Exclusive Breastfeeding Research Articles

The influence of the workplace environment on the behavior of health workers who breastfeed in Kupang Regency

Exclusive breastfeeding coverage in Indonesia in 2022 was recorded at only 72.04%, while in East Nusa Tenggara Province it was 78.56%. In Kupang Regency in 2022, the achievement of exclusive breastfeeding will be 77.2%, which is still less than the national target indicator. Breastfeeding mothers who return to work are less likely to provide exclusive breastfeeding. How challenges can occur in efforts to provide exclusive breastfeeding, namely the environment and from the mother herself. This study aims to determine the influence of the workplace environment on the behavior of breastfeeding mothers who work as health workers. This research is quantitative research using a cross sectional approach. The sample from this research consisted of 84 respondents. In selecting samples using inclusion criteria, namely mothers who work as health workers who have babies aged 6 - 24 months in the Kupang Regency area. The research instrument used a questionnaire from January to March 2024. Data analysis used the chi square test. The results of the univariate analysis showed that the majority of workplace environments were categorized as Fair (53.6%). According to breastfeeding behavior, the majority of breastfeeding mothers chose to partially breastfeed (61.9%). According to the results of bivariate analysis, with a p value of 0.021. An unsupportive work atmosphere can influence the behavior of mothers who breastfeed exclusively. As a result, health institutions must help mothers more by providing appropriate social and physical facilities. In addition, written policies that regulate the rights of breastfeeding mothers must have clear technical instructions. All parties must be committed to creating a friendly environment for breastfeeding mothers. There is an influence of the work environment on breastfeeding behavior for health workers who breastfeed.

Educational Packages on Breastfeeding Increase Behavior and Self-Efficacy of Mothers

As a specific breastfeeding practice, the proportion of exclusive breastfeeding in Indonesia remains below the intended indicator. Education about breastfeeding techniques aims to increase success in providing exclusive breastfeeding by increasing mothers' knowledge and skills in breastfeeding their babies. The goal of this study is to find out how the Jambi City Health Center's breastfeeding education program affects moms' confidence and nursing behavior. Mothers who had just given birth or were nursing their babies participated in this study. Using a control group and a quasi-experimental design with pre- and post-test measures, the study used a quantitative methodology. Using accidental sampling, 25 respondents from the treatment and control groups made up the sample. The variables measured are maternal behavior and self-efficacy. The measuring instruments used were the breastfeeding action instrument and the BSES-FS. The treatment group's behavioral results produced a p-value of 0.001 (<0.05) according to statistical analysis using the Wilcoxon test, while the control group's p-value was 0.629 (>0.05). In a similar vein, the treatment group's p-value for self-efficacy outcomes was 0.001 (<0.05), but the control group's was 0.122 (>0.05). These findings imply that nursing moms' behavior and self-efficacy are significantly impacted by teaching packages on breastfeeding procedures delivered by video and booklet medium. In particular, compared to the control group that did not get the intervention, the treatment group, who did receive the intervention, exhibited improved behavior and greater levels of self-efficacy.

Gender and child feeding practices in Belize- a trend analysis

The study aimed to determine the trend and gender differences in child feeding practices in Belize based on consecutive multiple indicator cluster surveys (MICS) using a retrospective quantitative study. The secondary analysis of the last consecutive MICS data from 2006, 2011 and 2015-16 was done using SPSS software version 23. Association between gender and feeding practices was determined by bivariate analysis using chi-square test and p value < 0.05 was considered statistically significant. There was increased gender differentials in optimal feeding practices in children over the study period. The inequalities between male and female increased over the study period for most of the feeding practices except for exclusive breastfeeding where the gender inequality diminished. The exclusive breastfeeding rate among female children was higher than among male children in the three surveys but significant only in 2006 and 2011 surveys, p<0.05. More female children were timely initiated on complementary feeding compared to male children in the three surveys and was found to be significant in 2006 and 2015 surveys, p<0.05. Minimal meal frequency and minimal dietary diversity was higher among female than among male but there was no significant difference(p>0.05). The study shows evidence of gender differential in feeding practices. There is need to improve gender sensitization in terms of feeding practices within the households; develop and implement culturally appropriate gender sensitive guidance and approaches on optimum infant and young child feeding practices in the country.

