrition. Therefore, in rural areas of Uganda, the major factors responsible for the high prevalence of malnutrition among infants and children are still those related to knowledge, culture, and social status of the primary caregivers. PMID:25995727

  17. Barriers to Infant and Child-feeding Practices: A Qualitative Study of Primary Caregivers in Rural Uganda

    OpenAIRE

    Nankumbi, Joyce; Muliira, Joshua K.

    2015-01-01

    ABSTRACT The purpose of this study was to explore the barriers to the use of appropriate infant and young child-feeding practices by primary caregivers living in a rural Ugandan district. A community-based qualitative design and focus group discussions were used for collecting data from primary caregivers of children aged 0 to 24 month(s). On an average, each of the four focus group discussions had 11 participants. The focus group discussions were conducted using a structured interview guide ...

  18. Effects of Prenatal Cocaine/Polydrug Use on Maternal-Infant Feeding Interactions During the First Year of Life

    OpenAIRE

    Minnes, Sonia; Singer, Lynn T.; Arendt, Robert; SATAYATHUM, SUDTIDA

    2005-01-01

    The effects of prenatal cocaine use on quality of maternal-infant interactions were evaluated using the Nursing Child Assessment Feeding Scale (NCAFS). A total of 341 (155 cocaine using; 186 non–cocaine using) low socioeconomic, primarily African-American dyads were evaluated longitudinally at birth, 6.5, and 12 months. Group differences over time were examined, controlling for covariates, using a mixed-model linear approach. Women who used cocaine during pregnancy were less sensitive to thei...

  19. Infant feeding among HIV-positive mothers and the general population mothers: comparison of two cross-sectional surveys in Eastern Uganda

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    Tylleskär Thorkild

    2009-05-01

    Full Text Available Abstract Background Infant feeding recommendations for HIV-positive mothers differ from recommendations to mothers of unknown HIV-status. The aim of this study was to compare feeding practices, including breastfeeding, between infants and young children of HIV-positive mothers and infants of mothers in the general population of Uganda. Methods This study compares two cross-sectional surveys conducted in the end of 2003 and the beginning of 2005 in Eastern Uganda using analogous questionnaires. The first survey consisted of 727 randomly selected general-population mother-infant pairs with unknown HIV status. The second included 235 HIV-positive mothers affiliated to The Aids Support Organisation, TASO. In this article we compare early feeding practices, breastfeeding duration, feeding patterns with dietary information and socio-economic differences in the two groups of mothers. Results Pre-lacteal feeding was given to 150 (64% infants of the HIV-positive mothers and 414 (57% infants of general-population mothers. Exclusive breastfeeding of infants under the age of 6 months was more common in the general population than among the HIV-positive mothers (186 [45%] vs. 9 [24%] respectively according to 24-hour recall. Mixed feeding was the most common practice in both groups of mothers. Solid foods were introduced to more than half of the infants under 6 months old among the HIV-positive mothers and a quarter of the infants in the general population. Among the HIV-positive mothers with infants below 12 months of age, 24 of 90 (27% had stopped breastfeeding, in contrast to 9 of 727 (1% in the general population. The HIV-positive mothers were poorer and had less education than the general-population mothers. Conclusion In many respects, HIV-positive mothers fed their infants less favourably than mothers in the general population, with potentially detrimental effects on both the child's nutrition and the risk of HIV transmission. Mixed feeding and pre

  20. Why Do Mothers of Young Infants Choose to Formula Feed in China? Perceptions of Mothers and Hospital Staff

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    Ke Zhang

    2015-04-01

    Full Text Available In China the exclusive breastfeeding rate remains low and infant formula is widely used. This study aimed to elicit and compare mothers’ and hospital staff perceptions of the reasons that shaped mothers’ decision to formula feed. In-depth interviews with 50 mothers, and four focus group discussions with 33 hospital staff, were conducted in Hangzhou and Shenzhen in November 2014. Responses given by the mothers and hospital staff showed a number of commonalities. The perception of “insufficient breast milk” was cited by the majority of women (n = 37, 74% as the reason for formula feeding. Mothers’ confidence in breastfeeding appears to be further reduced by maternal mothers or mothers-in-law’s and “confinement ladies” misconceptions about infant feeding. Inadequate breastfeeding facilities and limited flexibility at their workplace was another common reason given for switching to formula feeding. A substantial proportion of mothers (n = 27, 54% lacked an understanding of the health benefits of breastfeeding. Antenatal education on breastfeeding benefits for expectant mothers and their families is recommended. Moreover, mothers should be provided with breastfeeding support while in hospital and be encouraged to seek professional assistance to deal with breastfeeding problems after discharge. Employers should also make work environments more breastfeeding-friendly.

  1. Body composition and circulating high-molecular-weight adiponectin and IGF-I in infants born small for gestational age: breast- versus formula-feeding.

    Science.gov (United States)

    de Zegher, Francis; Sebastiani, Giorgia; Diaz, Marta; Sánchez-Infantes, David; Lopez-Bermejo, Abel; Ibáñez, Lourdes

    2012-08-01

    Prenatal growth restraint, if followed by postnatal overweight, confers risk for adult disease including diabetes. The mechanisms whereby neonatal nutrition may modulate such risk are poorly understood. We studied the effects of nutrition (breast-feeding [BRF] vs. formula-feeding [FOF]) on weight partitioning and endocrine state (as judged by high-molecular-weight [HMW] adiponectin and IGF-I) of infants born small for gestational age (SGA). Body composition (by absorptiometry), HMW adiponectin, and IGF-I were assessed at birth and 4 months in BRF infants born appropriate for gestational age (AGA; n = 72) and SGA infants receiving BRF (n = 46) or FOF (n = 56), the latter being randomized to receive a standard (FOF1) or protein-rich formula (FOF2). Compared with AGA-BRF infants, the catchup growth of SGA infants was confined to lean mass, independently of nutrition. Compared with AGA-BRF infants, SGA-BRF infants had normal HMW adiponectin and IGF-I levels at 4 months, whereas SGA-FOF infants had elevated levels of HMW adiponectin (particularly SGA-FOF1) and IGF-I (particularly SGA-FOF2). In conclusion, neonatal nutrition seems to influence endocrinology more readily than body composition of SGA infants. Follow-up will disclose whether the endocrine abnormalities in SGA-FOF infants can serve as early markers of an unfavorable metabolic course and whether they may contribute to design early interventions that prevent subsequent disease, including diabetes. PMID:22648385

  2. Infant sleep and feeding patterns are associated with maternal sleep, stress, and depressed mood in women with a history of major depressive disorder (MDD).

    Science.gov (United States)

    Sharkey, Katherine M; Iko, Ijeoma N; Machan, Jason T; Thompson-Westra, Johanna; Pearlstein, Teri B

    2016-04-01

    Our goal was to examine associations of infant sleep and feeding patterns with maternal sleep and mood among women at risk for postpartum depression. Participants were 30 women (age ± SD = 28.3 ± 5.1 years) with a history of MDD (but not in a mood episode at enrollment) who completed daily sleep diaries, wore wrist actigraphs to estimate sleep, and had their mood assessed with the Hamilton Depression Rating Scale (HAM-D-17) during four separate weeks of the perinatal period (33 weeks pregnancy and weeks 2, 6, and 16 postpartum). They logged their infants' sleep and feeding behaviors daily and reported postnatal stress on the Childcare Stress Inventory (CSI) at week 16. Mothers' actigraphically estimated sleep showed associations with infant sleep and feeding patterns only at postpartum week 2. Shorter duration of the longest infant-sleep bout was associated with shorter maternal sleep duration (p = .02) and lower sleep efficiency (p = .04), and maternal sleep efficiency was negatively associated with the number of infant-sleep bouts (p = .008) and duration of infant feeding (p = .008). Neither infant sleep nor feeding was associated with maternal sleep at 6 or 16 weeks, but more disturbed infant sleep and more frequent feeding at 6 weeks were associated with higher HAM-D scores at 6 and 16 weeks and higher CSI scores. Sleep in the mother-infant dyad is most tightly linked in the early postpartum weeks, but mothers continue to experience disturbed sleep and infant sleep and feeding behaviors continue to be associated with mothers' depressive symptoms and stress ratings as long as 16 weeks postpartum. These data imply that interventions designed to improve maternal sleep and postpartum mood should include both mothers and infants because improving infant sleep alone is not likely to improve maternal sleep, and poor infant sleep is linked to postpartum depression and stress. PMID:26228760

  3. Introducing infant and young child feeding indicators into national nutrition surveillance systems: lessons from Vietnam.

    Science.gov (United States)

    Hajeebhoy, Nemat; Nguyen, Phuong Hong; Tran, Do Thanh; de Onis, Mercedes

    2013-09-01

    A comprehensive set of infant and young child feeding (IYCF) indicators for international use was published in 2008. We describe the process followed to incorporate these indicators into Vietnam's National Nutrition Surveillance System (NNSS). Following its establishment in 1980, the National Institute of Nutrition introduced the Vietnam NNSS to provide an evidence base for nutrition interventions. While anthropometric indicators based on international standards were regularly used for programme purposes, data on IYCF could not be collected with similar rigor until 2010. In 2009, with support from Alive & Thrive and UNICEF, the NNSS questionnaire was reviewed and additional content incorporated to measure IYCF practices. The tool was pilot-tested in 10 provinces and revised before nationwide roll-out in 2010.The tool comprises four pages, the first three of which focus on collecting data relating to maternal nutrition and IYCF. The last page is flexibly designed to incorporate planners' data requests for other relevant activities (e.g. mass media interventions, food security). Once analysed, the data are presented in a report comprising provincial profiles and maps illustrating IYCF practices. Importantly, the IYCF data have been used for policy advocacy (e.g. maternity leave legislation, advertisement law), programme planning, trend monitoring and capacity building. Adoption of the IYCF indicators was successful due to strategic timing, a phased approach, buy-in from stakeholders and capacity building at all levels to ensure the quality and use of data. Further revisions to the NNSS (e.g. sampling methodology, quality assurance systems) will be important to ensure the reliability of indicators. PMID:24074323

  4. Age of introduction of first complementary feeding for infants: a systematic review

    OpenAIRE

    Qasem, Wafaa; Fenton, Tanis; Friel, James

    2015-01-01

    Background Despite a World Health Organization recommendation for exclusive breastfeeding of all full-term infants to 6 months of age, it is not clear what the health implications may be. Breast milk alone may not meet the nutrition needs for all growing infants, leaving them at risk for deficiencies. The objective of this study was to investigate the relationship between moderate (4 months) versus late (6 months) introduction of complementary foods to the full-term breastfed infant on iron s...

  5. Anemia and Feeding Practices among Infants in Rural Shaanxi Province in China

    OpenAIRE

    Renfu Luo; Yaojiang Shi; Huan Zhou; Ai Yue; Linxiu Zhang; Sean Sylvia; Alexis Medina; Scott Rozelle

    2014-01-01

    Anemia is one of the most prevalent public health problems among infants and iron deficiency anemia has been related to many adverse consequences. The overall goal of this study is to examine the prevalence of anemia among infants in poor rural China and to identify correlates of anemia. In April 2013, we randomly sampled 948 infants aged 6–11 months living in 351 villages across 174 townships in nationally-designated poverty counties in rural areas of southern Shaanxi Province, China. Infa...

  6. In and out of Synch: Infant Childcare Teachers' Adaptations to Infants' Developmental Changes

    Science.gov (United States)

    Recchia, Susan L.; Shin, Minsun

    2012-01-01

    This qualitative multi-case study explored the social exchanges and responsive connections between infants and their infant childcare teachers within a group care context. Infants' naturally occurring behaviours were videotaped purposefully at two separate time points, near the end of their first year and approximately six months later. Findings…

  7. Infant and Young Child Feeding Behavior among Working Mothers in India: Implications for Global Health Policy and Practice

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    Vinay Kumar, MD, MPH

    2014-12-01

    Full Text Available Background: The National Guidelines on Infant and Young Child Feeding introduced in 2006 recommended the initiation of breastfeeding immediately after birth, preferably within one hour; exclusive breastfeeding for the first six months; appropriate and adequate complementary feeding from six months of age while continuing breastfeeding; and continued breastfeeding up to the age of two years or beyond. Working women in India constitute a dominant and expanding pool of mothers. There is paucity of research focused on feeding behavior within this group. Method: One hundred and fifty working women answered a structured questionnaire about their demographics, birth history, levels of awareness and practice of feeding guidelines, and perceptions about breastfeeding and counseling. Data analysis was carried out using Microsoft Excel and the Statistical Package for the Social Sciences. Results: Majority of participants belonged to 21-39 years age group, had nuclear families, received college education, and delivered in institutional setups. Gaps were observed between the mother’s levels of awareness and practice for different tenets of national guidelines. Higher education, longer maternity leave, higher income, and utilization of counseling services facilitated adoption of optimal feeding behavior. Most women perceived breast milk to be superior to any alternative and favored provision of counseling during last trimester. Conclusions and Global Health Implications: Counseling women on optimal feeding behavior is a potential intervention to convert its awareness into actual practice. The lessons learned from this study can help refine both national and global Mother and Child Health policies and programs.

  8. Infant Feeding Practices of Emirati Women in the Rapidly Developing City of Abu Dhabi, United Arab Emirates

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    Hazel Gardner

    2015-09-01

    Full Text Available Rapid economic and cultural transition in the United Arab Emirates (UAE has been accompanied by new challenges to public health; most notably a rapid rise in chronic disease. Breastfeeding is known to improve health outcomes in adulthood, is associated with reduced risk of developing chronic disease, and is therefore an important public health issue for this rapidly increasing population. Factors associated with infant feeding practices were examined in a cohort of 125 Emirati women and their infants, with data collected at birth and 3, 6 and 15 months postpartum by questionnaires and interviews. Participants were recruited in the Corniche Hospital, the main maternity hospital in the city of Abu Dhabi. Factors affecting the duration of breastfeeding and the introduction of complementary foods were investigated using univariate and multivariate statistics. Recommended infant feeding practices, such as exclusive breastfeeding for the first six months of life and timely introduction of appropriate complementary foods, were poorly adhered to. Factors implicated in early cessation of breastfeeding included: time to first breastfeed, mother’s education level, employment status and early introduction of complementary foods.

  9. Infant Feeding Practices of Emirati Women in the Rapidly Developing City of Abu Dhabi, United Arab Emirates.

    Science.gov (United States)

    Gardner, Hazel; Green, Katherine; Gardner, Andrew

    2015-09-01

    Rapid economic and cultural transition in the United Arab Emirates (UAE) has been accompanied by new challenges to public health; most notably a rapid rise in chronic disease. Breastfeeding is known to improve health outcomes in adulthood, is associated with reduced risk of developing chronic disease, and is therefore an important public health issue for this rapidly increasing population. Factors associated with infant feeding practices were examined in a cohort of 125 Emirati women and their infants, with data collected at birth and 3, 6 and 15 months postpartum by questionnaires and interviews. Participants were recruited in the Corniche Hospital, the main maternity hospital in the city of Abu Dhabi. Factors affecting the duration of breastfeeding and the introduction of complementary foods were investigated using univariate and multivariate statistics. Recommended infant feeding practices, such as exclusive breastfeeding for the first six months of life and timely introduction of appropriate complementary foods, were poorly adhered to. Factors implicated in early cessation of breastfeeding included: time to first breastfeed, mother's education level, employment status and early introduction of complementary foods. PMID:26404348

  10. Maternal sociodemographic characteristics and the use of the Iowa Infant Attitude Feeding Scale to describe breastfeeding initiation and duration in a population of urban, Latina mothers: a prospective cohort study

    OpenAIRE

    Holbrook, Katherine E; White, Mary C.; Heyman, Melvin B.; Wojcicki, Janet M.

    2013-01-01

    Abstract Background The World Health Organization recommends exclusive breastfeeding until 6 months of age. Maternal attitudes toward infant feeding are correlated with chosen feeding method and breastfeeding duration. The Iowa Infant Feeding Attitude Scale (IIFAS) has been used to assess attitudes towards breastfeeding prenatally and is predictive of breastfeeding decisions in certain population groups. Methods ...

  11. Infant and young child feeding practices among children under 2 years of age and maternal exposure to infant and young child feeding messages and promotions in Dar es Salaam, Tanzania.

    Science.gov (United States)

    Vitta, Bineti S; Benjamin, Margaret; Pries, Alissa M; Champeny, Mary; Zehner, Elizabeth; Huffman, Sandra L

    2016-04-01

    There are limited data describing infant and young child feeding practices (IYCF) in urban Tanzania. This study assessed the types of foods consumed by children under 2 years of age and maternal exposure to promotions of these foods in Dar es Salaam, Tanzania. A cross-sectional survey was conducted among 305 mothers of children less than 24 months of age who attended child health services in October and November, 2014. Among infants less than 6 months of age, rates of exclusive breastfeeding were low (40.8%) and a high proportion (38.2%) received semi-solid foods. Continued breastfeeding among 20-23-month-olds was only 33.3%. Consumption of breastmilk substitutes was not prevalent, and only 3.9% of infants less than 6 months of age and 4.8% of 6-23 month-olds were fed formula. Among 6-23-month-olds, only 38.4% consumed a minimum acceptable diet (using a modified definition). The homemade complementary foods consumed by the majority of 6-23-month-olds (85.2%) were cereal-dominated and infrequently contained micronutrient-rich ingredients. Only 3.1% of 6-23-month-olds consumed commercially produced infant cereal on the day preceding the interview. In contrast, commercially produced snack foods were consumed by 23.1% of 6-23-month-olds. Maternal exposure to commercial promotions of breastmilk substitutes and commercially produced complementary foods was low (10.5% and 1.0%, respectively), while exposure to promotions of commercially produced snack foods was high (45.9%). Strategies are needed to improve IYCF practices, particularly with regard to exclusive and continued breastfeeding, increased dietary diversity and consumption of micronutrient-rich foods, and avoidance of feeding commercially produced snack foods. PMID:27061958

  12. Potential impact of infant feeding recommendations on mortality and HIV-infection in children born to HIV-infected mothers in Africa: a simulation

    Directory of Open Access Journals (Sweden)

    Seksaria Vidyunmala

    2008-05-01

    Full Text Available Abstract Background Although breast-feeding accounts for 15–20% of mother-to-child transmission (MTCT of HIV, it is not prohibited in some developing countries because of the higher mortality associated with not breast-feeding. We assessed the potential impact, on HIV infection and infant mortality, of a recommendation for shorter durations of exclusive breast-feeding (EBF and poor compliance to these recommendations. Methods We developed a deterministic mathematical model using primarily parameters from published studies conducted in Uganda or Kenya and took into account non-compliance resulting in mixed-feeding practices. Outcomes included the number of children HIV-infected and/or dead (cumulative mortality at 2 years following each of 6 scenarios of infant-feeding recommendations in children born to HIV-infected women: Exclusive replacement-feeding (ERF with 100% compliance, EBF for 6 months with 100% compliance, EBF for 4 months with 100% compliance, ERF with 70% compliance, EBF for 6 months with 85% compliance, EBF for 4 months with 85% compliance Results In the base model, reducing the duration of EBF from 6 to 4 months reduced HIV infection by 11.8% while increasing mortality by 0.4%. Mixed-feeding in 15% of the infants increased HIV infection and mortality respectively by 2.1% and 0.5% when EBF for 6 months was recommended; and by 1.7% and 0.3% when EBF for 4 months was recommended. In sensitivity analysis, recommending EBF resulted in the least cumulative mortality when the a mortality in replacement-fed infants was greater than 50 per 1000 person-years, b rate of infection in exclusively breast-fed infants was less than 2 per 1000 breast-fed infants per week, c rate of progression from HIV to AIDS was less than 15 per 1000 infected infants per week, or d mortality due to HIV/AIDS was less than 200 per 1000 infants with HIV/AIDS per year. Conclusion Recommending shorter durations of breast-feeding in infants born to HIV

  13. Impact of adherence to WHO infant feeding recommendations on later risk of obesity and non-communicable diseases: systematic review.

    Science.gov (United States)

    Martin, Anne; Bland, Ruth M; Connelly, Andrew; Reilly, John J

    2016-07-01

    Adherence to WHO infant feeding recommendations has short-term benefits and may also help in the prevention of non-communicable diseases (NCDs). This study reviewed the evidence on whether adherence to all elements of the WHO infant feeding recommendations (comparison group those exclusively breastfed to 6 months, introduced to appropriate complementary feeding from 6 months, with continued breastfeeding to at least 24 months; exposure group characterised by non-adherence to any of the three recommendations) is associated with reduced risk of later obesity or cardiometabolic disease. The population of interest was children not classified as very low weight (weight-for-age z-score >-3.0). MEDLINE, EMBASE, Global Health, CINAHL plus, ProQuest Dissertations and Thesis were systematically searched from 2001 to July 2014, manual reference searching of a birth cohort register (http://www.birthcohorts.net/) as well as papers identified in the search and selected journals was carried out. The database search yielded 9050 records, 275 English-language full-text articles were screened, but no studies were eligible, failing to meet the following criteria: comparison (213); exposure (14); population (3); relevant outcome (5); outcome before 24 months (9); insufficient information provided (30); plus one study was qualitative. Eight studies met the inclusion criterion of exclusive breastfeeding to 6 months, but did not meet the other inclusion criteria. The present study has revealed an important gap in the evidence on NCD prevention, and suggestions for addressing this evidence gap are provided. PMID:26259927

  14. A summary index of infant and child feeding practices is associated with child growth in urban Shanghai

    Directory of Open Access Journals (Sweden)

    Ma Jing-Qiu

    2012-07-01

    Full Text Available Abstract Background Recently, an infant and child feeding index (ICFI constructed on brief recalls of breastfeeding, feeding frequency and food diversification was assumed to provide long-term prediction about child feeding practices. The aim of this study was to investigate the association between the cross-sectional ICFI (CS-ICFI or longitudinal ICFI (L-ICFI and child anthropometric indices in downtown Shanghai, China. Methods The prospective cohort study included 180 infants aged 5-7 mo with their main caregivers who were visited 3 times every 6 months over 12 months. A CS-ICFI was constructed for each visit by using data on feeding practices based on 24-h and 7-d recalls. An L-ICFI was constructed with use of the 3 CS-ICFIs. The associations between ICFI and length-for-age z score (LAZ, weight-for-age z score (WAZ, and weight-for-length z score (WLZ were examined. The stability of the CS-ICFI was assessed by using repeatability coefficient (RC. Results The L-ICFI was positively associated with LAZ and WAZ at Visit 3(beta = 0.151, P = 0.040 and beta = 0.173, P = 0.024, respectively. Moreover, the CS-ICFI at Visit 1 was positively associated with LAZ, WAZ and WLZ (beta = 0.160, P = 0.029; beta = 0.191, P = 0.009; beta = 0.176, P = 0.020 at Visit 3, and the CS-ICFI at Visit 3 was also positively associated with LAZ (beta = 0.176, P = 0.016. Stability of the CS-ICFI was shown by the value of 0.14 (95% CI: 0.07, 0.31 of the RC, which differed significantly from 0 (P Conclusions The ICFI constructed on brief recalls based on cross-sectional studies can be used to evaluate the effects of child feeding practice on child growth.

  15. Construction of quality-assured infant feeding process of care data repositories: Construction of the perinatal repository (Part 2).

    Science.gov (United States)

    García-de-León-Chocano, Ricardo; Muñoz-Soler, Verónica; Sáez, Carlos; García-de-León-González, Ricardo; García-Gómez, Juan M

    2016-04-01

    This is the second in a series of two papers regarding the construction of data quality (DQ) assured repositories, based on population data from Electronic Health Records (EHR), for the reuse of information on infant feeding from birth until the age of two. This second paper describes the application of the computational process of constructing the first quality-assured repository for the reuse of information on infant feeding in the perinatal period, with the aim of studying relevant questions from the Baby Friendly Hospital Initiative (BFHI) and monitoring its deployment in our hospital. The construction of the repository was carried out using 13 semi-automated procedures to assess, recover or discard clinical data. The initial information consisted of perinatal forms from EHR related to 2048 births (Facts of Study, FoS) between 2009 and 2011, with a total of 433,308 observations of 223 variables. DQ was measured before and after the procedures using metrics related to eight quality dimensions: predictive value, correctness, duplication, consistency, completeness, contextualization, temporal-stability, and spatial-stability. Once the predictive variables were selected and DQ was assured, the final repository consisted of 1925 births, 107,529 observations and 73 quality-assured variables. The amount of discarded observations mainly corresponds to observations of non-predictive variables (52.90%) and the impact of the de-duplication process (20.58%) with respect to the total input data. Seven out of thirteen procedures achieved 100% of valid births, observations and variables. Moreover, 89% of births and ~98% of observations were consistent according to the experts׳ criteria. A multidisciplinary approach along with the quantification of DQ has allowed us to construct the first repository about infant feeding in the perinatal period based on EHR population data. PMID:26950399

  16. A study on infant and young child feeding practices among mothers attending an urban health center in East Delhi

    Directory of Open Access Journals (Sweden)

    Amir Maroof Khan

    2012-01-01

    Full Text Available A cross sectional study was conducted to study the diet pattern of children less than 2 years with regard to certain infant and young child feeding (IYCF indicators. A total of 374 children less than 24 months of age coming to the immunization clinic were studied using a standard pretested and prevalidated questionnaire. Exclusive breastfeeding was followed by 57.1% of children under 6 months of age. Minimum dietary diversity, minimum meal frequency, and minimum acceptable diet were seen adequate in 32.6%, 48.6%, and 19.7% of children between 6 months and 2 years of age, respectively.

  17. 'Breast is not always best': South Asian women's experiences of infant feeding in the UK within an acculturation framework.

    Science.gov (United States)

    Choudhry, Kubra; Wallace, Louise M

    2012-01-01

    Acculturating to a host country has a negative impact on immigrant women's breastfeeding practices, particularly when coming from countries where breastfeeding rates are higher than Western countries. Whether this is true of those immigrating to the UK remains to be investigated. The study aimed to explore whether acculturating to the UK had detrimental effects on breastfeeding practices of South Asian women, and to provide explanations as to how acculturation may have exerted its influence. Twenty South Asian women completed semi-structured interviews exploring infant feeding experiences. Data were thematically analysed. A bidimensional measure assessed women's acculturation status. Women displaying low acculturation levels were aware of living in a formula-feeding culture but this had little influence on breastfeeding intentions/behaviours; drawing upon South Asian cultural teachings of the psychological benefits of breast milk. These women opted to formula-feed in response to their child's perceived demands or in a bid to resolve conflict; either when receiving information about the best feeding method or between their roles as a mother and daughter-in-law. Highly acculturated women also experienced such conflict; their awareness of the formula-feeding culture governed feeding choice. The findings provide a picture of how acculturation may affect South Asian women's breastfeeding intentions and behaviours; encouraging health service providers to meet the varying needs of an acculturating population. If breastfeeding is to be encouraged, it is necessary to understand factors influencing feeding choice; with particular attention to the acculturation pathways that may govern such decisions. This paper highlights ways to tailor information for South Asian women depending on levels of acculturation. PMID:22136221

  18. The challenges of adherence to infant feeding choices in prevention of mother-to-child transmission of HIV infections in South East Nigeria

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    Lawani LO

    2014-03-01

    Full Text Available Lucky O Lawani,1 Azubuike K Onyebuchi,2 Chukwuemeka A Iyoke,3 Robinson C Onoh,2 Peter O Nkwo31School of Postgraduate Studies, Department of Community Medicine, University of Nigeria, Enugu Campus, Enugu State, Nigeria; 2Department of Obstetrics and Gynaecology, Federal Teaching Hospital, Abakaliki, Ebonyi State, Nigeria; 3Department of Obstetrics and Gynaecology, University of Nigeria Teaching Hospital, Enugu, Enugu State, NigeriaBackground: Global and national efforts in the 21st century are directed toward the elimination of new pediatric HIV infections through evidence-based infant feeding interventions for the prevention of mother-to-child-transmission, with patient preference, motivation, and adherence identified as key factors for success.Objectives: This study assessed the challenges faced by HIV-infected parturients in adhering to the national infant feeding recommendations and their infant feeding preference for prevention of mother-to-child transmission in South East Nigeria.Methods: This is a cross-sectional, descriptive, questionnaire-based study of 556 parturients infected with HIV/AIDS.Results: The mean age of the participants was 28.0±5.3 years. The infant feeding choices were made jointly by both partners (61.1% in the antepartum period. The HIV status disclosure rate was 89.2%. A large proportion (91.7% practiced exclusive breastfeeding with highly active antiretroviral therapy, and 7.6% practiced mixed feeding because of nonadherence to their choice and national/international recommendations on infant feeding in the context of HIV/AIDS. This was mainly a result of pressure from family members (42.8% and cultural practices (28.5%. Multivariate logistic regression analysis indicates that adherence was strongly associated with age, marital status, and employment status, but not with residence, educational status, or parity.Conclusion: Exclusive breastfeeding is predominately the infant feeding choice among HIV

  19. The Relationship between Glucagon-Like Peptide 2 and Feeding Intolerance in Preterm Infants

    DEFF Research Database (Denmark)

    Ozer, Esra Arun; Holst, Jens Juul; Duman, Nuray;

    2008-01-01

    in the gastric aspirate. The plasma GLP-2 levels measured prior to enteral feeding (fasting level) and at 60 min after the beginning of the feeding (post-pradial level) were correlated with of clinical parameters. There was no statistical difference between GLP-2 levels of overall preterm babies and...... those of term newborns. However, preterm neonates with feeding intolerance showed significantly lower levels of GLP-2 and increased duration to achieve full enteral feeding and hospitalization. It is suggested that GLP-2 plays a significant role in the regulation of feeding in newborns and that preterm...

  20. Infant feeding practice and associated factors of HIV positive mothers attending prevention of mother to child transmission and antiretroviral therapy clinics in Gondar Town health institutions, Northwest Ethiopia

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    Muluye Dagnachew

    2012-03-01

    Full Text Available Abstract Background It has been estimated that 430,000 children under 15 years of age were newly infected with HIV in 2008, and more than 71% are living in sub-Saharan Africa. In the absence of intervention to prevent mother-to-child transmission, 30-45% of infants born to HIV-positive mothers in developing countries become infected during pregnancy, delivery and breastfeeding. The aim of this study was to assess infant feeding practice and associated factors of HIV positive mothers attending prevention of mother to child transmission and antiretroviral therapy clinics of Northwest Ethiopia. Methods Institution based cross sectional study was conducted from January to May 2011 among all HIV positive mothers with less than two years old child attending prevention of mother to child transmission and antiretroviral therapy clinics in Gondar Town health institutions. A structured pre-tested questionnaire using interview technique was used for data collection. The data was entered and analyzed using SPSS version 16 statistical package. Results A total of 209 HIV positive mothers were included in the study. Of these, 187 (89.5% had followed the recommended way of infant feeding practice while significant percentage (10.5% had practiced mixed breast feeding. In multivariate analysis, disclosure of HIV status with their spouse, insufficient breast milk and occupational status were found to be independently associated (p-value of Conclusions Higher proportion of respondents used the recommended way of infant feeding practice by WHO as well as by Ethiopian Ministry of Health. However, mixed feeding in the first 6 months of age, an undesirable practice in infant feeding, were reported in this study. Infant feeding education that is aligned to national policy should be strengthened in primary health care, particularly in situations where prevention of mother to child transmission of HIV is prioritized.

  1. Changes in Perinatal Care and Predictors of In-Hospital Mortality for Very Low Birth Weight Preterm Infants

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    Ying Dong

    2012-09-01

    Full Text Available Objective: Mortality of very low birth weight premature infants is of great public health concern. To better guide local intervention program, it is essential that current and reliable statistics be collected to understand the factors associated with mortality of these infants.Methods: Data of very low birth weight premature infants admitted to a neonatal unit during 2002-2009 was retrospectively collected. Changes in perinatal care between two halves of the study period (2002-2005 and 2006-2009 were identified. Factors associated with in-hospital mortality were found by logistic regression and a predictive score model was established.Findings: A total of 475 cases were enrolled. In-hospital mortality decreased from 29.8% in 2002-2005 to 28.1% in 2006-2009 (P>0.05. More infants born<28 gestational weeks survived to discharge in the latter epoch (38.1% vs 8.3%, P<0.05. Persistent pulmonary hypertension of newborn, pulmonary hemorrhage,birth weight <000 grams, gestational age <33 weeks, feeding before 3 postnatal days and enteral feeding were found predictors of in-hospital mortality by logistic regression. The discriminating ability of the predictivemodel was 82.4% and the cutoff point was -0.56.Conclusion: Survival of very low birth weight premature neonates was not significantly improved in 2006-2009 than 2002-2005. Infants with a score higher than -0.56 were assessed to be at high risk of in-hospital mortality. Multi-center studies of planned follow-up are needed to develop a comprehensive and applicable score system.

  2. Allocation of feed based on individual dairy cow live weight changes: I: Feed intake and live weight changes during lactation

    DEFF Research Database (Denmark)

    Bossen, Dorte; Weisbjerg, Martin Riis; Munksgaard, Lene;

    2009-01-01

    mobilization period especially within multiparous cows. The different results obtained in response to early and late reduction of ration energy concentration suggest that transition from mobilization to deposition conditions is a reversible process only as long as cows are not fully adapted to deposition......Based on individual cow live weight changes, feeding strategies were designed for individual feeding of dairy cows in loose-housing systems and examined in a four-year production trial including 115 Danish Red (DR), 91 Danish Holstein (DH) and 93 Danish Jersey (DJ). Cows were kept in a dairy system...... in response to feeding the MR2 strategies. Early reduction (MR2-E strategy) caused a significant longer duration of the total period of mobilization compared to late reduction (MR2-L) within multiparous DR and DH cows. It indicates that early reduction of ration energy concentration forced these cows...

  3. Changing patterns of infant behavior and mother-infant interaction : Intra- and interindividual variability

    NARCIS (Netherlands)

    de Weerth, C.; Van Geert, P. L. C.

    2002-01-01

    Mother-infant dyads were observed weekly at their homes for a 15-month period. In this way longitudinal data about the infants' crying, fretting/fussing, smiling and different types of physical contact with the mother were collected. The subject of this study concerns the variability and stability i

  4. Influence of Cultural Beliefs on Infant Feeding, Postpartum and Childcare Practices among Chinese-American Mothers in New York City.

    Science.gov (United States)

    Lee, Adele; Brann, Lynn

    2015-06-01

    As one of the fastest growing communities in the United States, Chinese-Americans receive relatively little research attention on their rates of breastfeeding versus formula feeding, and what factors influence that choice. This research aims to examine the influence of elders and cultural beliefs on postpartum, infant feeding, and childcare practices. Semi-structured interviews with 22 recently postpartum mothers who met the recruiting criteria were conducted between July 2012 and February 2013. The traditional postpartum practice, zuo yuezi, presented negative physical and emotional outcomes and maternal reporting of delay in lactation. Early introduction of solids for traditional reasons was reported. The support from husbands and elders were necessary for breastfeeding success, while some mothers had to first negotiate with elders for breastfeeding. The practice of sending infants back to China to be taken care of by extended families presented cultural implications related to grandparents' involvement in raising grandchildren. With the respect and appreciation for elders and traditions, it is likely that Chinese mothers negotiate between cultural traditions and societal expectation in the western home. PMID:25331609

  5. Construction of quality-assured infant feeding process of care data repositories: definition and design (Part 1).

    Science.gov (United States)

    Garcí A-de-León-Chocano, Ricardo; Sáez, Carlos; Muñoz-Soler, Verónica; Garcí A-de-León-González, Ricardo; García-Gómez, Juan M

    2015-12-01

    This is the first paper of a series of two regarding the construction of data quality (DQ) assured repositories for the reuse of information on infant feeding from birth until two years old. This first paper justifies the need for such repositories and describes the design of a process to construct them from Electronic Health Records (EHR). As a result, Part 1 proposes a computational process to obtain quality-assured datasets represented by a canonical structure extracted from raw data from multiple EHR. For this, 13 steps were defined to ensure the harmonization, standardization, completion, de-duplication, and consistency of the dataset content. Moreover, the quality of the input and output data for each of these steps is controlled according to eight DQ dimensions: predictive value, correctness, duplication, consistency, completeness, contextualization, temporal-stability and spatial-stability. The second paper of the series will describe the application of this computational process to construct the first quality-assured repository for the reuse of information on infant feeding in the perinatal period aimed at the monitoring of clinical activities and research. PMID:26513467

  6. The Challenge of Meeting Nutrient Needs of Infants and Young Children during the Period of Complementary Feeding: An Evolutionary Perspective 1 2 3

    OpenAIRE

    Dewey, Kathryn G.

    2013-01-01

    Breast-fed infants and young children need complementary foods with a very high nutrient density (particularly for iron and zinc), especially at ages 6–12 mo. However, in low-income countries, their diet is usually dominated by cereal-based porridges with low nutrient density and poor mineral bioavailability. Complementary feeding diets typically fall short in iron and zinc and sometimes in other nutrients. These gaps in nutritional adequacy of infant diets have likely been a characteristic o...

  7. Is the association of breastfeeding with child obesity explained by infant weight change?

    NARCIS (Netherlands)

    L. van Rossem (Lenie); E.M. Taveras (Elsie M.); M.W. Gillman (Matthew W.); K.P. Kleinman (Ken P.); S.L. Rifas-Shiman (Sheryl L.); H. Raat (Hein); E. Oken (Emily)

    2011-01-01

    textabstractObjective. Breastfeeding and infant weight change are both associated with adiposity. We examined the extent to which infant weight change mediates the association between breastfeeding and adiposity at age 3 years. Methods. We studied 884 children in a prospective cohort study. We deter

  8. Pervasive promotion of breastmilk substitutes in Phnom Penh, Cambodia, and high usage by mothers for infant and young child feeding.

    Science.gov (United States)

    Pries, Alissa M; Huffman, Sandra L; Mengkheang, Khin; Kroeun, Hou; Champeny, Mary; Roberts, Margarette; Zehner, Elizabeth

    2016-04-01

    In 2005, Cambodia passed the Sub-Decree on Marketing of Products for Infant and Young Child Feeding (no. 133) to regulate promotion of commercial infant and young child food products, including breastmilk substitutes. Helen Keller International assessed mothers' exposure to commercial promotions for breastmilk substitutes and use of these products through a cross-sectional survey among 294 mothers of children less than 24 months of age. Eighty-six per cent of mothers reported observing commercial promotions for breastmilk substitutes, 19.0% reported observing infant and young child food product brands/logos on health facility equipment and 18.4% reported receiving a recommendation from a health professional to use a breastmilk substitute. Consumption of breastmilk substitutes was high, occurring among 43.1% of children 0-5 months and 29.3% of children 6-23 months of age. Findings also indicated a need to improve breastfeeding practices among Phnom Penh mothers. Only 36.1% of infants 0-5 months of age were exclusively breastfed, and 12.5% of children 20-23 months of age were still breastfed. Children that received a breastmilk substitute as a prelacteal feed were 3.9 times more likely to be currently consuming a breastmilk substitute than those who did not. Despite restriction of commercial promotions for breastmilk substitutes without government approval, occurrence of promotions is high and use is common among Phnom Penh mothers. In a country with high rates of child malnutrition and pervasive promotions in spite of restrictive national law, full implementation of Cambodia's Sub-Decree 133 is necessary, as are policies and interventions to support exclusive and continued breastfeeding. Key messages Despite prohibition without specific approval by the national government, companies are pervasively promoting breast-milk substitutes in Phnom Penh, particularly on television and at points of sale. Strengthened implementation and enforcement of Cambodia's subdecree 133

  9. Effect of glutamine with auxiliary enteral and parenteral nutrition on feeding intolerance of low birth weight infants

    Institute of Scientific and Technical Information of China (English)

    Xiao-Dong Cai; Chun-Hong Chen; Yan-Fang Li

    2016-01-01

    Objective:To analyze the clinical effects of glutamine assisted enteral nutrition and parenteral nutrition on improving the feeding intolerance of low birth weight infants.Methods: A total of 40 cases of low birth weight infants (LBW) in our hospital from May 2013 to June 2015 were selected, which were divided equally into the observation group and the control group according to the different nutritional intervention methods. Patients in the control group received routine enteral nutrition and parenteral nutrition while children of observed group received glutamine assisted enteral and parenteral nutrition. Differences of children’s growth and development indicators, nutritional status and levels of calcium and phosphorus, gastrin and motilin levels, mucosal barrier and immune function were compared between two groups. Results:After receiving nutritional intervention, children in the observation group had higher levels of serum leptin, GH, IGF-I and adiponectin than the control group patients, while Cor values were lower. The observation group patients who received nutritional intervention had higher TSF, AMC, TP, ALB, calcium and phosphorus levels than the control group, while the ALP values were lower; children of observation group who received nutrition intervention had higher GAS and MOT levels than the control group; children of observation group after intervention had higher peripheral blood CD3+T, CD4+T and CD4+/CD8+ levels than the control group children, while D-lactic acid and blood ammonia levels were lower.Conclusion:Glutamine assisted enteral nutrition and parenteral nutrition could improve the feeding intolerance of low birth weight infants, and it improved the nutritional status as well as growth and development of children as a whole, and thus had positive clinical significance.

