Which Target Population for Promotion Programs on Health Infant Feeding Practice in Laos?

One of the determinants of the poor improvement in child nutrition indicators observed in Laos is mothers’ feeding practices. These practices are influenced by many socio-environmental factors and are expected to be targets of public health programs against malnutrition. The purpose of this work is to examine how the Lao National Nutrition Strategy (NNS) incorporates the issue of the determinants of the behavior of mothers of young children in its recommendations. We argue that the little consideration brought in the NNS to key determinants of women’s behavior is a major explanatory factor for the poor performance in improving the nutrition status of Lao under-five-year-old children.

“Breast is best”—Infant-feeding, infant mortality and infant welfare in Germany during the late nineteenth and twentieth centuries

Breastfeeding is considered to be the key variable for infant health. Consequently, UNICEF and the World Health Organization promote the beginning of breastfeeding within the first hour after birth and recommend to exclusively breastfeed the infant during the first six months. The origins of these modern breastfeeding campaigns can be traced back to the beginning of the twentieth century. Whereas high infant mortality rates traditionally were considered to be a matter of fate and the declining birth rates towards the end of the nineteenth century raised fears about the nation’s future and led to the emergence of an increasing infant welfare movement in imperial Germany. As low breastfeeding rates were identified as a key factor behind the high infant mortality rates, the main objective of the infant care movement was to increase breastfeeding. The paper examines how the context of infant care and infant mortality was constructed and how breastfeeding campaigns in the context of infant mortality, breastfeeding rates and socio-political changes developed during the twentieth century. Thus the paper covers the period from the beginnings of social paediatrics at the beginning of the 20th century, the breastfeeding campaigns embedded into Nazi ideology during the Third Reich, until the declining breastfeeding ratios and the “feeding on demand”-movement in the 1970s as well as the ideological differences between West and East Germany during the Cold War.

The Impact of Breastfeeding Pattern on the Duration of Lactational Amenorrhoea in Chengdu, China

Objective To determine the relation between infant feeding practices (and other factors) and the duration of postpartum amenorrhoea in a sample of Chinese women Subjects &. Methods Infant feeding and the return of menses were measured longitudinally in 541 mothers and their infants in Pengxian County, Sichuan Province. The durations of breastfeeding and of lactational amenorrhoea were estimated through survival analysis. Cox's non-parametric hazards regression analysis was performed to determine the variables associated with the duration of lactational amenorrhoea. Results Mothers breastfed frequently per day, the mean frequency ranging from 6. 4 per day at 3 weeks postpartum to 5. 4 per day at 6 months. They breastfed for over 18. 3 months on average. The median duration of lactational amenorrhoea was 9. 5 months. The period from birth until the first breastfeed was a significant determinant of the duration of lactational amenorrhoea, P = 0. 038. Compared with women who ended full breastfeeding earlier, those who ceased full breastfeeding at 120 to 24C days returned to menses significantly sooner (risk ratio = 1. 34; 95% CI = 1. 06-1. 69). This finding is probably spurious since no relationship between full breastfeeding duration and the return of menses was found among women -who ended full breastfeeding after 240 days. Conclusion The most important determinant of the return of menses was the delay in the first breastfeed after birth, suggesting that the Ten Steps to Successful Breastfeeding should be more precisely implemented.

Disadvantages of using pacifier in infants:a systematic review

Background and aim:Newborns with normal evolution have a biological inherited tendency for sucking.The satisfaction of this physiological necessity through excessive use of a pacifier and baby bottle in long time leads to multiple probable complications in children.Considering this important fact made the researchers to carry out the present study with the aim of systematic reviews of the disadvantages of the pacifier using on infants by using the texts studying and the writer experiences and the comments of the experts.Methods:All published studies in foreign databases during 2008-2018 were checked by using the key words of pacifier nutrition,non-exclusive nutrition,breastfeeding and human breast milk from Latin databases,such as CINHAL,PubMed,Web of Science and Scopus.Results:Fourteen studies were reviewed,aimed at analyzing the types of drawbacks to use of pacifier in infants.Finally,the types of drawbacks to using the pacifier were discussed in terms of the studies,frequency in the areas of oral and dental disorders,speech disorders,otitis media,sleep disorders,nutritional disorders and cognitive disorders.Conclusion:It seems that appropriate counseling about the way of breastfeeding should be used to replace the negative and false education of associates and informing the parents about the emotional needs of the child,as well as the emphasis on removing the pacifier from the age of one,is one of the things that can be effective in eliminating the factors involved in the aforementioned disorders.

Breast Feeding Cuts Infant Death 20 Percent

[提示]母乳喂养,英语叫breast-fed。母乳喂养婴儿,好处可谓多矣!首先在诞生一年之內,婴儿的死亡率就比非母乳喂养者降低了20％。别的好处也很多,比如:Other studies have shown breast-fed babies are less likely to be overweight,have fewer behavioral problems and may show differences in intelligence.They also may grow up to have lower blood pressure(血压).调查还证明,当今美国母乳喂养的婴儿占婴儿总数之70％!笔者甚至怀疑,我国是否达到了这个标准,尤其是都市年轻母亲。

Complementary feeding patterns among ethnic groups in rural western China

Objective： This study investigated complementary feeding practices among four ethnic groups（Han, Uygur, Tibetan, and Zhuang） based on a cross-sectional survey in rural western China. Methods： In 2005, a stratified multistage cluster random sampling method was used to recruit 9712 children（7411 Han, 1032 Uygur, 678 Tibetan, and 591 Zhuang） between 6 and 35 months of age and their mothers from 45 counties in 10 provinces（autonomous regions, municipalities） in western China. Results： The rates of early introduction（before 6 months） of complementary foods in four ethnic groups（Han, Uygur, Tibetan, and Zhuang） were 71.30%, 95.95%, 82.40%, and 72.30%, respectively. The Infant and Child Feeding Index（ICFI） for Uygur and Tibetan children was lower than that for Han children at all age groups. Uygur children were more likely to have unqualified ICFI compared with Han children in a multivariate logistic regression（odds ratio（OR）=5.138, 95% confidence interval（CI）： 4.340–6.084）. A higher level of maternal education, greater family wealth, and the availability of complementary feeding educational materials decreased the likelihood of an unqualified ICFI. The nutritional status of children（Han, Tibetan, and Zhuang） with qualified ICFI was better than that for children with unqualified ICFI. Conclusions： Appropriate interventions are required to improve complementary feeding practices in rural western China.

Knowledge

Natural disasters, war, civil unrest and other catastrophes continue to disrupt, and often seriously endanger, the lives of millions of people around the world. Whatever their cause, emergencies pose a particularly grave threat to health, nutritional status and very survival of infants and young children. Fortunately, much of the disability and death typical among this age group in such circumstances can be averted-provided proper feeding and care can be ensured.