Penyuluhan Perawatan Metode Kangguru terhadap Peningkatan Suhu Badan Rendah Bayi Baru Lahir di RSUD Sawerigading Kota Palopo Tahun 2024

Sawerigading Hospital is located in the middle of Palopo City where the location is very strategic and easy to reach by the community, so it is not surprising that Sawerigading Hospital is in great demand by the people of Palopo City to get health service facilities. The method used in this community service activity is a group discussion with an interactive question and answer session between helpers and mothers for 40 minutes. The mothers are all postpartum mothers at Sawerigading Hospital, Palopo City, with a total of 30 mothers. Before the educational activity, a pre-test was carried out and after the activity a post-test was carried out using a questionnaire containing 10 questions about the importance of the kangaroo method. This activity was carried out at Sawerigading Hospital, Palopo City. Kangaroo Method Treatment (FMD) is skin contact between mother and baby early, continuously and combined with exclusive breastfeeding. The purpose of this community service is to increase the knowledge of mothers and mothers of.

Addressing childhood malnutrition in low-income communities in northern Nigeria

Background: Childhood malnutrition is a critical public health issue in Northern Nigeria, significantly affecting the survival, development, and growth of children. This project in Kano State aimed to combat the high malnutrition rates in low-income communities. Factors contributing to malnutrition include food insecurity, poverty, and limited access to healthcare, compounded by cultural norms. This initiative required collaboration with various stakeholders, including government health departments, NGOs, and community leaders, to effectively address the root causes and promote health equity. Methods and Materials: A comprehensive needs assessment and literature review were conducted to identify nutrition-related issues and knowledge gaps among caregivers. Partnerships with local organizations facilitated resource sharing and program implementation. Baseline surveys assessed caregivers' knowledge, attitudes, and practices regarding childhood nutrition. The intervention included a nutrition education program, a long-term food supplementation initiative, and capacity-building for healthcare providers. Pilot testing and observational studies were used to refine the program and gather data on malnutrition patterns and trends. Results: The intervention significantly improved caregivers' knowledge and practices related to child nutrition. There was a 30% increase in caregivers' nutrition knowledge and a 40% increase in appropriate nutrition practices from baseline to post-intervention. Caregivers' attitudes towards nutrition also improved, with a 25% increase in positive attitudes. The program effectively addressed malnutrition by enhancing knowledge about essential nutrition concepts, promoting exclusive breastfeeding, and improving complementary feeding practices and hygiene. Conclusion: The results highlight the necessity of a multifaceted approach to reduce childhood malnutrition in Northern Nigeria. Successful strategies included community-based initiatives, caregiver support, and targeted nutrition education. Addressing underlying causes such as poverty and food insecurity is crucial for sustainable progress. Future efforts should focus on scaling the program, engaging healthcare providers, and advocating for policy changes to ensure long-term child nutrition and health improvements.

The Effect of Economic Status and Mother’s Knowledge in Stunting Cases: A Systematic Review

Background: A reduction in the incidence of stunting has been reported globally over the past few decades. However, stunting remains a big problem for developing countries. The purpose of this research was to review in-depth The Role of Social Economy, Knowledge, behaviour, and stunting in Stunting Cases.Narrative studies with scientific journal database sources published in PubMed, Proquest, Science Direct, and Google Scholar were used. The keywords used in the search were Social economy, Knowledge, behaviour, and stunting. The search included research published within the last five years, that is, 2018-2022. A total of 144 articles were found according to the search titles, and 11 articles were selected for review. After the article was obtained, it was tabulated in an Excel table.The findings show that the family economy will support children's nutritional intake and needs so that children are not underweight during this period of growth and development. A good family economy can support childcare patterns, and healthy home settlements so they can access clean water. The family economy plays a role in overcoming the large number of children and preventing early marriages. Parents' knowledge will influence the mother's attitude in caring for and caring for children from birth to adolescence. This knowledge is closely related to the practice of exclusive breastfeeding, traditional food nutrition, the management of food hygiene, the diversity of children's diets, the nutritional value of food including the fulfilment of certain nutrients both micro and macro and education about stunting.Economic status has a very important impact on stunting prevention because it will affect other aspects related to stunting. Not only that, all the research that has been reviewed shows that the educational level of parents will affect attitudes about how to care for their children.