  10. Influence of milk-feeding type and genetic risk of developing coeliac disease on intestinal microbiota of infants: the PROFICEL study.

    Science.gov (United States)

    Palma, Giada De; Capilla, Amalia; Nova, Esther; Castillejo, Gemma; Varea, Vicente; Pozo, Tamara; Garrote, José Antonio; Polanco, Isabel; López, Ana; Ribes-Koninckx, Carmen; Marcos, Ascensión; García-Novo, María Dolores; Calvo, Carmen; Ortigosa, Luis; Peña-Quintana, Luis; Palau, Francesc; Sanz, Yolanda

    2012-01-01

    Interactions between environmental factors and predisposing genes could be involved in the development of coeliac disease (CD). This study has assessed whether milk-feeding type and HLA-genotype influence the intestinal microbiota composition of infants with a family history of CD. The study included 164 healthy newborns, with at least one first-degree relative with CD, classified according to their HLA-DQ genotype by PCR-SSP DQB1 and DQA1 typing. Faecal microbiota was analysed by quantitative PCR at 7 days, and at 1 and 4 months of age. Significant interactions between milk-feeding type and HLA-DQ genotype on bacterial numbers were not detected by applying a linear mixed-model analysis for repeated measures. In the whole population, breast-feeding promoted colonization of C. leptum group, B. longum and B. breve, while formula-feeding promoted that of Bacteroides fragilis group, C. coccoides-E. rectale group, E. coli and B. lactis. Moreover, increased numbers of B. fragilis group and Staphylococcus spp., and reduced numbers of Bifidobacterium spp. and B. longum were detected in infants with increased genetic risk of developing CD. Analyses within subgroups of either breast-fed or formula-fed infants indicated that in both cases increased risk of CD was associated with lower numbers of B. longum and/or Bifidobacterium spp. In addition, in breast-fed infants the increased genetic risk of developing CD was associated with increased C. leptum group numbers, while in formula-fed infants it was associated with increased Staphylococcus and B. fragilis group numbers. Overall, milk-feeding type in conjunction with HLA-DQ genotype play a role in establishing infants' gut microbiota; moreover, breast-feeding reduced the genotype-related differences in microbiota composition, which could partly explain the protective role attributed to breast milk in this disorder. PMID:22319588

  11. Breast feeding-associated hypernatremic dehydration: A preventable tragedy in newborn infants

    Directory of Open Access Journals (Sweden)

    Sriram Krishnamurthy

    2011-12-01

    Full Text Available The innumerable and compelling benefits of exclusive breastfeeding to the infant, mother, family and society are well recognized. Hypernatremic dehydration is a rare, yet potentially preventable complication of exclusive breastfeeding; the etiology being inadequate lactation. We report 2 exclusively breastfed newborn infants with serum sodium levels of 166 and 159 mEq/L, respectively. Both babies presented with excessive weight loss, fever, dehydration, and irritability. Mothers had inadequate lactation. Corresponding breast milk sodium levels were elevated in both mothers (77 and 45 mEq/l; normal 7-21 mEq/L between 3-14 d postpartum. Appropriate parenteral fluids were administered to correct dehydration and hypernatremia. Serum sodium normalized within 72 hours. Following counseling, breastfeeding was resumed after 48 hours with both the mothers achieving good lactation. Infants were finally discharged on exclusive breastfeeding. Timely recognition and awareness of this potentially lethal, but preventable condition is essential to ensure a favorable outcome.

  12. How different are baby-led weaning and conventional complementary feeding? A cross-sectional study of infants aged 6–8 months

    Science.gov (United States)

    Morison, Brittany J; Taylor, Rachael W; Haszard, Jillian J; Schramm, Claire J; Williams Erickson, Liz; Fangupo, Louise J; Fleming, Elizabeth A; Luciano, Ashley; Heath, Anne-Louise M

    2016-01-01

    Objectives To compare the food, nutrient and ‘family meal’ intakes of infants following baby-led weaning (BLW) with those of infants following a more traditional spoon-feeding (TSF) approach to complementary feeding. Study design and participants Cross-sectional study of dietary intake and feeding behaviours in 51 age-matched and sex-matched infants (n=25 BLW, 26 TSF) 6–8 months of age. Methods Parents completed a questionnaire, and weighed diet records (WDRs) on 1–3 non-consecutive days, to investigate food and nutrient intakes, the extent to which infants were self-fed or parent-fed, and infant involvement in ‘family meals’. Results BLW infants were more likely than TSF infants to have fed themselves all or most of their food when starting complementary feeding (67% vs 8%, p<0.001). Although there was no statistically significant difference in the large number of infants consuming foods thought to pose a choking risk during the WDR (78% vs 58%, p=0.172), the CI was wide, so we cannot rule out increased odds with BLW (OR, 95% CI: 2.57, 0.63 to 10.44). No difference was observed in energy intake, but BLW infants appeared to consume more total (48% vs 42% energy, p<0.001) and saturated (22% vs 18% energy, p<0.001) fat, and less iron (1.6 vs 3.6 mg, p<0.001), zinc (3.0 vs 3.7 mg, p=0.001) and vitamin B12 (0.2 vs 0.5 μg, p<0.001) than TSF infants. BLW infants were more likely to eat with their family at lunch and at the evening meal (both p≤0.020). Conclusions Infants following BLW had similar energy intakes to those following TSF and were eating family meals more regularly, but appeared to have higher intakes of fat and saturated fat, and lower intakes of iron, zinc and vitamin B12. A high proportion of both groups were offered foods thought to pose a choking risk. PMID:27154478

  13. Postdelivery changes in maternal and infant erythrocyte fatty acids in 3 populations differing in fresh water fish intakes

    NARCIS (Netherlands)

    Kuipers, Remko S.; Luxwolda, Martine F.; Sango, Wicklif S.; Kwesigabo, Gideon; Dijck-Brouwer, D. A. Janneke; Muskiet, Frits A. J.

    2011-01-01

    Introduction: Long-chain polyunsaturated (LCP) fatty acids (FA) are important during infant development. Mother-to-infant FA-transport occurs at the expense of the maternal status. Maternal and infant FA-status change rapidly after delivery. Methods: Comparison of maternal (mRBC) and infant erythroc

  14. Assessment of Infant and Young Child Feeding Practices Among Mothers in Rural Madhya Pradesh.

    Directory of Open Access Journals (Sweden)

    Swati Jain, Amod Borle, Sanjay S Agrawal, Mahesh Kumar Mishra, Sanjay Kumar Gupta, Vishal Bathma

    2014-01-01

    Conclusion: This study showed that although the exclusive breastfeeding rate is satisfactory but there are many inappropriate feeding practices during early childhood. These findings highlight the need for effective national level nutrition programmes to enhance breastfeeding and complementary feeding practices with a focus on the target groups."

  15. Recommended Feeding and Dietary Practices To Improve Infant and Maternal Nutrition.

    Science.gov (United States)

    Academy for Educational Development, Washington, DC.

    The LINKAGES Project is intended to improve breastfeeding and related complementary feeding and maternal dietary practices. The project, in consultation with technical experts and program managers, identified a set of recommended feeding and dietary practices intended to break the cycle of poor health and nutrition that passes from generation to…

  16. Feeding practices of mothers and/or caregivers of infants below the age of 6 months in South Africa / Linda Precious Siziba

    OpenAIRE

    Siziba, Linda Precious

    2014-01-01

    Background: Breastfeeding is widely recognised as the ideal approach for improving child survival and feeding new-born babies and young infants. The World Health Organisation (WHO) recommends exclusive breastfeeding (EBF) for the first 6 months of life with timely introduction of complementary foods at 6 months and continued breastfeeding for up to two years and beyond. The feeding practices of mothers are widely influenced by different factors which may be embedded within different contexts ...

  17. Impact of mothers’ employment on infant feeding and care: a qualitative study of the experiences of mothers employed through the Mahatma Gandhi National Rural Employment Guarantee Act

    OpenAIRE

    Nair, Manisha; Ariana, Proochista; Webster, Premila

    2014-01-01

    Objective To explore the experiences of mothers employed through the Mahatma Gandhi National Rural Employment Guarantee Act (MGNREGA) using focus group discussions (FGDs) to understand the impact of mothers’ employment on infant feeding and care. The effects of mothers’ employment on nutritional status of children could be variable. It could lead to increased household income, but could also compromise child care and feeding. Setting The study was undertaken in the Dungarpur district of Rajas...

  18. Changes in lung volume and ventilation during surfactant treatment in ventilated preterm infants

    NARCIS (Netherlands)

    M. Miedema; F.H. de Jongh; I. Frerichs; M.B. van Veenendaal; A.H. van Kaam

    2011-01-01

    The immediate and regional effects of exogenous surfactant in open lung high-frequency oscillatory ventilated (HFOV) preterm infants are unknown. To assess regional changes in lung volume, mechanics, and ventilation during and after surfactant administration in HFOV preterm infants with respiratory

  19. Maternal health, breast-feeding and infant nutrition in Australian aborigines.

    Science.gov (United States)

    Gracey, M

    1989-08-01

    Undernutrition is widespread in Australian Aboriginal infants and children and is associated with high rates of infections, particularly of the respiratory and gastrointestinal systems. Maternal ill-health and undernutrition seem to be neglected factors which contribute to the high incidence of low birthweight in Aboriginal babies and to their poor growth in the first five years of life. More effective preventive programmes are needed to help overcome these problems. PMID:2514558

  20. IDENTIFYING BOTTLENECKS FOR APPROPRIATE INFANT FEEDING IN URBAN SLUMS, ALIGARH CITY.

    Directory of Open Access Journals (Sweden)

    Saira Mehnaz

    2012-04-01

    Full Text Available Introduction: Urban population is increasing rapidly. Majority of these families are poor or landless farmers and labourers, who settle down in peri-urban areas, creating slums. Urban slums are thus growing at an alarming rate. The present study was carried out with the general objective of identifying factors which prevent access to health services. Objectives: 1. To determine the prevalence of stunting, wasting, and underweight in infants and young children. 2. To determine presence of certain micro-environmental and socioeconomic factors associated with poor nutritional status of infants and children. Methodology: Baseline study was carried out in Oct –Nov 2009 (as a part of another ongoing study and data was collected in 110 Mothers who had delivered children during the last one month. In Oct 2010 these families were visited again the infants were followed up. 39 families had shifted to another location or emigrated back to their parent state or village mostly in search of seasonal employment as reported by neighbours. One family refused to cooperate. . Two infants had died. Remaining 68 Mothers were interviewed in friendly informal manner after taking consent for study. Results: (35.4% study subjects had migrated to other areas, as reported by neighbours. Of the 68 mothers interviewed during follow up visit, previous baseline record showed that a majority were 20-30 years of age. , only 2 mothers (2.9% had exclusively breastfed for 6 months. 46 (67.6% said they had not been contacted by any health worker during the last 3 months. All 68 children were malnourished. Immunization status was poor and 94.1% children had suffered from some illness in the last one month. Conclusion: Migration is a problem which makes it difficult for providers to give continuity of care. Capacity building of the community can reduce the the bottlenecks leading to marginalization and exclusion of slum mothers from the mainstream urban health services.

  1. Infant and Young Child Feeding: a Key area to Improve Child Health

    OpenAIRE

    Habibolah Taghizade Moghaddam; Gholam Hasan Khodaee; Maryam Ajilian Abbasi; Masumeh Saeidi

    2015-01-01

    Good nutrition is essential for survival, physical growth, mental development, performance, productivity, health and well-being across the entire life-span: from the earliest stages of fetal development, at birth, and through infancy, childhood, adolescence and on into adulthood. Poor nutrition in the first 1,000 days of children’s lives can have irreversible consequences. For millions of children, it means they are, forever, stunted. Every infant and child has the right to good nutrition acc...

  2. The impact of infant feeding patterns on infection and diarrheal disease due to enterotoxigenic Escherichia coli

    Directory of Open Access Journals (Sweden)

    Long Kurt

    1999-01-01

    Full Text Available OBJECTIVE. Determine the impact of dietary risk factors on patterns of infection by heat labile toxin-producing Escherichia coli (LT-ETEC. MATERIALS AND METHODS. Ninety-eight infants were followed from birth for one year in Guadalajara, Mexico, beginning in august of 1986. Stool and breast milk samples were collected weekly from infants and their mothers, respectively. Mothers were also interviewed on a weekly basis regarding the health of the infants. Parametric hazard models were fit to durations of different LTETEC disease states determined through the analysis of stools. The child's consumption of supplemental foods and liquids as well as specific levels of LT-ETEC-specific breast milk antibodies were included in each model as time-varying covariates. RESULTS. The hazard of LTETEC asymptomatic infection increased 400 percent among children who received oats gruel (hazard rate= 4.01; 95% CI 2.77-5.24. The duration of infection was reduced if the child had had a previous LT-ETEC diarrheal episode (2.12; 95% CI 1.74-2.49 but was prolonged if the child consumed herbal teas (0.53; 95% CI 0.27-0.7. Herbal teas and high LTETEC-specific breast milk antibody levels each reduced the hazard of symptomatic infection by ninety percent. Symptomatic episodes became asymptomatic more rapidly if a child was given rice water. CONCLUSIONS. Specific weaning foods increase the risk of infection. Breastmilk antibodies and liquid infusions reduce diarrheal disease and infection duration.

  3. Change in movement patterns asymmetry in infants with central coordination disorder in continuous studies

    Directory of Open Access Journals (Sweden)

    Urban Katarzyna

    2015-11-01

    Full Text Available Study aim: the aim of the study was to observe the dynamics of changes in postural symmetry in infants during the first year of life, undergoing a therapy using the NDT-Bobath method.

  4. A study on feeding practice of under 6 months infants attending the Nutrition Clinic of a tertiary care hospital of West Bengal, India

    Directory of Open Access Journals (Sweden)

    Prabha Shrivastava

    2013-06-01

    Full Text Available Background: while breast feeding is a natural act, it is also a learned behavior. The right technique of feeding in the right position is the key to success of breastfeeding.Methods: to assess the feeding practice including positioning, attachment and suckling of under 6 months’ infants, a cross-sectional study was undertaken at R. G. Kar Medical College and Hospital, India, among 99 mothers in 2010.Results: 59.8% mothers completed feeding from one breast before going to the next breast. 77.3% mothers alternated their breasts during subsequent feeds. 41.2% babies were well attached, 47.4% babies were correctly positioned.Conclusions: there is a need to teach the mothers  the techniques of correct positioning and attachment, especially, in the post natal period before discharge from the hospital after delivery. 

  5. Determinants of infant and young child feeding practices in Rupandehi, Nepal

    OpenAIRE

    Gautam, Kapil Prasad; Adhikari, Mandira; Khatri, Resham Bahadur; Devkota, Madhu Dixit

    2016-01-01

    Background Undernutrition is a major problem in Nepal and meeting the minimum dietary standard is essential for growth and development of young children. Continuous monitoring of such practices is important to inform policy and program formulation. This study aimed to assess complementary feeding practices, and associated factors in Western Nepal. Methods This was a cross-sectional study conducted in Rupandehi district of Western Nepal. Face-to-face interviews were conducted among 178 mothers...

  6. Gendered perceptions on infant feeding in Eastern Uganda: continued need for exclusive breastfeeding support

    OpenAIRE

    Karamagi Charles A; Nankunda Jolly; Moland Karen M; Engebretsen Ingunn MS; Tylleskär Thorkild; Tumwine James K

    2010-01-01

    Abstract Background In resource-poor settings, HIV positive mothers are recommended to choose between 'Exclusive breastfeeding' (EBF) or 'Exclusive replacement feeding' (ERF). Acceptability, Feasibility, Affordability, Sustainability and Safety (AFASS) has been the World Health Organization (WHO)'s a priori criteria for ERF the last ten years. 'AFASS' has become a mere acronym among many workers in the field of prevention of mother-to-child transmission of HIV, PMTCT. Thereby, non-breastfeedi...

  7. Toxicological consequences of feeding PCB congeners to infant rhesus (Macaca mulatta) and cynomolgus (Macaca fascicularis) monkeys.

    Science.gov (United States)

    Arnold, D L; Bryce, F; Mes, J; Tryphonas, H; Hayward, S; Malcolm, S

    1999-01-01

    In a study designed to minimize interspecies extrapolation of toxicological data, nine rhesus (Macaca mulatta) and 15 cynomolgus (M. fascicularis) day-old infant monkeys were separated from their dams following parturition and hand-reared using a liquid non-human primate formulation. The infants were randomly divided into a control and a treated group which received a mixture of polychlorinated biphenyl (PCB) congeners analogous to those found in breast milk from Canadian women. The concentration of congeners in the dosing media resulted in each infant receiving a total of 7.5 microg PCB congeners/kg body weight/day. The congeners were added either to the liquid formulation or to corn oil and administered to the back of the monkey's mouth for 20 weeks. Monthly blood and adipose specimens were obtained during the dosing period and then periodically until the monkey was necropsied or taken off test (minimum of 66 weeks on test) for congener analysis. Parameters such as body weight, formula consumption, tooth eruption, somatic measurements, haematology and serum biochemistry were monitored throughout the study. In addition, a qualitative evaluation of the absorption and depletion of the various congeners was undertaken as was an immunological evaluation. For the monitored parameters, very few differences were found to be statistically significant. For the immunological parameters, the only statistically differences found were a reduction over time for immunoglobulins M and G antibodies to sheep red blood cells (cyno, P = 0.025; rhesus, P = 0.002) and a treatment-related reduction in the levels of the HLA-DR cell surface marker (mean percent, P = 0.016; absolute levels, P = 0.027). There were some qualitative differences regarding absorption and depletion rates for the various congeners, but it could not be definitely ascertained whether these differences were due to species differences or dosing mode. However, statistically significant differences were found for

  8. Raw bovine milk improves gut responses to feeding relative to infant formula in preterm piglets

    DEFF Research Database (Denmark)

    Li, Yang; Lykke, Mikkel; Chatterton, D E W;

    2014-01-01

    milk) would have less bioactivity than corresponding bovine colostrum (BC) in a preterm pig model, but have improved bioactivity relative to its homogenized, pasteurized, spray-dried equivalent, whole milk powder (WMP), or a bovine milk protein-based infant formula (IF). For 5 days, newborn preterm......For preterm neonates, the quality of the first milk is crucial for intestinal maturation and resistance to necrotizing enterocolitis (NEC). Among other factors, milk quality is determined by the stage of lactation and processing. We hypothesized that unprocessed mature bovine milk (BM; raw bovine...... effects as BM, except for lactase activity and lactose absorption. In conclusion, the maturational and protective effects on the immature intestine decreased in the order BC>BM>WMP, but all three intact bovine milk diets were markedly better than IF. The stage of lactation (colostrum vs. mature milk...

  9. Consequences of the Chernobyl reactor accident with respect to the feeding of infants

    International Nuclear Information System (INIS)

    In view of the persisting and understandable fear of parents with regard to radioactivity in the food of their babies as a consequence of the Chernobyl reactor accident, the Commission on Nutrition of the Deutsche Gesellschaft fuer Kinderheilkunde (German Society of Pediatrics) and the Strahlenschutzkommission have published a statement. According to this statement, the maximum permissible level of radioactivity in commercial baby food has been fixed by the EC to be 370 Bq/kg. The dietetic food industry itself has fixed a maximum for its products which is only a tenth of the radioactivity level permitted by the EC directive. The milk powders for infants tested since the reactor accident contained no measurable radioactivity or only very low amounts of Cs 134 or Cs 137, correspondung to a maximum of 25 Bq/kg in the product. Late damage to health is not to be expected. (orig./ECB)

  10. Urban and rural infant-feeding practices and health in early medieval Central Europe (9th-10th Century, Czech Republic).

    Science.gov (United States)

    Kaupová, Sylva; Herrscher, Estelle; Velemínský, Petr; Cabut, Sandrine; Poláček, Lumír; Brůžek, Jaroslav

    2014-12-01

    In the Central European context, the 9th and 10th centuries are well known for rapid cultural and societal changes concerning the development of the economic and political structures of states as well as the adoption of Christianity. A bioarchaeological study based on a subadult skeletal series was conducted to tackle the impact of these changes on infant and young child feeding practices and, consequently, their health in both urban and rural populations. Data on growth and frequency of nonspecific stress indicators of a subadult group aged 0-6 years were analyzed. A subsample of 41 individuals was selected for nitrogen and carbon isotope analyses, applying an intra-individual sampling strategy (bone vs. tooth). The isotopic results attest to a mosaic of food behaviors. In the urban sample, some children may have been weaned during their second year of life, while some others may have still been consuming breast milk substantially up to 4-5 years of age. By contrast, data from the rural sample show more homogeneity, with a gradual cessation of breastfeeding starting after the age of 2 years. Several factors are suggested which may have been responsible for applied weaning strategies. There is no evidence that observed weaning strategies affected the level of biological stress which the urban subadult population had to face compared with the rural subadult population. PMID:25256815

  11. Mixed-methods study identifies key strategies for improving infant and young child feeding practices in a highly stunted rural indigenous population in Guatemala.

    Science.gov (United States)

    Brown, Kelley; Henretty, Nicole; Chary, Anita; Webb, Meghan Farley; Wehr, Heather; Moore, Jillian; Baird, Caitlin; Díaz, Anne Kraemer; Rohloff, Peter

    2016-04-01

    Guatemala's rural indigenous population suffers from one of the highest rates of chronic child malnutrition (stunting) in the world. Successfully addressing stunting requires defining the barriers to and opportunities for new behaviour-change initiatives. We undertook a mixed-methods assessment of feeding practices and food purchasing behaviours around infants and young children aged 6-36 months in two rural indigenous Guatemalan communities. We found that most caregivers were aware only of acute forms of child malnutrition and that they greatly underestimated the local prevalence of malnutrition. Despite moderate adherence to exclusive breastfeeding and timing of complementary food introduction, diets had poor diversity and inadequate meal frequency. Furthermore, perceptions of food insecurity were high even in the presence of land ownership and agricultural production. Although fortified foods were highly valued, they were considered expensive. At the same time, proportionally equivalent amounts of money were spent on junk foods or other processed foods by most participants. Biological mothers often lacked autonomy for food purchasing and nutritional decisions because of the power exerted by husbands and paternal grandmothers. Our findings suggest several creative and community-based programming initiatives including education about the acute vs. chronic malnutrition distinction, engaging landowners in discussions about domestic food consumption, engaging with caregivers to redirect funds towards fortified foods rather than junk food purchases and directing behaviour-change initiatives towards all household stakeholders. PMID:25040768

  12. Individual and Community Perspectives, Attitudes, and Practices to Mother-to-Child-Transmission and Infant Feeding among HIV-Positive Mothers in Sub-Saharan Africa: A Systematic Literature Review

    Directory of Open Access Journals (Sweden)

    Alexander Suuk Laar, MPH

    2013-11-01

    Full Text Available Objectives: International guidelines on infant feeding for HIV-positive mothers promote Exclusive Replacement Feeding (ERF (infant formula or animal milk or exclusive breastfeeding (with no supplements of any kind. A mixed feeding pattern, where breastfeeding is combined with other milks, liquid foods or solids, has been shown to increase the risk of transmission of HIV and is strongly discouraged. However, little is known about the ability of women to adhere to recommended feeding strategies to prevent mother-to-child transmission (MTCT of HIV from breast milk. The objective of this study was to assess the individual and community-level factors that affect perspectives, attitudes and practices of HIV-positive mothers on MTCT and infant feeding in sub-Saharan Africa as documented in peer-reviewed and grey literature. Methods: This work is based on an extensive review of peer-reviewed articles and grey literature from the period 2000-2012. The literature search was carried out using electronic databases like, Medline Ovid, Google scholar, Pubmed and EBSCOhost. Both quantitative and qualitative studies written in English language on HIV and infant feeding with particular emphasis on sub-Saharan Africa were included. Results: The review found low adherence to the chosen infant feeding method by HIV-positive mothers. The following factors emerged as influencing infant feeding decisions: cultural and social norms; economic conditions; inadequate counselling; and mother’s level of education. Conclusions and Public Health Implications: Unless local beliefs and customs surrounding infant feeding is understood by policy makers and program implementers, Prevention of Mother-to-Child Transmission (PMTCT programs will only be partially successful in influencing feeding practices of HIV-positive women. Hence programs should provide affordable, acceptable, feasible, safe and sustainable feeding recommendations that do not erode strong cultural practices

  13. Raw bovine milk improves gut responses to feeding relative to infant formula in preterm piglets.

    Science.gov (United States)

    Li, Yanqi; Jensen, Mikkel L; Chatterton, Dereck E W; Jensen, Bent B; Thymann, Thomas; Kvistgaard, Anne S; Sangild, Per T

    2014-01-01

    For preterm neonates, the quality of the first milk is crucial for intestinal maturation and resistance to necrotizing enterocolitis (NEC). Among other factors, milk quality is determined by the stage of lactation and processing. We hypothesized that unprocessed mature bovine milk (BM; raw bovine milk) would have less bioactivity than corresponding bovine colostrum (BC) in a preterm pig model, but have improved bioactivity relative to its homogenized, pasteurized, spray-dried equivalent, whole milk powder (WMP), or a bovine milk protein-based infant formula (IF). For 5 days, newborn preterm pigs received parenteral and enteral nutrition consisting of IF (n = 13), BM (n = 13), or BC (n = 14). In a second study, WMP (n = 15) was compared with IF (n = 10) and BM (n = 9). Compared with pigs fed IF, pigs that were fed BM had significantly improved intestinal structure (mucosal weight, villus height) and function (increased nutrient absorption and enzyme activities, decreased gut permeability, nutrient fermentation, and NEC severity). BC further improved these effects relative to BM (lactase activity, lactose absorption, plasma citrulline, and tissue interleukin-8). WMP induced similar effects as BM, except for lactase activity and lactose absorption. In conclusion, the maturational and protective effects on the immature intestine decreased in the order BC>BM>WMP, but all three intact bovine milk diets were markedly better than IF. The stage of lactation (colostrum vs. mature milk) and milk processing (e.g., homogenization, fractionation, pasteurization, spray-drying) are important factors in determining milk quality during the early postnatal period of preterm neonates. PMID:24157971

  14. Dual pH probe monitoring versus single pH probe monitoring in infants on milk feeds: the impact on diagnosis

    OpenAIRE

    Washington, N; Spensley, P; Smith, C.; Parker, M.; Bush, D.; Jackson, S; Kapila, L; Stephenson, T; Washington, C

    1999-01-01

    OBJECTIVES—Oesophageal pH monitoring is the gold standard technique for the detection of gastro-oesophageal reflux in adults and children. A standard parameter used to define "abnormal" reflux is the percentage of recording time for which the gastric pH is < 4. This study investigated the relevance of this measure in infants on regular milk feeds whose gastric contents and refluxate will be neutral for most of the recording time.
METHODS—Simultaneous oesophageal and ga...

  15. Infant feeding experiences among teen mothers in North Carolina: Findings from a mixed-methods study

    Directory of Open Access Journals (Sweden)

    Samandari Ghazaleh

    2011-09-01

    Full Text Available Abstract Background Adolescent mothers in the U.S. are much less likely to initiate breastfeeding than older mothers, and teens who do initiate breastfeeding tend to breastfeed for shorter durations. The purpose of this mixed-methods study is to investigate breastfeeding practices, barriers and facilitators among adolescent mothers ages 17 and younger. Methods Quantitative descriptive analyses are conducted using data from the North Carolina Pregnancy Risk Assessment Monitoring System (PRAMS. The population-based sample comprises 389 teens ages 13-17 giving birth to a live born infant in North Carolina in 2000 - 2005 and in 2007. Qualitative analyses are based on in-depth interviews with 22 Black, White and Hispanic teen mothers residing in rural and urban areas of North Carolina conducted between November 2007 and February 2009. Results In quantitative analyses, 52% (196 of 389 of North Carolina teen mothers initiated breastfeeding, but half of those who initiated breastfeeding (92/196 stopped within the first month postpartum. Hispanic teens (44/52 or 89% were much more likely than Black (61/159 or 41% or White teens (87/164 or 52% to initiate breastfeeding and to continue for a longer duration. Nearly sixty two percent (29/52 of Hispanic respondents breastfed for greater than four weeks as compared to 16% (29/159 of Black respondents and 26% (39/164 of White respondents. Common barriers to breastfeeding initiation and continuation included not liking breastfeeding, returning to school, nipple pain, and insufficient milk. Qualitative data provided context for the quantitative findings, elucidating the barriers and facilitators to breastfeeding from the teens' perspective and insight into the ways in which breastfeeding support to teens could be enhanced. Conclusions The large number of adolescents ceasing breastfeeding within the first month points to the need for more individualized follow-up after hospital discharge in the first few days

  16. Breastfeeding vs. Formula Feeding

    Science.gov (United States)

    ... Things to Know About Zika & Pregnancy Breastfeeding vs. Formula Feeding KidsHealth > For Parents > Breastfeeding vs. Formula Feeding ... with a lactation specialist. previous continue All About Formula Feeding Commercially prepared infant formulas are a nutritious ...

  17. Rotary Motion Impairs Attention to Color Change in 4-Month-Old Infants

    Science.gov (United States)

    Kavsek, Michael

    2013-01-01

    Continuous color changes of an array of elements appear to stop changing if the array undergoes a coherent motion. This "silencing" illusion was demonstrated for adults by Suchow and Alvarez ("Current Biology", 2011, vol. 21, pp. 140-143). The current forced-choice preferential looking study examined 4-month-old infants' sensitivity to the…

  18. Diet-Induced Changes in Spectrum Patterns of Serum Gangliosides in 6-Month-Old Infants

    Directory of Open Access Journals (Sweden)

    Dida A. Gurnida

    2012-12-01

    Full Text Available Human milk contains higher levels of gangliosides than infant formula. Gangliosides play a role in neuronal growth, migration and maturation, sinaptogenesis, and myelination. Seven of gangliosides (GM1, GM2, GM3, GD3, GD1a, GD1b, and GT1b are dominant with their own specific functions. Thus, the aim of the study was to know the effects of add on diet gangliosides and to compare the spectrum patterns of those seven classes of serum gangliosides in infants consuming standard infant formula (IF group, ganglioside-fortified infant formula (GA group and exclusive breastfeeding (BF group. This study used liquid chromatography–mass spectrometry (LC-MS method. This was a prospective study involving 30 infants in IF group, 29 in GA group and 32 in BF group. Subject recruitment was performed using consecutive admission from March 2008 to February 2009 in Bandung. Statistical analyses using Wilcoxon test showed that there was a significant change in the spectrum patterns of GD3, GM1, GM2 and GT1b in IF group; of GD1a, GM1 and GM2 in GA group and of GD1a, GD1b, GM1 and GM3 in BF group. Conclusions, add on diet gangliosides extend spectrum patterns of gangliosides especially in seven of them, i.e. GM1, GM2, GM3, GD3, GD1a, GD1b, and GT1b, in 6-month old infants.

  19. Developmental changes in motor cortex activity as infants develop functional motor skills.

    Science.gov (United States)

    Nishiyori, Ryota; Bisconti, Silvia; Meehan, Sean K; Ulrich, Beverly D

    2016-09-01

    Despite extensive research examining overt behavioral changes of motor skills in infants, the neural basis underlying the emergence of functional motor control has yet to be determined. We used functional near-infrared spectroscopy (fNIRS) to record hemodynamic activity of the primary motor cortex (M1) from 22 infants (11 six month-olds, 11 twelve month-olds) as they reached for an object, and stepped while supported over a treadmill. Based on the developmental systems framework, we hypothesized that as infants increased goal-directed experience, neural activity shifts from a diffused to focal pattern. Results showed that for reaching, younger infants showed diffuse areas of M1 activity that became focused by 12 months. For elicited stepping, younger infants produced much less M1 activity which shifted to diffuse activity by 12 months. Thus, the data suggest that as infants gain goal-directed experience, M1 activity emerges, initially showing a diffuse area of activity, becoming refined as the behavior stabilizes. Our data begin to document the cortical activity underlying early functional skill acquisition. PMID:27096281

  20. Does breast feeding influence liver biochemistry?

    DEFF Research Database (Denmark)

    Jørgensen, Marianne Hørby; Ott, Peter; Juul, Anders;

    2003-01-01

    It is assumed that early feeding can affect liver biochemistry because breast-fed infants have a higher risk of hyperbilirubinemia than formula-fed infants. The authors sought to determine how feeding mode affected liver biochemistry in healthy term infants.......It is assumed that early feeding can affect liver biochemistry because breast-fed infants have a higher risk of hyperbilirubinemia than formula-fed infants. The authors sought to determine how feeding mode affected liver biochemistry in healthy term infants....

  1. Biological implications of longevity in dairy cows: 1. Changes in feed intake, feeding behavior, and digestion with age.

    Science.gov (United States)

    Grandl, F; Luzi, S P; Furger, M; Zeitz, J O; Leiber, F; Ortmann, S; Clauss, M; Kreuzer, M; Schwarm, A

    2016-05-01

    Milk production strategies focusing on longevity and limited use of concentrate are receiving increasing attention. To evaluate such strategies, knowledge of the development with age of animal characteristics, particularly digestion, is indispensable. We therefore investigated the development of feed intake, chewing activity, and digestion in 30 lactating Brown Swiss cows (876-3,648 d old) and 12 heifers (199-778 d old). We also studied whether age effects were exhibited differently in animals selected from herds subjected for 11 yr either to a forage-only or to a forage-concentrate feeding regimen. Forages consisted of grass hay (the only feed for heifers), corn silage, and grass pellets. Measurements lasted for 8 d, where amounts and composition of feeds, feces, and milk were recorded and analyzed. Ruminal pH data and eating and rumination activity were assessed by pH sensors put into the rumen and halter-mounted noseband sensors. The mean retention time of feed particles was assessed using Cr-mordanted fiber and data were used to calculate dry matter gut fill. Data were subjected to regression analyses with age and feeding regimen as explanatory variables, and body weight, milk yield, and proportion of hay in forage as covariates. This allowed separating age-related changes of body weight and milk yield from independent age effects and correcting for differences in preference for individual forages. In cows, organic matter intake increased with age (from slightly below to above 20kg/d), as did mean retention time and gut fill. Digestibility of organic matter did not show a clear age dependency, but fiber digestibility had a maximum in cows of around 4 to 6 yr of age. Ruminal pH and absolute eating and rumination times did not vary with cow age. Young and old cows chewed regurgitated boluses more intensively (60-70 times) than middle-aged cows (about 50 times). Effects of feeding regimen were small, except for fiber intake and rumination time per unit of intake

  2. Feeding Intolerance and Poor Growth in Infants with Gastroschisis: Longitudinal Experience with Consecutive Patients over Thirteen Years

    OpenAIRE

    Saloni Balgi; Sarita Singhal; Georgia Mueller; Beau Batton

    2015-01-01

    Objectives: 1) To investigate in-hospital factors associated with delayed tolerance of full volume enteral nutrition and 2) To assess longitudinal growth in a contemporary population of infants with gastroschisis.Design: Retrospective single-center study of all infants with gastroschisisSetting: Level III neonatal intensive care unit in a free-standing Children’s HospitalDuration: 13.5 yearsMaterials & Methods: Detailed data regarding demographics, nutritional support, growth, and infant ...

  3. Changing Survival Rate of Infants Born Before 26 Gestational Weeks; Single-centre study

    Directory of Open Access Journals (Sweden)

    Asad Rahman

    2015-08-01

    Full Text Available Objectives: This study aimed to evaluate the changing survival rate and morbidities among infants born before 26 gestational weeks at the Sultan Qaboos University Hospital (SQUH in Muscat, Oman. Methods: This retrospective study assessed the mortality and morbidities of all premature infants born alive at 23–26 gestational weeks at SQUH between June 2006 and May 2013. Infants referred to SQUH within 72 hours of birth during this period were also included. Electronic records were reviewed for gestational age, gender, birth weight, maternal age, mode and place of delivery, antenatal steroid administration, morbidity and outcome. The survival rate was calculated and findings were then compared with those of a previous study conducted in the same hospital from 1991 to 1998. Rates of major morbidities were also calculated. Results: A total of 81 infants between 23–26 gestational weeks were admitted to the neonatal unit during the study period. Of these, 58.0% were male and 42.0% were female. Median gestational age was 25 weeks and mean birth weight was 770 ± 150 g. Of the 81 infants, 49 survived. The overall survival rate was 60.5% compared to 41% reported in the previous study. Respiratory distress syndrome (100.0%, retinopathy of prematurity (51.9%, bronchopulmonary dysplasia (34.6%, intraventricular haemorrhage (30.9% and patent ductus arteriosus (28.4% were the most common morbidities. Conclusion: The overall survival rate of infants between 23–26 gestational weeks during the study period had significantly improved in comparison to that found at the same hospital from 1991 to 1998. There is a need for the long-term neurodevelopmental follow-up of premature infants.

  4. Chronological Changes of the Signal Intensities of White Matter on the FLAIR Images of Infants

    International Nuclear Information System (INIS)

    To assess the pattern of chronological change for the signal intensities of white matter on the FLAIR images of infants. FLAIR, T1- and T2-weighted images of 119 infants (newborn to 24 months age) were obtained by using a 1.5 T MRI machine. From these images, the signal intensities of 9 different white matter regions were compared to those of the adjacent gray matter and the signal intensities of each image were scored from 1 to 5. The FLAIR images show high signal intensity for the cerebellar peduncle and posterior limb of the internal capsule at birth, but changed to low signal intensities in 2 to 3 months. The low signal intensities of the occipital-, parietal-, and frontal deep white matter and subcortical white matter changed to high signal intensities in 2 months, and they returned to low signal intensities in 10, 11, 12 and 19 months, respectively. The signal intensity of the white matter of infants showed peculiar chronologic changes on the FLAIR images. This knowledge could be helpful for the differentiation of normal white matter development and the lesions that mimic white matter disease in infants

  5. Progress of Infants/Toddlers with Severe Disabilities: Perceived and Measured Change

    Science.gov (United States)

    Salisbury, Christine L.; Copeland, Christina G.

    2013-01-01

    An exploratory case study was undertaken to examine child and caregiver outcomes in a diverse sample of 21 infants/toddlers with severe disabilities who received services from an urban, Part C program where caregiver-focused intervention was emphasized. Purposive sampling and mixed methods were used to collect data on child developmental change,…

  6. Parent Education for Improving Feeding Difficulties in Infants%亲职教育在改善婴幼儿喂养困难中的应用

    Institute of Scientific and Technical Information of China (English)

    朱华; 汪丽霞

    2015-01-01

    ABSTRACT:Objective To explore the effect of parent education on feeding difficulties in in-fants.Methods A total of 115 infants with feeding difficulties confirmed in Department of Child Heath Care of Jiangxi Maternal and Children Heath Hospital between January 2013 and Septem-ber 2014 were selected in this study.The group and individual parent education was regularly per-formed to guide parents to take the right feeding behavior.Questionnaires were used to investi-gate the feeding behavior in all parents before and after intervention.In addition,general physical examination was perform in these infants to understand their nutritional status.Results The score of feeding behavior questionnaire significantly increased after intervention(P <0.05).The food preparation,nutritional knowledge,feeding method,feeding concept and feeding environment were obviously improved after parent education(P <0.01).In addition,the prevalence rates of low body weight and emaciation and the total number of infants with malnutrition significantly de-creased after parent education(P <0.05).Conclusion Regular parent education is beneficial for improving feeding capacity of parents and nutritional status of infants in feeding difficulties. Therefore,it should be popularized in child health clinics.%目的:探讨在儿童保健门诊开展父母亲职教育对婴幼儿喂养困难改善的影响。方法选取对象为2013年1月至2014年9月在江西省妇幼保健院儿童保健科营养门诊确诊为喂养困难的婴幼儿115例。对这些儿童家长进行定期的团体及个别亲职教育,帮助其采用正确的喂养行为进行婴幼儿喂养,干预前后对所有干预对象父母均进行喂养行为的问卷调查,同时进行婴幼儿一般体格检查,了解干预前后父母喂养行为及儿童营养状况的变化。结果亲职教育干预后的父母喂养行为问卷得分明显高于干预前(P <0.05),且父母喂养行为在食物制备、营养

  7. Changes in activity of lysine decarboxylase in winter triticale in response to grain aphid feeding.

    Science.gov (United States)

    Sempruch, C; Leszczyński, B; Wójcicka, Agnieszka; Makosz, M; Matok, H; Chrzanowski, G

    2010-12-01

    Changes in lysine decarboxylase (LDC) activity caused by Sitobion avenae (F.) feeding on two winter triticale cultivars (cvs) were studied. The aphid fecundity and values of intrinsic rate of natural increase showed that cv Witon was less susceptible to S. avenae than cv Tornado. The grain aphid feeding on more susceptible triticale caused a decrease in the LDC activity, with exceptions of root tissues after two weeks of the feeding. In case of less susceptible cv Witon reduction of the LDC activity was observed only during initial period of S. avenae feeding. Later the aphid infestation induced activity of the LDC within tissues of cv Witon. PMID:21112841

  8. Program impact pathway analysis of a social franchise model shows potential to improve infant and young child feeding practices in Vietnam.

