Colostrum avoidance, prelacteal feeding and late breast-feeding initiation in rural Northern Ethiopia

Public Health Nutrition - Tập 14 Số 11 - Trang 2029-2036 - 2011
Nikki Lynn Rogers1, Jemilla Abdi2, Dennis Moore1, Sarah Nd'iangui1, L. J. Smith3, A. J. Carlson4,5, Dennis Carlson5
1Department of Community Health, Substance Abuse Resources and Disability Issues (SARDI) Program, Wright State University Boonshoft School of Medicine, 3171 Research Boulevard, Room 259, Dayton, OH 45420-4006, USA
2Department of Midwifery, College of Medicine and Health Science, University of Gondar, Gondar, Ethiopia
3Bright Future Lactation Resource Centre Ltd, Dayton, OH, USA
4Department of Political Science, Capital University, Columbus, OH, USA
5Kossoye Development Project, Bainbridge Island, WA, USA

Tóm tắt

AbstractObjectiveTo identify specific cultural and behavioural factors that might be influenced to increase colostrum feeding in a rural village in Northern Ethiopia to improve infant health.DesignBackground interviews were conducted with six community health workers and two traditional birth attendants. A semi-structured tape-recorded interview was conducted with twenty mothers, most with children under the age of 5 years. Variables were: parental age and education; mother's ethnicity; number of live births and children's age; breast-feeding from birth through to weaning; availability and use of formula; and descriptions of colostrum v. other stages of breast milk. Participant interviews were conducted in Amharic and translated into English.SettingKossoye, a rural Amhara village with high prevalence rates of stunting: inappropriate neonatal feeding is thought to be a factor.SubjectsWomen (20–60 years of age) reporting at least one live birth (range: 1–8, mean: ∼4).ResultsColostrum (inger) and breast milk (yetut wotet) were seen as different substances. Colostrum was said to cause abdominal problems, but discarding a portion was sufficient to mitigate this effect. Almost all (nineteen of twenty) women breast-fed and twelve (63 %) reported ritual prelacteal feeding. A majority (fifteen of nineteen, 79 %) reported discarding colostrum and breast-feeding within 24 h of birth. Prelacteal feeding emerged as an additional factor to be targeted through educational intervention.ConclusionsTo maximize neonatal health and growth, we recommend culturally tailored education delivered by community health advocates and traditional health practitioners that promotes immediate colostrum feeding and discourages prelacteal feeding.

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Tài liệu tham khảo

10.3164/jcbn.08-233

10.1016/0020-7489(90)90045-K

Athavale, 2004, Initiation of brest-feeding by urban women, Health Popul Perspect Issues, 27, 117

10.1186/1471-2431-7-10

Hussein, 2005, Breastfeeding and complementary feeding practices in Tanzania, East Afr J Public Health, 2, 27

2009, Ethiopia: Promoting Breastfeeding to Ensure Healthier Babies

10.1111/j.1651-2227.2009.01597.x

58. Wikipedia (2005) File:Ethiopia regions numbered.png. Created by User:Goldberg, Wikipedia administrator. Licensed under the Creative Commons Attribution 2.0 Generic License. http://www.wikipedia.org/wiki/File:Ethiopia_regions_numbered.png (accessed March 2011).

Labbok, 2004, Breastfeeding: maintaining an irreplaceable immunological resource, Nature Rev, 4, 565

Utomo, 2000, Feeding patterns, nutrient intake and nutritional status among children 0–23 months of age in Indramayu, West Java, 1997, Mal J Nutr, 6, 147

10.1177/1090198104269514

2006, Repositioning Nutrition as Central to Development: A Strategy for Large-Scale Action

10.1016/j.jmwh.2007.04.007

10.1080/03670244.1991.9991160

2009, Baby-Friendly Hospital Initiative: Revised Updated and Expanded for Integrated Care

2006, Ethiopia Demographic and Health Survey 2005

Littler, 1997, Beliefs about colostrum among women from Bangladesh and their reasons for not giving it to the newborn, Midwives, 110, 3

Galhotra, 2008, Impact of community based awareness campaign on breast-feeding among lactating women in Chandigarh, Internet J Health, 7

10.1071/RD9960035

10.1016/0277-9536(93)90011-R

10.1093/tropej/45.6.323

Meikandan, 1987, Wastage of colostrum, Indian Pediatr, 24, 952

10.1542/peds.2005-1496

10.1093/jn/132.8.2202

2009, News Note: World Breastfeeding Week Celebrated in Ethiopia

10.1079/PHN200057

10.1186/1471-2431-3-5

10.1079/PHN2004609

Bhale, 1999, Is colostrum really discarded by Indian mothers?, Indian Pediatr, 36, 1069

1. Silva P (2005) Environmental Factors and Children's Malnutrition in Ethiopia: Policy Research Working Paper Series no. 3489. Washington, DC: The World Bank.

Mannel, 2007, Core Curriculum for Lactation Consultant Practice

Yadav, 2004, Knowledge, attitude and practices of mothers about breast-feeding in Bihar, Indian J Community Med, 29, 7

2004, National Strategy for Infant and Young Child Feeding

Vallenas, 1998, Evidence for the Ten Steps to Successful Breastfeeding

Hanson, 2004, The Immunobiology of Human Milk: How Breastfeeding Protects Babies

10.1093/jn/126.1.103

10.1046/j.1365-2648.2003.02534.x

10.1080/03670244.1993.9991320

Okubagzhi, 1988, Fulfilling the potential of traditional birth attendants, World Health Forum, 9, 426

10.1093/tropej/fmi048

10.4314/ejhd.v23i1.44832

Getahun, 2004, Breastfeeding in Tigray and Gonder, Ethiopia, with special reference to exclusive/almost exclusive breastfeeding beyond six months, Breastfeed Rev, 12, 8

2006, Breastfeeding, LAM, Related Complementary Feeding, and Maternal Nutrition Program in Ethiopia. LINKAGES/Ethiopia Final Report, 2003–2006

10.1017/S0021932001001390

Agrawal, 1985, Study on current status of infant and childhood feeding practices, Indian Pediatr, 22, 716

10.1016/j.midw.2005.02.003

2004, News Note: FMOH and UNICEF Join Forces to Promote Safe Breastfeeding

Kassaye, 2006, A historical overivew of traditional medicine practices and policy in Ethiopia, Ethiop J Health Dev, 20, 127

59. US Department of State, Bureau of African Affairs (2010) Background Note: Ethiopia. http://www.state.gov/r/pa/ei/bgn/2859.htm (accessed March 2011).

Pose, 2007, Rethinking the Role of Traditional Birth Attendants (TBAs) in Rural Communities – Outcomes from a Study in Ethiopia: Abstract 152751: APHA

10.1136/bmj.325.7372.1063

14. Derewicz M (2007) Mother's Golden Milk. Chapel Hill, NC: University of North Carolina Global.

Isenalumbe, 1990, Integration of traditional birth attendants into primary health care, World Health Forum, 11, 192

10.1186/1471-2393-6-20

Carlson, 2008, Health, Wealth and Family in Rural Ethiopia: Kossoye, North Gondar Region, 1963–2007

Bansal, 1988, Colostrum deprivation: a misconception, Indian Pediatr, 25, 396

10.1111/j.1552-6909.2002.tb00063.x

Hanson, 2004, Immunobiology of Human Milk: How Breastfeeding Protects Babies, 77

Goyle, 2004, Colostrum and prelacteal feeding practices followed by families of pavement and roadside squatter settlements, Indian J Prev Soc Med, 25, 58

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Public Health Nutrition

Tập 14 Số 11

2029-2036

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