Effects of feeding patterns during the first 6 months on weight development of infants ages 0–12 months: a longitudinal study

The purpose of this study was to investigate the effect of feeding patterns during the first 6 months on weight development of infants ages 0–12 months. Using monitoring data from the Maternal and Child Health Project conducted by the National Center for Women and Children’s Health of the Chinese Center for Disease Control and Prevention from September 2015 to June 2019, we categorized feeding patterns during the first 6 months as exclusive breastfeeding, formula feeding, or mixed feeding. We calculated weight-for-age Z scores (WAZ) according to the World Health Organization’s (WHO) 2006 Child Growth Standard using WHO Anthro version 3.2.2. A multilevel model was used to analyze the effect of feeding patterns during the first 6 months on the WAZ of infants ages 0–12 months in monitoring regions. Length of follow-up (age of infants) was assigned to level 1, and infants was assigned to level 2. Characteristics of infants, mothers, and families and region of the country were adjusted for in the model. The average weight of infants ages 0–12 months in our study (except the birth weights of boys who were formula fed or mixed fed) was greater than the WHO growth standard. After we adjusted for confounding factors, the multilevel model showed that the WAZ of exclusively breastfed and mixed-fed infants were statistically significantly higher than those of formula-fed infants (coefficients = 0.329 and 0.159, respectively; P < 0.05), and there was a negative interaction between feeding patterns and age (both coefficients = − 0.020; P < 0.05). Infants who were exclusively breastfed were heavier than formula-fed infants from birth until 12 months of age. Mixed-fed infants were heavier than formula-fed infants before 8 months, after which the latter overtook the former. Infants’ weight development may be influenced by feeding patterns during the first 6 months. Exclusive breastfeeding during the first 6 months may be beneficial for weight development of infants in infancy.

INDONESIA’S EFFORT TO MEET WHO RECOMMENDATION ON EXCLUSIVE BREASTFEEDING 2012-2023

Background: The World Health Organization (WHO) provides policy recommendations related to exclusive breastfeeding that can be adopted by UN member states. In Indonesia, the government has issued a policy to support exclusive breastfeeding based on WHO recommendations. Objectives: To describe effort in exclusive breastfeeding governance in Indonesia from 2012 to 2023 according to WHO recommendations. Method: This research uses a descriptive qualitative methodology and relies on a literature review from a variety of sources, including books, journals, articles, websites, and more, to gather information about Indonesia's efforts to meet the WHO recommendations about exclusive breastfeeding from 2012 to 2023. Results: It showed that there were efforts in the community due to applied policies, such as the provision of lactation rooms in public facilities, the formation of Breastfeeding Support Groups, the training of breastfeeding counselors, and the establishment of the PelanggaranKode website to continue to support the exclusive breastfeeding program. Conclusion: There are efforts indicating that government policies are not yet optimal. Recommendations for future research should be more specific by exploring strategies for effective advocacy and policy change to support breastfeeding, as well as evaluating the impact of global health initiatives and programs that promote breastfeeding

Geospatial determinants and spatio-temporal variation of early initiation of breastfeeding and exclusive breastfeeding in Ethiopia from 2011 to 2019, a multiscale geographically weighted regression analysis