    Science.gov (United States)

    Nguyen, Phuong H; Menon, Purnima; Keithly, Sarah C; Kim, Sunny S; Hajeebhoy, Nemat; Tran, Lan M; Ruel, Marie T; Rawat, Rahul

    2014-10-01

    By mapping the mechanisms through which interventions are expected to achieve impact, program impact pathway (PIP) analysis lays out the theoretical causal links between program activities, outcomes, and impacts. This study examines the pathways through which the Alive & Thrive (A&T) social franchise model is intended to improve infant and young child feeding (IYCF) practices in Vietnam. Mixed methods were used, including qualitative interviews with franchise management board members (n = 12), surveys with health providers (n = 120), counseling observations (n = 160), and household surveys (n = 2045). Six PIP components were assessed: 1) franchise management, 2) training and IYCF knowledge of health providers, 3) service delivery, 4) program exposure and utilization, 5) maternal behavioral determinants (knowledge, beliefs, and intentions) toward optimal IYCF practices, and 6) IYCF practices. Data were collected from A&T-intensive areas (A&T-I; mass media + social franchise) and A&T-nonintensive areas (A&T-NI; mass media only) by using a cluster-randomized controlled trial design. Data from 2013 were compared with baseline where similar measures were available. Results indicate that mechanisms are in place for effective management of the franchise system, despite challenges to routine monitoring. A&T training was associated with increased capacity of providers, resulting in higher-quality IYCF counseling (greater technical knowledge and communication skills during counseling) in A&T-I areas. Franchise utilization increased from 10% in 2012 to 45% in 2013 but fell below the expected frequency of 9-15 contacts per mother-child dyad. Improvements in breastfeeding knowledge, beliefs, intentions, and practices were greater among mothers in A&T-I areas than among those in A&T-NI areas. In conclusion, there are many positive changes along the impact pathway of the franchise services, but challenges in utilization and demand creation should be addressed to achieve the full

  9. What health service support do families need for optimal breastfeeding? An in-depth exploration of young infant feeding practices in Cambodia

    Directory of Open Access Journals (Sweden)

    Bazzano AN

    2015-02-01

    Full Text Available Alessandra N Bazzano,1 Richard A Oberhelman,1 Kaitlin Storck Potts,1 Leah D Taub,1 Chivorn Var2 1Department of Global Community Health and Behavioral Sciences, Tulane University School of Public Health and Tropical Medicine, New Orleans, LA, USA; 2National Institute of Public Health, Tuol Kork, Phnom Penh, Cambodia Background: Appropriate and timely breastfeeding practices markedly improve lifelong health outcomes for newborns, children, and mothers. Exclusive breastfeeding is reported to be widely practiced in Cambodia, and important progress has been made toward achieving improved child health outcomes, but newborn mortality has been slow to reduce and breastfeeding practices remain suboptimal. Methods: Formative research was conducted in Takeo province, Cambodia to describe the practical, cultural, and social factors underlying current breastfeeding behaviors to inform the design of a newborn survival intervention that may improve breastfeeding. In-depth interviews, observations, a collection of visual media, and focus groups were employed to gather qualitative data. Results: The results revealed knowledge and practice gaps in behavior that likely contribute to breastfeeding barriers, particularly in the areas of infant latch, milk production, feeding frequency, and the use of breast milk substitutes. The predominant theme identified in the research was a dearth of detailed information, advice, and counseling for mothers beyond the message to exclusively breastfeed for 6 months. Conclusion: Future newborn survival interventions and postnatal care counseling in this area must go beyond the exclusive breastfeeding message. To achieve further impact, it will be necessary to disseminate comprehensive and locally appropriate information on breastfeeding and to improve counseling in order to support successful breastfeeding and to contribute to population-level health gains. Keywords: formative research, health education, lactation, behavior change

  10. Supply- and Demand-Side Factors Influencing Utilization of Infant and Young Child Feeding Counselling Services in Viet Nam.

    Science.gov (United States)

    Nguyen, Phuong H; Kim, Sunny S; Nguyen, Tuan T; Tran, Lan M; Hajeebhoy, Nemat; Frongillo, Edward A; Ruel, Marie T; Rawat, Rahul; Menon, Purnima

    2016-01-01

    Adequate utilization of services is critical to maximize the impact of counselling on infant and young child feeding (IYCF), but little is known about factors affecting utilization. Our study examined supply- and demand-side factors associated with the utilization of IYCF counselling services in Viet Nam. We used survey data from mothers with children <2y (n = 1,008) and health staff (n = 60) from the evaluation of a program that embedded IYCF counseling into the existing government health system. The frequency of never users, one-time users, repeat users, and achievers of the recommended minimum number of visits at health facilities were 45.1%, 13.0%, 28.4% and 13.5%, respectively. Poisson regression showed that demand-generation strategies, especially invitation cards, were the key factors determining one-time use (Prevalence ratio, PR 3.0, 95% CI: 2.2-4.2), repeated use (PR 3.2, 95% CI: 2.4-4.2), and achievement of minimum visits (PR 5.5, 95% CI: 3.6-8.4). Higher maternal education was associated with higher utilization both for one-time and repeated use. Being a farmer, belonging to an ethnic minority, and having a wasted child were associated with greater likelihood of achieving the minimum recommended number of visits, whereas child stunting or illness were not. Distance to health center was a barrier to repeated visits. Among supply-side factors, good counselling skills (PR: 1.3-1.8) was the most important factor associated with any service use, whereas longer employment duration and greater work pressure of health center staff were associated with lower utilization. Population attributable risk estimations showed that an additional 25% of the population would have achieved the minimum number of visits if exposed to three demand-generation strategies, and further increased to 49% if the health staff had good counseling skills and low work pressure. Our study provides evidence that demand-generation strategies are essential to increase utilization of facility

  11. KEBIASAAN MEMBERIKAN MAKANAN KEPADA BAYI BARU LAHIR DI PROPINSI JAWA TENGAH DAN JAWA BARAT (NEW BORN INFANT FEEDING HABIT IN CENTRAL JAVA AND WEST JAVA

    Directory of Open Access Journals (Sweden)

    Yekti Widodo

    2012-09-01

    Full Text Available Initiation of breast milk should be given to the baby as soon as possible, not more than half hour after the baby was bora If initiate of breast milk is not early, it will be difficult to avoid introduced other food than breast milk to new bom be infant. The objective of research is to know how the community habit, especially in Central Java and West Java in order with infant feeding for new born infant The result of the research showed 77,0% respondent introduced other food to new born infant and 23% respondents initiated breast milk soon after the baby bora Two reason for mother introduced other food before they give breast milk First, as "baby food' for the new born infant (knowing as prelacteal food. Kind of this food are honey (64,2%, water-honey (11,73%, boiled water (13,5%, and milk formula (10,6%. They gave this food for prelacteal food, because breast milk not flows yet (64,8%, for the baby not hungry (14,8%, suggested by traditional birth attendance (dukun bayi, suggested by grandmother (4,7% and mother not ready yet to give breast milk (3,6%. Second, Not as 'baby food', but because the culture. Usually they give other food just once time, in the first minutes of the baby life. After that, they give breast milk. The kinds of this food are solution water coffee (19,4%, pepper (29,6%, "kurma" (3,7%, onion (21,3%, lime juice (5,6% and salt solution (18,8%, also white egg (1,9%. The reason to give that food are: to bring out dirty things from baby stomach (82,4% as the not cramp (13,9%, and religion (3,7%. Actually, the first reason suggested by traditional birth attendance as a "helping delivery package" . This always doing by the traditional birth attendance

  12. 广州城郊婴儿出生及喂养情况调查%Study on birth status and feeding pattern of the infants in urban and suburban areas of Guangzhou

    Institute of Scientific and Technical Information of China (English)

    陆青贵; 焦昌娅; 林丹苗; 黄婕; 欧阳静仪; 杨波; 毛丽梅

    2013-01-01

    Objective: To study the general birth status and feeding history of the infants born in urban and suburban areas of Guangzhou, and find out problems existing in infant feeding and its influencing factors. Methods: A total of 2 040 infants ranging from 42 days to 1 year and their mothers were selected as the participants by cluster sampling. The data was collected through Questionnaire interview with face to face. Results: The incidence of low birth weight, macrosomia and premature delivery was 3. 75% , 4. 20% and 6. 13% respectively, with significant higher incidences in urban area ( all P < 0. 01 ) . 41. 99% of infants were given exclusive breast feeding within 4 months after birth, with a significant difference between urban and suburban areas ( P < 0. 01) . 29. 34% were added complementary foods within 4 months, and 70. 28 % within 4—6 months. The results of logistic regression analysis indicated that breastfeeding behavior was influenced by amount of milk - secretion, delivery mode, maternal age, living areas, maternal educational background and family income level, etc. Conclusion: Some unreasonable behaviors still exist in infant feeding. For increasing the breastfeeding rate and adding complementary feed appropriately, health education should be carried out directly to improve maternal nutritional knowledge and change their parenting concept into a scientific one.%目的:了解目前广州市城、郊区婴儿出生及喂养情况,找出婴儿喂养存在的问题及影响因素.方法:采用整群随机抽样的方法,抽取广州市越秀区和白云区郊区共2 040名42天以上、1岁以内婴儿及其母亲作为调查对象,逐一进行面对面问卷调查.结果:广州市城、郊区低出生体重儿、巨大儿和早产儿发生率分别为3.75%、4.20%和6.13%,城区显著高于郊区(P<0.01).婴儿4个月内母乳喂养率为41.99%,城、郊区差异有统计学意义(P<0.01);出生后4个月内添加辅食的比例是29.34%,4

  13. Effects of Clostridium Butyricum on preterm infants feeding intolerance%酪酸梭菌对早产儿喂养不耐受的疗效分析

    Institute of Scientific and Technical Information of China (English)

    朱绪亮; 杨嘉琛; 张俊; 李海珍

    2013-01-01

    Objective:To study the effects of Clostridium Butyricum on the incidence and early nutrition condition of preterm infants feeding intolerance.Methods:Fifty-four premature infants in our hospital from January 2012 to December 2012 were randomly divided into study group (n =26) and control group (n =28).On the basis of positive treatment,the study group was given the Clostridium Butyricum meanwhile the incidence and nutrition index of preterm infants feeding intolerance were compared in each group.Results:The incidence of preterm infants feeding intolerance in the study group was lower than that in the control group (19.2 vs 46.4,P < 0.05).There were significant difference in the time of body weight gain,to regain birth weight,to start feeding,the time that daily calorie intakes reached 336 kJ · (kg · d)-1,the time to reach full enteral nutrition,persistence time of jaundice and the hospitalized days in study and control groups (P <0.05).Condusion:Clostridium Butyricum can decrease the incidence of preterm infants feeding intolerance,improve the nutrition condition of preterm infants.It was safe and effective,so is deserved to be introduced in basic hospital.%目的:探讨酪酸梭菌对早产儿喂养不耐受发生率及早期营养状况的影响.方法:选择我院2012年1月至2012年12月住院早产儿54例,随机分为研究组26例和对照组28例,研究组在早产儿常规治疗的基础上加用酪酸梭菌,比较两组早产儿喂养不耐受的发生率及营养指标.结果:早产儿喂养不耐受的发生率研究组为19.2% (5/26),对照组为46.4%(13/28),两组差异有统计学意义(P<0.05);两组体重开始增长日龄、恢复出生体重日龄、开奶日龄、经胃肠热卡达336 kJ·(kg·d)-1日龄、达全胃肠道喂养日龄、黄疸持续时间及住院天数差异均有统计学意义(均P <0.05).结论:酪酸梭菌能降低早产儿喂养不耐受的发生率,改善早产儿的营养状况,值得在基层医院推广.

  14. Alimentação do recém-nascido pré-termo: aleitamento materno, copo e mamadeira Feeding preterm infants: breast, cup and bottle

    Directory of Open Access Journals (Sweden)

    Andréa Monteiro Correia Medeiros

    2011-03-01

    Full Text Available OBJETIVO: Verificar a oferta de seio materno em bebês nascidos pré-termos, internados na Unidade de Terapia Intensiva do Hospital e Maternidade Neomater, relacionando este dado com a forma de oferecer a dieta (copo ou mamadeira, na ausência da mãe, e a estimulação fonoaudiológica realizada. MÉTODOS: Participaram 48 recém-nascidos prematuros, com idade gestacional inferior ou igual a 36 6/7 semanas, com peso PURPOSE: To assess the offer of the maternal breast in preterm babies hospitalized at the Intensive Care Unit of the Hospital and Maternity Neomater, linking this datum with the manner to feed them (cup or bottle in the absence of the mother, and the speech-language stimulation carried out. METHODS: Forty-eight newborn preterm infants with gestational age less than or equal to 36 6/7 weeks, weighting <2500 grams and with stable respiratory pattern participated in this study. The newborns were divided into two groups: group A (35 newborns with bottle feeding, and group B (13 newborns with cup feeding. Speech-Language Pathology monitoring was organized in Stage 1 (non-nutritive sucking in "gloved finger" or "empty breast" concomitant with enteral feeding; Stage 2 (oral feeding offer - maternal breast, bottle or cup - with complement provided by enteral feeding; Stage 3 (exclusive oral feeding offer - maternal breast, bottle or cup; Stage 4 (effective breastfeeding offer. A comparison was carried out between the groups regarding the number of days in each phase. Data were statistically analyzed using the independent t-test, with significance level of 5%. RESULTS: There were no significant differences between the groups for any of the studied parameters. Breast feeding was equally accepted by newborns in the cup and the bottle groups. CONCLUSION: Breast feeding can be equally accepted, regardless the alternative feeding form used (cup or bottle, provided that there is adequate Speech-Language Pathology monitoring and encouragement to

  15. Using Positive Deviance to Understand the Uptake of Optimal Infant and Young Child Feeding Practices by Mothers in an Urban Slum of Mumbai.

    Science.gov (United States)

    D'Alimonte, M R; Deshmukh, D; Jayaraman, A; Chanani, S; Humphries, D L

    2016-06-01

    Objectives Positive deviance research seeks out well-nourished children living in disadvantaged contexts to understand local growth-promoting behaviors. This study explored the factors that influence the uptake of infant and young child feeding behaviors among mothers. Methods Children with a height-for-age z-score (HAZ) > 0 (n = 10) or a HAZ  0) largely exhibited optimal infant and young child feeding practices explained by maternal information seeking behaviors; mothers acknowledging the importance of maternal health; and social support. The relationship between mother and health worker seemed to influence how well they listened to the health workers' recommendations. Across all households, the daily consumption of high-energy, processed foods was apparent. Conclusions Practical considerations include exploring how to tailor CMAM programs to include social support and counseling training for health workers to engage more closely with mothers; exploring the feasibility of a women's social group for mothers to share information on child rearing; and teaching mothers about healthy eating and the link between nutrition and health. PMID:26694045

  16. Bi-level CPAP does not change central blood flow in preterm infants with respiratory distress syndrome

    OpenAIRE

    Aquilano, Giulia; Galletti, Silvia; Aceti, Arianna; Vitali, Francesca; Faldella, Giacomo

    2014-01-01

    Background Current literature provides limited data on the hemodynamic changes that may occur during bi-level continuous positive airway pressure (CPAP) support in preterm infants. However, the application of a positive end-expiratory pressure may be transmitted to the heart and the great vessels resulting in changes of central blood flow. Objective To assess changes in central blood flow in infants with respiratory distress syndrome (RDS) during bi-level CPAP support. Design A prospective st...

  17. Changes in Heart Rate Variability in a Premature Infant with Hydrocephalus

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    Zuzana Uhrikova

    2012-11-01

    Full Text Available Objective - To define changes of heart rate variability in premature infant with hydrocephalus before and after drainage procedure. Study Design - The authors report a case of a premature infant with hydrocephalus with analysis of heart rate variability before and after drainage procedure. Three subsequent recordings of the electrocardiography and heart rate variability were done: the first at the age of 22 days before insertion of ventriculoperitoneal shunt, the second at the age of 36 days with functional shunt, the third at the age of 71 days (before discharge. Results - Before drainage operation, there was reduced heart rate variability in time and spectral domains, and sympathetic activity was dominant. After surgery, an increase in heart rate variability parameters was found, particularly with spectral analysis. The ratio of low-frequency/high-frequency band and relative power of the low-frequency band decreased, reflecting enhanced parasympathetic activity. Conclusion - Results of the heart rate variability analysis in a preterm infant with hydrocephalus before and after drainage procedure showed marked improvement in chronotropic cardiac regulation. Evaluation of heart rate variability in premature infants with hydrocephalus with increased intracranial pressure can be an additional method for monitoring of cardiac dysregulation and improvement of the cardiovascular control after successful drainage procedure.

  18. Call rates of mothers change with maternal experience and with infant characteristics in free-ranging gray-cheeked mangabeys.

    Science.gov (United States)

    Arlet, Małgorzata E; Veromann, Linda-Liisa; Mänd, Raivo; Lemasson, Alban

    2016-09-01

    Studies have shown that becoming a mother triggers important social changes within females, according to both social experience and infant characteristics, showing different maternal concerns. But how this impacts call usage has been far less studied. Based on 6 months of observations of five free-ranging groups of gray-cheeked mangabeys, we investigated variations in the production of three call types (contact, excitement, and alarm calls) in 29 females of different ages, dominance ranks, and infant rearing experiences: 15 females with infants of different ages and sexes, and 14 females without infants. We found that in females with infants-both maternal and infant characteristics influenced call production in a call type-dependent way. Females produced contact calls at a higher rate during the first month of infant age and after weaning when infants start to move away. Mothers of daughters produced more contact calls than mothers of sons. More excitement calls were recorded for first-time and young mothers and for females with young infants, while alarm call rates were not influenced by any of these factors. Increased mother-infant spatial separation enhanced only contact and excitement call rates. Finally, we found that females with infants vocalized much more than females without infants. Our results contribute to the current debate about the social factors responsible for the flexibility of call usage in nonhuman primates and open new lines for research on mothering behavior in forest-dwelling species. Am. J. Primatol. 78:983-991, 2016. © 2016 Wiley Periodicals, Inc. PMID:27273714

  19. Aconselhamento em alimentação infantil: um estudo de intervenção Infant and young child feeding counseling: an intervention study

    Directory of Open Access Journals (Sweden)

    Katia Cristina Bassichetto

    2008-02-01

    Full Text Available OBJETIVO: Avaliar a efetividade do Curso Integrado de Aconselhamento em Alimentação Infantil na transformação de conhecimentos, atitudes e práticas de pediatras e nutricionistas da rede municipal de saúde de São Paulo. MÉTODOS: Estudo de intervenção randomizado com 29 profissionais no grupo intervenção e 27 no grupo controle. Entrevistadores previamente capacitados coletaram dados dos profissionais nas unidades de saúde antes da intervenção e 2 meses após. Utilizaram-se três instrumentos para avaliar o perfil do profissional, seus conhecimentos e um roteiro de observação clínica. Para análise, utilizaram-se o teste de Kruskal-Wallis para amostras independentes e o método de Tukey. RESULTADOS: Quanto ao conhecimento, observou-se melhora no grupo intervenção (p OBJECTIVE: To evaluate the effectiveness of an integrated infant and young child feeding counseling course for transforming the knowledge, attitudes and practices of pediatricians and nutritionists working for the municipal health system of São Paulo, Brazil. METHODS: A randomized intervention study enrolling 29 professionals in the intervention group and 27 in the control group. Interviewers were trained in advance to collect data on the professionals working at health centers, before and 2 months after the intervention. Three research instruments were used, the first was to assess the profile of each professional, the second assessed their knowledge and the third was a clinical observation protocol. Analysis was performed using the Kruskal-Wallis test for independent samples and the Tukey method. RESULTS: The results for the knowledge questionnaire showed improvements in the intervention group (p < 0.001 for the whole questionnaire and for questions on breastfeeding (p = 0.004; HIV and infant and young child feeding (p = 0.049; complementary feeding (p = 0.012; and counseling in infant and young child feeding (p = 0.004. In terms of performance, it was observed

  20. Effect of perinatal factors on infant feeding disorders%围生期因素对婴幼儿喂养困难的影响

    Institute of Scientific and Technical Information of China (English)

    汪鸿; 徐海青; 戴琼

    2012-01-01

    [目的]研究影响我国婴幼儿喂养困难发生的围生期因素. [方法]多阶段分层整群随机抽样法选取全国69个市(县、区)6~24月龄婴幼儿4 017名,采用中国婴幼儿喂养困难评分量表评估其喂养困难状况,并采用自制问卷对围生期情况进行调查,Logistic回归分析筛选与婴幼儿喂养困难相关的围生期因素. [结果]妊娠高血压综合症、妊娠期糖尿病、前置胎盘、早产、低出生体重、高胆红素血症及新生儿窒息是喂养困难发生的危险因素. [结论]围生期情况对喂养困难发生有重要影响.规范母亲孕期保健、预防新生儿期疾病发生是降低婴幼儿喂养困难发生率的有效方法.%[Objective] To investigate the perinatal factors influencing infant feeding disorders in China. [Methods] A systematic cluster random sampling was used to identify 4 017 children aged 6 to 2-1 months in 69 areas throughout China. The caregivers of these children were requested to complete a Chinese version of the Montreal Children Hospital Feeding Scale (MCH-FS), and the perinatal factors were investigated by self-made retrospective questionnaires. Logistic regression analysis was used to identify risk factors associated with infant feeding disorders. [Result] Several significant risk factors were identified: hypertension during pregnancy, gestational diabetes mellitus, placenta previa, premature delivery, low birth weight,hyperbilirubinerrjia and neonatal asphyxia. [Conclusion] It is important to reduce the incidence of infant feeding disorders by strengthening antenatal care and decreasing neonatal diseases.

  1. Using Nonlinear Methods to Quantify Changes in Infant Limb Movements and Vocalizations

    Directory of Open Access Journals (Sweden)

    DrewHamiltonAbney

    2014-08-01

    Full Text Available The pairing of dynamical systems theory and complexity science brings novel concepts and methods to the study of infant motor development. Accordingly, this longitudinal case study presents a new approach to characterizing the dynamics of infant limb and vocalization behaviors. A single infant’s vocalizations and limb movements were recorded from 51-days to 305-days of age. On each recording day, accelerometers were placed on all four of the infant’s limbs and an audio recorder was worn on the child’s chest. Using nonlinear time series analysis methods, such as recurrence quantification analysis and Allan factor, we quantified changes in the stability and multiscale properties of the infant’s behaviors across age as well as how these dynamics relate across modalities and effectors. We observed that particular changes in these dynamics preceded or coincided with the onset of various developmental milestones. For example, the largest changes in vocalization dynamics preceded the onset of canonical babbling. The results show that nonlinear analyses can help to understand the functional co-development of different aspects of infant behavior.

  2. Infant weight gain, duration of exclusive breast-feeding and childhood BMI - two similar follow-up cohorts

    DEFF Research Database (Denmark)

    Gunnarsdottir, Ingibjorg; Schack-Nielsen, Lene; Michaelsen, Kim F.; Sørensen, Thorkild I.A.; Thorsdottir, Inga

    2010-01-01

    To describe the association between duration of exclusive breast-feeding (EBF), weight gain in infancy and childhood BMI in two populations with a long duration of EBF.......To describe the association between duration of exclusive breast-feeding (EBF), weight gain in infancy and childhood BMI in two populations with a long duration of EBF....

  3. “It pains me because as a woman you have to breastfeed your baby”: decision-making about infant feeding among African women living with HIV in the UK

    Science.gov (United States)

    Tariq, Shema; Elford, Jonathan; Tookey, Pat; Anderson, Jane; de Ruiter, Annemiek; O'Connell, Rebecca; Pillen, Alexandra

    2016-01-01

    Objectives UK guidance advises HIV-positive women to abstain from breast feeding. Although this eliminates the risk of postnatal vertical transmission of HIV, the impact of replacement feeding on mothers is often overlooked. This qualitative study examines, for the first time in the UK, decision-making about infant feeding among African women living with HIV. Methods Between 2010 and 2011, we conducted semistructured interviews with 23 HIV-positive African women who were pregnant or had recently given birth. We recruited participants from three HIV antenatal clinics in London. Results Women highlighted the cultural importance of breast feeding in African communities and the social pressure to breast feed, also describing fears that replacement feeding would signify their HIV status. Participants had significant concerns about physical and psychological effects of replacement feeding on their child and felt their identity as good mothers was compromised by not breast feeding. However, almost all chose to refrain from breast feeding, driven by the desire to minimise vertical transmission risk. Participants’ resilience was strengthened by financial assistance with replacement feeding, examples of healthy formula-fed children and support from partners, family, peers and professionals. Conclusions The decision to avoid breast feeding came at considerable emotional cost to participants. Professionals should be aware of the difficulties encountered by HIV-positive women in refraining from breast feeding, especially those from migrant African communities where breast feeding is culturally normative. Appropriate financial and emotional support increases women's capacity to adhere to their infant-feeding decisions and may reduce the emotional impact. PMID:26757986

  4. Climate change is associated with male:female ratios of fetal deaths and newborn infants in Japan

    DEFF Research Database (Denmark)

    Fukuda, Misao; Fukuda, Kiyomi; Shimizu, Takashi;

    2014-01-01

    OBJECTIVE: To evaluate whether climate change is associated with male:female ratios (sex ratios) of fetal deaths and births in Japan. DESIGN: A population-based cohort study. SETTING: Not applicable. PATIENT(S): Newborn infants and fetuses spontaneously aborted after 12 weeks of gestation...... to external stress factors, including climate changes....... ratios of newborn infants have been decreasing since the 1970s. Two climate extremes, a very hot summer in 2010 and a very cold winter in January 2011, showed not only statistically significant declines in sex ratios of newborn infants 9 months later in June 2011 and October 2011 but also statistically...

  5. Clinical significance of changes of plasma CGRP and VIP levels in infants with bronchiolitis

    International Nuclear Information System (INIS)

    Objective: To explore the clinical significance of changes of calcitonin gene-related peptide (CGRP) and vasoactive intestinal peptide (VIP) levels in infants (2-24months) with bronchiolitis. Methods: Plasma levels of CGRP and VIP were determined with RIA in 31 infants with bronchiolitis both during acute infection and convalescence as well as in 35 controls. Results: Plasma CGRP levels in patients during acute infection were significantly higher than those in patients during convalescence and in controls (P<0.05). Levels of CGRP dropped during convalescence, but still remained significantly higher than those in controls (P<0.05). The reverse was true for the plasma VIP levels. The plasma VIP levels in patients during acute infection were significantly lower than those in patients during convalescence and in controls (P<0.05). During convalescence, the plasma VIP levels rose but remained significantly lower than those in controls (P<0.05). Conclusion: There were dynamic changes of plasma CGRP and VIP levels in the course of infant bronchiolitis and the two peptides played opposite roles. (authors)

  6. Structural Growth Trajectories and Rates of Change in the First 3 Months of Infant Brain Development

    Science.gov (United States)

    Holland, Dominic; Chang, Linda; Ernst, Thomas M.; Curran, Megan; Buchthal, Steven D.; Alicata, Daniel; Skranes, Jon; Johansen, Heather; Hernandez, Antonette; Yamakawa, Robyn; Kuperman, Joshua M.; Dale, Anders M.

    2016-01-01

    IMPORTANCE The very early postnatal period witnesses extraordinary rates of growth, but structural brain development in this period has largely not been explored longitudinally. Such assessment may be key in detecting and treating the earliest signs of neurodevelopmental disorders. OBJECTIVE To assess structural growth trajectories and rates of change in the whole brain and regions of interest in infants during the first 3 months after birth. DESIGN, SETTING, AND PARTICIPANTS Serial structural T1-weighted and/or T2-weighted magnetic resonance images were obtained for 211 time points from 87 healthy term-born or term-equivalent preterm-born infants, aged 2 to 90 days, between October 5, 2007, and June 12, 2013. MAIN OUTCOMES AND MEASURES We segmented whole-brain and multiple subcortical regions of interest using a novel application of Bayesian-based methods. We modeled growth and rate of growth trajectories nonparametrically and assessed left-right asymmetries and sexual dimorphisms. RESULTS Whole-brain volume at birth was approximately one-third of healthy elderly brain volume, and did not differ significantly between male and female infants (347 388 mm3 and 335 509 mm3, respectively, P = .12). The growth rate was approximately 1%/d, slowing to 0.4%/d by the end of the first 3 months, when the brain reached just more than half of elderly adult brain volume. Overall growth in the first 90 days was 64%. There was a significant age-by-sex effect leading to widening separation in brain sizes with age between male and female infants (with male infants growing faster than females by 200.4 mm3/d, SE = 67.2, P = .003). Longer gestation was associated with larger brain size (2215 mm3/d, SE = 284, P = 4×10−13). The expected brain size of an infant born one week earlier than average was 5% smaller than average; at 90 days it will not have caught up, being 2% smaller than average. The cerebellum grew at the highest rate, more than doubling in 90 days, and the hippocampus

  7. Using text messaging to obtain weekly data on infant feeding in a Danish birth cohort resulted in high participation rates

    DEFF Research Database (Denmark)

    Bruun, Signe; Wedderkopp, Niels; Mølgaard, Christian;

    2016-01-01

    .1% exclusively. Complementary food was introduced at an average age of 20 weeks. Breastfeeding cessation was associated with maternal smoking, lower maternal age and supplementation with infant formula in the first days after birth (all p<0.05). CONCLUSION: Most mothers initiated breastfeeding, but only 1......AIM: Our aim was to use text message questions to obtain prospective, real-time data on exclusive and partial breastfeeding and introduction to complementary foods in a Danish birth cohort. We also wanted to identify factors influencing breastfeeding initiation and cessation. METHODS: This study...... formed part of the Odense Child Cohort and focused on mothers who gave birth to full-term singletons between April and October 2012. They received the same three to five questions, about breastfeeding, infant formula and introduction to complementary foods, three days after birth and then at weekly...

  8. Towards food, feed and energy crops mitigating climate change.

    Science.gov (United States)

    Philippot, Laurent; Hallin, Sara

    2011-09-01

    Agriculture is an important source of anthropogenic emissions of the greenhouse gases (GHG), methane (CH(4)) and nitrous oxide (N(2)O), and crops can affect the microbial processes controlling these emissions in many ways. Here, we summarize the current knowledge of plant-microbe interactions in relation to the CH(4) and N(2)O budgets and show how this is promoting new generations of crop cultivars that have the potential to mitigate GHG emissions for future agricultural use. The possibility of breeding low GHG-emitting cultivars is a paradigm shift towards sustainable agriculture that balances climate change and food and bioenergy security. PMID:21700487

  9. Maternal knowledge of infant feeding guidelines and label reading behaviours in a population of new mothers in San Francisco, California

    OpenAIRE

    Wojcicki, Janet M.; Gugig, Roberto; Kathiravan, Suganya; Holbrook, Kate; Heyman, Melvin B.

    2009-01-01

    The objective of this study was to evaluate the relationship between maternal nutrition knowledge and maternal socio-demographics including participation in the Special Supplemental Women, Infants and Children’s (WIC) Program. A cross-sectional study of new mothers at two San Francisco hospitals was conducted using some of the American Academy of Pediatrics’ guidelines in a structured questionnaire to assess maternal nutritional knowledge. Maternal nutritional attitudes towards product nutrie...

  10. "Why Aren't You Breastfeeding?": How Mothers Living With HIV Talk About Infant Feeding in a "Breast Is Best" World.

    Science.gov (United States)

    Greene, Saara; Ion, Allyson; Elston, Dawn; Kwaramba, Gladys; Smith, Stephanie; Carvalhal, Adriana; Loutfy, Mona

    2015-01-01

    Infant feeding raises unique concerns for mothers living with HIV in Canada, where they are recommended to avoid breastfeeding yet live in a social context of "breast is best." In narrative interviews with HIV-positive mothers from Ontario, Canada, a range of feelings regarding not breastfeeding was expressed, balancing feelings of loss and self-blame with the view of responsibility and "good mothering" under the current Canadian guidelines. Acknowledging responsibility to put their child's health first, participants revealed that their choices were influenced by variations in social and cultural norms, messaging, and guidelines regarding breastfeeding across geographical contexts. This qualitative study raises key questions about the impact of breastfeeding messaging and guidelines for HIV-positive women in Canada. PMID:24527767

  11. Using the Medical Research Council Framework for the Development and Evaluation of Complex Interventions in a Theory-Based Infant Feeding Intervention to Prevent Childhood Obesity: The Baby Milk Intervention and Trial

    Directory of Open Access Journals (Sweden)

    Rajalakshmi Lakshman

    2014-01-01

    Full Text Available Introduction. We describe our experience of using the Medical Research Council framework on complex interventions to guide the development and evaluation of an intervention to prevent obesity by modifying infant feeding behaviours. Methods. We reviewed the epidemiological evidence on early life risk factors for obesity and interventions to prevent obesity in this age group. The review suggested prevention of excess weight gain in bottle-fed babies and appropriate weaning as intervention targets; hence we undertook systematic reviews to further our understanding of these behaviours. We chose theory and behaviour change techniques that demonstrated evidence of effectiveness in altering dietary behaviours. We subsequently developed intervention materials and evaluation tools and conducted qualitative studies with mothers (intervention recipients and healthcare professionals (intervention deliverers to refine them. We developed a questionnaire to assess maternal attitudes and feeding practices to understand the mechanism of any intervention effects. Conclusions. In addition to informing development of our specific intervention and evaluation materials, use of the Medical Research Council framework has helped to build a generalisable evidence base for early life nutritional interventions. However, the process is resource intensive and prolonged, and this should be taken into account by public health research funders. This trial is registered with ISRTCN: 20814693 Baby Milk Trial.

  12. Individual differences in infant-mother attachment at twelve and eighteen months: stability and change in families under stress.

    Science.gov (United States)

    Vaughn, B; Egeland, B; Sroufe, L A; Waters, E

    1979-12-01

    100 economically disadvantaged mothers and their infants were observed in the Ainsworth and Wittig "strange situation" at 12 and 18 months. Infants were classified as secure, anxiously attached/avoidant, or anxiously attached/resistant. In addition, mothers reported occurrence of stressful events related to the stability of the caretaking environment during the 12--18 month period by completing a 44-item checklist concerning work, finances, family, neighbors, health, etc. 62 infants were assigned to the same attachment classification at both 12 and 18 months (p less than .01). Despite this stability, significantly more infants changes classification than in a recent study of stable middle-class families. With the present sample, anxious attachment was associated with less stable caretaking environments than secure attachment; change from secure to anxious attachment was associated with higher stressful-event scores than stable secure attachment. PMID:535447

  13. Ionizing radiation effect on sensory changes in feeds with respect to their usability by dogs

    International Nuclear Information System (INIS)

    To evaluate the effect of ionizing radiatin on sensory changes in feeds, four groups of experimental animals were formed. Two groups were fed a ration where the main component (meat feed mixture VETACAN and loose feed mixture VETAVIT) was irradiated with 60Co to a dose of 25 kGy/kg for a period of 90 days. In the remaining two groups a non-irradited ration was used for the same period. For both diets, control groups of dogs were formed and the feed ration was biologically fortified with a vitamin-mineral supplement to the physiological standard. The observations showed that the effect of radiation caused a significant qualitative decrease in the level of energy nutrients, particularly in proteins and lipids. It is assumed that the extent of damage of the lipid fraction is also accompanied by deficient vitamin activity and by significant changes in taste and aromatic properties felt by animals. Irradiation of the feed ration caused a significant 20 to 25% decrease in food intake with a subsequent decrease in live weight and deterioration of physical condition. Irradiated diets without biological fortification caused significant losses of weight from the initial value x-bar = 39.5 kg to x-bar = 35.33 kg, in comparison with the non-irradiated rations through which the live weight was stabilized, and at biological fortification positively influenced. Irradiation of the feed ration during the period of study did not cause a response of the organism displayed by changes in the pysiological values of body temperature and heart and respiration rates in experimental animals. Radiosterilization of feeds any significant decrease in training ability and performance of the dogs. (author)

  14. Allocation of feed based on individual dairy cow live weight changes. II

    DEFF Research Database (Denmark)

    Bossen, Dorte; Weisbjerg, Martin Riis

    Based on individual cow live weight gain, feeding strategies were designed for individual feeding of dairy cows in loose-housing systems, and examined in a four-year production trial including 115 Danish Red (DR), 91 Danish Holstein (DH), and 93 Danish Jersey (DJ). The objective of the present...... paper was to examine the milk yield obtained in response to three feeding strategies. The interrelationship between feed intake and live weight changes is presented in a companion paper. Cows were stalled in a loose-housing system based on automatic milking, automatic recording of feed intake and...... early or late (strategy MR2-E and MR2-L). The early and late changes were defined as a live weight gain after live weight minimum at 15 and 35 kg, respectively, for DR/DH and 11 and 25 kg, respectively, for DJ. When MR energy concentration was changed, cows on the MR2 strategies were offered 3 kg per...

  15. Changing patterns of infant death over the last 100 years: autopsy experience from a specialist children's hospital

    OpenAIRE

    Pryce, J. W.; Weber, M A; Ashworth, M T; Roberts, S; Malone, M.; Sebire, N. J.

    2012-01-01

    OBJECTIVES: Infant mortality has undergone a dramatic reduction in the UK over the past century because of improvements in public health policy and medical advances. Postmortem examinations have been performed at Great Ormond Street Hospital for over 100 years, and analysis of cases across this period has been performed to assess changing patterns of infant deaths undergoing autopsy. DESIGN: Autopsy reports from 1909 and 2009 were examined. Age, major pathology and cause of death was reviewed...

  16. 中国部分地区婴幼儿喂养状况及国际比较研究%Study of the infant and young child feeding practice in some areas of China and across-country comparison.

    Institute of Scientific and Technical Information of China (English)

    冯瑶; 周虹; 王晓莉; 张敬旭; 王燕

    2012-01-01

    breastfeeding at 2 years in research areas of China, which were ranked 34,39,14 and 45 respectively in 47 countries, were lower than the average of other developing countries. The rate of introduction of solid, semi-solid or soft foods and minimum dietary diversity were ranked in top 20%, but the complementary feeding was generally too early. [Conclusions] Great efforts should be made to improve early initiation of breastfeeding and continued breastfeeding in these areas. Also measures should be taken to change the practice of breastfeeding with water and early complementary food intake. Providing the knowledge of IYCF and health education should play an important part in improving infant and young child feeding practice in China.

  17. Changes in the epidemiology of sudden infant death syndrome in Sweden 1973-1996

    OpenAIRE

    Alm, B; Norvenius, S; Wennergren, G; Skjarven, R; Oyen, N; Milerad, J; Wennborg, M; Kjaerbeck, J; Helweg-Larsen, K.; Irgens, L.

    2001-01-01

    BACKGROUND—From the early 1970s to the early 1990s, there was a significant rise in the incidence of sudden infant death syndrome (SIDS) in Scandinavia. Following the risk reducing campaign, the incidence has fallen to about the same level as in 1973.
AIMS—To identify the changes that have occurred in the epidemiology of SIDS.
METHODS—We compared the Swedish part of the Nordic Epidemiological SIDS Study (NESS), covering the years 1992-1995, with two earlier, descriptive s...

  18. Maternal-infant separation impedes changes in feeding behavior during estrous cycle of rats

    OpenAIRE

    Iwasaki, Shinichi; Inoue, Koki

    2015-01-01

    Traumatic and stressful events during childhood are associated with the development of eating disorders. We conducted an animal study to test if association stress in childhood affects ingestive behavior later in life by using female rats that have an adjusted estrous cycle. First, electrical impedance of the vagina was conducted to test estrous cycle adjustment. Second, the effects of 6 h per day maternal separation from birth to weaning, which models a psychologically stressful experience i...

