Infant Feeding Practices in a High HIV Prevalence Rural District of KwaZulu-Natal; South Africa
S. Afr. j. clin. nutr. (Online)
; 22(2): 74-79, 2009.
Article
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| AIM
| ID: biblio-1270493
Biblioteca responsable:
CG1.1
ABSTRACT
Aim:
To describe infant feeding practices at birth and at 14 weeks post-partum in the Ugu-North Health District; KwaZulu-Natal; South Africa.Methods:
A prospective; cohort study design was used. Mothers who delivered over a one-month period were interviewed at birth and 14 weeks later.Results:
Initially; 168 mothers were interviewed within 24 hours of delivery; of whom 117 (70) were contactable at 14 weeks post-partum. The vast majority (96) initiated breast-feeding at birth. At birth; less than one-third (55/168 [32.7]) of mothers declared an intention to both breast and formula (mix) feed in the next 14 weeks; but by the 14th week post-partum over three-quarters (89/117 [76.1]) actually practised mixed feeding. At 14 weeks; the prevalence of exclusive breast-feeding was 18 52of infants were offered water and 73solids. The majority (20/23 [87]) of HIV infected mothers chose to breastfeed their infants at birth. Nevertheless; they were significantly more likely to formula feed their infants compared to HIV negative mothers (3/23 [13.0] vs 2/145 [1.4]; OR 10.73; 95CI 1.34 - 99.16; p = 0.02). By 14 weeks; only 11of HIV positive mothers were still exclusively breast-feeding; while almost two-thirds (12/19 [63]) practised mixed feeding. This change was mainly ascribed to their need to return to school (40) or to work (20).Conclusions:
Most infants were fed inappropriately by 14 weeks of age. The failure to maintain exclusive breast-feeding; despite high initiation rates; is of greatest concern. Routine prevention of mother-to-child transmission of HIV services was ineffective in influencing mothers to follow any feeding regimen exclusively
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Base de datos:
AIM
Asunto principal:
Población Rural
/
Lactancia Materna
/
Infecciones por VIH
/
Lactante
Tipo de estudio:
Observational_studies
/
Prevalence_studies
/
Risk_factors_studies
Aspecto:
Determinantes_sociais_saude
Idioma:
En
Revista:
S. Afr. j. clin. nutr. (Online)
Año:
2009
Tipo del documento:
Article