BackgroundBreastfeeding offers numerous benefits for infants, mothers, and the community, making it the best intervention for reducing infant mortality and morbidity. The World Health Organization (WHO) recommends initiating breastfeeding within one hour after birth and exclusively breastfeeding for the first six months. This study investigated the trend, spatio-temporal variation, and determinants of spatial clustering of early initiation of breastfeeding (EIBF) and exclusive breastfeeding (EBF) in Ethiopia from 2011 to 2019.MethodsData from the Ethiopian Demographic and Health Survey (EDHS), which was conducted in 2011, 2016, and 2019, were analyzed utilizing a weighted sample of 10,616 children aged 0–23 years for EIBF and 2,881 children aged 0–5 months for EBF. Spatial autocorrelation analysis was used to measure whether EIBF and EBF were dispersed, clustered, or randomly distributed and Kriging interpolation was employed to predict the outcome variables in the unmeasured areas. Spatial scan statistics were used to identify spatial clusters with a high prevalence of cases. Both global and local regression modeling techniques were employed to examine the spatial relationships between the explanatory variables and the dependent variables.ResultsThe trend analysis revealed a notable increase in the prevalence of EIBF from 51.8% in 2011 to 71.9% in 2019. Similarly, the prevalence of EBF increased from 52.7% in 2011 to 58.9% in 2019. Spatial analysis demonstrated significant spatial variation in both EIBF and EBF throughout the country. Cold spots or clusters with a low prevalence of EIBF were observed consistently in the Tigray and Amhara regions, and significant cold spot areas of EBF were observed consistently in the Afar and Somali regions. Multiscale geographically weighted regression analysis revealed significant predictors of spatial variations in EIBF, including the religious affiliation of being a follower of the orthodox religion, parity of 1–2, absence of antenatal care visits, and delivery via cesarean section.ConclusionsDespite the increase in both EIBF and EBF rates over time in Ethiopia, these rates still fall below the national target. To address this issue, the government should prioritize public health programs aimed at improving maternal healthcare service utilization and maternal education. It is essential to integrate facility-level services with community-level services to achieve optimal breastfeeding practices. Specifically, efforts should be made to promote breastfeeding among mothers who have delivered via cesarean section. Additionally, there should be a focus on encouraging antenatal care service utilization and adapting maternal healthcare services to accommodate the mobile lifestyle of pastoralist communities. These steps will contribute to enhancing breastfeeding practices and achieving better outcomes for maternal and child health.

Factors associated with exclusive breastfeeding in " Near Miss " neonates in Brazil.

To assess the association between sociodemographic and perinatal factors and hospital practices to encourage exclusive breastfeeding in near miss neonates in maternity hospitals. This is a prospective cohort of live births from the survey "To be born in Brazil" conducted between 2011 and 2012. The weighted number of newborns who met the neonatal near miss criteria was 832. Exclusive breastfeeding at hospital discharge and 45 days after delivery were dependent variables of the study. The sociodemographic and perinatal factors of the puerperal women and hospital practices to encourage breastfeeding were independent variables. The data were analyzed with Poisson regression and set with p value<0.05. Is exclusive breastfeeding in neonatal near misses associated with factors related to sociodemographic conditions, maternal characteristics and the organization of health services? Data from 498 women and their children were analyzed. Mothers with incomplete primary education were more likely (36%) to have exclusive breastfeeding (RR: 1.36; 95% CI: 1.06-1.74) at discharge. Women who did not offer the breast to the newborn in the joint accommodation (65%) were less likely to be breastfeeding exclusively (RR: 0.65; 95% CI: 0.56-0.75) at discharge. Variables that increased the probability of exclusive breastfeeding after 45 days of delivery were primiparity (RR: 1.36; 95% CI: 1.08-1.69) and having the newborn in the delivery room (RR: 1.90; 95% CI: 1.12-3.24). Exclusive breastfeeding in neonatal near misses was associated with maternal characteristics and important hospital practices, such as being breastfed in the joint accommodation and the newborn being in the mother's lap in the delivery room.