  19. Changes in Scottish infant feeding policy and breastfeeding habits between 2004 and 2011.

    OpenAIRE

    Skafida, Valerie

    2014-01-01

    The Scottish Government has, over the last 10 years, introduced a range of breastfeeding-friendly policies. This briefing summarises a research project investigating breastfeeding rates that might have been influenced by these policies. It found that breastfeeding duration improved most among more disadvantaged families in Scotland between the period of 2004-5 and 2010-11.

  20. 血浆胃动素水平与早产儿喂养不耐受的相关性研究%Relationship between plasma motilin level and feeding intolerance in preterm infants

    Institute of Scientific and Technical Information of China (English)

    孙凤杰; 黄润中; 徐婧; 柳国胜

    2013-01-01

    Objective To observe changes in plasma motilin (MOT) level among preterm infants after birth, to investigate the relationship between plasma motilin level and feeding intolerance (FI) , and to clarify the possible risk factors. Methods A total of 112 preterm infants were divided into feeding tolerance (FT) group (n = 59) and FI group (n = 53). Their plasma MOT levels were measured by radioimmunoassay on days 1,4,7 and 14 of life. The clinical data of FI group were collected and subjected to multivariate logistic regression analysis. Results Compared with the FT group, the FI group showed significantly lower plasma MCT levels on days 1,4,7 and 14 of life ( P < 0. 05 ) , and there was a positive correlation between plasma MOT level and gestational age, age in days, and volume of enteral feeding in the FI group. The lower the gestational age, the longer the FI duration. There was a negative correlation between the plasma MOT level on day 1 of life and the FI duration (r = -0.913, P < 0. 001). Gestational age and prenatal use of glucocorticoid were protective factors for FI, while fetal distress, placental abnormality and perinatal infection were risk factors for FI. Conclusions Change in plasma MOT level may be closely related to the development of FI in preterm infants. Early monitoring of plasma MOT level may be useful for predicting the occurrence of FI.%目的 观察早产儿生后血浆胃动素(MOT)水平的变化,探讨其与早产儿喂养不耐受(FI)的相关性,阐明早产儿FI可能存在的影响因素.方法 112例早产儿中59例为喂养耐受(feeding tolerance,FT)组,53例为喂养不耐受(FI)组,应用放射免疫法检测生后第1、4、7、14日的血浆MOT水平;收集FI组早产儿的临床资料行logistic多因素回归分析.结果 (1)早产儿FI组生后第1、4、7、14日血浆MOT水平明显低于FT组(P<0.05),MOT水平随胎龄、日龄、肠内喂养量的增加而逐渐升高;(2)早产儿胎龄越小,FI持续时间越长;(3

  1. Feed based on vegetable materials changes the muscle proteome of the carnivore rainbow trout

    DEFF Research Database (Denmark)

    Jessen, Flemming; Wulff, Tune; Bach Mikkelsen, J.;

    2011-01-01

    sustainable production of fish from aquaculture. However, such a change in feed will have an effect on the fish composition and metabolism and may also affect eating quality as well as different health and nutritional properties. A proteomic approach was taken to compare the muscle protein profile of rainbow...

  2. Maternal Knowledge and Attitude toward Exclusive Breast Milk Feeding (BMF in the First 6 Months of Infant Life in Mashhad

    Directory of Open Access Journals (Sweden)

    Bibi Leila Hoseini

    2014-01-01

    Full Text Available Introduction: Breast milk is a complete food for growing children until 6 months of age, and mothers, as the most important child health care, play a decisive role in their growth. So promoting  their attitude toward the benefits of breastfeeding ensures guarantee child health in the future. This study aimed to assess maternal knowledge and attitude of Mashhad toward exclusive BMF in the first 6 months of infant life.   Materials and Methods: This cross-sectional descriptive-analytic study was conducted on 126 mothers who referring to Mashhad health-care centers for monitoring their 6-24 month year old infants. They completed questionnaire. Participants were selected by cluster and simple random sampling. Data were analyzed by descriptive- analytic tests and using SPSS 11.5.   Results: Mean score of maternal attitude toward exclusive BMF was 14.32±5.28 (out of 28 and maternal knowledge score toward advantages of breast milk was 19.59±4.80 (out of 28. The incidence of exclusive BMF in the first 6 months of life study was 73.8%. Child growth was as follows: excellent growth (5.6% and good growth (42.1%. ANOVA showed a significant difference between parents' education and maternal attitude towards exclusive BMF; whatever higher education of parents, more positive maternal attitude towards exclusive BMF (P

  3. Influence of different delivery ways on infant feeding%不同分娩方式对婴儿喂养的影响

    Institute of Scientific and Technical Information of China (English)

    戴红霞

    2013-01-01

    [目的]分析顺产和剖宫产两种不同分娩方式对婴儿喂养的影响.[方法]选择2010年4月—2011年10月广州市3所教学医院的360例顺产产妇和300例剖宫产产妇,应用中文版母乳喂养自信心量表、婴儿喂养态度量表、母乳喂养技能评估表(LATCHES)在产后3d进行测评,比较两组婴儿喂养情况.[结果]剖宫产组产后1d催乳素水平低于顺产组、ACTH水平高于顺产组;泌乳始动时间迟于顺产组、第1次哺乳开始时间迟于顺产组、LATCHES总分低于顺产组、产后1d的纯母乳喂养率和混合喂养率都低于顺产组、产后1d无乳汁的比例高于顺产组;剖宫产组的母乳喂养自信心评分高于顺产组(均P<0.05).[结论]剖宫产影响产后早期母乳喂养,与顺产比较,虽然母乳喂养自信心较高,但是剖宫产后妇女催乳素水平低、ACTH水平高、泌乳始动时间延迟、第1次哺乳开始时间延迟、母乳喂养技能水平低、产后1d纯母乳喂养率低、无乳汁比例高.%Objective: To analyze the influence of natural labor and cesarean delivery on infant feeding. Methods: A total of 360 cases of natural labor of maternal and 300 cases of cesarean section of maternal in three teaching hospitals in Guangzhou from April in 2010 to October in 2011 were selected. The Chinese version of Breastfeeding Self - efficacy Scale, Iowa Infant Feeding Attitude Scale, breastfeeding skills assessment scale (LATCHES) were used for measurement in postpartum three days,then to compare the infant feeding between two groups. Results: The prolactin level of cesarean section group was lower than that of natural labor group on postpartum 1st day, ACTH level was higher than that of natural labor group;the lactation initiating time was later than that of natural labor group, 1st lactation start time was later than that of natural labor group; the LATCHES score was lower than that of natural labor group; the exclusive breastfeeding rate and

  4. The development of a new breast feeding assessment tool and the relationship with breast feeding self-efficacy

    OpenAIRE

    Ingram, Jenny; Johnson, Debbie; Copeland, Marion; Churchill, Cathy; Taylor, Hazel

    2015-01-01

    Objective to develop a breast feeding assessment tool to facilitate improved targeting of optimum positioning and attachment advice and to describe the changes seen following the release of a tongue-tie. Design development and validation of the Bristol Breastfeeding Assessment Tool (BBAT) and correlation with breast feeding self-efficacy. Setting maternity hospital in South West England. Participants 218 breast feeds (160 mother–infant dyads); seven midwife assessors. Findings the tool has mo...

  5. Metabolic changes and tissue responses to selection on residual feed intake in growing pigs

    OpenAIRE

    Le Naou, Thierry; Le Floc'H, Nathalie; Louveau, Isabelle; Gilbert, Hélène

    2012-01-01

    Previous selection experiments using residual feed intake (RFI) to select pigs with a high feed efficiency have reported that a low RFI was associated with a reduced body fat content and a greater muscle glycogen content. In the current study, growing Large White female piglets from 2 lines divergently selected for RFI were used to determine the changes in energy and protein metabolisms in key tissues and their cross talks in response to selection. Pigs of low RFI (RFI(-); n = 26) or high RFI...

  6. Responses to abrupt changes in feeding and illumination in laying hens

    OpenAIRE

    TAKEDA, ichi

    2010-01-01

    This study aimed to investigate the responses to abrupt changes in feeding and illumination during the egg-laying period. Six hens were housed individually in cages under constant environmental conditions, with a photoperiod of 15 h (0400-1900) and ad libitum access to food for 10 days. Then the same hens were subjected to a feed withdrawal trial (between 1200 and 0830), followed by a 5-h reduction in the photoperiod (0400-1400). The heart rate (HR), body temperature (BT), and locomotor activ...

  7. Breastfeeding the preterm infant

    Directory of Open Access Journals (Sweden)

    Luigi Corvaglia

    2013-06-01

    Full Text Available Due to its peculiar nutritional and non-nutritional contents, which include long-chain polyunsatured fatty acids (LC-PUFA, prebiotics, immunological factors, hormones and growth factors, breast milk shows significant advantages over infant formulas in nourishing preterm infants. Better neurocognitive outcomes, which are reported to persist far beyond the early childhood, have been largely observed in breastfed preterm infants; a role of LC-PUFA in promoting neural and retinal development is assumed. As far as the gastrointestinal tract is concerned, several evidences have reported a dose-related reduction in NEC incidence among preterm infants fed on human milk. Moreover, the higher amount of immunological factors as secretory IgA within preterm breast milk might play a remarkable role in reducing the overall infections. Despite breastfeeding in preterm infants is generally linked with lowered growth rates which might potentially affect neurocognitive outcomes, the beneficial effects of human milk on neurodevelopment prevail. Fortified human milk might better fulfill the particular nutritional needs of preterm infants. However, as breast milk fortification is difficult to carry out after the achievement of full oral feeding, some concerns on the nutritional adequacy of exclusive breastfeeding during hospitalization as well as after discharge have been raised. Finally, breastfeeding also entails maternal psychological beneficial effects, as promoting the motherhood process and the mother-child relationship, which could be undermined in those women experiencing preterm delivery. Proceedings of the 9th International Workshop on Neonatology · Cagliari (Italy · October 23rd-26th, 2013 · Learned lessons, changing practice and cutting-edge research

  8. Survey and research on feeding behavior of infants and toddlers aged between 2 months and 36 months in Shanghai%上海地区2~36个月婴幼儿进食行为调查研究

    Institute of Scientific and Technical Information of China (English)

    徐琼; 徐秀; 刘静; 鲁萍; 燕东雍

    2011-01-01

    [Objective] To obtain a systematic insight into feeding behavior of infants and toddlers in Shanghai. Main indicators included feeding behaviors, feeding activities by feeders and development of feeding skills of infants and toddlers.[Methods] The research adopted a cluster sampling method to conduct the questionnaire survey on 960 healthy infants and toddlers aged between 2 months and 36 months at several neighborhoods in six districts. The study recouped 873 com-pletely-filled-in and effective questionnaires and used the SPSS 11. 5 software for analysis. [Results] 42. 7% of responding parents believed that their children had feeding problems. The main feeding problems of infants included eating too little (38.0%), picky eating and finicky eating (21. 4%) as well as nausea and vomiting (19. 8%). The main feeding problems of children included picky eating and finicky eating (39. 5%), eating too little (34. 3%) and eating too slowly (32. 8%). The main feeding problems included longer mealtimes, high frequency of meals, inappropriate feeding position as well as feeders' poor feeding techniques. Meanwhile, the research also found out that infants and toddlers of all ages lagged in acquiring feeding skills than those listed on the textbook. In terms of skills such as finger feeding, feeding self with help, drinking from cup with help, drinking from cup without assistance, infants and toddlers admitted in this study apparently lagged their counterparts listed on the textbook. The differences featured statistical significance (P<0. 05). [Conclusion]Changing the unreasonable frequency of meals, duration of meals and feeding behaviors while promoting development of feeding skills of infants and toddlers in a proper manner will help reduce the occurrence of feeding problems and boost normal development of feeding behavior of infants and toddlers.%[目的]了解目前上海地区婴幼儿的进食行为状况:主要进食行为问题,喂养人的喂养行为,婴幼儿

  9. The Changes of Pattern Reversal Visual Evoked Potentials in Normal Infants

    Institute of Scientific and Technical Information of China (English)

    YanFenLiu; JianGe

    1995-01-01

    Purpose:To study pattern reversal visual evoked potential(PVEPs)and deter-mine the developmental character and mature time of visual function in normal in-fants t different months of age.Methods:PVEPs were recorded from115normal infants at3,6,9,12moths age.P1latency for different checks(1°40′,25′,6′)was analyzed and compared to those of normal adults,Changes of N1,N2latency of PVEPs were also exam-ioned.Results:P1 latency for all checks(1°40′,25′,6′)was significantly longer at 3months than at 6months of age(P0.05).P1latency for larger checks(1°40′)reached adult level after 3months of age,but not for the intermediate check(25′),while P1latency for small check(6′)presented the character of fluctuation.Conclusion:The visual system continued to develop after birth and appeared a certain regularity,Our results showed thatP1latency for larger check(1°40′)reached adult levels after 3months of age.ButP1latency for intermediate check still has not reached adult levels after 3months of age.To deterine the age at which adult levels are finally reached,infants of 12months and older must be tested.The reason why P1latency for smaller check(6′)presented the character of fluctuation should be the temporal tuning function developing much more slowly.Eye Science1995;11:161-164.

  10. Patterns of Developmental Change in Infants' Nighttime Sleep Awakenings from 6 through 36 Months of Age

    Science.gov (United States)

    Weinraub, Marsha; Bender, Randall H.; Friedman, Sarah L.; Susman, Elizabeth J.; Knoke, Bonnie; Bradley, Robert; Houts, Renate; Williams, Jason

    2012-01-01

    Nighttime sleep awakenings and infant and family characteristics were measured longitudinally in more than 1,200 infants when the infants were 6, 15, 24, and 36 months old. By 6 months of age, the majority of children slept through the night, awakening their mothers only about once or twice per week. However, not all children followed this…

  11. Change your diet or die: predator-induced shifts in insectivorous lizard feeding ecology.

    Science.gov (United States)

    Hawlena, Dror; Pérez-Mellado, Valentín

    2009-08-01

    Animal feeding ecology and diet are influenced by the fear of predation. While the mechanistic bases for such changes are well understood, technical difficulties often prevent testing how these mechanisms interact to affect a mesopredator's diet in natural environments. Here, we compared the insectivorous lizard Acanthodactylus beershebensis' feeding ecology and diet between high- and low-risk environments, using focal observations, intensive trapping effort and fecal pellet analysis. To create spatial variation in predation risk, we planted "artificial trees" in a scrubland habitat that lacks natural perches, allowing avian predators to hunt for lizards in patches that were previously unavailable to them. Lizards in elevated-risk environments became less mobile but did not change their microhabitat use or temporal activity. These lizards changed their diet, consuming smaller prey and less plant material. We suggest that diet shifts were mainly because lizards from risky environments consumed prey items that required shorter handling time. PMID:19466458

  12. Feed Feeds: Managing Feeds Using Feeds

    OpenAIRE

    Wilde, Erik; Pesenson, Igor

    2008-01-01

    Feeds have become an important information channel on the Web, but the management of feed metadata so far has received little attention. It is hard for feed publishers to manage and publish their feed information in a unified format, and for feed consumers to manage and use their feed subscription data across various feed readers, and to share it with other users. We present a system for managing feed metadata using feeds, which we call "feed feeds". Because these feeds are Atom feeds, the wi...

  13. Vietnamese attitudes towards maternal and infant health.

    Science.gov (United States)

    Manderson, L; Mathews, M

    1981-01-24

    Behavioural and dietary precautions, observed both by ethnic Vietnamese and by Vietnamese-Chinese women during pregnancy and the puerperium, derive from the humoral medical classification of foodstuffs and physiological states. Migration to Australia has led only to minor modification of the birth prescriptions, which provide women with a means of dealing with the physiological-medical and psychological-personal changes brought about by pregnancy and delivery. However, traditional practices of infant feeding have largely been abandoned in favour of a short period either of breast feeding only or of exclusive bottle feeding and the early introduction of solids. PMID:7231251

  14. Food and Nutrition Surveillance System/SISVAN: getting to know the feeding habits of infants under 24 months of age

    Directory of Open Access Journals (Sweden)

    Luciola de Castro Coelho

    2015-03-01

    Full Text Available The objective of the Food and Nutrition Surveillance System (SISVAN is to monitor the food intake of individuals attended by the Brazilian Unified Health System (SUS. The objective of this research was to identify the feeding practices of children under 24 months of age who were attended at Primary Healthcare Units (UBS, using SISVAN, and to assess the relationship with maternal sociodemographic profiles. A cross-sectional study was conducted in order to evaluate 350 children using the Food Consumption Marker Form of SISVAN, and maternal demographic data to identify sociodemographic profiles by exploratory factor analysis. Of the children assessed, 41.1% were under 6 months of age and 98.7% of those between 6 and 23 months had an inadequate intake. Two sociodemographic profiles were found: Profile 1 (mothers with lower income, less education, and recipients of the 'Bolsa Família' conditional family grant program associated with the consumption of water/tea, cow's milk and salty baby food; and Profile 2 (older mothers with many children and with a larger number of residents in the household associated with breast milk consumption (p = 0.048. The use of SISVAN made it possible to identify that children had inadequate feeding practices, and Profile 1 appears to be a risk profile for weaning.

  15. Infant-Infant Interaction in a Daycare Setting.

    Science.gov (United States)

    Durfee, Joan T.; Lee, Lee C.

    The Infant-Infant Contact Code, developed to observe the social behavior in infants, is described. Results from using this scale with nine infants under nine months indicated that contacts between infants are complex in nature, that there are developmental changes in models of encounter, and that babies take different roles in relation to the…

  16. Cow's milk - infants

    Science.gov (United States)

    ... page: //medlineplus.gov/ency/article/002448.htm Cow's milk - infants To use the sharing features on this ... old, you should not feed your baby cow's milk, according to the American Academy of Pediatrics (AAP). ...

  17. Parenting Your Infant

    Science.gov (United States)

    ... Prenatal Baby Bathing & Skin Care Breastfeeding Crying & Colic Diapers & Clothing Feeding & Nutrition Preemie Sleep Teething & Tooth Care Toddler Preschool Gradeschool Teen Young Adult Healthy Children > Ages & Stages > Baby > Parenting Your Infant ...

  18. Avaliação eletromiográfica com eletrodos de captação de superfície dos músculos masseter, temporal e bucinador de lactentes em situação de aleitamento natural e artificial Surface electromyography of facial muscles during natural and artificial feeding of infants

    Directory of Open Access Journals (Sweden)

    Cristiane F. Gomes

    2006-04-01

    , classified into the following groups: 1 exclusive breastfeeding; 2 breastfeeding plus bottle-feeding; and 3 exclusive breastfeeding plus cup feeding. Surface electromyography was performed during infant feeding. The Krushal-Wallis test was used, complemented by multiple paired comparisons of the groups. A 5% significance level was chosen for the tests. RESULTS: Statistically higher results were verified in the breastfeeding group in relation to the bottle-feeding one, both in the range of movement and the mean contraction of the masseter. With regard to the temporalis muscle, statistically higher results were found in the breastfeeding group comparatively to the bottle-feeding one. As to the buccinator muscle, statistically higher results were observed in the breastfeeding group in relation to the bottle-feeding one, although in this case, the difference concerned only the range of contraction. CONCLUSION: The similarities between the muscle activity in the breastfeeding and in the cup-feeding groups suggests that cup-feeding can be used as an alternative infant feeding method, being better than bottle-feeding, due to the hyperactivity of the buccinator muscle, which could result in changes to the structural growth and development of the stomatognathic system functions.

  19. Maternal pre-pregnancy body mass index is not associated with infant and young child feeding in low-income Mexican children 1-24 months old.

    Science.gov (United States)

    Monterrosa, Eva C; Frongillo, Edward A; Neufeld, Lynnette M; Egan, Kelsey A; Ramakrishnan, Usha; Rasmussen, Kathleen M

    2015-04-01

    Pre-pregnancy overweight and obesity is associated with shorter breastfeeding (BF) duration. Whether pre-pregnancy overweight and obesity is associated with other aspects of infant and young child feeding (IYCF) has not been investigated. We used data from 370 children born January 1999-September 2001 in a semi-urban community in Morelos, Mexico, where information on how they were fed was available at 1, 3, 6, 9, 12, 18 and 24 months of age. We modified the World Health Organization's dietary diversity indicator to assess the quality of the complementary foods. An index that included BF, quality of complementary foods and other behaviours was constructed to measure IYCF. We used survival analysis to examine the association of pre-pregnancy body mass index (pBMI) category and BF duration and mixed models for quality of complementary food and IYCF index. Mean maternal pBMI was 24.4 ± 4.1; 31% were overweight, and 9% were obese. pBMI was not associated with BF duration. Quality of complementary food improved over time (6 months, 1.3 ± 1.3; 24 months, 3.8 ± 1.04). Compared with normal-weight women, overweight and obese women were more likely to feed from more food groups (0.24 ± 0.11 point, P=0.03), but this did not improve diet diversity from 6 to 24 months. IYCF index decreased throughout follow-up (1 month, 7.8 ± 2.4; 24 months, 5.5 ± 1.8), and pBMI was not associated with IYCF (-0.11 ± 0.13 point, P=0.4). We conclude that heavier women were not engaging in IYCF behaviours that were distinct from those of normal-weight women from 1 to 24 months post-partum. PMID:23061488

  20. Ultrastructural and histological changes induced by ivermectin in the ovary of Argas persicus after feeding

    OpenAIRE

    Hamdy, H.Swelim; Aleya, S.Marzouk;Ashraf,A.M.Montasser

    2003-01-01

    The ovarian wall of A.persicus consists of primary oocytes of three developmental stages namely , young , previtellogenic and vitellogenic in addition to interstitial cells . After feeding and mating , the three stages and interstitial cells , particularly funicle cells that carry oocytes , markedly increased in size and their cytoplasmic organelles exhibit notable changes correlated with yolk and egg shell formation . The present study examined the hitological and ultrastructural aspects dur...

  1. 极低出生体重儿不同喂养方式的临床分析%A clinical analysis of different feeding patterns for very low birth weight infants

    Institute of Scientific and Technical Information of China (English)

    王金会; 张红爱; 王文静

    2009-01-01

    Objective To investigate feeding tolerances and effects of different feeding patterns for very low birth weight infants. Methods 45 very low birth weight infants were randomly divided into two groups: group A and group B. 23 infants in group A were given intermittent per os tube feeding+non-nutrition sucking (NNS) and 22 infants in group B were given per os feeding. At beginning, milk intake started from 10~20 mL/Kg per day and once per 3 hours for all infants. The feeding persisting time was 10~15 min. Thereafter, the milk intake increased by 20mL. All the infants were also given partly parenteral nutrition to meet the caloric needs till complete enteral nutrition. The incidence rates of feeding intolerance, gastroesophageal reflux, milk aspiratory pneumonia and time to reach full enteral nutrition in the two groups were compared. Results The incidence rates of gastroesophageal reflux (χ2=3.74,P=0.04), milk aspiratory pneumonia (χ2=5.14,P=0.02) of infants in group A were lower than those in group B, the differences were statistically significant. And the time to reach complete enteral nutrition in group A was shorter than that in group B (t=6.41,P=0.00). There was no statistically difference in incidence rate of feeding intolerance between the two groups (χ2=0.25,P=0.40). Conclusion Intermittent per os tube feeding+NNS is contributive to growth and development of the very low birth weight infants and perfect of their gastrointestinal functions.%目的 探讨不同喂养方式对极低出生体重儿的喂养耐受性及喂养效果的优劣性.方法 将45例极低出生体重儿随机分为两组,A组:23例,间歇经口管饲+非营养性吸吮,B组:22例,经口喂养;两组起始奶量均从10~20mL·kg-1·d-1、从每3小时喂1次开始,每次持续时间为10~15分钟,每天增加20mL/kg.所有的极低出生体重儿均同时进行部分静脉营养,直至达到完全肠道内营养.比较两组极低出生体重儿的喂养耐受、胃食道返流、

  2. The influencing factors of infant feeding attitude among hospitalized postpartum women in Macao%澳门住院产妇婴儿喂养态度影响因素的研究

    Institute of Scientific and Technical Information of China (English)

    戴红霞; 刘樱

    2013-01-01

    Objectives: To describe the infant feeding attitude among hospitalized postpartum women in Macao and to identify its influencing factors. Methods: From December 2009 to December 2011, a cross section study was delivered and 468 postpartum women were recruited by convenience sampling from a public hospital in Macao. They were investigated on the third postnatal day and by Chinese version of Iowa Infant Feeding Attitude Scale (IIFAS). Results: The mean score of IIFAS was 58.94±6.21. Linear regression analysis found that four factors entered the regression equation. It showed that the artificial feeding intentions, artificial feeding method on the third postnatal day and insufficient breastfeeding knowledge had negative relationship with infant feeding attitude. Their standardized coefficients were -0.267, -0.101 and -0.087 (P0.05). Conclusions: The infant feeding attitude was in middle-high level in Macao postpartum women. The higher scores IIFAS are, the more tendencies the maternal women take breastfeeding action. The main influencing factors of infant feeding attitude were maternal infant-feeding intention, breastfeeding education during pregnancy, postnatal infant feeding patterns and breastfeeding knowledge.%目的:探讨澳门住院产妇婴儿喂养态度的现状及其影响因素.方法:2009年12月至2011年12月,在澳门一间公立医院住院部,采用方便抽样法对468名华裔产妇在产后3天应用中文版婴儿喂养态度量表(ⅡFAS)进行横断面调查.结果:产后3天IIFAS总分为(58.94±6.21)分;多元线性回归分析发现有4个因素进入回归方程,其中产妇持有奶粉喂养意图、产后3天采取奶粉喂养方法、产妇的母乳喂养知识不充足与母乳喂养态度呈负相关(β=0.267、0.101、0.087,P<0.05).孕期接受过母乳喂养卫教与母乳喂养态度呈正相关(β=0.103,P<0.05).产后3天IIFAS总分在产妇的教育程度、年龄、分娩方式、婚姻、家庭月收入、有无产假、

  3. Seasonal Changes in Bird Species and Feeding Guilds along Elevational Gradients of the Central Himalayas, Nepal.

    Science.gov (United States)

    Katuwal, Hem Bahadur; Basnet, Khadga; Khanal, Bhaiya; Devkota, Shiva; Rai, Sanjeev Kumar; Gajurel, Jyoti Prasad; Scheidegger, Christoph; Nobis, Michael P

    2016-01-01

    The Himalayas are a global hotspot for bird diversity with a large number of threatened species, but little is known about seasonal changes in bird communities along elevational gradients in this region. We studied the seasonality of bird diversity in six valleys of the Central Himalayas, Nepal. Using 318 plots with a 50 m radius, located from 2200 to 3800 m a.s.l., and repeated sampling during different seasons (mainly pre-monsoon, monsoon, and post-monsoon), we analyzed 3642 occurrences of 178 species. Birds classified in the literature as resident were more species-rich than migratory birds (140 vs. 38 species). In all six valleys and within the studied elevation range, species richness of all birds showed a peak at mid-elevation levels of 2600 or 3000 m a.s.l. Similar patterns were found for the most species-rich feeding guilds of insectivores (96 species) and omnivores (24 species), whereas the species richness of herbivores (37 species including frugivores) increased towards higher elevations. Among these feeding guilds, only species richness of insectivores showed pronounced seasonal changes with higher species numbers during post-monsoon season. Similarly, individual bird species showed distinct spatio-temporal distribution patterns, with transitions from species dominated by elevational differences to those characterized by strong seasonal changes. In an era of climate change, the results demonstrate that individual bird species as well as feeding guilds might greatly differ in their responses to climate warming and changes in the seasonality of the precipitation regime, two aspects of climate change which should not be analyzed independently. PMID:27367903

  4. Seasonal Changes in Bird Species and Feeding Guilds along Elevational Gradients of the Central Himalayas, Nepal

    Science.gov (United States)

    Katuwal, Hem Bahadur; Basnet, Khadga; Khanal, Bhaiya; Devkota, Shiva; Rai, Sanjeev Kumar; Gajurel, Jyoti Prasad; Scheidegger, Christoph; Nobis, Michael P.

    2016-01-01

    The Himalayas are a global hotspot for bird diversity with a large number of threatened species, but little is known about seasonal changes in bird communities along elevational gradients in this region. We studied the seasonality of bird diversity in six valleys of the Central Himalayas, Nepal. Using 318 plots with a 50 m radius, located from 2200 to 3800 m a.s.l., and repeated sampling during different seasons (mainly pre-monsoon, monsoon, and post-monsoon), we analyzed 3642 occurrences of 178 species. Birds classified in the literature as resident were more species-rich than migratory birds (140 vs. 38 species). In all six valleys and within the studied elevation range, species richness of all birds showed a peak at mid-elevation levels of 2600 or 3000 m a.s.l. Similar patterns were found for the most species-rich feeding guilds of insectivores (96 species) and omnivores (24 species), whereas the species richness of herbivores (37 species including frugivores) increased towards higher elevations. Among these feeding guilds, only species richness of insectivores showed pronounced seasonal changes with higher species numbers during post-monsoon season. Similarly, individual bird species showed distinct spatio-temporal distribution patterns, with transitions from species dominated by elevational differences to those characterized by strong seasonal changes. In an era of climate change, the results demonstrate that individual bird species as well as feeding guilds might greatly differ in their responses to climate warming and changes in the seasonality of the precipitation regime, two aspects of climate change which should not be analyzed independently. PMID:27367903

  5. Feeding guilt.

    Science.gov (United States)

    Byrom, Anna

    2013-03-01

    Breastfeeding is increasingly equated to ideologies of the 'good mother' in our society in response to a growing body of evidence identifying its benefits. Women who choose not to or are unable to breastfeed can experience a sense of guilt in response to cultural expectations that 'breast is best'. These negative feelings can impact upon their adaptation to and enjoyment of motherhood. This discussion paper examines the experience of maternal guilt with specific reference to infant feeding. An exploration of the reasons mothers may feel guilty about their feeding experiences is offered. Finally some suggestions are made about how midwives and breastfeeding advocates might improve care for mothers' emotional wellbeing. PMID:23590082

  6. Investigation of depth dependent changes in cerebral haemodynamics during face perception in infants

    Energy Technology Data Exchange (ETDEWEB)

    Blasi, A [Biomedical Optics Research Lab, Department of Medical Physics and Bioengineering, Malet Place Engineering Building, University College London, London WC1E 6BT (United Kingdom); Fox, S [Centre for Brain and Cognitive Development, Henry Wellcome Building, Birkbeck College, University of London, Malet Street, London WC1E 7HX (United Kingdom); Everdell, N [Biomedical Optics Research Lab, Department of Medical Physics and Bioengineering, Malet Place Engineering Building, University College London, London WC1E 6BT (United Kingdom); Volein, A [Centre for Brain and Cognitive Development, Henry Wellcome Building, Birkbeck College, University of London, Malet Street, London WC1E 7HX (United Kingdom); Tucker, L [Centre for Brain and Cognitive Development, Henry Wellcome Building, Birkbeck College, University of London, Malet Street, London WC1E 7HX (United Kingdom); Csibra, G [Centre for Brain and Cognitive Development, Henry Wellcome Building, Birkbeck College, University of London, Malet Street, London WC1E 7HX (United Kingdom); Gibson, A P [Biomedical Optics Research Lab, Department of Medical Physics and Bioengineering, Malet Place Engineering Building, University College London, London WC1E 6BT (United Kingdom); Hebden, J C [Biomedical Optics Research Lab, Department of Medical Physics and Bioengineering, Malet Place Engineering Building, University College London, London WC1E 6BT (United Kingdom); Johnson, M H [Centre for Brain and Cognitive Development, Henry Wellcome Building, Birkbeck College, University of London, Malet Street, London WC1E 7HX (United Kingdom); Elwell, C E [Biomedical Optics Research Lab, Department of Medical Physics and Bioengineering, Malet Place Engineering Building, University College London, London WC1E 6BT (United Kingdom)

    2007-12-07

    Near-infrared spectroscopy has been used to record oxygenation changes in the visual cortex of 4 month old infants. Our in-house topography system, with 30 channels and 3 different source-detector separations, recorded changes in the concentration of oxy-, deoxy- and total haemoglobin (HbO{sub 2}, HHb and HbT) in response to visual stimuli (face, scrambled visual noise and cartoons as rest). The aim of this work was to demonstrate the capability of the system to spatially localize functional activation and study the possibility of depth discrimination in the haemodynamic response. The group data show both face stimulation and visual noise stimulation induced significant increases in HbO{sub 2} from rest, but the increase in HbO{sub 2} with face stimulation was not significantly different from that seen with visual noise stimulation. The face stimuli induced increases in HbO{sub 2} were spread across a greater area across all depths than visual noise induced changes. In results from a single subject there was a significant increase of HbO{sub 2} in the inferior area of the visual cortex in response to both types of stimuli, and a larger number of channels (source-detector pairs) showed HbO{sub 2} increase to face stimuli, especially at the greatest depth. Activation maps were obtained using 3D reconstruction methods on multi source-detector separation optical topography data.

  7. Investigation of depth dependent changes in cerebral haemodynamics during face perception in infants

    International Nuclear Information System (INIS)

    Near-infrared spectroscopy has been used to record oxygenation changes in the visual cortex of 4 month old infants. Our in-house topography system, with 30 channels and 3 different source-detector separations, recorded changes in the concentration of oxy-, deoxy- and total haemoglobin (HbO2, HHb and HbT) in response to visual stimuli (face, scrambled visual noise and cartoons as rest). The aim of this work was to demonstrate the capability of the system to spatially localize functional activation and study the possibility of depth discrimination in the haemodynamic response. The group data show both face stimulation and visual noise stimulation induced significant increases in HbO2 from rest, but the increase in HbO2 with face stimulation was not significantly different from that seen with visual noise stimulation. The face stimuli induced increases in HbO2 were spread across a greater area across all depths than visual noise induced changes. In results from a single subject there was a significant increase of HbO2 in the inferior area of the visual cortex in response to both types of stimuli, and a larger number of channels (source-detector pairs) showed HbO2 increase to face stimuli, especially at the greatest depth. Activation maps were obtained using 3D reconstruction methods on multi source-detector separation optical topography data

  8. Supporting the Breast-feeding Dyad

    OpenAIRE

    Ellis, Donelda

    1986-01-01

    Although there has been a resurgence of breast-feeding in the last decade, 50% of women discontinue exclusive breast-feeding by the third month postpartum. Practices known to interfere with breast-feeding are often begun in hospital and continued at home. The physiology of lactation, the need for interaction between mother and infant during breast-feeding, and research findings indicate that scheduled feeds, feeds of limited duration, supplementation, and separation of mothers and infants int...

  9. Mother, Infant, and Household Factors Associated with the Type of Food Infants Receive in Developing Countries

    OpenAIRE

    Yarnoff, Benjamin; Allaire, Benjamin; Detzel, Patrick

    2014-01-01

    Objectives: We explore the complex factors associated with infant feeding by analyzing what mother, infant, and household factors are associated with the types of food given to infants. We seek to quantify associations in order to inform public health policy about the importance of target populations for infant feeding programs. Methods: We used data from the Demographic Health Survey in 20 developing countries for multiple years to examine mother, infant, and household factors associated ...

  10. Analysis of Complications Occurred in Different Positions and Nursing Measures During Tube Feeding of Preterm Infants%早产儿管饲时不同体位并发症发生及护理措施分析

    Institute of Scientific and Technical Information of China (English)

    杨舜妆

    2014-01-01

    Objective To investigate the complications occurred in different positions and analyze effective nursing measures dur-ing tube feeding of preterm infants, so as to improve the safety and effectiveness of oral gastric tube feeding of preterm infants. Methods 84 cases of preterm infants admitted into our hospital from September, 2011 to September, 2013 were selected as the subjects of study. They were all given oral gastric tube feeding. They were divided into the supine group, prone group and right lateral group according to different positions during tube feeding, with 28 cases in each group. The incidence of complications was observed after tube feeding in three groups. Results The most serious complication during tube feeding of preterm infants was ab-dominal distension. After taking targeted effective nursing measures, the incidence of abdominal distension during tube feeding in right lateral group and prone group was 10.7%, 7.1%, respectively, which was significantly lower than right supine group's 53.6%;the incidences of other complications of the former two groups were lower than that of the right supine group, the differences be-tween the groups were statistically significant (P<0.05). Conclusion The effects after tube feeding in right lateral and prone posi-tions are better than the supine position in preterm infants, which could significantly reduce the incidence of complications. Ap-propriate positions and proper fixation methods are necessary for preterm infants during oral gastric tube feeding. The monitoring of oral nursing and respiratory conditions should be strengthened. The complications such as nausea should be timely treated. These measures could effectively reduce the incidence of complications.%目的:探讨早产儿管饲时不同体位并发症的发生及分析有效护理的措施,以提高早产儿经口胃管喂养的安全性与有效性。方法选取2011年9月-2013年9月该院收治的84例经口胃管喂养的早产儿作为研

  11. Developmental changes in visual scanning of dynamic faces and abstract stimuli in infants : A longitudinal study

    NARCIS (Netherlands)

    Hunnius, S.; Geuze, R.H.

    2004-01-01

    The characteristics of scanning patterns between the ages of 6 and 26 weeks were investigated through repeated assessments of 10 infants. Eye movements were recorded using a corneal-reflection system while the infants looked at 2 dynamic stimuli: the naturally moving face of their mother and an abst

  12. MANAGEMENT ALTERNATIVES FOR INFANT COLIC (IN SPANISH

    Directory of Open Access Journals (Sweden)

    González-Coquel Suanny del Carmen

    2014-01-01

    Full Text Available Introduction: infant colic is a frequent problem in pediatric consultation, it has a prevalence from 15 to 40% in children younger than four months old, independently of the type of breast feeding administered. It usually generates anxiety to carers and even to pediatricians. Objective: to identify which one is the best alternative for infantile colic management. Methodology: a search was realized on the web in different databases of scientific articles. Systematic reviews, clinical trials and abstracts were considered. There were analyzed the different alternatives proposed for the managing of colic. RESULTS: infantile colic is multifactorial. Treatment options include the use of milkbased extensively hydrolyzed protein, lactose-free milk or soy protein-based, behavioral therapy, breastfeeding and use of drugs as: simethicone, dicyclomine and probiotics. Milks based on extensively hydrolyzed proteins are effective in infants with atopy history. Soy milk can generate unwanted effects in the reproductive system and crossreactive with proteins in cow’s milk effects, which is not recommended. Some studies have showed the efficiency of dicyclomine, nevertheless, it has important adverse effects. Administration of Lactobacillus reuteri has shown efficacy and appears to be an important therapeutic. CONCLUSION: changes in infant formula, drugs, behavioral measures and recently probiotics (L. Reuteri are proposed and recommended for an undefined cause benign and self-limited course. Rev.cienc.biomed. 2014;5(1:100-106 KEYWORDS Colic, Infant, Infant care, Infant welfare, Infant nutrition.

  13. The effects of family feeding pattern on the physical growth of infants%家庭喂养行为对婴幼儿体格发育的影响

    Institute of Scientific and Technical Information of China (English)

    刘金婵; 罗艳; 陈亮; 王燕; 邵子瑜; 李李; 胡传来

    2014-01-01

    目的:探索婴幼儿生长发育与家庭喂养行为之间的关系。方法采用前瞻性研究方法,对所选的516例研究对象按一般人口统计学信息调查,并在18、24月龄进行身高、体质量、头围、胸围的测量和对喂养行为进行评价。采用Pearson相关分析。结果(1)喂养行为得分与婴幼儿体格发育指标呈正相关,(2)婴幼儿18月龄时体质量、头围、24月龄时身长与喂养行为评分呈显著相关(P<0.05)。(3)食物的制备与婴幼儿18月龄时体质量具有显著相关性( P<0.05);婴幼儿行为在18月龄时与婴幼儿本身的身长、体质量、头围、胸围均显著相关;24月龄时与其胸围显著相关(P<0.05);婴幼儿的喂养环境在18月龄时与其身长、体质量、头围均具有显著相关性(P<0.05)。结论良好的家庭喂养行为对婴幼儿的体格发育具有一定程度的促进作用。%Objective To explore the relationship between physical growth of infants and family feeding be -havior.Methods Demographic information was collected from 516 objects.Height,weight,head circumference,chest circumference were measured and feeding behavior was evaluated using prospective observational study method . Results (1) Feeding behavior score was positively associated with infant physical development indicators ,the be-tween groups differences of infant age ,body weight,body length were statistically significant (P<0.05).(2)The re-sults of Pearson correlation analysis showed that weight , head circumference of infants at 18 months and length at 24 months were significantly correlated with feeding behavior score (P<0.05).(3)The analysis of feeding behavior factors found that food preparation was associated with weight infants at 18 months(P<0.05);behavior of infants and height,weight,head circumference,chest circumference of children in the 18 months of age were related(P<0.05);infant feeding environment in

  14. The role of breast-feeding in infant immune system: a systems perspective on the intestinal microbiome

    OpenAIRE

    Praveen, Paurush; Jordan, Ferenc; Priami, Corrado; Morine, Melissa J.

