Infant feeding modalities addressed in two different ways in Eastern Uganda

• Váldodahkkit: Tumwine James K (Dahkki), Sommerfelt A Elisabeth (Dahkki), Shanmugam Rebecca (Dahkki), Engebretsen Ingunn MS (Dahkki), Tylleskär Thorkild (Dahkki)
• Materiálatiipa: Girji
• Almmustuhtton: BMC, 2010-02-01T00:00:00Z.
• Fáttát: article
• Liŋkkat: Connect to this object online.
• Notes: 10.1186/1746-4358-5-2; 1746-4358
• Keywords: Pediatrics; RJ1-570; Public aspects of medicine; RA1-1270
• Source: International Breastfeeding Journal, Vol 5, Iss 1, p 2 (2010)

<p>Abstract</p> <p>Background</p> <p>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.</p> <p>Methods</p> <p>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.</p> <p>Results</p> <p>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.</p> <p>Conclusion</p> <p>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, with the latter yielding slightly longer duration of the respective feeding modalities. The retrospective recall since-birth could be assessed as a cost-reducing tool compared to the frequent follow-up addressing duration of respective infant feeding modalities for evaluation of programmes promoting safer infant feeding practices.</p> <p>Trial registration</p> <p>The study was part of formative studies for the ongoing study PROMISE EBF registered at <url>http://clinicaltrials.gov</url>, NCT00397150.</p>