The Effect of Pre-Pregnancy BMI and Parity on the Duration of Breastfeeding During Exclusive Breastfeeding

Obesity is a condition of a person who experiences overnutrition, especially fat accumulation which causes the body to weigh more than normal body weight, indicated with a Body Mass Index (BMI) of more than 29.9 kg/m2. Several international pieces of research state that obese mothers fail to breastfeed exclusively. Aside from maternal BMI, maternal characteristics also support exclusive breastfeeding. Maternal characteristic factors include age, parity, and mother’s education. This study aims to determine the correlation between pre-pregnancy BMI and maternal characteristic factors with the duration of breastfeeding during exclusive breastfeeding. This research is quantitative research using a cross-sectional descriptive-correlational method with a retrospective approach. The number of samples in this research was 300 mothers who met the inclusion criteria with the purposive sampling technique. Data were collected and processed statistically using the Chi-Square test and T-test to determine factors related to breastfeeding duration and the linear regression test with the backward method to determine the most influential factor on breastfeeding duration. The Chi-Square test results showed that all variables were related to the duration of breastfeeding with a p-value &lt;0.05. The linear regression test showed that the factors that had a significant effect on the duration of breastfeeding were pre-pregnancy BMI and parity with a significance of 0.00, judging from the coefficient B factor value of 0.285, parity had a more dominant effect. Pre-pregnancy BMI and parity are the most influential and interrelated variables in exclusive breastfeeding, where primiparous mothers with obesity are more at risk for exclusive breastfeeding failure than obese multiparous mothers.

Development of an educational booklet on how to prevent nipple trauma during breastfeeding

Early interruption of exclusive breastfeeding due to nipple trauma has an impact on the lives of mother and baby. In this manner, the sharing of information through the creation of an educational booklet encourages the continuation of breastfeeding. The objective of this study was to develop an educational booklet on how to prevent nipple trauma during breastfeeding. This is a methodological study carried out in May 2024 and divided into two stages, integrative review in the PubMed, SciELO and LILACS databases, and development of an educational booklet using the ibisPaint X application and the Canva program. The booklet was entitled “Breastfeeding: learn how to prevent nipple trauma”. The booklet included information on: definition of breastfeeding and benefits for the baby and mother, types of nipple, definition of nipple trauma and causes, breastfeeding positions, positioning of the baby, attachment of the baby, steps of attachment, and how to heal nipple trauma. The booklet consisted of a 12 pages. In conclusion, the educational technology was successfully developed, but it will be necessary to conduct content validation to be used by healthcare workers to promote the prevention of nipple trauma.

Overview of Young Mothers’ Readiness in Giving Exclusive Breastfeeding in the Ajibata District, Toba Regency, North Sumatra Province

Mothers have an important role in the development of children's growth and development from an early age. Child development will take place optimally with exclusive breastfeeding from the mother. However, field data shows that young mothers still do not have knowledge and understanding of the importance of exclusive breastfeeding for children. This study aims to determine the readiness of young mothers in exclusive breastfeeding in Ajibata District, Toba Regency, North Sumatra Province. This study used descriptive research with a cross sectional design conducted at the Ajibata Health Center. The research sample used quota sampling which amounted to 30 people with a questionnaire as a research instrument. The results showed that the picture of readiness to provide exclusive breastfeeding in Ajibata District was influenced by the education level of young mothers dominated by high school graduates totaling 23 people and young mothers who were ready to provide exclusive breastfeeding both physically and mentally totaling 23 people.

Gambaran Karakteristik Dan Pengetahuan Ibu Tentang Pemberian Asi Eksklusif Pada Bayi di Puskesmas Doro I