    2015-01-01

    Background The human intestinal microbiota changes from being sparsely populated and variable to possessing a mature, adult-like stable microbiome during the first 2 years of life. This assembly process of the microbiota can lead to either negative or positive effects on health, depending on the colonization sequence and diet. An integrative study on the diet, the microbiota, and genomic activity at the transcriptomic level may give an insight into the role of diet in shaping the human/microb...

  15. Study of Women, Infant feeding, and Type 2 diabetes mellitus after GDM pregnancy (SWIFT, a prospective cohort study: methodology and design

    Directory of Open Access Journals (Sweden)

    Gunderson Erica P

    2011-12-01

    Full Text Available Abstract Background Women with history of gestational diabetes mellitus (GDM are at higher risk of developing type 2 diabetes within 5 years after delivery. Evidence that lactation duration influences incident type 2 diabetes after GDM pregnancy is based on one retrospective study reporting a null association. The Study of Women, Infant Feeding and Type 2 Diabetes after GDM pregnancy (SWIFT is a prospective cohort study of postpartum women with recent GDM within the Kaiser Permanente Northern California (KPNC integrated health care system. The primary goal of SWIFT is to assess whether prolonged, intensive lactation as compared to formula feeding reduces the 2-year incidence of type 2 diabetes mellitus among women with GDM. The study also examines whether lactation intensity and duration have persistent favorable effects on blood glucose, insulin resistance, and adiposity during the 2-year postpartum period. This report describes the design and methods implemented for this study to obtain the clinical, biochemical, anthropometric, and behavioral measurements during the recruitment and follow-up phases. Methods SWIFT is a prospective, observational cohort study enrolling and following over 1, 000 postpartum women diagnosed with GDM during pregnancy within KPNC. The study enrolled women at 6-9 weeks postpartum (baseline who had been diagnosed by standard GDM criteria, aged 20-45 years, delivered a singleton, term (greater than or equal to 35 weeks gestation live birth, were not using medications affecting glucose tolerance, and not planning another pregnancy or moving out of the area within the next 2 years. Participants who are free of type 2 diabetes and other serious medical conditions at baseline are screened for type 2 diabetes annually within the first 2 years after delivery. Recruitment began in September 2008 and ends in December 2011. Data are being collected through pregnancy and early postpartum telephone interviews, self

  16. Women's Longitudinal Patterns of Smoking during the Pre-Conception, Pregnancy and Postnatal Period: Evidence from the UK Infant Feeding Survey.

    Directory of Open Access Journals (Sweden)

    Kate E Fitzpatrick

    Full Text Available An understanding of women's longitudinal patterns of smoking during the pre-conception, pregnancy and postnatal period and the factors associated with these patterns could help better inform smoking cessation services and interventions.Latent class analysis (LCA was used to empirically identify women's smoking patterns in a sample of 10,768 mothers from the 2010 UK Infant Feeding Survey. Multinomial logistic regression was used to identify characteristics associated with these patterns.LCA identified five distinct smoking patterns during the pre-conception, pregnancy and postnatal period: "non-smokers" (74.1% of women; "pregnancy-inspired quitters" (10.2%; "persistent smokers" (10.1%; "temporary quitters" (4.4%; and postnatal quitters (1.1%. Smoking patterns varied markedly according to socio-demographic variables and parity. After adjusting for these variables, mothers who lived during pregnancy with a partner who smoked were more likely to be temporary quitters (aOR 2.64, 95% CI 1.74-3.99 or persistent smokers (aOR 3.32, 95% CI 2.34-4.72 than pregnancy-inspired quitters. Mothers who lived during pregnancy with someone else other than a partner who smoked were more likely to be persistent smokers (aOR 2.34, 95% CI 1.38-3.97 or postnatal quitters (aOR 2.97, 95% CI 1.07-8.24 than pregnancy-inspired quitters. Mothers given information on how their partner could stop smoking if they lived during pregnancy with a smoking partner were less likely to be persistent smokers (aOR 0.42, 95% CI 0.27-0.65 than pregnancy-inspired quitters.Health professionals should ask about smoking at every opportunity, and refer women who self-report as current smokers to an evidence based smoking cessation service.

  17. Audio computer-assisted self-interviewing (ACASI may avert socially desirable responses about infant feeding in the context of HIV

    Directory of Open Access Journals (Sweden)

    Tylleskär Thorkild

    2005-08-01

    Full Text Available Abstract Background Understanding infant feeding practices in the context of HIV and factors that put mothers at risk of HIV infection is an important step towards prevention of mother to child transmission of HIV (PMTCT. Face-to-face (FTF interviewing may not be a suitable way of ascertaining this information because respondents may report what is socially desirable. Audio computer-assisted self-interviewing (ACASI is thought to increase privacy, reporting of sensitive issues and to eliminate socially desirable responses. We compared ACASI with FTF interviewing and explored its feasibility, usability, and acceptability in a PMTCT program in Kenya. Methods A graphic user interface (GUI was developed using Macromedia Authorware® and questions and instructions recorded in local languages Kikuyu and Kiswahili. Eighty mothers enrolled in the PMTCT program were interviewed with each of the interviewing mode (ACASI and FTF and responses obtained in FTF interviews and ACASI compared using McNemar's χ2 for paired proportions. A paired Student's t-test was used to compare means of age, marital-time and parity when measuring interview mode effect and two-sample Student's t-test to compare means for samples stratified by education level – determined during the exit interview. A Chi-Square (χ2test was used to compare ability to use ACASI by education level. Results Mean ages for intended time for breastfeeding as reported by ACASI were 11 months by ACASI and 19 months by FTF interviewing (p Conclusion ACASI seems to improve quality of information by increasing response to sensitive questions, decreasing socially desirable responses, and by preventing null responses and was suitable for collecting data in a setting where formal education is low.

  18. Lactancia materna, destete y ablactación: una encuesta en comunidades rurales de México A survey of breast-feeding and other infant feeding practices in rural Mexico

    Directory of Open Access Journals (Sweden)

    SUSAN VANDALE-TONEY

    1997-09-01

    xico.Objective. To determine the prevalence of lactation, the use of industrialized milk and weaning, and the factors related to lack of breast-feeding and early weaning in young infants of rural communities. Material and methods. Transversal study performed by last year medical students doing Social Service in 222 rural communities in Mexico who applied structured interviews to 5 409 families with children younger than 1 year of age. Results. The percentages of children who were never breast-fed were: in the north (N 21.4%, in the center (C 7.6% and in the south (S 5.3%. Children who were still being breast-fed, either exclusively or with mixed feeding by the third trimester were 35.6% (N, 67.6% (C and 77.5% (S; in the second trimester, 67.2% (N, 40.9% (C and 51.6% (S had been weaned. In the N region it was observed that lack of breast-feeding was associated to the health personnel who attended delivery, mothers with six or more years of education and less than four children, dwellings with permanent material floors, two or more household commodities and a head of the family different from the father. Early weaning was essentially associated to the same factors; additionally, to the child being taken care of by someone different from the mother, artificial lactation by parental decision or due to medical recommendation and the use of health services provided by social security or private physicians. Conclusions. Artificial lactation and early weaning are typical of small families, with high educational level of the mother, better living conditions and contact with medical personnel, especially in the N of the country. Children are weaned before the second semester of life and it is therefore deemed necessary to implement health programs which promote breast-feeding and gradual weaning after the sixth month of life among the infant population of Mexican rural communities.

  19. Clinical Application of Systematic Management of Human Milk Feeding in Hospitalized Preterm Infants%住院早产儿母乳喂养系统化管理的临床应用效果

    Institute of Scientific and Technical Information of China (English)

    冯淑菊; 景亚琳; 陈杭健; 李正红; 高广佩; 王丹华

    2014-01-01

    目的:探讨应用母乳喂养系统化管理对住院早产儿实施母乳喂养的效果。方法收集2011年1月至12月和2013年1月至12月在北京协和医院新生儿重症监护室住院且符合一定入选条件早产儿的临床资料。2011年实施早产儿母乳喂养的常规宣教及护理,作为对照组。自2012年起实施母乳喂养系统化管理,对工作人员实行全员培训,对早产儿家属进行宣教干预,健全母乳收集、运送、保存、配置、加热、喂养等一系列制度,建立从早产儿入院到出院后母乳喂养的支持方案。2013年住院早产儿作为研究组。比较两组早产儿的母乳喂养情况、败血症发生率及住院天数。结果纳入研究的早产儿共116例,其中男54例,女62例;研究组53例,对照组63例。两组的性别、胎龄、出生体重、住院天数差异无统计学意义(P>0.05)。研究组首次母乳喂养日龄低于对照组[(3.98±2.45) d比(5.05±1.76) d, P=0.008],7日内母乳喂养程度(42.98%比23.14%, P=0.001)、14日内母乳喂养程度(60.27%比40.95%, P=0.001)均高于对照组,住院期间达纯母乳喂养的早产儿比例高于对照组(75.48%比34.92%, P=0.041),新生儿败血症发生率低于对照组(15.1%比23.8%, P=0.012)。结论母乳喂养系统化管理是实现住院早产儿母乳喂养的有效方法。实施母乳喂养系统化管理可提高住院早产儿的母乳喂养率,减少医院感染的发生。%Objective To analyze the effect of systematic management of human milk feeding on the feed -ing of hospitalized preterm infants .Methods Preterm infants hospitalized at the neonatal intensive care unit of Peking Union Medical College Hospital from January to December 2011 and from January to December 2013 who met certain enrollment criteria were included and their clinical data were collected .The preterm infants in 2011 served as

  20. Evaluating equations estimating change in swine feed intake during heat and cold stress.

    Science.gov (United States)

    White, Robin R; Miller, Phillip S; Hanigan, Mark D

    2015-11-01

    The objectives of this study were to evaluate heat stress feed intake models for growing swine using a data set assembled from the literature and to develop a series of new equations modeling the influence of the thermal environment and interactions between the thermal environmental and other factors on feed intake. A literature survey was conducted to identify studies assessing intake responses to temperature. The resulting data set comprised 35 studies containing 120 comparisons to thermoneutral intake. Intake as a fraction of thermoneutral intake (FFI) was the primary response variable, where a value of 1 represented no change from thermoneutral intake. The FFI predicted by NRC and a recent model from a meta-analysis (Renaudeau et al.,) were compared to observed values. New parameters for the NRC equation (NRCmod) were derived, and a series of new equations incorporating duration of exposure (TD), temperature cycling (TC), and floor type (TH) were also derived. Root-mean-square prediction error (RMSPE) and concordance correlation coefficients were used to evaluate all models. The RMSPE for the NRC model was 23.6 with mean and slope bias accounting for 12.6% and 51.1% of prediction error, respectively. The TD, TC, and TH models had reduced RMSPE compared with NRC: 12.9 for TD, 12.6 for TC, and 12.9 for TS. Substantial improvements were also made by refitting parameters (NRCmod; RMSPE 13.0%). In NRCmod, TD, TC, and TH, random error was the predominant source, accounting for over 97% of prediction error. The Renaudeau et al. model was also evaluated. Renaudeau et al. had relatively low RMSPE (22.3) for intake but higher RMSPE for FFI (22.6) than NRC, NRCmod, TD, TC, or TH. Additional parameters were derived for the Renaudeau et al. equation to account for housing system and diet characteristics. This adjustment reduced RMSPE of predicting feed intake (16.0) and FFI (16.3) and reduced systematic bias in the equation. This evaluation of equations highlights the

  1. Intra-individual stability and developmental change in hair cortisol among postpartum mothers and infants: Implications for understanding chronic stress.

    Science.gov (United States)

    Liu, Cindy H; Snidman, Nancy; Leonard, Alexandra; Meyer, Jerrold; Tronick, Ed

    2016-05-01

    The study goal was to determine the intra-individual stability, developmental change, and maternal-reported correlates (socio-demographic, stress experiences, hair characteristics, and care) of hair cortisol in mothers and their infants. To assess cortisol deposition in hair during the periods of 6-to-9 months and 9-to-12 months of age, 3 cm segments of hair samples deemed to represent approximately 3 months of retrospective hair cortisol were sampled longitudinally at 9- and 12-months in 41 mothers and infants. Bivariate correlations and mean level comparisons of log-transformed hair cortisol levels at 9- (T1) and 12-months (T2) in mothers and infants were examined. Hair cortisol values were positively correlated from T1 to T2 for mothers (r = .41, p Hair cortisol values did not significantly differ from T1 to T2 in infants but decreased for mothers (F(1,34) = 9.2, p hair cortisol was not associated with each other at either time point. Self-reported measures of stress, and hair characteristics and care were not associated with hair cortisol. This is the first study to obtain hair cortisol from more than one time point within the first year after birth in mothers and infants. The intra-individual stability of hair cortisol suggests that it may be a possible biomarker for detecting change in chronic stress experiences within the first year of life and in the postpartum period. © 2016 Wiley Periodicals, Inc. Dev Psychobiol 58: 509-518, 2016. PMID:26806857

  2. Infant feeding practices and weight gain for length of term normal birth weight infants in the first 6 months of life%喂养习惯与婴儿出生后前6个月按身长体质量增加的相关性

    Institute of Scientific and Technical Information of China (English)

    周丽莉; 孙倩倩; 胡燕琪; 刘金荣; 刘珊珊; 张杰; 盛晓阳

    2010-01-01

    Objective To explore the relationship between infant feeding practices and infants growth,especially the weight gain for length in the first 6 months of life. Methods Two-hundred healthy full-term singlet normal birth weight 5 - 6 months old infants and their main care givers were recruited in Kongjiang community health service center in Shanghai. The questionnaires included infants feeding pattern, feeding environment and care givers feeding behaviors, and were completed on-site by investigators. The birth weight was obtained. The weight and length of infants at 6 months were measured. Results There were 70/200 (35.0%) infants overweight (BMI for age Z score>+1) at 6 months. There were more overweight boys than girls (40.0% vs. 30.9%, x2 = 1.798, P = 0.180). Compared with normal weight infants, the overweight infants had same birth weight (3.30 ± 0.35 kg vs. 3.35 ± 0.32 kg, t =1.010, P = 0.314) and same length at 6 months (67.64 ± 2.10 cm vs. 67.91 ± 1.97 cm, t=- 0.896, P = 0.371). However, the overweight infants gained much more weight for length in the first six months of life. At 6 months, the weight and BMI of overweight infants was significantly higher than that of normal weight infants (9.16 ± 0.67 vs. 7.94 ±0.64, t = 12.324, P 0.05). The grandparents played an important role in infants feeding in Shanghai. There were 39.0% infants fed only by grandparents, and 23.0% infants fed jointly by grandparents and parents (x2 = 0.175, P > 0.05).The care givers' educational level and knowledge of feeding skill were similar in overweight and normal weight infants (x2 = 0.446, t = 0.949, P > 0.05). However, the overweight infants were fed more quickly than normal weight infants (Z = 2.753, P +1),占35%.男婴超重多于女婴(40.0%对30.9%,x2=1.798,P=0.180).超重婴儿和体质量正常婴儿的出生体质量一致(3.30±0.35 kg对3.35±0.32 kg,t=1.010,P=0.314),6月龄时两组婴儿的身长也一致(67.64±2.10 cm对67.91±1.97cm,t=0.896,P=0.371).

  3. Infant feeding practice in medieval Japan: stable carbon and nitrogen isotope analysis of human skeletons from Yuigahama-minami.

    Science.gov (United States)

    Tsutaya, Takumi; Shimomi, Akina; Nagaoka, Tomohito; Sawada, Junmei; Hirata, Kazuaki; Yoneda, Minoru

    2015-02-01

    A longer breastfeeding duration provides various positive effects in subadult health because of abundant immunological factors and nutrients in human breast milk, and decreases the natural fertility of a population through lactational amenorrhea. In this study, we measured stable carbon and nitrogen isotope ratios in the bone collagen of three adults and 45 subadults from the Yuigahama-minami site (from 12th to 14th century) in Kamakura, the early medieval capital of Japan. Marine foods, C3 -based terrestrial foods, and freshwater fish are the primarily protein sources for adults. The changes in the nitrogen isotope ratios of subadults suggest that the relative dietary protein contribution from breast milk started to decrease from 1.1 years of age and ended at 3.8 years. The age at the end of weaning in the Yuigahama-minami population was greater than that in the typical non-industrial populations, a premodern population in the Edo period Japan, and medieval populations in the UK. Skeletons of townspeople from medieval Kamakura indicate severe nutritional stress (e.g., enamel hypoplasia and cribra orbitalia), yet this longer duration of breastfeeding did not compensate adverse effects for nutritional deficiency. The longer breastfeeding period may have been a consequence of complementary food shortage and bad health of subadults. Kamakura experienced urbanization and population increase in the early medieval period. The younger age-at-death distribution and high nutritional stresses in the Yuigahama-minami population and later weaning, which is closely associated with longer inter-birth interval for mothers, suggests that Kamakura developed and increased its population by immigration during urbanization. PMID:25331669

  4. Infants' Attention to Patterned Stimuli: Developmental Change from 3 to 12 Months of Age

    OpenAIRE

    Courage, Mary L.; Reynolds, Greg D.; Richards, John E.

    2006-01-01

    To examine the developmental course of look duration as a function of age and stimulus type, 14-to 52-week-old infants were shown static and dynamic versions of faces, Sesame Street material and achromatic patterns for 20 seconds of accumulated looking. Heart rate was recorded during looking and parsed into stimulus orienting, sustained attention, and attention termination phases of attention. Infants' peak look durations indicated that prior to 26 weeks there was a linear decrease with age f...

  5. Infant and Child Mortality in Andhra Pradesh: Analysing changes over time and between states

    OpenAIRE

    Masset, Edoardo; White, Howard

    2003-01-01

    Most countries of the world are reducing infant and child mortality too slowly to meet the Millennium Development Goal of a two-thirds reduction by 2015. Yet, some countries and regions have achieved impressive reductions, Kerala in India being one example. This paper examines the determinants of infant and child mortality in Andhra Pradesh, where the Young Lives project is taking place, and Kerala and the factors explaining their differential performance. The determinants of mortality are es...

  6. 婴幼儿喂养困难的喂养者影响因素及相应干预措施研究%Influencing factors of infant feeding disorders and the relevant intervention study

    Institute of Scientific and Technical Information of China (English)

    禇英; 盛志华

    2011-01-01

    Objective To explore the feeding factors of infant feeding disorders and the corresponding intervention measures. Methods From January 2009 to December 2010, 54 infants aged 0-36 months ( excluding disease factors ) with feeding disorders visited the health nutrition out-patient department of Xuzhou maternity and child care center. They were selected as feeding disorders group, and control group was set in accordance with same sex, age and parental education. The main baby-feeders of two groups were investigated with self-designed questionnaires. The predilection period of feeding disorders, influence of the feeding knowledge and behavior of feeding persons were analyzed. Results The predilection period of feeding disorders was 6 to 24 months ( 81. 48% ). The percentage of feeding by grandparents ( 53. 70% ) was higher in feeding disorders group than that in control group ( 33. 33% ), but the percentage of correct feeders' feeding knowledge ( 31.48% ) was lower than that in control group ( 59. 30% ). The percentage of inappropriate feeding, such as inappropriate supplementary food(χ2 = 15.753 ), promoting eating and compelling eating (χ2 = 15. 621 ) was higher than that in control group, and the differences were significant ( P <0. 01 ). Conclusion Educating feeding persons on feeding knowledge and practices and imroving feeding abibty can help children establish good eating behavior and reduce the inciderce of feeding disorders.%目的 分析婴幼儿喂养困难的喂养因素并探讨相应干预措施.方法 选取2009年1月至2010年12月在徐州市妇幼保健所儿童保健营养门诊就诊的喂养困难的0~36个月婴幼儿(排除疾病因素)54例,并按照同性别、年龄及家长文化程度等设立对照组,按照自行设计的问卷,分别对两组婴幼儿的主要喂养者进行问卷调查.分析婴幼儿喂养困难好发年龄段,喂养者的喂养知识、行为对婴幼儿喂养困难的影响.结果 6~24月龄的婴幼儿为

  7. Ocean acidification induces changes in algal palatability and herbivore feeding behavior and performance.

    Science.gov (United States)

    Duarte, Cristian; López, Jorge; Benítez, Samanta; Manríquez, Patricio H; Navarro, Jorge M; Bonta, Cesar C; Torres, Rodrigo; Quijón, Pedro

    2016-02-01

    The effects of global stressors on a species may be mediated by the stressors' impact on coexisting taxa. For instance, herbivore-algae interactions may change due to alterations in algal nutritional quality resulting from high CO2 levels associated with ocean acidification (OA). We approached this issue by assessing the indirect effects of OA on the trophic interactions between the amphipod Orchestoidea tuberculata and the brown alga Durvillaea antarctica, two prominent species of the South-east Pacific coast. We predicted that amphipod feeding behavior and performance (growth rate) will be affected by changes in the palatability of the algae exposed to high levels (1000 ppm) of CO2. We exposed algae to current and predicted (OA) atmospheric CO2 levels and then measured their nutritive quality and amphipod preference in choice trials. We also assessed consumption rates separately in no-choice trials, and measured amphipod absorption efficiency and growth rates. Protein and organic contents of the algae decreased in acidified conditions and amphipods showed low preference for these algae. However, in the no-choice trials we recorded higher grazing rates on algae exposed to OA. Although amphipod absorption efficiency was lower on these algae, growth rates did not differ between treatments, which suggests the occurrence of compensatory feeding. Our results suggest that changes in algal nutritional value in response to OA induce changes in algal palatability and these in turn affect consumers' food preference and performance. Indirect effects of global stressors like OA can be equally or more important than the direct effects predicted in the literature. PMID:26453521

  8. Preventive effect of feeding high-risk infants a casein hydrolysate formula or an ultrafiltrated whey hydrolysate formula. A prospective, randomized, comparative clinical study

    DEFF Research Database (Denmark)

    Halken, S; Høst, A; Hansen, L G;

    1993-01-01

    infants had biparental or severe single atopic predisposition, the latter combined with cord blood IgE > or = 0.5 kU/L. At birth all infants were randomized to Nutramigen or Profylac, which was used when breastfeeding was insufficient or not possible during the first 6 months of life. During the same...... period this regimen was combined with avoidance of solid foods and cow milk protein. All mothers had unrestricted diets and were encouraged to do breastfeeding only. Moreover, avoidance of daily exposure to tobacco smoking, furred pets and dust-collecting materials in the bedroom was advised. The infants....... None of the infants showed reactions against Nutramigen or Profylac. In 4 infants symptoms were provoked by breastmilk when the mother ingested cow milk and in 1 only by cow milk.(ABSTRACT TRUNCATED AT 250 WORDS)...

  9. CPR - infant

    Science.gov (United States)

    ... breathing and chest compressions - infant; Resuscitation - cardiopulmonary - infant; Cardiopulmonary resuscitation - infant ... CPR is best done by someone trained in an accredited CPR course. The newest techniques emphasize compression ...

  10. Short-term changes in eating patterns explain the effects of condensed tannins on feed intake in heifers.

    Science.gov (United States)

    Landau; Silanikove; Nitsan; Barkai; Baram; Provenza; Perevolotsky

    2000-10-01

    Ingestion of condensed tannins decreases feed intake in ruminants. Polyethylene glycol (PEG) forms high-affinity complexes with tannins. In two experiments carried out on Holstein heifers, quebracho (Q) from the Aspidosperma quebracho served as source of condensed tannins. The aims of the study were (i) to quantify the effect of Q on feed intake and eating behaviour in cattle fed complete mixed diets (CMDs); (ii) to clarify if changes induced in ingestive behaviour and feed intake by Q in cattle can be reversed by feeding PEG; and (iii) to clarify if the decrease in feed intake is associated with short-term (astringency, post-ingestive malaise) or longer-term effects. In experiment 1, 500 g/day of Q was found to be the minimal dose that decreased feed intake in heifers. A ratio of PEG:Q equal to 1:12.5 did not fully restore feed intake. In experiment 2, four heifers received a random sequence of four rations in a Latin-square design with feeding cycles of ca. 7 days: CMD containing no supplements (C), or supplemented with 625 g/day of Q without PEG (Q), with 625 g/day of Q and 250 g/day of PEG (Q-PEG), or with 250 g/day of PEG without Q (PEG). Individual rations were continuously weighed in the trough and the behaviour of heifers was observed for 180 min after distribution of CMD. Overall, feeding Q was associated with lowered feed intake and shorter duration of eating bouts, mainly of the first eating bout, immediately after distribution of the diet. A larger portion of the diet was consumed subsequent to 180 min after distribution in Q-fed heifers. Eating rate and the water to food ratio were not affected by Q. The effects of Q on feed intake were attenuated by feeding PEG. Heifers adapted effectively to condensed tannins by increasing the number of eating bouts and the portion of diet consumed subsequent to 180 min after distribution, so that no differences in feed intake were noted on the last day of each feeding cycle. Data are interpreted to show that: (i

  11. Neonatal sepsis as a risk factor for neurodevelopmental changes in preterm infants with very low birth weight

    Directory of Open Access Journals (Sweden)

    Rachel C. Ferreira

    2014-06-01

    Full Text Available OBJECTIVE: to evaluate neonatal sepsis as a risk factor for abnormal neuromotor and cognitive development in very low birth weight preterm infants at 12 months of corrected age. METHODS: this was a prospective cohort study that followed the neuromotor and cognitive development of 194 very low birth weight preterm infants discharged from a public neonatal intensive care unit. The Bayley Scale of Infant Development (second edition at 12 months of corrected age was used. The outcomes were the results of the clinical/neurological evaluation and the scores of the psychomotor development index (PDI and mental development index (MDI of the Bayley Scale of Infant Development II. The association between neonatal sepsis and neuromotor development and between neonatal sepsis and cognitive development was verified by logistic regression analysis. RESULTS: mean birth weight was 1,119 g (SD: 247 and mean gestational age was 29 weeks and 6 days (SD: 2. Approximately 44.3%(n = 86 of the infants had neonatal sepsis and 40.7% (n = 79 had abnormal neuromotor development and/or abnormal psychomotor development index (PDI < 85 at 12 months of corrected age. On the mental scale, 76 (39.1% children presented abnormal cognitive development (MDI < 85. Children with neonatal sepsis were 2.5 times more likely to develop changes in neuromotor development (OR: 2.50; CI: 1.23-5.10. There was no association between neonatal sepsis and cognitive development impairment. CONCLUSION: neonatal sepsis was an independent risk factor for neuromotor development impairment at 12 months of corrected age, but not for mental development impairment.

  12. 77 FR 17002 - Agency Information Collection Activities: Proposed Collection; Comments Request-WIC Infant and...

    Science.gov (United States)

    2012-03-23

    ... Request--WIC Infant and Toddler Feeding Practices Study-2 (WIC ITFPS-2) AGENCY: Food and Nutrition Service... in the 1990's, the WIC Infant Feeding Practices (WIC IFPS-1). The currently planned study will.... SUPPLEMENTARY INFORMATION: Title: Women Infants and Children Infant and Toddler Feeding Practices Study-2...

  13. Biochemical and immunological changes on oral glutamate feeding in male albino rats

    Science.gov (United States)

    Kumar, D.; Bansal, Anju; Thomas, Pauline; Sairam, M.; Sharma, S. K.; Mongia, S. S.; Singh, R.; Selvamurthy, W.

    High altitude stress leads to lipid peroxidation and free radical formation which results in cell membrane damage in organs and tissues, and associated mountain diseases. This paper discusses the changes in biochemical parameters and antibody response on feeding glutamate to male albino Sprague Dawley rats under hypoxic stress. Exposure of rats to simulated hypoxia at 7576 m, for 6 h daily for 5 consecutive days, in an animal decompression chamber at 32+/-2° C resulted in an increase in plasma malondialdehyde level with a concomitant decrease in blood glutathione (reduced) level. Supplementation of glutamate orally at an optimal dose (27 mg/kg body weight) in male albino rats under hypoxia enhanced glutathione level and decreased malondialdehyde concentration significantly. Glutamate feeding improved total plasma protein and glucose levels under hypoxia. The activities of serum glutamate oxaloacetate transaminase (SGOT) and serum glutamate pyruvate transaminase (SGPT) and the urea level remained elevated on glutamate supplementation under hypoxia. Glutamate supplementation increased the humoral response against sheep red blood cells (antibody titre). These results indicate a possible utility of glutamate in the amelioration of hypoxia-induced oxidative stress.

  14. Feeding Period Restriction Alters the Expression of Peripheral Circadian Rhythm Genes without Changing Body Weight in Mice

    OpenAIRE

    Jang, Hagoon; Lee, Gung; Kong, Jinuk; Choi, Goun; Park, Yoon Jeong; Kim, Jae Bum

    2012-01-01

    Accumulating evidence suggests that the circadian clock is closely associated with metabolic regulation. However, whether an impaired circadian clock is a direct cause of metabolic dysregulation such as body weight gain is not clearly understood. In this study, we demonstrate that body weight gain in mice is not significantly changed by restricting feeding period to daytime or nighttime. The expression of peripheral circadian clock genes was altered by feeding period restriction, while the ex...

  15. Women’s Longitudinal Patterns of Smoking during the Pre-Conception, Pregnancy and Postnatal Period: Evidence from the UK Infant Feeding Survey

    Science.gov (United States)

    Fitzpatrick, Kate E.; Gray, Ron; Quigley, Maria A.

    2016-01-01

    Background An understanding of women’s longitudinal patterns of smoking during the pre-conception, pregnancy and postnatal period and the factors associated with these patterns could help better inform smoking cessation services and interventions. Methods Latent class analysis (LCA) was used to empirically identify women’s smoking patterns in a sample of 10,768 mothers from the 2010 UK Infant Feeding Survey. Multinomial logistic regression was used to identify characteristics associated with these patterns. Results LCA identified five distinct smoking patterns during the pre-conception, pregnancy and postnatal period: “non-smokers” (74.1% of women); “pregnancy-inspired quitters” (10.2%); “persistent smokers” (10.1%); “temporary quitters” (4.4%); and postnatal quitters (1.1%). Smoking patterns varied markedly according to socio-demographic variables and parity. After adjusting for these variables, mothers who lived during pregnancy with a partner who smoked were more likely to be temporary quitters (aOR 2.64, 95% CI 1.74–3.99) or persistent smokers (aOR 3.32, 95% CI 2.34–4.72) than pregnancy-inspired quitters. Mothers who lived during pregnancy with someone else other than a partner who smoked were more likely to be persistent smokers (aOR 2.34, 95% CI 1.38–3.97) or postnatal quitters (aOR 2.97, 95% CI 1.07–8.24) than pregnancy-inspired quitters. Mothers given information on how their partner could stop smoking if they lived during pregnancy with a smoking partner were less likely to be persistent smokers (aOR 0.42, 95% CI 0.27–0.65) than pregnancy-inspired quitters. Conclusion Health professionals should ask about smoking at every opportunity, and refer women who self-report as current smokers to an evidence based smoking cessation service. PMID:27111661

  16. 婴幼儿期体格生长偏离与喂养困难的关系及影响因素%Relationship between Growth Deviation and Feeding Disorders and Its Influencing Factors among Infants and Toddlers

    Institute of Scientific and Technical Information of China (English)

    周爱琴; 徐海青; 戴琼; 赵职卫; 汪鸿; 罗西贝; 刘建琼; 刘芳

    2012-01-01

    目的 探讨要幼儿期体格生长偏离与喂养困难的关系及体格生长偏离的影响因素.方法 采用定点抽样的方法,在确定调查对象后,由儿童的主要抚养人和医务人员共同填写婴幼儿喂养困难评分量表及调查问卷,并对婴幼儿体格发育情况进行测量.结果 6~24月龄中国婴幼儿喂养困难发生率为21.41%;婴幼儿有无喂养困难及喂养困难程度与是否发生生长迟缓、低体质量、消瘦相关,随着喂养困难程度的加重,三者发生率增高.经多因素非条件Logistic回归分析,“是否反复上呼吸道感染,喂养人是否为母亲,喂养时孩子对您的反应积极,孩子进餐地点固定,孩子的喂养人固定,孩子进食时间超过30 min,您允许孩子想吃就吃,同一种食物用不同做法促进食欲,您判断孩子不吃某种食物的依据,现在每天是否吃鱼肉虾类、吃蛋类、吃粮谷类、吃水果类”13个因素是婴幼儿体格生长偏离的影响因素.结论 预防婴幼儿喂养困难可有效降低婴幼儿生长迟缓、低体质量、消瘦的发生.合理的饮食结构、喂养人科学的喂养知识和恰当的喂养行为有利于预防体格生长偏离的发生.%Objective To explore the relationship between growth deviation and feeding disorders and its influencing factors among infants and toddlers. Methods With fixed - point sampling, caregivers fill in the Chinese version of The Children Feeding Scale and the ques-tionair were designed,and the physical developmental parameters of infants and toddlers were measured. Results The incidence rate of feeding disorders among 6 - to - 24 - month - old children was 21.41 % . The association between feeding disorders, the degree of feeding difficulty and growth deviation (including stunted, wasting, underweight) were related. And with the degree of feeding disorders increased,3 incidences increased. A multivariate non - conditioned Logistic regression analysis was

  17. 辅助喂养指导对新城市人口婴儿营养水平的影响%Influence of assistant feeding guidance on nutrition level of infants

    Institute of Scientific and Technical Information of China (English)

    黎常红; 何素健; 陈波; 白波

    2014-01-01

    Objective To explore how to improve the nutrition level of infants as the new generation of peasants and migrant workers in city.Methods Totally 500 2-10 months old infants below -2SD were randomly selected from July 2010 to July 2012 ( their parents were the new generation of peasants and migrant workers ) , and their feeding was investigated .Intervention for feeding problems , regular monitoring and evaluation were conducted .The feeding status and serum indexes before and after intervention test were statistically analyzed.Results Infants’ serum prealbumin was 135.11 ±19.42mg/L, serum zinc was 3.24 ±0.59mg/L, and serum iron was 8.38 ± 4.17μmol/L, respectively, before intervention.After the intervention they were 214.22 ±38.20 mg/L, 3.97 ±0.72 mg/L and 12.20 ± 5.10μmol/L, respectively (t value was 2.23, 2.79 and 1.64, respectively, all P<0.05).The changes in serum albumin, serum zinc, serum iron indices were statistically significant .Conclusion Improvement of nutrition level of infants of new population in city should start from fostering parents ’ good feeding behavior .Different guidance for different family and gaining parents ’ cooperation will achieve good effect.%目的:探讨如何提高新城市人口中新生代农民工、外来务工人员所生婴儿的营养水平。方法随机抽取2010年7月至2012年7月年龄别体重在-2SD以下的2~10月龄的婴儿500例(其父母均为新生代农民工、外来务工人员),随访调查喂养状况,针对喂养存在的问题进行干预,定期监测及评估,并对喂养状况及干预前后血清指标检测结果做统计学分析。结果被抽样调查的500例婴儿干预前血清前白蛋白(135.11±19.42) mg/L,血锌(3.24±0.59) mg/L,血清铁(8.38±4.17)μmol/L,通过干预措施,血清前白蛋白达到(214.22±38.20)mg/L(t=2.23,P<0.05),血锌(3.97±0.72)mg/L(t=2.79,P<0.05

  18. The Impact of Changes in Health and Social Care on Enteral Feeding in the Community

    Directory of Open Access Journals (Sweden)

    Omorogieva Ojo

    2012-11-01

    Full Text Available This paper examines the impact of the changes to health and social care on enteral feeding in the community, outlines implications for practice and offers recommendations to ameliorate the challenges. It is now clear that there have been significant changes especially in the last 10 years in health and social care provisions in the UK with an overarching effect on enteral nutrition in the community. Advances in technology, increasing demand and treatment costs, the need for improvement in quality, economic challenges, market forces, political influences and more choices for patients are some of the factors driving the change. Government’s vision of a modern system of health and social care is based on initiatives such as clinically led commissioning, establishment of Monitor, shifting care from acute hospitals to community settings, integrating health and social care provisions, Quality, Innovation, Productivity and Prevention (QIPP program and the concept of “Big Society”. These strategies which are encapsulated in various guidelines, policies and legislation, including the health and social care Act, 2012 are clarified. The future challenges and opportunities brought on by these changes for healthcare professionals and patients who access enteral nutrition in the community are discussed and recommendations to improve practice are outlined.

  19. The impact of changes in health and social care on enteral feeding in the community.

    Science.gov (United States)

    Ojo, Omorogieva

    2012-11-01

    This paper examines the impact of the changes to health and social care on enteral feeding in the community, outlines implications for practice and offers recommendations to ameliorate the challenges. It is now clear that there have been significant changes especially in the last 10 years in health and social care provisions in the UK with an overarching effect on enteral nutrition in the community. Advances in technology, increasing demand and treatment costs, the need for improvement in quality, economic challenges, market forces, political influences and more choices for patients are some of the factors driving the change. Government’s vision of a modern system of health and social care is based on initiatives such as clinically led commissioning, establishment of Monitor, shifting care from acute hospitals to community settings, integrating health and social care provisions, Quality, Innovation, Productivity and Prevention (QIPP) program and the concept of “Big Society”. These strategies which are encapsulated in various guidelines, policies and legislation, including the health and social care Act, 2012 are clarified. The future challenges and opportunities brought on by these changes for healthcare professionals and patients who access enteral nutrition in the community are discussed and recommendations to improve practice are outlined. PMID:23201842

  20. CPR - infant

    Science.gov (United States)

    Rescue breathing and chest compressions - infant; Resuscitation - cardiopulmonary - infant; Cardiopulmonary resuscitation - infant ... those who take care of children should learn infant and child CPR. See www.americanheart.org for ...

  1. Low level of galacto-oligosaccharide in infant formula stimulates growth of intestinal Bifidobacteria and Lactobacilli

    Institute of Scientific and Technical Information of China (English)

    Xiao-Ming Ben; Juan Li; Zong-Tai Feng; Sheng-Yun Shi; Ya-Dong Lu; Rui Chen; Xiao-Yu Zhou

    2008-01-01

    AIM: To investigate the effect of a new infant formula supplemented with a low level (0.24 g/100 mL) of galacto-oligosaccharide (GOS) on intestinal micro-fiord (Bifidobacteria, Lactobacilli and E. coli) and fermentation characteristics in term infants, compared with human milk and a standard infant formula without GOS. METHODS: Term infants (n = 371) were approached in this study in three hospitals of China. All infants started breast-feeding. Those who changed to formula-feeding within 4 wk after birth were randomly assigned to one of the two formula groups. Growth and stool characteristics, and side effects that occurred in recruited infants were recorded in a 3-mo follow-up period. Fecal samples were collected from a subpopulation of recruited infants for analysis of intestinal bacteria (culture technique), acetic acid (gas chromatography) and pH (indicator strip). RESULTS: After 3 mo, the intestinal Bifidobacteria, Lactobac////, acetic acid and stool frequency were significantly increased, and fecal pH was decreased in infants fed with the GOS-formula or human milk, compared with those fed with the formula without GOS. No significant differences were observed between the GOS formula and human milk groups. Supplementation with GOS did not influence the incidence of crying, regurgitation and vomiting. CONCLUSION: A low level of GOS (0.24 g/100 mL) in infant formula can improve stool frequency, decrease fecal pH, and stimulate intestinal Bifidobacteria and Lactobacilli as in those fed with human milk.

  2. Pulmonary function changes after nebulised and intravenous frusemide in ventilated premature infants

    OpenAIRE

    Prabhu, V.; Keszler, M.; Dhanireddy, R.

    1997-01-01

    AIMS—To compare the effects of a single dose of frusemide administered either intravenously or by nebulisation on pulmonary mechanics in premature infants with evolving chronic lung disease.
METHODS—The effect of frusemide on pulmonary mechanics was studied at a median postnatal age of 23 (range 14-52) days in 19 premature infants at 24 to 30 weeks gestational age, who had been dependent on mechanical ventilation since birth. Frusemide (1 mg/kg/body weight) was administered, in random order, ...

  3. Evolução histórica dos utensílios empregados para alimentar lactentes não amamentados Historical evolution of utensils used to feed non breastfed infants

    Directory of Open Access Journals (Sweden)

    Silvia Diez Castilho

    2010-06-01

    Full Text Available O objetivo desse artigo de revisão é descrever os utensílios empregados ao longo da história para alimentar lactentes não amamentados. O levantamento bibliográfico foi realizado nas bases de dados MEDLINE, LILACS e SciELO, de 1966 a 2007. Para a análise documental, foram processadas buscas na Internet, em enciclopédias, livros de arte, história e museus. Utensílios manufaturados com materiais e formas variadas, dependendo da disponibilidade, poder aquisitivo e cultura, foram empregados desde os primórdios da história para alimentar bebês que, por diferentes motivos, deixaram de ser amamentados. Muitos objetos coexistiram na mesma época e local, outros em tempos e pontos geográficos distantes. A aceitação de uma nova alternativa ocorria sem evidência que comprovasse ou apontasse para os benefícios da mudança. Alguns utensílios voltaram a ser empregados embora a mortalidade infantil fosse elevada à época em que foram utilizados. No início do século XX, as mamadeiras assumiram a forma cilíndrica cônica. A tecnologia trouxe avanços no sentido de melhorar a higienização e possibilitar o controle da contaminação. O vidro deu lugar ao plástico e os bicos de borracha, aos de silicone, mas a mamadeira, como a conhecemos hoje, é a mesma de cem anos atrás.The objective of this article is to describe the utensils used throughout history to feed non breastfed infants. The method used was article review, reference search on the MEDLINE, LILACS and SciELO databases from 1966 to 2007 and documental analysis based on data from the internet, encyclopedias, art and history books, and museums. Utensils manufactured in a variety of materials and shapes, depending on availability, purchasing power and culture have been used since early history to feed babies who for different reasons were not breastfed. Many objects coexisted at the same time and place, others at distant sites and times. New alternatives have been accepted without

  4. Challenges of infant nutrition research: a commentary.

    Science.gov (United States)

    Ryan, Alan S; Hay, William W

    2016-01-01

    Considerable advances have been made in the field of infant feeding research. The last few decades have witnessed the expansion in the number of studies on the composition and benefits of human milk. The practice of breastfeeding and use of human milk represent today's reference standards for infant feeding and nutrition. Additional research regarding the benefits of breastfeeding is needed to determine which factors in human milk and in the act of breastfeeding itself, singly or in combination, are most important for producing the beneficial effects on infant growth, body composition, and neurodevelopmental outcome. We examine evidence that breastfeeding confers health benefits and offer suggestions on how best to interpret the data and present it to the public. We also describe some examples of well-designed infant nutrition studies that provide useful and clinically meaningful data regarding infant feeding, growth, and development. Because not all mothers choose to breastfeed or can breastfeed, other appropriate feeding options should be subjected to critical review to help establish how infant formula and bottle feeding can confer benefits similar to those of human milk and the act of breastfeeding. We conclude with the overarching point that the goal of infant feeding research is to promote optimal infant growth and development. Since parents/families may take different paths to feeding their infants, it is fundamental that health professionals understand how best to interpret research studies and their findings to support optimal infant growth and development. PMID:27103229

  5. Effects of Gastrointestinal Comfort Care on Feed Intolerance of the Infants%胃肠道舒适护理对婴幼儿喂养不耐受的影响

    Institute of Scientific and Technical Information of China (English)

    周静

    2014-01-01

    目的:观察胃肠道舒适护理对婴幼儿喂养不耐受的影响。方法:将60例患儿随机分为干预组、对照组各30例。对照组采用常规喂养,即普通胃管间歇喂养法;干预组采用非营养性吸吮、腹部抚触、喂养后俯卧位及微量泵间断胃管喂养等4种护理干预措施。干预组患儿达到全肠道营养时间、恢复出生体质量时间、鼻胃管留置时间均比对照组短(P<0.05)。喂养出现呕吐、腹胀、胃残留、呼吸暂停例数干预组均较对照组少(P<0.05)。结论:胃肠道舒适护理可改善婴幼儿喂养不耐受的状态。%Objective:To survey the effects of gastrointestinal comfort care on feed intolerance of the infants. Methods: Sixty cases were randomly allocated to the observation group and the control group. The control group accepted routine feeding, that is, common stomach tube intermittent feeding method; the observation group were administered with non-nutritional suck, abdominal caress, prone position after feeding and intermittent feeding by stomach tube and micro pump. Results: The observation group was shorter than the control group in the time of reaching complete enteral nutrition, the time of recovering body weight at birth and nasogastric tube retention time (P<0.05). The observationg group was less than the control group in the number of the patients manifesting vomiting, abdominal distention, gastric retention and apnea when the babies were feeding (P<0.05). Conclusion:Gastrointestinal comfort care could improve feed intolerance of the infants.

  6. Influence of different feeding patterns on bone mineral density of preterm small for gestational age infants%不同喂养方式对早产小于胎龄儿骨密度的影响

    Institute of Scientific and Technical Information of China (English)

    李玲; 王广宇; 李宁; 赵冬梅

    2014-01-01

    Objective To study the influence of different feeding patterns on bone mineral density of preterm small for gestational age (SGA) infants.Methods Totally 215 preterm SGA infants were divided into 5 groups:group A fed with formula for preterm infants after discharge, group B fed with breast milk , group C fed with formula for full-term infants, group D fed with breast milk and formula for preterm infants after discharge , and group E fed with breast milk formula for full-term infants.The bone mineral density of different groups was compared at 6 and 12 month of age .Results The bone mineral density of SGA infants was highest in group D , followed by group B , group A, group E and group C in order .The difference was significant (6 month of age:Fmale =2.845,Ffemale =2.570;12 month of age:Fmale =2.737, Ffemale =7.461, all P<0.05).Conclusion Breastfeeding or strengthened breastfeeding can improve the bone density of preterm SGA infants .This feeding pattern is more applicable for preterm SGA infants .%目的:研究不同喂养方式对早产小于胎龄儿( SGA)骨密度的影响。方法将215例小于胎龄儿按照喂养方式分为5组:早产儿出院后配方奶喂养组、母乳喂养组、足月儿配方奶喂养组、母乳+早产儿出院后配方奶喂养组、母乳+足月儿配方奶喂养组,比较各组在生后第6月、12月骨密度值。结果5组小于胎龄儿的骨密度数值从高到低依次为:母乳+早产儿出院后配方奶喂养组、母乳喂养组、早产儿出院后配方奶喂养组、母乳+足月儿配方奶组、足月儿配方奶喂养组,差异具有统计学意义(6月龄时:F男=2.845,F女=2.570;12月龄时:F男=2.737,F女=7.461,均P<0.05)。结论对早产小于胎龄儿童进行母乳喂养或强化母乳喂养能改善其骨密度情况,适用于早产儿。

  7. Decadal changes in distribution, abundance and feeding ecology of baleen whales in Icelandic and adjacent waters. A consequence of climate change?

    OpenAIRE

    Víkingsson, Gísli Arnór

    2016-01-01

    Five species of baleen whales are regularly encountered at their feeding grounds in Icelandic waters during summer. Systematic monitoring of distribution and abundance of cetaceans in Icelandic and adjacent waters was initiated in 1987 as a part of the North Atlantic Sightings Surveys (NASS). In this thesis, the objecive is to summarize the results of these surveys in relation to changes in the marine environment and the feeding ecology of four baleen whale species. The results presented ...

  8. Developmental changes rather than repeated administration drive paracetamol glucuronidation in neonates and infants

    NARCIS (Netherlands)

    E.H.J. Krekels (Elke); S. Van Ham (Saskia); K. Allegaert (Karel); J.N. de Hoon; D. Tibboel (Dick); M. Danhof (Meindert); C.A.J. Knibbe (Catherijne)

    2015-01-01

    textabstractPurpose: Based on recovered metabolite ratios in urine, it has been concluded that paracetamol glucuronidation may be up-regulated upon multiple dosing. This study investigates paracetamol clearance in neonates and infants after single and multiple dosing using a population modelling app

  9. Metabolic changes in the striatum after germinal matrix hemorrhage in the preterm infant

    DEFF Research Database (Denmark)

    Toft, P B; Leth, H; Peitersen, Birgit;

    1997-01-01

    To investigate the metabolic consequences of germinal matrix hemorrhage (GMH) we used volume-selective 1H magnetic resonance spectroscopy in the striatal region in 12 preterm infants with predominantly small GMH. Both sides of the brain were investigated twice. Metabolite indices were calculated as...

  10. The use of specialisation indices to predict vulnerability of coral-feeding butterflyfishes to environmental change

    KAUST Repository

    Lawton, Rebecca J.

    2011-07-14

    In the absence of detailed assessments of extinction risk, ecological specialisation is often used as a proxy of vulnerability to environmental disturbances and extinction risk. Numerous indices can be used to estimate specialisation; however, the utility of these different indices to predict vulnerability to future environmental change is unknown. Here we compare the performance of specialisation indices using coral-feeding butterflyfishes as a model group. Our aims were to 1) quantify the dietary preferences of three butterflyfish species across habitats with differing levels of resource availability; 2) investigate how estimates of dietary specialisation vary with the use of different specialisation indices; 3) determine which specialisation indices best inform predictions of vulnerability to environmental change; and 4) assess the utility of resource selection functions to inform predictions of vulnerability to environmental change. The relative level of dietary specialisation estimated for all three species varied when different specialisation indices were used, indicating that the choice of index can have a considerable impact upon estimates of specialisation. Specialisation indices that do not consider resource abundance may fail to distinguish species that primarily use common resources from species that actively target resources disproportionately more than they are available. Resource selection functions provided the greatest insights into the potential response of species to changes in resource availability. Examination of resource selection functions, in addition to specialisation indices, indicated that Chaetodon trifascialis was the most specialised feeder, with highly conserved dietary preferences across all sites, suggesting that this species is highly vulnerable to the impacts of climate-induced coral loss on reefs. Our results indicate that vulnerability assessments based on some specialisation indices may be misleading and the best estimates of

  11. Is supplementary feeding in gardens a driver of evolutionary change in a migratory bird species?

    Science.gov (United States)

    Plummer, Kate E; Siriwardena, Gavin M; Conway, Greg J; Risely, Kate; Toms, Mike P

    2015-12-01

    Human activities are causing rapid environmental change at a global scale. Urbanization is responsible for some of the most extreme human-altered habitats and is a known driver of evolutionary change, but evidence and understanding of these processes is limited. Here, we investigate the potential underlying mechanisms contributing to the contemporary evolution of migration behaviour in the Eurasian blackcap (Sylvia atricapilla). Blackcaps from central Europe have been wintering in urban areas of Britain with increasing frequency over the past 60 years, rather than migrating south to the Mediterranean. It has been hypothesized that the popularization of providing supplementary foods for wild birds within Britain may have influenced this marked migratory change, but quantifying the selective forces shaping evolutionary changes remains challenging. Using a long-term national scale data set, we examine both the spatial distribution and interannual variation in blackcap wintering behaviour in Britain in relation to supplementary food availability and local climate. Over a 12-year period, we show that blackcaps are becoming increasingly associated with the provision of supplementary foods in British gardens, and that the reliability of bird food supplies is influencing their winter distribution at a national scale. In addition, local climatic temperatures and broader scale weather variation are also important determinants of blackcap wintering patterns once they arrive in Britain. Based on our findings, we conclude that a synergistic effect of increased availability of feeding resources, in the form of garden bird food, coupled with climatic amelioration, has enabled a successful new wintering population to become established in Britain. As global biodiversity is threatened by human-induced environmental change, this study presents new and timely evidence of the role human activities can play in shaping evolutionary trajectories. PMID:26400594

  12. Dietary transition difficulties in preterm infants: critical literature review

    Directory of Open Access Journals (Sweden)

    Carla Lucchi Pagliaro

    2016-02-01

    Full Text Available ABSTRACT OBJECTIVE: To analyze the scientific literature on dietary changes in preterm children during the first years of life. DATA SOURCE: The PubMed database was used for article selection. The texts were analyzed according to their objectives, research design, and research group characteristics. The following were selected to comprise the criteria: (1 publications in the period from 1996 to 2014; (2 participation of infants and children from birth to 10 years of age; (3 development of oral motor skills necessary for feeding; (4 development of the feeding process; and (5 feeding difficulties during childhood. SUMMARY OF THE FINDINGS: There were 282 studies identified, of which 17 were used in the review, and five more articles were identified through the reference list of selected articles, totaling 22 references. CONCLUSION: Very low birth weight preterm newborns are more likely to have feeding problems in early postnatal stages and during childhood when compared with full-term infants. Monitoring the feeding of these infants after hospital discharge is strictly recommended in an early intervention program aiming at better development of feeding skills.

  13. Changes in the epidemiological pattern of sudden infant death syndrome in southeast Norway, 1984-1998: implications for future prevention and research

    OpenAIRE

    Arnestad, M; Andersen, M.; Vege, A; Rognum, T

    2001-01-01

    AIM—To look for changes in risk factors for sudden infant death syndrome (SIDS) after decrease and stabilisation of the SIDS rate.
METHODS—Questionnaires were distributed to parents of 174 SIDS infants, dying between 1984 and 1998, and 375 age and sex matched controls in southeast Norway.
RESULTS—The proportion of infants sleeping prone has decreased, along with the decrease in SIDS rate for the region during the periods studied, but over half of the SIDS victims are stil...

  14. Shifting preference between oviposition vs. host-feeding under changing host densities in two aphelinid parasitoids

    DEFF Research Database (Denmark)

    Yang, Nian-Wan; Ji, Lu-Lu; Lövei, Gabor L;

    2012-01-01

    Destructive host-feeding is common in hymenopteran parasitoids. Such feeding may be restricted to host stages not preferred for oviposition. However, whether this is a fixed strategy or can vary according to resource levels or parasitoid needs is less clear. We tested the trade-off between host....... The balance between reserving optimal hosts for oviposition or using them for host-feeding depended on parasitoid life history and the availability of host resources....

  15. Infant Allergies and Food Sensitivities

    Science.gov (United States)

    ... Prenatal Baby Bathing & Skin Care Breastfeeding Crying & Colic Diapers & Clothing Feeding & Nutrition Preemie Sleep Teething & Tooth Care Toddler Preschool Gradeschool Teen Young Adult Healthy Children > Ages & Stages > Baby > Breastfeeding > Infant Allergies ...

  16. Feeding Babies: From Breast Milk to the Family Dish.

    Science.gov (United States)

    Masse-Raimbault, Anne-Marie

    1992-01-01

    Focusing on the issue of feeding infants, this journal covers a wide range of information, research, and issues related to breast-feeding and its alternatives for feeding infants in both developing and industrialized countries. The journal is divided into the following sections: (1) "The Epidemiology of Breast-feeding: Frequency and Duration,"…

  17. Weaned Upon A Time : Studies of the Infant Diet in Prehistory

    OpenAIRE

    Howcroft, Rachel

    2013-01-01

    This thesis is concerned with how prehistoric infants were fed in different physical and cultural environments, and in particular what impact the economic, social, and epidemiological changes associated with the development of agriculture had on infant feeding practices. In order to examine these effects, stable isotope ratio analysis has been used to assess the duration of breastfeeding and weaning in a variety of prehistoric contexts. The first study is of Pitted Ware Culture hunter-gathere...

  18. 喂养方式与0~6月龄婴儿肥胖关系的研究%Correlation between Different Feeding Types and Obesity in 0-6 Month Old Infants

    Institute of Scientific and Technical Information of China (English)

    陈凯; 叶小青; 彭雪娟

    2012-01-01

    目的 研究不同的喂养方式与0~6月龄婴儿的超重和肥胖之间是否有关系,从而为制定预防儿童超重和肥胖干预措施提供依据.方法 回顾调查512名婴儿,定期儿童保健系统管理,比较出生以后0~6月内不同喂养方式对婴儿的超重和肥胖的影响,探讨不同的喂养方式与超重和肥胖率之间的关系.结果 42d、3月、4月、5月、6月龄婴儿的母乳喂养组与配方奶喂养组以及混合喂养组三者之间的超重率和肥胖率的差异均无统计学意义(P>0.05).结论 不同喂养方式与婴儿期的超重和肥胖无相应关系,未显示母乳喂养对0~6月龄婴儿的肥胖发生有保护作用.婴儿的性别、出生体重、分娩方式、母亲年龄、文化水平、职业、家庭经济状况以及辅食添加时间对6月龄儿童肥胖发生率影响不明显.%Objective To explore the relationship between different feeding patterns and overweight and obesity in 0 to 6-month-old infants,so as to develop the prevention measures of childhood overweight and provide the basis for obesity interventions. Methods Child care system management was carried out and the data of 512 infants were surveyed to analyze the effects of feeding patterns on the overweight and obesity in 0 to 6-monlh-old infants. Results Among the breastfeeding group .formula feeding group and the mixed feeding group,the difference in the incidence of overweight and obesity in 42 day,3-month,4-month, 5-month and 6-month-old infants was not statistically significant (P>0.05). Conclusion There is no corresponding relationship between the feeding patterns and ihe incidence of overweight and obesity in infants, the result does not reveal a protective effect of breastfeeding.The baby's sex and birth weight,mode of delivery,maternal age,educational level,occupation,family economic conditions and the time for adding complementary foods have not an obvious effect on the incidence of obesity in children aged 6

  19. Influence of Nursing Intervention on Premature and Low Birth Weight Infants with Feeding Intolerance%新型护理干预对早产低出生体重儿喂养不耐受的影响

    Institute of Scientific and Technical Information of China (English)

    唐少粉; 苏小燕; 钟见平

    2014-01-01

    目的:探讨新型护理干预对早产低出生体重儿喂养不耐受的影响。方法将78例适于胎龄的早产低体重儿分为两组各39例,对照组在常规治疗和静脉营养的基础上采用传统的护理方法,试验组在常规治疗和静脉营养基础上给予非营养性吸吮、微量泵间断胃管喂养、喂养后俯卧位及腹部抚触的措施,并贯穿在早产儿的日常护理中。观察两组喂养不耐受情况及呕吐、腹胀、胃残留发生情况,记录鼻胃管留置时间、恢复出生体质量时间及到达全肠道营养时间等。结果试验组患儿喂养不耐受发生率显著低于对照组(P<0.05);试验组患儿达到全肠道营养时间、恢复出生体质量时间、鼻胃管留置时间、第1次排黄便时间均较对照组显著缩短(P<0.05);试验组喂养出现腹胀、胃残留均显著少于对照组(P<0.05)。结论早产低体重儿喂养时给予新型护理干预能促进胃肠道功能的成熟,提高经肠道喂养的耐受性,有效减少喂养不耐受的发生。%Objective To explore the effect of new nursing intervention on premature and low birth weight infants with feeding intolerance. Methods 78 premature and low birth weight infants (appropriate-for-gestational-age) were divided into two groups, with 39 cases in each group. On the basis of routine therapy and parenteral nutrition, the control group received the routine nursing, while the experimental group received the nursing intervention (non-nutritive sucking, intermittent nasogastric feeding by micro pump, prone position after feeding, and abdominal touch) during daily care. The incidences of feeding intolerance, vomiting, abdominal distention, gastric residuals were observed, and the time of nasogastric tube indwelling, the time to regain birth weight and the time to reach full enteral nutrition were recorded. Results The incidence of feeding intolerance of experimental group was significantly lower than

  20. Methodology of infant and young child feeding index for children aged 6-24 months in China%6~24月龄中国婴幼儿喂养指数评价方法的建立

    Institute of Scientific and Technical Information of China (English)

    闫玲; 曾果; 孙要武; 李增宁; 董文兰; 潘丽莉; 王玉英; 赖建强

    2012-01-01

    Objective To establish a infant and young child feeding index (ICFI) in China to comprehensive evaluate the feeding of children aged 6-24 months. Methods Based on the feed index concept defined by Ruel and Menon in 2002, and according to the feeding principle by WHO and Chinese dietary guidelines for children aged 0-6 years,the feed index for infants and young children was built and the variables were scored. Then using WAZ, HAZ and WHZ, the correlation between ICFI and Z score for children in urban and rural of three provinces (Sichuan, Hebei and Heilongjiang) was evaluated. Results The ICFI was constituted by 7 parts; continued breast-eeding, bottle-feeding, dietary diversity for the past 24h, frequency of feeding solids/semisolids for the past 24h, food frequency for the past 7d, the supplementary time of the formula milk and other foods. The difference of ICFI score between urban and rural group was significant ( P < 0.05). In urban, the ICFI score of children aged 6 ~ 8months was lower than that of children aged 9-24 months. In urban, the negatively correlation between ICFI and WAZ WHZ was significant ( P < 0. 05 ) . In rural , the negatively correlation between ICFI and WHZ was significant ( P < 0. 05 ) , while the positively correlation between ICFI and HAZ was significant ( P < 0. 05 ). Conclusion ICFI is effective to evaluate the infant feeding in China.%目的 建立6 ~ 24月龄中国婴幼儿喂养指数,为综合评价婴幼儿喂养提供有效的工具.方法 以2002年Ruel和Menon提出的喂养指数概念为基础,根据世界卫生组织(WHO)喂养建议和中国0~6岁儿童膳食指南,建立喂养指数确定各变量分类及分值,利用四川、河北、黑龙江三地区城乡6 ~ 24月龄共1738名婴幼儿年龄别体重( WAZ)、年龄别身长(HAZ)和身长别体重(WHZ),分析喂养指数与婴幼儿Z评分之间的相关性.结果 喂养指数由持续母乳喂养、奶瓶使用、过去24小时膳食摄入种类和膳食摄入频

  1. Changes in Soluble Transferrin Receptor and Hemoglobin Concentrations in Malawian Mothers Are Associated with Those Values in their Exclusively Breastfed, HIV-Exposed Infants123

    Science.gov (United States)

    Widen, Elizabeth M.; Bentley, Margaret E.; Kayira, Dumbani; Chasela, Charles S.; Daza, Eric J.; Kacheche, Zebrone K.; Tegha, Gerald; Jamieson, Denise J.; Kourtis, Athena P.; van der Horst, Charles M.; Allen, Lindsay H.; Shahab-Ferdows, Setareh; Adair, Linda S.

    2014-01-01

    Infant iron status at birth is influenced by maternal iron status during pregnancy; however, there are limited data on the extent to which maternal iron status is associated with infant iron status during exclusive breastfeeding. We evaluated how maternal and infant hemoglobin and iron status [soluble transferrin receptors (TfR) and ferritin] were related during exclusive breastfeeding in HIV-infected women and their infants. The Breastfeeding, Antiretrovirals, and Nutrition Study was a randomized controlled trial in Lilongwe, Malawi, in which HIV-infected women were assigned with a 2 × 3 factorial design to a lipid-based nutrient supplement (LNS), or no LNS, and maternal, infant, or no antiretroviral drug, and followed for 24 wk. Longitudinal models were used to relate postpartum maternal hemoglobin (n = 1926) to concurrently measured infant hemoglobin, adjusting for initial infant hemoglobin values. In a subsample, change in infant iron status (hemoglobin, log ferritin, log TfR) between 2 (n = 352) or 6 wk (n = 167) and 24 wk (n = 519) was regressed on corresponding change in the maternal indicator, adjusting for 2 or 6 wk values. A 1 g/L higher maternal hemoglobin at 12, 18, and 24 wk was associated with a 0.06 g/L (P = 0.01), 0.10 g/L (P < 0.001), and 0.06 g/L (P = 0.01), respectively, higher infant hemoglobin. In the subsample, a reduction in maternal log TfR and an increase in hemoglobin from initial measurement to 24 wk were associated with the same pattern in infant values (log TfR β = −0.18 mg/L, P < 0.001; hemoglobin β = 0.13 g/L, P = 0.01). Given the observed influence of maternal and initial infant values, optimizing maternal iron status in pregnancy and postpartum is important to protect infant iron status. This trial was registered at clinicaltrials.gov as NCT00164736. PMID:24381222

  2. The planetary water drama: Dual task of feeding humanity and curbing climate change

    Science.gov (United States)

    Rockström, J.; Falkenmark, M.; Lannerstad, M.; Karlberg, L.

    2012-08-01

    This paper analyses the potential conflict between resilience of the Earth system and global freshwater requirements for the dual task of carbon sequestration to reduce CO2 in the atmosphere, and food production to feed humanity by 2050. It makes an attempt to assess the order of magnitude of the increased consumptive water use involved and analyses the implications as seen from two parallel perspectives; the global perspective of human development within a “safe operating space” with regard to the definition of the Planetary Boundary for freshwater; and the social-ecological implications at the regional river basin scale in terms of sharpening water shortages and threats to aquatic ecosystems. The paper shows that the consumptive water use involved in the dual task would both transgress the proposed planetary boundary range for global consumptive freshwater use and would further exacerbate already severe river depletion, causing societal problems related to water shortage and water allocation. Thus, strategies to rely on sequestration of CO2 as a mitigation strategy must recognize the high freshwater costs involved, implying that the key climate mitigation strategy must be to reduce emissions. The paper finally highlights the need to analyze both water and carbon tradeoffs from anticipated large scale biofuel production climate change mitigation strategy, to reveal gains and impact of this in contrast to carbon sequestration strategies.

  3. Imaging changes in blood volume and oxygenation in the newborn infant brain using three-dimensional optical tomography

    International Nuclear Information System (INIS)

    Induced haemodynamic and blood oxygenation changes occurring within the brain of a ventilated newborn infant have been imaged in three dimensions using optical tomography. Noninvasive measurements of the flight times of transmitted light were acquired during illumination of the brain by laser pulses at wavelengths of 780 nm and 815 nm. The oxygen and carbon dioxide partial pressures were adjusted through alterations to the ventilator settings, resulting in changes to the cerebral blood volume and oxygenation. Three-dimensional images were generated using the physiologically associated differences in the measured data, obviating the need for data calibration using a separate reference measurement. The results exhibit large changes in absorption coefficient at both wavelengths. Images corresponding to differences in concentrations of oxy- and deoxyhaemoglobin are in qualitative agreement with known physiological data

  4. Shifting preference between oviposition vs. host-feeding under changing host densities in two aphelinid parasitoids.

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    Nian-Wan Yang

    Full Text Available Destructive host-feeding is common in hymenopteran parasitoids. Such feeding may be restricted to host stages not preferred for oviposition. However, whether this is a fixed strategy or can vary according to resource levels or parasitoid needs is less clear. We tested the trade-off between host feeding and oviposition on two whitefly parasitoids under varying host densities. Females of two aphelinid parasitoids, Eretmocerus hayati and Encarsia sophia were exposed to nine different densities of their whitefly host, Bemisia tabaci, in single-instar tests to identify their functional response. Mixed-instar host choice tests were also conducted by exposing whiteflies at four densities to the parasitoids. We hypothesized that the parasitoid females can detect different host densities, and decide on oviposition vs. host-feeding accordingly. The results showed that both Er. hayati and En. sophia females tended to increase both oviposition and host-feeding with increased host density within a certain range. Oviposition reached a plateau at lower host density than host-feeding in Er. hayati, while En. sophia reached its oviposition plateau at higher densities. At low densities, Er. hayati parasitized most on first and second (the optimal ones, and fed most on third nymphal instars (the suboptimal one of the whitefly host as theory predicts, while at high densities, both parasitism and host-feeding occurred on first and second instars which are preferred for oviposition. En. sophia parasitized most on third and fourth (the optimal ones, while fed on first instars (the suboptimal one at low densities, and utilized third and fourth instars for both at high densities. In conclusion, oviposition vs. host-feeding strategy of parasitoid females was found to vary at different host densities. The balance between reserving optimal hosts for oviposition or using them for host-feeding depended on parasitoid life history and the availability of host resources.

  5. Seasonal and long-term changes in relative abundance of bull sharks from a tourist shark feeding site in Fiji.

    Directory of Open Access Journals (Sweden)

    Juerg M Brunnschweiler

    Full Text Available Shark tourism has become increasingly popular, but remains controversial because of major concerns originating from the need of tour operators to use bait or chum to reliably attract sharks. We used direct underwater sampling to document changes in bull shark Carcharhinus leucas relative abundance at the Shark Reef Marine Reserve, a shark feeding site in Fiji, and the reproductive cycle of the species in Fijian waters. Between 2003 and 2009, the total number of C. leucas counted on each day ranged from 0 to 40. Whereas the number of C. leucas counted at the feeding site increased over the years, shark numbers decreased over the course of a calendar year with fewest animals counted in November. Externally visible reproductive status information indicates that the species' seasonal departure from the feeding site may be related to reproductive activity.

  6. Nutritional management of newborn infants: Practical guidelines

    Institute of Scientific and Technical Information of China (English)

    Xiao-Ming Ben

    2008-01-01

    The requirements of growth and organ development create a challenge in nutritional management of newborn infants, especially premature newborn and intestinal-failure infants. Since their feeding may increase the risk of necrotizing enterocolitis, some high-risk infants receive a small volume of feeding or parenteral nutrition (PN) without enteral feeding. This review summarizes the current research progress in the nutritional management of newborn infants. Searches of MEDLINE (1998-2007), Cochrane Central Register of Controlled Trials (The Cochrane Library, Issue 3, 2007), abstracts and conference proceedings, references from relevant publications in the English language were performed, showing that breast milk is the preferred source of nutrients for enteral feeding of newborn infants. The number of nutrients found in human milk was recommended as a guideline in establishing the minimum and maximum levels in infant formulas. The fear of necrotizing enterocolitis and feeding intolerance are the major factors limiting the use of the enteral route as the primary means of nourishing premature infants. PN may help to meet many of the nutritional needs of these infants, but has significant detrimental side effects. Trophic feedings (small volume of feeding given at the same rate for at least 5 d) during PN are a strategy to enhance the feeding tolerance and decrease the side effects of PN and the time to achieve full feeding. Human milk is aey component of any strategy for enteral nutrition of all infants. However, the amounts of calcium, phosphorus, zinc and other nutrients are inadequate to meet the needs of the very low birth weight (VLBW) infants during growth. Therefore, safe and effective means to fortify human milk are essential to the care of VLBW infants.

  7. Premature infant

    Science.gov (United States)

    Preterm infant; Preemie; Premie ... The infant may have trouble breathing and keeping a constant body temperature. ... A premature infant may have signs of the following problems: Anemia Bleeding into the brain or damage to the brain's white ...

  8. Have infant gross motor abilities changed in 20 years? A re-evaluation of the Alberta Infant Motor Scale normative values

    Science.gov (United States)

    Darrah, Johanna; Bartlett, Doreen; Maguire, Thomas O; Avison, William R; Lacaze-Masmonteil, Thierry

    2014-01-01

    Aim To compare the original normative data of the Alberta Infant Motor Scale (AIMS) (n=2202) collected 20 years ago with a contemporary sample of Canadian infants. Method This was a cross-sectional cohort study of 650 Canadian infants (338 males, 312 females; mean age 30.9wks [SD 15.5], range 2wks–18mo) assessed once on the AIMS. Assessments were stratified by age, and infants proportionally represented the ethnic diversity of Canada. Logistic regression was used to place AIMS items on an age scale representing the age at which 50% of the infants passed an item on the contemporary data set and the original data set. Forty-three items met the criterion for stable regression results in both data sets. Results The correlation coefficient between the age locations of items on the original and contemporary data sets was 0.99. The mean age difference between item locations was 0.7 weeks. Age values from the original data set when converted to the contemporary scale differed by less than 1 week. Interpretation The sequence and age at emergence of AIMS items has remained similar over 20 years and current normative values remain valid. Concern that the ‘back to sleep’ campaign has influenced the age at emergence of gross motor abilities is not supported. PMID:24684556

  9. Intraperitoneal microdialysis in the postoperative surveillance of infants undergoing surgery for congenital abdominal wall defect

    DEFF Research Database (Denmark)

    Risby, Kirsten; Pedersen, Mark Ellebæk; Jakobsen, Marianne S;

    2015-01-01

    underwent primary closure. None of the infants with omphalocele received parenteral nutrition whereas all of the infants with gastroschisis did. There was no significant difference in duration of parenteral nutrition or tube feeding, respectively, when comparing the gastroschisis children with high versus...... low intraperitoneal lactate values. Placement of the MD catheter in the intraperitoneal cavity was feasible and without any major complications. CONCLUSION: Intraperitoneal MD is a safe procedure and an applicable method in surveillance of inflammatory changes in the peritoneal cavity in infants after...

  10. Analysis of infant feeding and its factors in Nan'an district of Chongqing%重庆市南岸区婴儿喂养及影响因素分析

    Institute of Scientific and Technical Information of China (English)

    吕亚兰; 蒋小强; 王健; 王润华

    2012-01-01

    [Objective] To know the status of infant breastfeeding and complementary feeding in Nan'an district of Chongqing,and to explore the factors of breastfeeding and complementary feeding. [Methods] Through randomized cluster sampling, two communities were sampled. Patriarch of 0 to 12 months babies were investigated of infant feeding and factors. Non-conditional logistic regression was used to analyze factors affecting breastfeeding and complementary feeding. [Results] During 0~4 months, the ratio of baby breastfeeding was 76. 56%. The constituent ratio of total breastfeedingwas 45. 63%. The main feeding ways were partial breastfeeding (52. 8%) and artificial feeding (42. 23%) during 4 to 6 months,and it was artificial feeding during 7 to 12 months. The complementary feeding was started from 4 months. The ratio of rice/rice cakes and puree/pulp adding separately reached the zenith in 5(84%) and 6(84. 5%) month. From 7 months,ratios of porridge/noodles,broken vegetables/fruits,eggs and meat added increased gradually. Until 12 months,the ratio was about 90%. The order of complementary feeding added was rice / rice pudding, puree/pulp, chopped vegetables/fruits, egg yolk,porridge/noodles,custard and meat. [Conclusions] The status of infant breastfeeding needs to be improved. The situation of complementary feeding is considerable. Maternal and child health care and other related departments should propagandize breastfeeding and its importance and popularize ways of scientific feeding to raise people's awareness of breastfeeding, improving infant breastfeeding.%[目的]了解重庆市南岸区婴儿母乳喂养及辅食添加现状,并探索其影响因素,为加强科学喂养提供依据.[方法]通过整群随机抽样方式抽取两社区卫生服务中心,对来两中心进行儿童保健的0~12月婴儿母亲或看护人进行婴儿喂养及其影响因素调查.采用非条件Logistic回归分别分析母乳喂养和辅食添加影响因素. [结果]<4

  11. Alimentação com mamadeira de egressos da unidade de terapia intensiva neonatal: ações da Fonoaudiologia The role of Speech-Language Pathology in bottle feeding infants discharged from intensive care unit

    Directory of Open Access Journals (Sweden)

    Ediana Cristina Roquette Loures

    2012-01-01

    Full Text Available OBJETIVO: Analisar retrospectivamente os resultados das orientações fonoaudiológicas sobre aleitamento com mamadeira de lactentes egressos da Unidade de Terapia Intensiva Neonatal. MÉTODOS: Trata-se de um estudo descritivo referente às ações realizadas com lactentes egressos da Unidade de Terapia Intensiva Neonatal que receberam acompanhamento fonoaudiológico. Dos 11 sujeitos participantes, nove eram prematuros, adequados para a idade gestacional, entre 27 e 35 semanas; dois nascidos a termo, um grande e um adequado para a idade gestacional e com diagnóstico de laringomalácia e atresia de jejuno, respectivamente. Foram analisadas as variáveis: modo de aleitamento, recipiente da mamadeira, bico da mamadeira, avaliação e condutas fonoaudiológicas nas duas primeiras consultas dos lactentes. RESULTADOS: Na primeira avaliação todos os lactentes usavam recipientes de mamadeira e bicos selecionados pelas mães. Na segunda avaliação, a maior parte dos utensílios havia sido trocada pelos modelos orientados, mas o posicionamento corporal incorreto e os sinais de desconforto persistiam. As orientações sobre modo de aleitamento foram retomadas. A análise estatística confirmou que a avaliação e as condutas fonoaudiológicas afetaram significativamente na decisão das mães pela troca dos utensílios, com posterior diminuição dos sinais de desconforto pelos lactentes. CONCLUSÃO: O estudo destaca a necessidade da observação minuciosa do fonoaudiólogo no procedimento de aleitamento com mamadeira e do detalhamento das especificidades no cuidado com a alimentação das crianças que saem da Unidade de Terapia Intensiva Neonatal.PURPOSE: To retrospectively analyze the results of speech therapy activities that are part of the monitoring of bottle feeding infants discharged from the Neonatal Intensive Care Unit. METHODS: We conducted a descriptive study regarding the actions carried out with bottle feeding infants from a Neonatal

  12. Ultrastructural and histological changes induced by ivermectin in the ovary of Argas persicus after feeding

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    Hamdy, H.Swelim; Aleya, S.Marzouk;Ashraf,A.M.Montasser

    2003-03-01

    Full Text Available The ovarian wall of A.persicus consists of primary oocytes of three developmental stages namely , young , previtellogenic and vitellogenic in addition to interstitial cells . After feeding and mating , the three stages and interstitial cells , particularly funicle cells that carry oocytes , markedly increased in size and their cytoplasmic organelles exhibit notable changes correlated with yolk and egg shell formation . The present study examined the hitological and ultrastructural aspects during the formation of yolk and egg shell. The first seem to originate from small vesicles derived from Golgi bodies, rough endoplasmic reticulum and mitochondrial cristae. The egg shell seems to develop from vesicles derived from Golgi bodies that fuse with the cell membrane and discharge their content into the extracellular space between basement membrane and tunica propria. Glycogen aggregates and lipid droplets are commonly observed between yolk spheres. The injection of selected dose of ivermectin (400 ug/kg prevented growth and development of oocytes. The ovary appeared studded with young and previtellogenic primary oocytes surrounding a narrow ovarian lumen or the ovarian wall, carrying oocytes, is stretched around a large fluid filled lumen. Surface microvilli of primary oocytes and coated vesicles underlying them became comparatively fewer. Mitochondria and rough endoplasmic reticulum became fewer, fragmented and finally degenerated in primary oocytes and funicle cells. Ivermectin interfered with the formation of yolk granules and egg shell. However, in the few formed vitellogenic oocytes, Golgi bodies were not affected. The egg shell appeared thinner with low electron density. The cytoplasm of funicle cells became highly vacuolated, its organelles, hardly distinguished and nuclei became swollen without definite nuclear membrane. Ivermectin completely prevented the formation of glycogen particles. Our results suggests that ivermectin causes partial

  13. Effectiveness of a nutrition education package in improving feeding practices, dietary adequacy and growth of infants and young children in rural Tanzania: rationale, design and methods of a cluster randomised trial

    OpenAIRE

    Kulwa, Kissa BM; Verstraeten, Roosmarijn; Bouckaert, Kimberley P; Mamiro, Peter S; Kolsteren, Patrick W; Lachat, Carl

    2014-01-01

    Background Strategies to improve infant and young child nutrition in low- and middle- income countries need to be implemented at scale. We contextualised and packaged successful strategies into a feasible intervention for implementation in rural Tanzania. Opportunities that can optimise delivery of the intervention and encourage behaviour change include mothers willingness to modifying practices; support of family members; seasonal availability and accessibility of foods; established set-up o...

  14. Changes in physiological and behavioral parameters of preterm infants undergoing body hygiene: a systematic review

    Directory of Open Access Journals (Sweden)

    Patrícia de Freitas

    2014-08-01

    Full Text Available Objective To verify the effect of bathing on the body temperature of preterm infants (PTI. Method Systematic review conducted in the following bibliographic electronic sources: Biblioteca Virtual em Saúde/Lilacs (BVS, Cumulated Index of Nursing and Allied Health Literature (CINAHL, Cochrane Library, Google Scholar, PubMed, SCOPUS and Web of Science, using a combination of search terms, keywords and free terms. The review question was adjusted to the PICO acronym (Patient/population, Intervention, Control/comparative intervention, Outcome. The selected publications were evaluated according to levels of evidence and grades of recommendation for efficacy/effectiveness studies, as established by the Joanna Briggs Institute. Results Eight hundred and twenty four (824 publications were identified and four studies met the inclusion criteria, of which three analyzed the effect of sponge baths and the effect of immersion baths. Conclusion Sponge baths showed a statistically significant drop in body temperature, while in immersion baths the body temperature remained stable, although they studied late preterm infants.

  15. Age-related changes in the effects of stress in pregnancy on infant motor development by maternal report: The Queensland Flood Study.