Mother's milk (ASI) is a source of food for babies which is useful for the growth and development of babies. Providing breast milk for 6 months to newborns is the gold standard for baby feeding recommended by WHO. Even though breastfeeding is very important for babies, mothers also often experience failure in providing exclusive breastfeeding. This research aims to describe the characteristics and knowledge of mothers regarding exclusive breastfeeding for babies aged 0-6 months at the Doro I Community Health Center. This research is a descriptive quantitative study, data collection uses Cluster Sampling where the sample is grouped based on region (Posyandu) or population location by 65 samples. This research instrument uses a Knowledge Questionnaire about Exclusive Breastfeeding adopted from (Septianingrum, 2018) consisting of 19 questions. For favorable questions the "correct" answer is given a score of 1 and "wrong" is given a score of 0, while for unfavorable questions the "correct" answer is given a score of 0 and "wrong" is given a score of 1. The instrument is valid with a correlation number (r-count) &gt; 0.444 so it is said to be valid while the Cronbach's Alpha value and reliability are 0.984. The data analysis used was univariate in the form of a percentage frequency distribution. The results showed that all mothers of babies aged 0-6 months at the Doro I Community Health Center (Puskesmas) were all respondents (100%) aged 15-49 years, 23 respondents (35.4%) had a high school education, 58 respondents (89.2) did not work and 46 respondents (70.8%) had ever breastfed. Mothers' knowledge about giving exclusive breastfeeding to babies aged 0-6 months at the Doro I Community Health Center shows that all 65 mothers (100%) of respondents have good knowledge about giving exclusive breastfeeding to babies aged 0-6 months. The conclusion obtained is that mothers' knowledge about giving exclusive breastfeeding to babies aged 0-6 months at the Doro I Community Health Center shows that all respondents, 65 mothers (100%) have good knowledge about giving exclusive breastfeeding to babies aged 0-6 months.

Factors associated with severe pneumonia among children

BackgroundPneumonia is one of the leading causes of infant mortality globally, particularly in sub-Saharan Africa. In Uganda, pneumonia was the fourth leading cause of death in children <5 years in 2018. Analysis of 2013–2022 data for children <5 years from the District Health Information System indicated a high incidence of severe pneumonia in Kasese District, Uganda. We investigated to identify factors associated with severe pneumonia among children <5 years in Kasese District to inform prevention and control strategies.MethodsWe conducted a 1:1 hospital-based case-control study among children aged 2–59 months presenting with pneumonia at five high-volume facilities in Kasese District from January to April 2023. A case was defined as pneumonia with ≥1 of the following danger signs: low oxygen saturation, central cyanosis, severe respiratory distress, feeding difficulties, altered consciousness, and convulsions. Controls were outpatient children aged 2–59 months with a diagnosis of non-severe pneumonia. We reviewed medical records at facilities and used an interviewer-administered questionnaire with caregivers to obtain information on socio-demographic and clinical characteristics. Logistic regression was used to identify factors associated with severe pneumonia.ResultsWe enrolled 199 cases and 174 controls. The odds of severe pneumonia were higher among children with diarrhoea only (adjusted odds ratio [aOR] = 2.9, 95%CI: 1.7–4.9), or malaria and diarrhoea (aOR = 3.4, 95%CI: 2.0-5.9), than those without a co-existing illness at the time of pneumonia diagnosis. Not being exclusively breastfed for ≥ 6 months (aOR = 2.0, 95%CI: 1.1–3.3) and exposure to indoor air pollution from cooking combustion sources (aOR = 2.9, 95%CI: 1.8–4.7) increased odds of severe pneumonia.ConclusionThe findings highlight the significance of comorbidities, lack of exclusive breastfeeding, and exposure to indoor air pollution in the development of severe pneumonia. Promoting exclusive breastfeeding for ≥ 6 months and advocating for the use of clean energy sources, could mitigate morbidity attributable to severe pneumonia in the region.

Effects of Doula Care on Mother and Infant Health Outcomes in Al-Ahsa Region, Saudi Arabia: A Retrospective Cohort Study.