    Science.gov (United States)

    Simcock, Gabrielle; Kildea, Sue; Elgbeili, Guillaume; Laplante, David P; Stapleton, Helen; Cobham, Vanessa; King, Suzanne

    2016-07-01

    The current study examined the effects of a natural disaster (a sudden onset flood) as a stressor in pregnancy on infant fine and gross motor development at 2, 6, and 16 months of age. Whether the timing of the stressor in pregnancy or sex of the infant moderated the impact of the prenatal maternal stress on motor development was also explored. Mothers' objective experiences of the flood, emotional reactions and distress, and their cognitive appraisal of the event were assessed retrospectively. Infants' fine and gross motor skills were assessed with the Ages and Stages Questionnaire, and results showed age-related changes in the effects of prenatal maternal stress on these domains. At 2 months, higher levels of prenatal maternal stress was positively related to infant motor development, yet at 6 and 16 months of age there was a negative association, particularly if flood exposure occurred later in pregnancy and if mothers had negative cognitive appraisals of the event. Results also showed differential effects of the maternal stress responses to the floods on infants' fine and gross motor development at each age and that infant sex did not buffer these effects. © 2016 Wiley Periodicals, Inc. Dev Psychobiol 58: 640-659, 2016. PMID:27004939

  16. La alimentación complementaria del lactante: recomendaciones existentes en el Área V de Asturias Complementary feeding of the infant: recommendations existing in Area V of Asturias (Spain

    Directory of Open Access Journals (Sweden)

    V. García González

    2013-01-01

    for the infant has been changing. There is a subjective perception that consensus does not exist among the professionals regarding the recommendations given to the parents for introduction of different foods. Objective. To know the feeding guidelines given in the Area V health care centers of Asturias.Material and methods. A descriptive, cross-sectional study was performed. Recommendation sheets on complementary feedings received by the parents in the Area centers were collected and analyzed. The variables analyzed were age of introduction of cereal, fruit, continuation milk, vegetable, meat, fish, egg, vegetables and dairy products. Absolute and relative frequency and percentage were calculated for the statistical analysis. Results. Only 15.4% of the centers recommend initiating gluten after 4 months in children who are breast feed. A total of 30.8% of the centers do not recommend against potentially metahemoglobin-forming vegetables when vegetable pure is introduced. White fish is introduced in 15.3% of the sites in the 8 th month, 38.5% in the 9th, 38.5% in the 10th and 7.7% in the 11 th month. Egg yolk is introduced in 7.7% of the centers in the 8 th months, 23.1% in the 9th, 23,1% in the 10th and 46.1% in the 11 th month. Cow milk is introduced in 7.7% of the centers in the 12 th month, 7.7% between the 15th and 18 th, 53.8% at 18 months and 30.8% do not mention when it should be introduced.  Conclusions. The study shows a striking disagreement in the introduction of foods among the different centers. Age of introduction of fish, egg yolk and dairy products is especially different. Only two centers have differences regarding age of introduction of gluten, depending on type of breast feeding. Some centers introduce metahemoglobinproducing vegetables at the beginning of the pure.

  17. Influence of global atmospheric change on the feeding behavior and growth performance of a mammalian herbivore, Microtus ochrogaster.

    Directory of Open Access Journals (Sweden)

    Christopher W Habeck

    Full Text Available Global atmospheric change is influencing the quality of plants as a resource for herbivores. We investigated the impacts of elevated carbon dioxide (CO2 and ozone (O3 on the phytochemistry of two forbs, Solidago canadensis and Taraxacum officinale, and the subsequent feeding behavior and growth performance of weanling prairie voles (Microtus ochrogaster feeding on those plants. Plants for the chemical analyses and feeding trials were harvested from the understory of control (ambient air, elevated CO2 (560 µl CO2 l(-1, and elevated O3 (ambient × 1.5 rings at the Aspen FACE (Free Air CO2 Enrichment site near Rhinelander, Wisconsin. We assigned individual voles to receive plants from only one FACE ring and recorded plant consumption and weanling body mass for seven days. Elevated CO2 and O3 altered the foliar chemistry of both forbs, but only female weanling voles on the O3 diet showed negative responses to these changes. Elevated CO2 increased the fiber fractions of both plant species, whereas O3 fumigation elicited strong responses among many phytochemical components, most notably increasing the carbon-to-nitrogen ratio by 40% and decreasing N by 26%. Consumption did not differ between plant species or among fumigation treatments. Male voles were unaffected by the fumigation treatments, whereas female voles grew 36% less than controls when fed O3-grown plants. These results demonstrate that global atmospheric change has the potential to affect the performance of a mammalian herbivore through changes in plant chemistry.

  18. Study on the feeding schedule of low lactose drinks for infants with lactose intolerance%婴儿乳糖不耐受症低乳糖饮品喂养时间研究

    Institute of Scientific and Technical Information of China (English)

    颜引妹; 张燕; 陈佳; 颜路易

    2012-01-01

    目的:探讨婴儿乳糖不耐受症(lactose intolerance,LI)低乳糖饮品适宜的喂养时间.方法:实验组给予短期低乳糖饮品喂养,对照组给予长期低乳糖饮食喂养.结果:实验组3~6个月的体重增长值、身长增长值、呼吸道感染的患病率、奶粉费用等与对照组相比差异均有统计学意义(P<0.05).结论:给予乳糖不耐受症婴儿短期低乳糖饮品喂养有利于婴儿的生长发育,维护其免疫功能的稳定,同时又经济实惠,值得各级医疗机构推广.%To explore the optimal feeding schedule of low lactose drinks for infanls with lactose intolerance. Methods: The infants in experimental group were fed with low lactose drinks for a short time, while the infanls in control group were fed with low lactose diet for a long time. Results: There was significant difference in the value of weight increase, the value of height increase, the prevalence of respiratory infection, and milk powder fee at 3 - 6 months after birth between experimental group and control group (P < 0.05) . Conclusion: Feeding the infanta with lactose intolerance with low lactose drinks for a short time is helpful to growth and development of infants, maintaining stability of immune function, the method is economical and practical, which is worthy to be popularized in medical institutions at all levels.

  19. Seasonal and Long-Term Changes in Relative Abundance of Bull Sharks from a Tourist Shark Feeding Site in Fiji

    OpenAIRE

    Juerg M. Brunnschweiler; Harald Baensch

    2011-01-01

    Shark tourism has become increasingly popular, but remains controversial because of major concerns originating from the need of tour operators to use bait or chum to reliably attract sharks. We used direct underwater sampling to document changes in bull shark Carcharhinus leucas relative abundance at the Shark Reef Marine Reserve, a shark feeding site in Fiji, and the reproductive cycle of the species in Fijian waters. Between 2003 and 2009, the total number of C. leucas counted on each day r...

  20. Enteral nutrition of the premature infant

    Directory of Open Access Journals (Sweden)

    Su Jin Cho

    2010-01-01

    Full Text Available Early nutritional support for preterm infants is critical because such support influences long-term outcome. Minimal enteral feeding should be initiated as soon as possible if an infant is stable and if feeding advancement is recommended as relevant to the clinical course. Maternal milk is the gold standard for enteral feeding, but fortification may be needed to achieve optimal growth in a rapidly growing premature infant. Erythromycin may aid in promoting gastrointestinal motility in cases that exhibit feeding intolerance. Selected preterm infants need vitamins, mineral supplements, and calorie enhancers to meet their nutritional needs. Despite all that is known about this topic, additional research is needed to guide postdischarge nutrition of preterm infants in order to maintain optimal growth and neurodevelopment.

  1. How to measure the economic impacts of changes in growth, feed efficiency and survival in aquaculture

    NARCIS (Netherlands)

    Kankainen, M.; Setala, J.; Berrill, I.K.; Ruohonen, K.; Noble, C.; Schneider, O.

    2012-01-01

    In this article we introduce a variety of bio-economic models that can be used to calculate the economic benefits associated with improved productivity in aquaculture. In the aquaculture industry, three important biological productivity factors are growth, survival and feed efficiency. The profitabi

  2. Mother, Infant, and Household Factors Associated with the Type of Food Infants Receive in Developing Countries

    Directory of Open Access Journals (Sweden)

    Benjamin eYarnoff

    2014-02-01

    Full Text Available Objectives: We explore the complex factors associated with infant feeding by analyzing what mother, infant, and household factors are associated with the types of food given to infants. We seek to quantify associations in order to inform public health policy about the importance of target populations for infant feeding programs. Methods: We used data from the Demographic Health Survey in 20 developing countries for multiple years to examine mother, infant, and household factors associated with six types of food given to infants (exclusive breastfeeding, non-exclusive breastfeeding, infant formula, milk liquids, non-milk liquids, and solid foods. We performed a seemingly unrelated regressions analysis with community-year fixed effects to account for correlation between food types and control for confounding factors associated with community resources, culture, time period, and geography in the pooled analysis.Results: We found that several mother, infant, and household characteristics were associated with each of the feeding types. Most notably, mother’s education, working status, and weight are significantly associated with the type of food given to infants. We provide quantified estimates of the association of each of these variables with six types of food given to infants. Conclusions: By identifying maternal characteristics associated with infant feeding and quantifying those associations, we help public health policymakers generate priorities for targeting infant feeding programs to specific populations that are at greatest risk. Higher educated, working mothers are best to target with exclusive breastfeeding programs for young infants. Mothers with lower education are best to target with complementary feeding programs in infants older than 1 year. Finally, while maternal weight is associated with higher levels of exclusive breastfeeding the association is too weak to merit targeting of breastfeeding programs to low-weight mothers.

  3. Increased risk of eczema but reduced risk of early wheezy disorder from exclusive breast-feeding in high-risk infants

    DEFF Research Database (Denmark)

    Giwercman, Charlotte; Halkjaer, Liselotte B; Jensen, Signe Marie;

    2010-01-01

    Breast-feeding is recommended for the prevention of eczema, asthma, and allergy, particularly in high-risk families, but recent studies have raised concern that this may not protect children and may even increase the risk. However, disease risk, disease manifestation, lifestyle, and the choice to...

  4. When Breast-feeding is not Contraindicated: Do you know when to stop breast-feeding?

    OpenAIRE

    Newman, Jack

    1991-01-01

    As more mothers elect to breast-feed, more concomitant problems in mothers and babies are reported that are thought to contraindicate breast-feeding. Many frequently cited maternal and infant reasons for stopping breast-feeding are not valid. Breast-feeding can usually be maintained if the physician remembers that breast-feeding is important for the baby and mother and not simply another feeding method.

  5. Factors Associated with Infant Feeding Methods after the Nuclear Power Plant Accident in Fukushima: Data from the Pregnancy and Birth Survey for the Fiscal Year 2011 Fukushima Health Management Survey.

    Science.gov (United States)

    Ishii, Kayoko; Goto, Aya; Ota, Misao; Yasumura, Seiji; Abe, Masafumi; Fujimori, Keiya

    2016-08-01

    Objectives The objective of this study was to assess the frequency of and factors associated with infant feeding methods after the Fukushima nuclear power plant accident using data from the Fukushima Health Management Survey. Methods We conducted an anonymous self-administered questionnaire survey of 16,001 women who gave birth around the time of the Great East Japan Earthquake and registered their pregnancies at Fukushima Prefecture municipal offices between August 1, 2010 and July 31, 2011. The responses of 8366 women were analyzed. Chi square tests and multiple logistic regression analysis were used to compare various factors between women who had formula-fed their children because of concern regarding radioactive contamination or other reasons and those who had breastfed exclusively. Results The percentage of women who had breastfed exclusively was 30.9 %. The percentage of women who had both breastfed and formula-fed or formula-fed exclusively was 69.1 %, of which 20.3 % formula-fed because of concern regarding radioactive contamination of breast milk. The use of formula feeding because of concern about radioactive contamination was significantly higher in women who had resided within the evacuation area and those whose regular antenatal care had been interrupted. The use of formula feeding for other reasons was significantly higher in women who had resided within the evacuation area and lower for those who had willingly switched to another medical institution. Conclusions for Practice Our results suggest the importance of providing breastfeeding support to women who are forced to evacuate or whose antenatal care is interrupted after a disaster. PMID:27028325

  6. Introducing enteral feeding induces intestinal subclinical inflammation and respective chromatin changes in preterm pigs

    DEFF Research Database (Denmark)

    Willems, Rhea; Krych, Lukasz; Rybicki, Verena;

    2015-01-01

    were analyzed 5 days after birth. RESULTS: Enteral feeding led to differential upregulation of inflammatory and pattern recognition receptor genes, including IL8 (median: 5.8, 95% CI: 3.9-7.8 for formula; median: 2.2, 95% CI: 1.3-3.3 for colostrum) and TLR4 (median: 3.7, 95% CI: 2.6-4.8 for formula; no...... stimulation with lipopolysaccharide (median: 7.0; interquartile range: 5.63-8.85) compared with naive cells (median 4.2; interquartile range: 2.45-6.33; p = 0.03). CONCLUSION: Enteral feeding, particular with formula, induces subclinical inflammation in the premature intestine and more open chromatin...

  7. Potential changes in feeding behavior of Antarctic fish, Pseudotrematomus bernacchii (Boulenger, 1902) on the East Ongul Island, Antarctica

    Science.gov (United States)

    Chavanich, Suchana; Viyakarn, Voranop; Nomura, Daiki; Watanabe, Kentaro

    2015-12-01

    The feeding habits of the Antarctic fish Pseudotrematomus bernacchii (Previous name: Trematomus bernacchii) under the fast ice around Japanese Syowa Station were investigated in the summers of 2004/2005 and 2009/2010. The results showed that amphipods and krill were the major prey. However, there was a significant difference in the proportions of larger invertebrates such as squids, octopus and other crustaceans found in the fish stomachs between 2009/2010 and the previous years. Moreover, the percentage of amphipods and krill in fish stomachs declined over the 5-year period in all fish size classes. Several factors including sea ice melting, habitat and environmental changes might have influenced the pattern of feeding behavior.

  8. Photovoltaics: Reviewing the European Feed-in-Tariffs and Changing PV Efficiencies and Costs

    OpenAIRE

    Zhang, H. L.; Van Gerven, T.; J. Baeyens; Degrève, J.

    2014-01-01

    Feed-in-Tariff (FiT) mechanisms have been important in boosting renewable energy in Europe and in several other countries, by providing a long-term guaranteed subsidy of the kWh-price, thus mitigating investment risks and enhancing the contribution of sustainable electricity. By ongoing PV development, with higher transformation efficiencies of solar power to electricity and cheaper costs of PV modules, the European contribution of solar power increases exponentially: from over 100GW in 2...

  9. Caregivers’ Knowledge and Use of Fermented Foods for Infant and Young Children Feeding in a Rural Community of Odi, Gauteng Province, South Africa

    OpenAIRE

    Chelule, Paul K.; Mokgatle, Mathildah M; Zungu, Lindiwe I.; Armelia Chaponda

    2014-01-01

    Background: Fermented foods have positive health effects in adults and children if consumed regularly. However, lack of knowledge and perceptions to-wards fermented foods may limit their usage. This study aimed to assess the caregivers’ awareness and usage of fermented foods for feeding children in peri-urban/rural communities of Gauteng Province. Methods: A qualitative exploratory study was conducted in June, 2012, in a peri-urban/rural community to assess the awareness and use of fermented ...

  10. Tracheotomy for infant botulism.

    Science.gov (United States)

    Wolfe, J A; Rowe, L D; Pasquariello, P; Potsic, W P

    1979-01-01

    Botulism is a serious intoxication caused by ingestion of food containing preformed botulinus toxin and characterized by rapidly progressive bulbar paralysis, generalized weakness, and respiratory insufficiency. In 1976 a distinct clinical entity of infant botulism was recognized. The disease apparently results from intraintestinal toxin production which produces a defect in neuromuscular transmission by interfering with release of acetylcholine at cholinergic synapses. Five cases of infant botulism were identified at the Children's Hospital of Philadelphia between 1975 and 1977. Initial symptoms included constipation, slow feeding, lethargy and weak cry. Four of the patients progressed to respiratory insufficiency requiring nasotracheal intubation. Three of the infants with respiratory failure required tracheotomy. Because infants with respiratory failure may require support for months, we recommend that a tracheotomy be performed early in the management to avoid the complications associated with prolonged intubation. The effectiveness of antitoxin or antibiotics to treat infant botulism remains questionable and therefore prolonged respiratory supportive care is the mainstay of therapy. In addition, we offer guidelines for decannulation in cases of infant botulism. None of the patients in our series could be decannulated prior to initial discharge from the hospital. PMID:517932

  11. 婴幼儿期不同喂养方式与口腔变异链球菌定植的相关关系%The Relationship between feeding patterns and colonization of Streptococcus mutans in infants and early childhood

    Institute of Scientific and Technical Information of China (English)

    郭曼丽; 包广洁; 张卫平

    2011-01-01

    AIM: To analyze the relationship between colonization of Streptococcus mutans (5. Mutans) andthe feeding patterns and to investigate the transmission of S. Mutans from mother to child in different feeding patterns. METHODS: Ninety pairs of 6-36 month old babies and their mothers were randomly chosen and information concerning feeding was obtained by questionnaire. Whole saliva was collected and Dentocult S. Mutans chorionicgonadotropin kit was used to detect S. Mutans in saliva samples. RESULTS: 5. Mutans colonization in breast-feeding infants was significantly lower than that in mixed-feeding and bottle-feeding infants (P 0.05). Among breast-feeding infants, there was positive correlation between the mothers and infants in S. Mutans colonization, whereas no positive correlation existed in mixed-feeding and bottle-feeding mothers and infants. CONCLUSION; Breast-feeding can delay the colonization of S. Mutans in infants'oral cavity compared with bottle-feeding and mixed-feeding. Transmission of MS in infants exists in different ways.%目的:分析变异链球菌的定植与喂养方式之间的关系,判断母子间变异链球菌垂直传播的相关关系,为预防变异链球菌早期定植提供参考.方法:按3种不同喂养方式随机选取兰州地区6~36个月的婴幼儿及其母亲共90对,采用Dentocult AM试剂盒检测母子口腔唾液中变异链球菌水平,问卷获得婴幼儿喂养信息.结果:在变异链球菌定植方面,母乳喂养方式对婴幼儿变异链球菌定植率较其他喂养方式低,且母子之间的传播存在统计学上相关性(P=0.017);人工喂养与混合喂养对婴幼儿变异链球菌定植无影响,母子之间的传播无统计学差异(P>0.05);性别差异对婴幼儿变异链球菌定植无差异(P>0.05).结论:母乳较人工、混合喂养能够延缓变异链球菌在婴幼儿口腔内定植;变异链球菌在婴幼儿中存在多种传播途径.

  12. Change in the body temperature of healthy term infant over the first 72 hours of life

    Institute of Scientific and Technical Information of China (English)

    LI Meng-xia (李萌霞); SUN Ge (孙革); NEUBAUER Henning

    2004-01-01

    Objective: To determine the range of body temperature in a group of healthy Chinese term neonates over the first 72 hours of life and to assess the influence of body weight, gestational age and route of delivery. Method: All 200 consecutive cases of neonates delivered at our hospital from March to August 2001 were included in this retrospective study. Temperatures were measured immediately after delivery, after 30 minutes, 1 hour, 2 hours, 8 hours and 15 hours and on the 2nd and 3rd day. Axillary temperatures ranging from 36.5 oC to 37 oC were regarded as normal. No cases of maternal fever or systemic infection of the newborns were discovered. All infants were discharged in good general condition. Results: The mean rectal temperature at birth was 37.19 ℃. The lowest average temperature was reached at 1 hour after delivery (36.54 ℃) with a significant difference between natural delivery (36.48 ℃) and section (36.59 ℃) (P<0.05). Temperature subsequently rose to 36.70 ℃ at 8 hours and 36.78 ℃ at 15 hours (P<0.05). Hypothermia was seen in 51.8% and hypothermia in 42.5% of the patients. On the 3rd day after delivery, 96% of all temperatures were in the normal range. A significant relation was found between hypothermia and both low birth weight (P<0.001) and low gestational age (P<0.05). Conclusion: The reference range presently used did not include all physiological temperatures in the first 72 hours of life. Considering other factors, such as birth weight, route of delivery, gestational age and body temperature on the 2nd and 3rd day of life, may help to correctly assess the significance of temperatures beyond the reference range.

  13. Change in the body temperature of healthy term infant over the first 72 hours of life

    Institute of Scientific and Technical Information of China (English)

    李萌霞; 孙革; NEUBAUERHenning

    2004-01-01

    Objective:To determine the range of body temperature in a group of healthy Chinese term neonates over the first 72 hours of life and to assess the influence of body weight, gestational age and route of delivery.Method: All 200 consecutive cases of neonates delivered at our hospital from March to August 2001 were included in this retrospective study.Temperatures were measured immediately after delivery, after 30 minutes, 1 hour, 2 hours, 8 hours and 15 hours and on the 2nd and 3rd day. Axillary temperatures ranging from 36.5℃ to 37℃ were regarded as normal. No cases of maternal fever or systemic infection of the newborns were discovered. All infants were discharged in good general condition. Results:The mean rectal temperature at birth was 37.19℃. The lowest average temperature was reached at 1 hour after delivery (36.54℃) with a significant difference between natural delivery (36.48℃) and section (36.59℃) (P<0.05).Temperature subsequently rose to 36.70℃ at 8 hours and 36.78℃ at 15 hours (P<0.05).Hypothermia was seen in 51.8% and hypothermia in 42.5% of the patients.On the 3rd day after delivery, 96% of all temperatures were in the normal range. A significant relation was found between hypothermia and both low birth weight (P<0.001) and low gestational age (P<0.05).Conclusion: The reference range presently used did not include all physiological temperatures in the first 72 hours of life. Considering other factors,such as birth weight, route of delivery,gestational age and body temperature on the 2nd and 3rd day of life, may help to correctly assess the significance of temperatures beyond the reference range.

  14. Ethnicity and infant mortality in Malaysia.

    Science.gov (United States)

    Dixon, G

    1993-06-01

    Malaysian infant mortality differentials are a worthwhile subject for study, because socioeconomic development has very clearly had a differential impact by ethnic group. The Chinese rates of infant mortality are significantly lower than the Malay or Indian rates. Instead of examining the obvious access to care issues, this study considered factors related to the culture of infant care. Practices include the Chinese confinement of the mother in the first month after childbirth ("pe'i yue") and Pillsbury's 12 normative rules for Malaysian Chinese care. Malay practices vary widely by region and history. Indian mothers are restricted by diet. Data-recording flaws do not permit analysis of Sarawak or Sabah. The general assumption that Western medicine favors better health for mothers and infants is substantiated among peninsular communities, however, there are also negative impacts which affect infant mortality. The complex interaction of factors impacting on infant mortality reported in seven previous studies is discussed. A review of these studies reveals that immediate causes are infections, injuries, and dehydration. Indirect causes are birth weight or social and behavioral factors such as household income or maternal education. Indirect factors, which are amenable to planned change and influence the biological proximate determinants of infant mortality, are identified as birth weight, maternal age at birth, short pregnancy intervals or prior reproductive loss, sex of the child, birth order, duration of breast feeding and conditions of supplementation, types of household water and sanitation, year of child's birth, maternal education, household income and composition, institution of birth, ethnicity, and rural residence. Nine factors are identified empirically as not significant: maternal hours of work in the child's first year, maternal occupation, distance from home to workplace, presence of other children or servants, incidence of epidemics in the child's first

  15. 'Only Fathers Smoking' Contributes the Most to Socioeconomic Inequalities: Changes in Socioeconomic Inequalities in Infants' Exposure to Second Hand Smoke over Time in Japan.

    Directory of Open Access Journals (Sweden)

    Junko Saito

    Full Text Available Exposure to second hand smoke (SHS is one of the major causes of premature death and disease among children. While socioeconomic inequalities exist for adult smoking, such evidence is limited for SHS exposure in children. Thus, this study examined changes over time in socioeconomic inequalities in infants' SHS exposure in Japan.This is a repeated cross-sectional study of 41,833 infants born in 2001 and 32,120 infants born in 2010 in Japan from nationally representative surveys using questionnaires. The prevalence of infants' SHS exposure was determined and related to household income and parental education level. The magnitudes of income and educational inequalities in infants' SHS exposure were estimated in 2001 and 2010 using both absolute and relative inequality indices.The prevalence of SHS exposure in infants declined from 2001 to 2010. The relative index of inequality increased from 0.85 (95% confidence interval [CI], 0.80 to 0.89 to 1.47 (95% CI, 1.37 to 1.56 based on income and from 1.22 (95% CI, 1.17 to 1.26 to 2.09 (95% CI, 2.00 to 2.17 based on education. In contrast, the slope index of inequality decreased from 30.9 (95% CI, 29.3 to 32.6 to 20.1 (95% CI, 18.7 to 21.5 based on income and from 44.6 (95% CI, 43.1 to 46.2 to 28.7 (95% CI, 27.3 to 30.0 based on education. Having only a father who smoked indoors was a major contributor to absolute income inequality in infants' SHS exposure in 2010, which increased in importance from 45.1% in 2001 to 67.0% in 2010.The socioeconomic inequalities in infants' second hand smoke exposure increased in relative terms but decreased in absolute terms from 2001 to 2010. Further efforts are needed to encourage parents to quit smoking and protect infants from second hand smoke exposure, especially in low socioeconomic households that include non-smoking mothers.

  16. Diagnosis and Treatment of Gastroesophageal Reflux in Infants and Children.

    Science.gov (United States)

    Baird, Drew C; Harker, Dausen J; Karmes, Aaron S

    2015-10-15

    Gastroesophageal reflux is defined as the passage of stomach contents into the esophagus with or without accompanied regurgitation (spitting up) and vomiting. It is a normal physiologic process that occurs throughout the day in infants and less often in children and adolescents. Gastroesophageal reflux disease (GERD) is reflux that causes troublesome symptoms or leads to medical complications. The diagnoses of gastroesophageal reflux and GERD are based on the history and physical examination. Diagnostic tests, such as endoscopy, barium study, multiple intraluminal impedance, and pH monitoring, are reserved for when there are atypical symptoms, warning signs, doubts about the diagnosis, or suspected complications or treatment failure. In infants, most regurgitation resolves by 12 months of age and does not require treatment. Reflux in infants may be treated with body position changes while awake, lower-volume feedings, thickening agents (i.e., rice cereal), antiregurgitant formula, extensively hydrolyzed or amino acid formulas, and, in breastfed infants, eliminating cow's milk and eggs from the mother's diet. Lifestyle changes to treat reflux in children and adolescents include sleeping position changes; weight loss; and avoiding smoking, alcohol, and late evening meals. Histamine H2 receptor antagonists and proton pump inhibitors are the principal medical therapies for GERD. They are effective in infants, based on low-quality evidence, and in children and adolescents, based on low- to moderate-quality evidence. Surgical treatment is available, but should be considered only when medical therapy is unsuccessful or is not tolerated. PMID:26554410

  17. Cultural Differences in Infant Nutrition and Effects on Baby Health

    Directory of Open Access Journals (Sweden)

    Hande Yılmaz

    2014-12-01

    Full Text Available Duration of breastfeeding, initiation of complementary foods for infants, types of complementary foods vary according to countries. Reasons of these differences include country policies, ethnic origin, religious beliefs, traditions and customs. Researches show that the different applications affected both the period of infancy and future health of the baby both positively and negatively. Epidemiological researches showed that high protein intake in infancy was associated with adiposity in school-age. Also early initiation of complementary foods was associated with allergic diseases, celiac disease and upper respiratory tract infections in infants. Health problems depending on feeding practices in infants are brought to solution with policy changes. In this manuscript, duration of breastfeeding in different countries, time to starting complementary foods, the differences in complementary food and their effects on health were discussed.

  18. Relationship between children's obesity and mothers'weight gain during pregnancy, infants's feeding mode.%儿童肥胖与母亲孕期增重及婴儿喂养方式的关系

    Institute of Scientific and Technical Information of China (English)

    张暹; 朱美红; 花静; 张巧妹; 潘建盈; 吴擢春

    2011-01-01

    [Objective] To study the association of mothers' weight gain during pregnancy and infants' early feeding mode on children' obesity so as to provide the clues for preventing the children's obesity. [Methods] A total of 949 children from four second-level kindergartens were selected randomly from two communities in Hongkou district in Shanghai. A self-designed questionnaire was used to investigate the children's weight, height, family conditions, the mothers'weight gain during pregnancy and infants' feeding mode,and so on. The relationship between the mothers' weihgt during the pregnancy, infants's feeding mode and children's obesity were analyzed with x2 test and binary logistic regression. (Results] Resulst of the study showed that the rates of obesity and over-weight was 10. 1% and 13. 2% respectively. Pregnancy weight gain ≥15 kg, children exclusively breastfed within 6 months were associated with obesity when age, gender, the characteristic of registered residence,family structure and family income were considered. [Conclusions] Mother's weight gain more than 15 kg during pregnancy may be a risk factor for childhood obesity; And exclusive breastfeeding within 6 months may be a protective factor on children's obesity which may reduce the incidence of obesity in children.%[目的]研究母亲孕期增重及婴儿喂养方式对儿童肥胖的影响,为制定预防儿童肥胖措施提供依据.[方法]利用整群抽样的方法,随机抽取上海市虹口区2个社区的4所二级幼儿园共计儿童949名.自行设计问卷调查儿童的身高、体重、家庭基本状况、母亲孕期、喂养早期状况等.使用x2检验及多因素Logistic回归模型分析母亲孕期及喂养早期状况与儿童肥胖的关系. [结果]研究结果显示,调查到的949名儿童中,超重及肥胖检出率分别为13.2%和10.1%;在控制儿童年龄、性别、户口属性、家庭结构、家庭收入后,孕期增重≥15 kg、6月龄内纯母乳喂养2

  19. Birth weight, growth and feeding pattern in early infancy predict overweight/obesity status at two years of age: a birth cohort study of Chinese infants.

    Directory of Open Access Journals (Sweden)

    Jianduan Zhang

    Full Text Available OBJECTIVES: To investigate the early determinants of overweight and obesity status at age two years. METHODS: A total of 1098 healthy neonates (563 boys and 535 girls were involved in this community-based prospective study in China. Data on body weight and length were collected at birth, the 3(rd and 24(th month. A self-administered questionnaire was used to collect data on social demography and feeding patterns of children, etc. Three multivariable logistic regression models were employed to make various comparisons of weight status, i.e., model 1 (obesity vs. non-obesity, model 2 (combined overweight and obesity vs. normal weight, and model 3 (obesity, overweight and normal weight. RESULTS: Prevalences of overweight/obesity (95(th >BMI ≥85(th p and BMI ≥95(th p, referring to WHO BMI standards at 2 years of age are 15.8%/11.2% for boys and 12.9%/9.0% for girls, respectively. Being born with macrosomia (OR: 1.80-1.88, relatively greater BMI increment in the first 3 months (OR: 1.15-1.16 and bottle emptying by encouragement at age two (OR: 1.30-1.57 were found in all three models to be significant risk factors for higher BMI status at 2 years. Pre-pregnancy maternal BMI (OR: 1.09-1.12, paternal BMI (OR: 1.06, and mixed breastfeeding (OR: 1.54-1.57 or formula feeding (OR: 1.90-1.93 in the first month were identified as significant in models 2 and 3. Child-initiated bottle emptying at age two was observed to increase the risk of obesity by 1.31 times but only in model 1. CONCLUSION: Fetal and early postnatal growth and feeding pattern appear to have significant impacts on early childhood overweight and obesity status independent of parental BMI. Policy-based and multidisciplinary approaches to promote breastfeeding and enhancement of feeding skills of care takers may be promising intervention strategies.

  20. Infant nutrition in the first seven days of life in rural northern Ghana

    Directory of Open Access Journals (Sweden)

    Aborigo Raymond

    2012-08-01

    Full Text Available Abstract Background Good nutrition is essential for increasing survival rates of infants. This study explored infant feeding practices in a resource-poor setting and assessed implications for future interventions focused on improving newborn health. Methods The study took place in the Kassena-Nankana District of the Upper East Region of northern Ghana. In-depth interviews were conducted with 35 women with newborn infants, 8 traditional birth attendants and local healers, and 16 community leaders. An additional 18 focus group discussions were conducted with household heads, compound heads and grandmothers. All interviews and discussions were audio taped, transcribed verbatim and analyzed using NVivo 9.0. Results Community members are knowledgeable about the importance of breastfeeding, and most women with newborn infants do attempt to breastfeed. However, data suggest that traditional practices related to breastfeeding and infant nutrition continue, despite knowledge of clinical guidelines. Such traditional practices include feeding newborn infants water, gripe water, local herbs, or traditionally meaningful foods such as water mixed with the flour of guinea corn (yara’na. In this region in Ghana, there are significant cultural traditions associated with breastfeeding. For example, colostrum from first-time mothers is often tested for bitterness by putting ants in it – a process that leads to a delay in initiating breastfeeding. Our data also indicate that grandmothers – typically the mother-in-laws – wield enormous power in these communities, and their desires significantly influence breastfeeding initiation, exclusivity, and maintenance. Conclusion Prelacteal feeding is still common in rural Ghana despite demonstrating high knowledge of appropriate feeding practices. Future interventions that focus on grandmothers and religious leaders are likely to prove valuable in changing community attitudes, beliefs, and practices with regard to

  1. Changes in radiosensitivity of male sex hormones in rats maintained on kelthane contaminated feed

    International Nuclear Information System (INIS)

    Alteration of sex hormones levels in male rats after whole body gamma irradiation (6.5 Gy) has been studied. The hormonal response of irradiated rats fed on experimental feed contaminated with organo chlorine insecticide 'kelthane' (200 mg/kg body weight) for different time intervals (3,6 and 12 weeks), has been also investigated. Investigations included measurements of testes/body weight ratio; Testosterone; Follicle Stimulating Hormone (FSH); luteinizing hormone (LH) and prolactin levels in serum and testes homogenate of treated rats. The data indicate that whole body gamma irradiation causes significant alteration in all tested parameters except for the testosterone level. Normal rats fed on 'kelthane' contaminated feed, showed significant alteration in all tested parameters, which increased with the prolongation of 'kelthane' exposure period. Double treatment of 'kelthane' and irradiation resulted in more pronounced alterations. It can be concluded that the male sex hormones in rats fed on 'kelthane', were more sensitive to whole body gamma irradiation. Moreover, male sex hormones have shown reliable reliable dose/effect relationship for either radiation or pesticide internal contamination. This suggests their possible use as markers in early diagnosis of radiation exposure and pesticides toxication syndromes. 3 tabs

  2. Characteristics of rumen in Naemi lamb: Morphological changes in response to altered feeding regimen.

    Science.gov (United States)

    Alhidary, Ibrahim; Abdelrahman, Mutassim M; Alyemni, Abdullah H; Khan, Rifat U; Al-Mubarak, Aarif H; Albaadani, Hani H

    2016-05-01

    This study sought to chart the ontogenesis of rumen in Naemi lambs through histomorphometeric evaluation subjected to alfalfa hay in total mixed rations (TMR). A total of 40 growing healthy Naemi male lambs (28.85±1.09kg), at weaning (90±3days) was randomly distributed into four groups. One group was fed on TMR (control) only, while others were supplemented with restricted amount of alfalfa hay at the rate of 100g per day (T1), 200g once per two days (T2) and 300g once per three days (T3) in addition to ad libitum TMR. The results indicated that body weight and dry matter intake increased significantly in treated groups. Significantly higher (P<0.05) pH was recorded in all the treated groups after 8h of feeding. Similarly, the brightness (L*), redness (a*) and yellowness ((b*) of rumen was significantly higher (P<0.05) in treated groups. The papillary length, width and surface area of rumen were significantly (P<0.05) high in alfalfa supplemented groups. Iron (Fe) concentration in rumen tissue decreased significantly (P<0.05) in treated groups. We concluded that a dietary plan based on ad libitum TMR with the addition of alfalfa at the rate of aforementioned protocol not only enhanced feed intake and growth rate of the growing Naemi lambs but also improved the structural characteristics of the rumen. PMID:26996754

  3. Intestinal structural changes in African green monkeys after long term psyllium or cellulose feeding.

    Science.gov (United States)

    Paulini, I; Mehta, T; Hargis, A

    1987-02-01

    Intestinal structure of male adult African Green monkeys (Cercopithecus aethiops ssp vervets) was studied after 3 1/2 yr of consuming diets containing 10% psyllium husk or cellulose. Scanning electron microscopy (SEM) identified mild damage (cellular swelling and disarray, and microvillar denudation and disarray) at villous tips throughout the small intestine in the psyllium-fed monkeys. The cellulose group had similar duodenal damage. Differences were not found in colons by SEM. By light microscopy, jejunum had shorter villi with psyllium feeding, based upon villous height (P less than 0.05), and length around a sectioned villus (P less than 0.1), but not based upon the number of enterocytes per villus. Jejunal and ileal circular and longitudinal muscle layer thicknesses were increased in psyllium-fed monkeys. Colonic mucosal height was significantly (P less than 0.05) reduced and muscle layer thickness was mildly reduced in the psyllium-fed monkeys. Group differences were not found in intestinal weight or length or in the weight of small intestinal mucosal scrapings. Psyllium husk may cause epithelial cell loss and muscle layer hypertrophy in the jejunum and ileum and thinning of the colonic wall after prolonged feeding. PMID:3031252

  4. Current status of 2 055 migrant infants and young children feeding practices%流动儿童2055例婴幼儿喂养现状研究

    Institute of Scientific and Technical Information of China (English)

    胡世云; 谭晖; 郭素芳; 吴建妹; 潘栩虹; 蒋泓; 彭艾平; 戴月; 钱序

    2013-01-01

    [Objective] To understand current situation of infants and young children feeding(IYCF) practice among internal migrants in study areas of China and to explore the existing problem on IYCF.[Methods] A cross-sectional study with two-stage cluster sampling method was conducted,and totally 2 055 caregivers of children under 2 years old from two districts with high density of immigrants of Guangdong province and Zhejiang province were selected to investigate their feeding practice with standard questionnaire designed by UNICEF.8 indicators listed in the WHO document "Indicators for assessing infant and young child feeding practice" were described and analyzed.[Results] A total of 8 indicators among migrant children in study areas were:early initiation of breastfeeding 18.0%,exclusive breastfeeding under 6 months 13.6 %,continued breastfeeding at 1 year old 17.0%,continued breastfeeding at 2 years old 5.2%,introduction of solid,semisolid or soft foods 81.1 %,minimum dietary diversity 53.9%,minimum meal frequency 26.9%,minimum acceptable diet 16.9%.[Conclusions] Indicators IYCF including breastfeeding and complementary feeding practice among migrants in study areas are poorer than those from rural areas of middle and western China.Our study suggests health promotion targeted IYCF and utilization of child health care of migrant children should be improved in inflow areas.%[目的]了解研究地区流动儿童婴幼儿喂养现状,以发现存在的主要喂养问题. [方法]采用横断面调查设计,两阶段随机整群抽样方法,以及联合国儿童基金会标准问卷,分别对广东和浙江两省各一个流动人口密集的区市的2 055名2岁以下儿童看护人进行问卷调查,对8个婴幼儿喂养指标进行了描述与分析. [结果]调查地区流动儿童婴幼儿早开奶率为18.0%、纯母乳喂养率为13.6%、1岁时持续母乳喂养率为17.0%、2岁时持续母乳喂养率为5.2%、辅食及时添加率为81.1

  5. Feeding status of infants' parents and their demands in urban areas%城市婴幼儿家长营养与喂养现状及需求

    Institute of Scientific and Technical Information of China (English)

    王燕; 潘利萍; 王惠珊; 宫丽敏; 黄小娜; 张丽晋; 马艳艳; 蒋竞雄

    2011-01-01

    [目的]了解城市要幼儿家长在喂养动机、喂养环境、营养知识、喂养实践等方面的需求和存在的问题,以有针对性地指导家长合理喂养.[方法]通过自填式调查问卷对全国15个城市(区)的0~18个月婴幼儿家长进行调查,内容包括家长的营养与喂养现状及需求.[结果]0~6月龄儿童中纯母乳喂养率仅为31%,43%已添加辅食.6月龄时一半儿童已断母乳,12月龄时均已断母乳.儿童添加的第一种辅食以米粉和蛋黄为主.适龄儿童进食蛋类较多,肉类较少.家长常给儿童吃的营养补充剂以鱼肝油和钙制剂为主.家长对儿童的进食较有耐心,且会关注对进食行为的培养和训练.家长喜欢的育儿宣教方式是"面对面咨询指导"、"书报杂志"和"讲座".除"儿童营养需求"和"常见病防治"外,家长需要的育儿宣教内容随儿童的不同月龄有所不同.[结论]城市要幼儿家长在儿童营养与喂养方面有需要改进的方面,家长对正确科学的营养与喂养知识有所需求,应根据家长的需求进行针对性的指导.%[Objective] To know about the status and demands of infants' parents for children's nutrition and feeding,in order to give more targeted guidance. [Method] The parents of children aged from 0 to 18 months in 15 cities were investigated with a self-reported questionnaire about the status and demands for children's nutrition and feeding. [Results]In children aged up to 6 months, the rate of pure breastfeeding was 31% and 43% had introduced solid food. Half of the children aged 6 months broke breast milk and all of the children aged 12 months did so. The first food that introduced was mainly rice flour or yolk. The children had a lot of eggs and only a few of meats. The nutritional supplements that parents fed were mainly cod-liver oil and calcium preparations. Parents were patient with feeding and paid much attention to the training of eating behavior. Parents liked to

  6. Breastfeeding infants with congenital torticollis.

    Science.gov (United States)

    Genna, Catherine Watson

    2015-05-01

    Infants with unilateral sternocleidomastoid tension and associated craniofacial, spinal, and hip asymmetries may feed poorly. Anatomic and muscular asymmetry stress both biomechanics and state control, increasing the potential for difficulty latching and sucking. A combination of positioning modifications to allow the infant to maintain his or her comfortable head tilt and turn, supportive techniques to restore alignment of oral structures, and handling techniques to help activate the weak contralateral muscles have been effective in the author's practice. Lactation consultants can promote positioning and muscle activation strategies and encourage physical therapy referrals for infants who do not respond promptly to reduce the risk of craniofacial deformity and developmental problems. PMID:25616913

  7. Feeding high fibre diets changes luminal environment and morphology in the intestine of sows

    DEFF Research Database (Denmark)

    Serena, Anja; Hedemann, Mette Skou; Bach Knudsen, Knud Erik

    2007-01-01

    Sows were fed three diets varying in type and level of dietary fibre (DF). The low fibre diet (LF; 17% DF) was based on wheat and barley. In the two high DF diets (HF1, high in soluble DF and HF2, high in insoluble DF;  44% DF), the cereal part of the diet was substituted with different co......-products (sugar beet pulp, potato pulp, pectin residue, pea hull, brewer's spent grain, and seed residue). The diets were fed for a four-week period to 12 sows (4 for each diet). Sows were stunned 4 h post-feeding, and digesta and tissue samples were collected from various parts of the small and large intestines...

  8. Do Big Bottles Kickstart Infant Weight Issues?

    Science.gov (United States)

    ... nih.gov/medlineplus/news/fullstory_159241.html Do Big Bottles Kickstart Infant Weight Issues? Smaller baby bottles ... 2016 (HealthDay News) -- Feeding babies formula from a big bottle might put them at higher risk for ...

  9. Know Concentration Before Giving Acetaminophen to Infants

    Science.gov (United States)

    ... For Consumers Consumer Updates Know Concentration Before Giving Acetaminophen to Infants Share Tweet Linkedin Pin it More ... Consumer Updates RSS Feed Download PDF (221 K) Acetaminophen Safety (Podcast) On this page Overdosing Has Been ...

  10. Nasogastric feeding tubes from a neonatal department yield high concentrations of potentially pathogenic bacteria- even 1 d after insertion

    DEFF Research Database (Denmark)

    Petersen, Sandra Meinich; Greisen, Gorm; Krogfelt, Karen Angeliki

    2016-01-01

    BACKGROUND: Preterm infants are vulnerable to pathogens and at risk of developing necrotizing enterocolitis (NEC) or sepsis. Nasogastric feeding tubes (NG-tubes) might contaminate feeds given through them due to biofilm formation. We wanted to determine if there is a rationale in replacing NG...... determine if changing the NG-tubes between meals or once a day will make a positive impact on tube contamination and clinical parameters.Pediatric Research (2016); doi:10.1038/pr.2016.86....

  11. Regurgitation in healthy and non healthy infants

    OpenAIRE

    Cavallo Luciano; Raimondi Francesco; Riezzo Giuseppe; Indrio Flavia; Francavilla Ruggiero

    2009-01-01

    Abstract Uncomplicate regurgitation in otherwise healthy infants is not a disease. It consists of milk flow from mouth during or after feeding. Common causes include overfeeding, air swallowed during feeding, crying or coughing; physical exam is normal and weight gain is adequate. History and physical exam are diagnostic, and conservative therapy is recommended. Pathologic gastroesophageal reflux or gastroesophageal reflux disease refers to infants with regurgitation and vomiting associated w...

  12. Factors associated with infant feeding practices after hospital discharge Fatores associados à prática alimentar do recém-nascido pós-alta hospitalar

    Directory of Open Access Journals (Sweden)

    Celene Aparecida Ferrari Audi

    2005-06-01

    Full Text Available OBJECTIVE: To assess factors associated with infant feeding practices on the first day at home after hospital discharge. METHODS: A total of 209 women, who had a child aged four months or less and were living in Itapira, Brazil, were interviewed during the National Immunization Campaign Day in 1999. Statistical analysis was performed using the Chi-square test and a logistic regression model was used for verifying an association between dependent and independent variables. RESULTS: Women aged 25.5 years on average and 18.2% were teenagers. Fifty-three percent of the women delivered vaginally and most vaginal deliveries (78.5% took place in the public hospital. The prevalence of exclusive breastfeeding on the first day at home was 78.1% and 11.6% of the infants were receiving formula at this time. The only factor associated with EBF on the first day at home was being a teenaged-primiparous mother (OR=9.40; 95% CI: 1.24-71.27. This association remained statistically significant even after controlling for type of delivery and hospital where the birth took place. Feeding formula on the first day at home was only significantly associated with the hospital (i.e., birth at the city hospital was a protective factor (OR=0.33; 95% CI: 0.13-0.86, even after controlling for vaginal delivery. CONCLUSIONS: On the first day at home after hospital discharge, teenaged-primiparous mothers were more likely to exclusive breastfeeding as well as those infants born in the municipal public hospital. Further studies are needed from a multidisciplinary approach.OBJETIVO: Avaliar os fatores associados à prática de amamentação no primeiro dia em casa após a alta hospitalar. MÉTODOS: Foram realizadas 209 entrevistas com mães de lactentes, com idade até quatro meses de vida, residentes em Itapira, SP, no momento em que levaram seus filhos para serem vacinados durante a Campanha Nacional de Vacinação, em 1999. Utilizou-se de análise exploratória dos dados, teste

  13. [Breastfeeding, complimentary feeding practices and childhood malnutrition in the Bolivian Andes].

    Science.gov (United States)

    Cruz Agudo, Yesmina; Jones, Andrew D; Berti, Peter R; Larrea Macías, Sergio

    2010-03-01

    Northern Potosi is one of the poorest parts of Bolivia with the highest indicators of rural poverty, malnutrition and food insecurity in the Bolivian Andes. The objective of this research was to characterize the levels of malnutrition and describe infant feeding practices in Potosi, Bolivia and use this information to develop an effective, gender sensitive and culturally relevant intervention encouraging good infant feeding practices. Standard methods were used to collect anthropometric data. Weight and height data were collected for 400 children under five years of age from 30 communities. In six of these communities, interviews and focus group discussions were conducted with 33 mothers and other families in addition to household observational data that were collected to describe infant feeding practices. Nearly 20% of children were underweight; stunting was widespread as well. 38% of mothers initiated breastfeeding 12 hours or more after birth. 39% of mothers initiated complementary feeding in the first three months following birth. The type of complementary food given to children was usually inadequate. With this research we could see that nutritional deficiencies often begin when the mother starts breastfeeding and when first introduced complementary feeding. Interventions aimed at improving maternal and child nutrition will require changes in parents' behavior, greater recognition and community support of the importance of child feeding, and the inclusion of strategies to reach young people, involve men, and make high quality nutrition promotion more widely available in the communities. PMID:21090271

  14. Tools for teen moms to reduce infant obesity: a randomized clinical trial

    OpenAIRE

    Horodynski, Mildred A; Silk, Kami; Hsieh, Gary; Hoffman, Alice; Robson, Mackenzie

    2015-01-01

    Background Unhealthy infant feeding practices, such as a combination of formula feeding and early introduction of solids may lead to rapid or excessive weight gain in early infancy. Adolescent mothers’ feeding behaviors are most directly related to infant weight gain in the first year of life. Compared to adult mothers, adolescent mothers are less knowledgeable, less responsive, more controlling, and less skilled in infant feeding, which interferes with infants’ healthy growth. The Tools for ...

  15. Los Años de la Crisis: an examination of change in differential infant mortality risk within Mexico.

    Science.gov (United States)

    Frank, R; Finch, Brian Karl

    2004-08-01

    The main aim of the present analysis is to test the possibility that the period of economic hardship characterizing Mexico over the decade 1986-1996 has negatively influenced infant health outcomes. Data on births from two installments of the Encuesta Nacional de la Dinámica Demográfica, a nationally representative demographic survey, are used to determine whether a reduction in mortality differentials has paralleled the overall drop in the national infant mortality rate. The findings indicate that the decrease observed in the overall infant mortality rate has been matched by decreases in several disparities at the same time that it has been marred by increases in others. The data support the possibility that where you live has become an increasingly salient factor in determining the odds of infant mortality. High parity, low education and unemployment status have also become more salient factors in predicting post neonatal infant mortality risk in the more recent period as compared to the earlier period. As Mexico's infant mortality rate begins to stabilize in the near future, this research highlights the need to re-focus our research efforts on the causes and consequences of differential mortality trends. PMID:15177838

  16. Photovoltaics: reviewing the European Feed-in-Tariffs and changing PV efficiencies and costs.

    Science.gov (United States)

    Zhang, H L; Van Gerven, T; Baeyens, J; Degrève, J

    2014-01-01

    Feed-in-Tariff (FiT) mechanisms have been important in boosting renewable energy, by providing a long-term guaranteed subsidy of the kWh-price, thus mitigating investment risks and enhancing the contribution of sustainable electricity. By ongoing PV development, the contribution of solar power increases exponentially. Within this significant potential, it is important for investors, operators, and scientists alike to provide answers to different questions related to subsidies, PV efficiencies and costs. The present paper therefore (i) briefly reviews the mechanisms, advantages, and evolution of FiT; (ii) describes the developments of PV, (iii) applies a comprehensive literature-based model for the solar irradiation to predict the PV solar energy potential in some target European countries, whilst comparing output predictions with the monthly measured electricity generation of a 57 m² photovoltaic system (Belgium); and finally (iv) predicts the levelized cost of energy (LCOE) in terms of investment and efficiency, providing LCOE values between 0.149 and 0.313 €/kWh, as function of the overall process efficiency and cost. The findings clearly demonstrate the potential of PV energy in Europe, where FiT can be considerably reduced or even be eliminated in the near future. PMID:24959614

  17. Metabolic Post-feeding Changes in Fat Body and Hemolymph of Dipetalogaster maximus (Hemiptera:Reduviidae

    Directory of Open Access Journals (Sweden)

    Lilián E Canavoso

    1998-03-01

    Full Text Available Lipids and glycogen in fat body as well as the modifications in the wet weight of this organ were evaluated in an unfed insect, Dipetalogaster maximus, on day 5 after adult ecdysis (time 0 and during a 30-day period after ingestion of blood meal. Total lipids, high density lipophorin (HDLp, carbohydrates, total proteins and uric acid were determined in the hemolymph during the same period. Fat body wet weight was maximum on day 10 post-feeding and represented on day 30 only 42% of the maximum weight. Lipids stored in the fat body increased up to day 15 reaching 24% of the total weight of tissue. Glycogen was maximum on day 20, representing approximately 3% of the fat body weight. HDLp represented at all times between 17-24% of the total proteins, whose levels ranged between 35 and 47 mg/ml. Uric acid showed at 20, 25 and 30 days similar levels and significantly higher than the ones shown at days 10 and 15. Hemolymphatic lipids fluctuated during starvation between 3-4.4 mg/ml and carbohydrates showed a maximum on day 15 after a blood meal, decreasing up to 0.26 mg/ml on day 25. The above results suggest that during physiological events such as starvation, the availability of nutrients is affected, involving principally the fat body reserves

  18. Photovoltaics: Reviewing the European Feed-in-Tariffs and Changing PV Efficiencies and Costs

    Directory of Open Access Journals (Sweden)

    H. L. Zhang

    2014-01-01

    Full Text Available Feed-in-Tariff (FiT mechanisms have been important in boosting renewable energy, by providing a long-term guaranteed subsidy of the kWh-price, thus mitigating investment risks and enhancing the contribution of sustainable electricity. By ongoing PV development, the contribution of solar power increases exponentially. Within this significant potential, it is important for investors, operators, and scientists alike to provide answers to different questions related to subsidies, PV efficiencies and costs. The present paper therefore (i briefly reviews the mechanisms, advantages, and evolution of FiT; (ii describes the developments of PV, (iii applies a comprehensive literature-based model for the solar irradiation to predict the PV solar energy potential in some target European countries, whilst comparing output predictions with the monthly measured electricity generation of a 57 m² photovoltaic system (Belgium; and finally (iv predicts the levelized cost of energy (LCOE in terms of investment and efficiency, providing LCOE values between 0.149 and 0.313 €/kWh, as function of the overall process efficiency and cost. The findings clearly demonstrate the potential of PV energy in Europe, where FiT can be considerably reduced or even be eliminated in the near future.

  19. The Effects of Public Infrastructure and Household Characteristics on Inequality and Infant Mortality in Mexico: What Has Changed Between 1990 and 2005?

    OpenAIRE

    Meindl, Richard S.; Jose Antonio ROLDAN AMARO; Thompson, Cynthia; Tremaine L GREGORY; Marcela ÁLVAREZ IZAZAGA; Gabriel SAUCEDO ARTEAGA

    2010-01-01

    Abstract The reduction of infant mortality (IM) continues to be a primary goal throughout much of the developing world, and a suite of methods have been proposed with which to achieve it. However, most attempts at IM reduction have taken place within the context of an almost bewilderingly complex regimen of simultaneous changes occurring in the physical environment, sociopolitical structure, and health care. Which of these various elements is truly causal in reducing IM and which may be merel...

  20. Feed or bioenergy production from agri-industrial residues?:An overview of the GHG emissions including indirect land-use change impacts

    OpenAIRE

    Tonini, Davide; Hamelin, Lorie; Astrup, Thomas Fruergaard

    2014-01-01

    Second generation biofuels produced from “residual” biomasses are considered promising ways of producing bioenergy. However, many studies tend to forget that these biomasses are today used for specific purposes, (e.g. feeding). This means that their use for energy would induce cascading consequences on the food/feed market, or on the carbon balance of the soil. The first are commonly called indirect land-use changes (iLUC), as they cause an increase in the international demand of a food/feed ...

  1. Application of the deuterated retinol dilution technique to detect changes in hepatic retinol reserves in infants who receive high dose vitamin A supplements

    International Nuclear Information System (INIS)

    The purpose of this pilot study is to determine whether the deuterated retinol dilution technique can detect changes in hepatic vitamin A reserves in Peruvian infants in response to supplementation with vitamin A palmitate. Approximately 40 infants, 9 months of age, will be recruited for the study and randomly assigned to four treatment groups. Hepatic vitamin A reserves will be estimated using the deuterated retinol dilution technique before and after administration of a single supplement containing either 0, 7.5, 15, or 30 mg RE as retinyl palmitate in corn oil. Mean hepatic vitamin A reserves will be calculated based on the plasma isotopic ratio of d4-retinol:retinol as per Furr, et. al. Hepatic vitamin A reserves will be compared within groups before and after supplementation, and among the four groups. The mean change in hepatic vitamin A reserves across the four treatment groups will be examined in relation to the amount of vitamin A supplement administered, using regression analysis. The results of the pilot study will provide information on the size and variation of hepatic vitamin A reserves in 9-month old Peruvian infants. This information will be useful for calculating samples sizes to evaluate vitamin A intervention strategies by estimating changes in hepatic vitamin A stores in this age group, using the DRD technique. (author)

  2. Feeding Tips For Your Baby with CHD

    Science.gov (United States)

    ... five months of age. Infants and children with congenital heart disease and congestive heart failure or cyanosis (blueness) tend ... feeding tube placed into the nose. Babies with congenital heart disease typically do best when fed more often and ...

  3. ANALYZING THE EFFECT OF CHANGING FEED-BEEF PRICE RELATIONSHIPS ON BEEF PRODUCTION MANAGEMENT STRATEGIES IN HAWAII: A DYNAMIC PROGRAMMING APPROACH

    OpenAIRE

    van Poollen, H. Walter; Leung, PingSun

    1986-01-01

    A dynamic programming approach was used to evaluate the effect of changing the feed input to product price relationship on the beef production management decision process. The dynamic programming model consists of nine submodels describing and analyzing the time-dependent beef production management decision process. The model incorporates biological functions and economic principles. Results clearly showed the importance of the feed-beef price relationships in management decision making. Opti...

  4. 布拉氏酵母菌对不同喂养方式极低出生体重儿坏死性小肠结肠炎的影响研究%Efficacy comparison of Saccharomyces boulardii on Necrotizing enterocolitis between different feeding patterns of very low birth weight infants

    Institute of Scientific and Technical Information of China (English)

    陈凌; 陈煜; 黄萍

    2015-01-01

    Objective To investigate the impact of Saccharomyces boulardii on morbidity and severity of Necrotizing enterocolitis between different feeding patterns of very low birth weight infants.Methods Very low birth weight infants born between April, 2014 to March, 2015 were enrolled. Breast milk group and pretermformula group were generated according to different feeding patterns.Each group was randomized either to receive feeding supplementation with Saccharomyces boulardii or not.The morbidity and severity of Necrotizing enterocolitis were analyzed.Results Compared with Breast milk group, pretermformula group had higher morbidity and more severe cases ( Stage Ⅲ) .In Breast milk group, Saccharomyces boulardii reduced the morbidity and severity of Necrotizing enterocolitis.In pretermformula group, Saccharomyces boulardii also had adverse effect on severity while no influence on morbidity.Conclusions Breast milk is a better feeding type than pretermformula.Saccharomyces boulardii reduces the severity of Necrotizing enterocolitis in both feeding patterns and morbidity in Breast milk feeding infants. However, the occurrence of Necrotizing enterocolitis in pretermformula feeding infants remains constant.%目的 在不同喂养方式的极低出生体重儿中,探讨布拉氏酵母菌对坏死性小肠结肠炎发病率和严重程度的影响. 方法 选取2014年4月1日至2015年3月1日收治的极低出生体重儿患者,根据喂养方式分为母乳喂养组和早产儿奶喂养组,在各组中均随机分出治疗组和对照组,治疗组使用布拉氏酵母菌治疗,观察坏死性小肠结肠炎发病率和严重程度. 结果 早产儿奶喂养组比母乳喂养组NEC发病率更高,第Ⅲ期以上严重病例者增多( P0.05). 结论 母乳喂养是最佳的喂养方式,布拉氏酵母菌在母乳喂养方式的患儿中能减少NEC发病率和降低严重程度,在早产儿奶喂养方式的患儿中NEC发病率虽无明显变化,但疾病严重程度得到降低.

  5. Initial amino acid intake influences phosphorus and calcium homeostasis in preterm infants--it is time to change the composition of the early parenteral nutrition.

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    Francesco Bonsante

    Full Text Available BACKGROUND: Early aggressive parenteral nutrition (PN, consisting of caloric and nitrogen intake soon after birth, is currently proposed for the premature baby. Some electrolyte disturbances, such as hypophosphatemia and hypercalcemia, considered unusual in early life, were recently described while using this PN approach. We hypothesize that, due to its impact on cell metabolism, the initial amino acid (AA amount may specifically influence the metabolism of phosphorus, and consequently of calcium. We aim to evaluate the influence of AA intake on calcium-phosphorus metabolism, and to create a calculation tool to estimate phosphorus needs. METHODS: Prospective observational study. Phosphate and calcium plasma concentrations and calcium balance were evaluated daily during the first week of life in very preterm infants, and their relationship with nutrition was studied. For this purpose, infants were divided into three groups: high, medium and low AA intake (HAA, MAA, LAA. A calculation formula to assess phosphorus needs was elaborated, with a theoretical model based on AA and calcium intake, and the cumulative deficit of phosphate intake was estimated. RESULTS: 154 infants were included. Hypophosphatemia (12.5% and hypercalcemia (9.8% were more frequent in the HAA than in the MAA (4.6% and 4.8% and in the LAA group (0% and 1.9%; both p<0.001. DISCUSSION: Calcium-phosphorus homeostasis was influenced by the early AA intake. We propose to consider phosphorus and calcium imbalances as being part of a syndrome, related to incomplete provision of nutrients after the abrupt discontinuation of the placental nutrition at birth (PI-ReFeeding syndrome. We provide a simple tool to calculate the optimal phosphate intake. The early introduction of AA in the PN soon after birth might be completed by an early intake of phosphorus, since AA and phosphorus are (along with potassium the main determinants of cellular growth.

  6. Calculation of radiation dose to infants from radioactive breast milk and suspensions necessary to constrain dose

    International Nuclear Information System (INIS)

    Full text: For nuclear medicine patients who are breast feeding an infant, special radiation safety precautions may need to be taken. An estimate of the potential radiation dose to the child from ingested milk must be made, and breast-feeding may need to be suspended until levels of radioactivity in the breast-milk have fallen to acceptable levels. The risk of radiation to the child must be weighed against the benefits of breast-feeding and the possible trauma to both mother and child arising from interruption or cessation of the milk supply. In the United States, the Nuclear Regulatory Commission (NRC) has already published regulations which will necessitate an estimate of the infant's dose from breast milk to be made, in principle, for every breast-feeding patient. There is obviously, therefore, a need to provide a rapid and reliable means of estimating such doses. A spreadsheet template which automatically calculates the cumulative dose to breast feeding infants based on any multi-exponential clearance of activity from the breast milk, and any pattern of feeding, has been developed by the authors. The time (post administration) for which breast-feeding should be interrupted in order to constrain the radiation dose to a selected limit is also calculated along with the concentration of activity in breast milk at which feeding can resume. The effect of changing dose limits, feeding patterns and using individually derived breast milk clearance rates may be readily modelled using this spreadsheet template. Data has been included for many of the most commonly used radiopharmaceuticals and new data can readily be incorporated as it becomes available. Copyright (2000) The Australian and New Zealand Society of Nuclear Medicine Inc

  7. Feeding and Reflux: A Parent & Professional Perspective

    Science.gov (United States)

    Roche, William J.; Martorana, Pamela; Vitello, Louise; Eicher, Peggy S.; LaCour, Tricia

    2008-01-01

    Gastroesophageal reflux (GER) as a cause of an infant or child's refusal to eat is becoming better recognized. However, the many more subtle influences that reflux can have on feeding are less often recognized. Although vomiting after meals is the classic presentation, infants and children may present with a variety of more subtle symptoms less…

  8. Métodos de alimentação alternativos para recém-nascidos prematuros Métodos de alimentación alternativa para recién-nacidos prematuros Alternative feeding methods for premature newborn infants

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    Claudia Peyres Lopez

    2012-06-01

    complementación de la alimentación de recién-nacidos prematuros mediante vaso/taza. Se debe realizar estudios controlados con la finalidad de rever riesgos y beneficios del uso de métodos alternativos en la alimentación del recién-nacido prematuro.OBJECTIVE: To present a literature review about the use of glass/cup as an alternative method of feeding premature newborns and to identify if there is a consensus on its indication for this population. DATA SOURCE: A narrative review of the literature. Articles were selected from Medline, Lilacs, SciELO, and Cochrane databases, regardless of year, using the following specific key-words: feeding, premature newborn, breastfeeding, feeding methods. DATA SYNTHESIS: Although some studies showed that feeding premature and term newborns using the glass/cup is safe and efficient, most of them did not apply an objective evaluation of the swallowing to identify the effect of the method in this population. CONCLUSIONS: There is no consensus in the literature about feeding premature newborn infants by glass/cup. Controlled studies should be conducted in order to evaluate risks and benefits of alternative feeding methods in preterm newborn infants.

  9. Infant Mortality

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    ... Activities Assisted Reproductive Technology (ART) Depression Among Women Depression Treatment Resources Publications Maternal and Infant Health Pregnancy Complications Severe Maternal Morbidity Weight Gain During Pregnancy ...

  10. Breast Feeding: Practices and Determinants in Rural Area of West Tripura District of India

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    Himadri Bhattacharjya, Shampa Das, Chanda Mog, Sukanta Bhowmik

    2013-01-01

    Methodology: To assess the practice and determinants of breast feeding a community based cross-sectional study using structured questionnaire was conducted during 1st August to 31st August 2009 among 116 mothers from four sub-centre areas under Mohanpur CHC of West Tripura district chosen by multistage sampling. Descriptive statistics, chi-square test and logistic regression analysis were used. Result: Prevalence of exclusive breast feeding was 25%. Median time of initiating breast feeding was one hour following delivery, median duration of breast feeding was four months and median age of starting weaning was two months. Colostrum was fed by 87.9% women and advice regarding this was mainly obtained from the healthcare providers. Prelacteal feeding was practiced by 56% mothers and honey was the commonest prelacteal feed. With the improvement in mother’s literacy, there was significant increase in colostrum feeding (p = 0.010 and decrease in prelacteal feeding (p = 0.007. Mother’s parity, age, literacy, place of delivery, antenatal checkup and gender of the child were found to be signifi-cant determinants of exclusive breast feeding. Conclusion: Improving literacy status, promoting antenatal checkup and encouraging institutional birth will reduce harmful infant feeding practices. As the health workers were the major source of information, they can initiate behavior change communication for promoting exclusive breast feeding in this community.

  11. Human milk and the nutritional needs of preterm infants.

    Science.gov (United States)

    Tudehope, David I

    2013-03-01

    Key principles underpinning feeding guidelines for preterm infants include support for developmental care, breastfeeding, milk expression, and creating feeding plans. Early trophic feeding with colostrum and transitional milk improves immune protection and promotes gut maturation. Studies of preterm infants demonstrate that feeding mother's milk (MM) decreases the incidence of infection and necrotizing enterocolitis and improves neurodevelopmental outcome but may decrease ponderal and linear growth. Standard practice in neonatal units is to promote mother's own milk as the feed of choice for all infants. However, it is not feasible or prudent to do so for all preterm infants. Mothers of preterm infants have lower rates of successful breastfeeding compared with those of term infants. MM can contain harmful bacterial or viral pathogens. Although preterm human milk (HM) contains higher concentrations of protein, sodium, zinc, and calcium than mature HM, it falls short of supplying adequate quantities of nutrients required by preterm infants. Therefore, HM supplemented with nutrients is recommended for all infants born before 32 weeks gestation and for certain infants born at 32-36 weeks of gestation. HM is the preferred feed, but preterm formula is an appropriate option when there is an inadequate supply of MM. PMID:23445843

  12. Changes in the structure and ultrastructure of the intestine of Spadella cephaloptera (Chaetognatha) during feeding and starvation experiments.

    Science.gov (United States)

    Perez; Casanova; Mazza

    2000-10-01

    Ultrastructural changes in the intestinal epithelium of fed and starved specimens of Spadella cephaloptera are described. Animals were maintained in a circulating natural sea water system and fed with Artemia salina nauplii. After a period of acclimation, they were individually isolated, deprived of food for 24 h and submitted to controlled feeding experiments. The absorption develop in the intestinal absorptive cells (A-cells) 5 min after the ingestion of prey and consist in the formation of endocytotic vesicles and endosome-like vacuoles. During the following steps up to 10 h, a second type of digestive vacuole containing electron-dense material, and probably corresponding to a lysosome-like compartment, appears. Throughout this time, the vacuoles progressively arrange in columns, the youngest at the top and the oldest at the bottom of the A-cells. In addition, large lipid inclusions appear in the apical cytoplasm. The ultrastructural changes of the intestinal secretory cells (S-cells) is less marked, but the number of granules largely diminishes during the first 30 min after the ingestion of prey. In starved specimens, major changes in A-cells occur between the sixth and tenth day of starvation and consist in the increase of endosome-like vacuoles. Lysosome-like vacuoles containing dense material are not observed. At the same time, necrosis features are evident in S-cells. After 30 days of starvation, necrosis features are observed in the totality of the intestinal epithelium and the specimens die few days later. PMID:11018233

  13. 人工哺育期腹泻婴猴奇异变形杆菌的分离与鉴定%Isolation and Identification of Proteus mirabilis from Diarrheic Infant Rhesus Monkeys in the Period of Artificial Feeding

    Institute of Scientific and Technical Information of China (English)

    赵远; 杨凤梅; 陈丽雄; 禹文海; 王俊斌; 和占龙

    2012-01-01

    Objective To identify the P. mirabilis strain isolated from infant rhesus monkeys in the period of artificial feeding, and provide useful data for detection and identification of the bacteria in laboratory rhesus monkeys. Methods P. mirabilis strains isolated from infant rhesus monkeys were identified by cultural characteristics, colony morphology, staining, motility and biochemical test and serological test. Meanwhile, antibiotic sensitivity, virulence and toxin tests were conducted. Results The results of cultural characteristics, colony morphology, staining, biochemical and serological tests showed that the isolate was a strain of P. mirabilis. Effective therapeutic drugs were screened by antibiotic sensitivity test, and the disease was effectively controlled. Virulence tests showed that it is a highly pathogenic strain to mice. Conclusions The results of this study demonstrate that P. mirabilis isolated from infant monkeys is the pathogenic agent leading to their diarrhea and death. This bacteria strain is a conditional pathogen, which may cause some potential harm to researchers and laboratory rhesus monkeys. Although laboratory rhesus monkeys are allowed to be P. mirabilis carriers in our country, it is worth to pay high attention to the serious consequence of P. mirabilis infection, and it should be considered as an important issue.%目的 对一株人工哺育期引发恒河猴婴猴腹泻的奇异变形杆菌进行了鉴定,为实验猕猴疾病检测、鉴别诊断提供参考依据.方法 通过培养特性、菌落形态、染色、生化试验和血清学诊断鉴别等检查,对分离菌株进行初步鉴定,同时,对分离菌株进行致病性试验及药敏试验.结果 通过表型生物学特性鉴定,并结合血清学诊断鉴别方法,确证该分离菌株为奇异变形杆菌,应用药敏试验筛选出了高度敏感的抗菌药,控制了该病的继续发生,致病性试验证明,该分离菌株对小白鼠有高致病性.结论 分离到

  14. Percepções de educadores de creches acerca de práticas cotidianas na alimentação de lactentes: impacto de um treinamento Perceptions of day care center teachers about daily practices of infant feeding: the impact of training

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    Giovana Longo-Silva

    2013-02-01

    Full Text Available O artigo apresenta a importância da capacitação dos profissionais envolvidos com alimentação das crianças em creches, para que estes ofereçam alimentos adequados e promovam ações para que os lactentes incorporem práticas alimentares saudáveis desde o nascimento. Desta forma, o objetivo do presente trabalho foi avaliar o impacto de um treinamento de educadores de creches nas percepções e práticas acerca da alimentação infantil. Para avaliação do impacto do treinamento foi utilizada abordagem qualitativa, com aplicação da técnica do grupo focal. Foram realizados 16 grupos, sendo oito com as creches expostas ao treinamento e oito com as não-expostas, tendo em média de seis a 11 participantes por instituição, os quais apresentavam idades entre 19 e 66 anos. O discurso das educadoras que participaram do treinamento está pontuado de indícios de pequenas mudanças, ou pelo menos, de reconhecimento de que é preciso e possível mudar. Destaca-se a relevância de elaborar e executar programas de treinamento e educação nutricional para educadores de creches com supervisão contínua dos efeitos da capacitação como estratégia de saúde infantil.This article stresses the importance of the qualification of professionals involved in thefeeding of children in daycare centers, such that they offeradequate food and programs are developed in order to fosterhealthy food habits in infantsfrom birth. Thus, the scope of this paper was to evaluate the impact of a training program for these daycare teachers in their perceptions and practicesin infant feeding. A qualitative approach was used to evaluate the impact of training, with the application of the focus grouptechnique. Sixteen groups were created, eight of whichwere daycare centerswith training and eight without training, the average number of participants being 6 to 11 per institution agedbetween 19 and 66. The discourse of the teachers who took part in the training program is

  15. What Happened to Gray Whales during the Pleistocene? The Ecological Impact of Sea-Level Change on Benthic Feeding Areas in the North Pacific Ocean

    Science.gov (United States)

    Pyenson, Nicholas D.; Lindberg, David R.

    2011-01-01

    Background Gray whales (Eschrichtius robustus) undertake long migrations, from Baja California to Alaska, to feed on seasonally productive benthos of the Bering and Chukchi seas. The invertebrates that form their primary prey are restricted to shallow water environments, but global sea-level changes during the Pleistocene eliminated or reduced this critical habitat multiple times. Because the fossil record of gray whales is coincident with the onset of Northern Hemisphere glaciation, gray whales survived these massive changes to their feeding habitat, but it is unclear how. Methodology/Principal Findings We reconstructed gray whale carrying capacity fluctuations during the past 120,000 years by quantifying gray whale feeding habitat availability using bathymetric data for the North Pacific Ocean, constrained by their maximum diving depth. We calculated carrying capacity based on modern estimates of metabolic demand, prey availability, and feeding duration; we also constrained our estimates to reflect current population size and account for glaciated and non-glaciated areas in the North Pacific. Our results show that key feeding areas eliminated by sea-level lowstands were not replaced by commensurate areas. Our reconstructions show that such reductions affected carrying capacity, and harmonic means of these fluctuations do not differ dramatically from genetic estimates of carrying capacity. Conclusions/Significance Assuming current carrying capacity estimates, Pleistocene glacial maxima may have created multiple, weak genetic bottlenecks, although the current temporal resolution of genetic datasets does not test for such signals. Our results do not, however, falsify molecular estimates of pre-whaling population size because those abundances would have been sufficient to survive the loss of major benthic feeding areas (i.e., the majority of the Bering Shelf) during glacial maxima. We propose that gray whales survived the disappearance of their primary feeding ground

  16. What happened to gray whales during the Pleistocene? The ecological impact of sea-level change on benthic feeding areas in the North Pacific Ocean.

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    Nicholas D Pyenson

    Full Text Available BACKGROUND: Gray whales (Eschrichtius robustus undertake long migrations, from Baja California to Alaska, to feed on seasonally productive benthos of the Bering and Chukchi seas. The invertebrates that form their primary prey are restricted to shallow water environments, but global sea-level changes during the Pleistocene eliminated or reduced this critical habitat multiple times. Because the fossil record of gray whales is coincident with the onset of Northern Hemisphere glaciation, gray whales survived these massive changes to their feeding habitat, but it is unclear how. METHODOLOGY/PRINCIPAL FINDINGS: We reconstructed gray whale carrying capacity fluctuations during the past 120,000 years by quantifying gray whale feeding habitat availability using bathymetric data for the North Pacific Ocean, constrained by their maximum diving depth. We calculated carrying capacity based on modern estimates of metabolic demand, prey availability, and feeding duration; we also constrained our estimates to reflect current population size and account for glaciated and non-glaciated areas in the North Pacific. Our results show that key feeding areas eliminated by sea-level lowstands were not replaced by commensurate areas. Our reconstructions show that such reductions affected carrying capacity, and harmonic means of these fluctuations do not differ dramatically from genetic estimates of carrying capacity. CONCLUSIONS/SIGNIFICANCE: Assuming current carrying capacity estimates, Pleistocene glacial maxima may have created multiple, weak genetic bottlenecks, although the current temporal resolution of genetic datasets does not test for such signals. Our results do not, however, falsify molecular estimates of pre-whaling population size because those abundances would have been sufficient to survive the loss of major benthic feeding areas (i.e., the majority of the Bering Shelf during glacial maxima. We propose that gray whales survived the disappearance of their

  17. Hematological changes in women and infants exposed to an AZT-containing regimen for prevention of mother-to-child-transmission of HIV in Tanzania.

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    Judith Ziske

    Full Text Available INTRODUCTION: Tanzanian guidelines for prevention of mother-to-child-transmission of HIV (PMTCT recommend an antiretroviral combination regimen involving zidovudine (AZT during pregnancy, single-dosed nevirapine at labor onset, AZT plus Lamivudine (3TC during delivery, and AZT/3TC for 1-4 weeks postpartum. As drug toxicities are a relevant concern, we assessed hematological alterations in AZT-exposed women and their infants. METHODS AND MATERIALS: A cohort of HIV-positive women, either with AZT intake (n = 82, group 1 or without AZT intake (n = 62, group 2 for PMTCT during pregnancy, was established at Kyela District Hospital, Tanzania. The cohort also included the infants of group 1 with an in-utero AZT exposure ≥4 weeks, receiving AZT for 1 week postpartum (n = 41, and infants of group 2 without in-utero AZT exposure, receiving a prolonged 4-week AZT tail (n = 58. Complete blood counts were evaluated during pregnancy, birth, weeks 4-6 and 12. RESULTS: For women of group 1 with antenatal AZT intake, we found a statistically significant decrease in hemoglobin level, red blood cells, white blood cells, granulocytes, as well as an increase in red cell distribution width and platelet count. At delivery, the median red blood cell count was significantly lower and the median platelet count was significantly higher in women of group 1 compared to group 2. At birth, infants from group 1 showed a lower median hemoglobin level and granulocyte count and a higher frequency of anemia and granulocytopenia. At 4-6 weeks postpartum, the mean neutrophil granulocyte count was significantly lower and neutropenia was significantly more frequent in infants of group 2. CONCLUSIONS: AZT exposure during pregnancy as well as after birth resulted in significant hematological alterations for women and their newborns, although these changes were mostly mild and transient in nature. Research involving larger cohorts is needed to further analyze the impact

  18. Clinical effect of extensively hydrolyzed protein formula on the feeding of preterm infants%深度水解蛋白配方奶在早期早产儿喂养中的疗效观察

    Institute of Scientific and Technical Information of China (English)

    王雪松; 潘家华

    2015-01-01

    Objective To compare feeding tolerance,nutrient intake,growth and serum chemistries in preterm infants fed either a standard preterm infant fomula(SPF)or an extensively hydrolyzed protein formula (eHPF),and to explore the clinical application val-ue.Methods One hundred and twenty preterm infants(gestational age ≤32 w or birth weight 0.05). Total bilirubin,direct bilirubin,hospitalization days,incidence of cholestasis and incidence of enterocolitis in eHPF group were lower than those in SPF group (P <0.05).Conclusions eHPF can reduce the incidence of feeding intolerance,shorten full enteral feeding time and hospitalization,decrease the incidence of NEC and increase serum protein levels.%目的:评估深度水解蛋白配方奶(eHPF)与标准早产儿配方奶(SPF)在早产儿喂养中对喂养不耐受、营养摄入、生长及生化指标的影响,探讨其使用价值。方法回顾性分析2013年1月—2014年8月该科新生儿重症监护病房(NICU)收治的早产儿(胎龄≤32周或出生体重<1500 g)中深度水解蛋白配方奶的喂养情况,将120例随机分为 eHPF 组(60例)和 SPF 组(60例),观察及比较两组患儿头围、体重、身长,每天牛奶摄入量,喂养不耐受情况、达全胃肠喂养时间及相应生化指标,住院天数,宫外发育迟缓(EUGR)发生率,并分析两组间有无统计学差异。结果与 SPF 组相比,eHPF 组喂养不耐受发生率减低(0.425 vs 0.667),达全胃肠营养时间缩短[(10.9±2.6)d vs (12.6±3.0 d)],三周血清总蛋白[(47.5±2.6)、(46.4±2.3)、(48.6±0.9)g·L -1]及白蛋白[(26.8±2.1)、(27.1±2.5)、(28.1±1.9)g·L -1]增高,差异有统计学意义(P <0.05);两组之间体重增长在第一周及第二周差异无统计学意义,而在第三周 eHPF 组与 SPF 组相比体重增长较快[(1826.4±115.7)g vs (1773.8±108.9

  19. RSS Feeds

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  20. Spermidine feeding decreases age-related locomotor activity loss and induces changes in lipid composition.

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    Nadège Minois

    Full Text Available Spermidine is a natural polyamine involved in many important cellular functions, whose supplementation in food or water increases life span and stress resistance in several model organisms. In this work, we expand spermidine's range of age-related beneficial effects by demonstrating that it is also able to improve locomotor performance in aged flies. Spermidine's mechanism of action on aging has been primarily related to general protein hypoacetylation that subsequently induces autophagy. Here, we suggest that the molecular targets of spermidine also include lipid metabolism: Spermidine-fed flies contain more triglycerides and show altered fatty acid and phospholipid profiles. We further determine that most of these metabolic changes are regulated through autophagy. Collectively, our data suggests an additional and novel lipid-mediated mechanism of action for spermidine-induced autophagy.