Introduction Continued supportive care during childbirth may be the key to preventing unfavorable outcomes for both mother and child. It is important to assess and comprehend the sources of assistance available during pregnancy in order to enhance the birthing process and promote favorable outcomes. Objectives The current study aimed to assess the impact of ongoing doula support on mother and infant health outcomes compared to standard care. Methods A retrospective cohort study using both medical records and direct interviews based on information in the data collection form was carried out in the Eastern Province of Saudi Arabia, Al-Ahsa Region. The data that were collected included demographic information, obstetric history, delivery data, and postpartum outcome. Results A total of 50 pregnant women receiving doula care and 100 pregnant women receiving standard care were included. Regarding the mode of delivery, 43 (86%) of the doula group had vaginal deliveries compared to 73 (73%) of the standard care group, while CSs were needed for seven (14%) and 27 (27%), respectively (P = 0.78). Only seven (14%) neonates in the doula group required neonatal intensive care unit admission, versus 22 (22%) in the standard care group (P = 0.246). Additionally, initial breastfeeding within the golden hour occurred in 27 (54%) of the doula group compared to 16 (16%) of the standard care group, while exclusive breastfeeding was reported in 32 (64%) of the doula group compared to 26 (26%) of the standard care group (P < 0.001). Conclusion The current study showed more advantageous delivery and postpartum outcomes among doula care women and their infants compared to standard care, mainly for increasing the rate of initiated breastfeeding within the golden hour, exclusive breastfeeding, and reducing postpartum depression.

HUBUNGAN FAMILY SUPPORT DAN BREASTFEEDING SELF EFFICACY PADA IBU MENYUSUI PMB YULI BAHRIAH

Breast milk (ASI) is considered the best and most important food for babies up to 6 months of age without the addition of other foods. The success of breastfeeding is very dependent on the support provided, both from the family and from the mother's self-efficacy in breastfeeding. The mother's condition can also influence breastfeeding success, such as confidence in her breastfeeding ability (breastfeeding self-efficacy). This study aims to determine the relationship between family support and breastfeeding self-efficacy (breastfeeding self-efficacy) with the success of providing exclusive breastfeeding to breastfeeding mothers at PMB Yuli Bahriah. The method used is quantitative by designcross-sectional, and the sample consisted of 20 breastfeeding mothers in the PMB Yuli Bahriah Kertapati work area in 2024. Data collection was carried out using a questionnaire with specific questions regardingfamily support and the success of exclusive breastfeeding.Breastfeeding self-efficacy measured using a scaleBreastfeeding Self-Efficacy (BSE) and analyzed by testchi-square. The research results show that there is a significant relationship betweenfamily support, breastfeeding self-efficacy, and the success of exclusive breastfeeding. Family support plays an important role in the success of exclusive breastfeeding, because it helps babies and families understand the importance of breastfeeding. Mothers also need to increase their self-confidence and motivation to breastfeed as well as knowledge about correct breastfeeding techniques through health service counseling.

Incidence of Stunting: Early and Exclusive Breastfeeding in Two-Year-Old Children

Incidence of Stunting: Early and Exclusive Breastfeeding in Two-Year-Old Children

Breastfeeding behaviours in women with obesity; associations with weight retention and the serum metabolome: a secondary analysis of UPBEAT.

Maternal obesity is associated with a decreased intention and initiation of breastfeeding as well as a shortened duration of breastfeeding. This analysis was undertaken to identify breastfeeding behaviours, and relationships with maternal anthropometry and the serum metabolome at 6-months postpartum in an ethnically diverse cohort of women with obesity. A cohort analysis of 715 women from the UK Pregnancies Better Eating and Activity Trial (UPBEAT); a multi-centre randomised controlled trial of an antenatal lifestyle intervention in women with obesity. Maternal data were collected in early pregnancy and included body mass index (BMI), socio-demographic characteristics and anthropometry. At 6-months postpartum, breastfeeding behaviours, anthropometry and 158 maternal metabolic measures from blood samples were recorded. Kaplan-Meier curves of breastfeeding duration were constructed and were stratified by obesity class (I: BMI 30.0-34.9 kg/m2, II: 35.0-39.9 kg/m2, III: ≥40.0 kg/m2). Relationships between breastfeeding behaviours, socio-demographic characteristics, the metabolome, and anthropometry were determined using regression analyses. Eighty-two percent (591/715) of the cohort-initiated breastfeeding and at the 6-month follow-up 40% (283/715) were breastfeeding exclusively or partially. Duration of exclusive breastfeeding decreased with increasing BMI: Compared to BMI class I (mean 90.4 ± 64 days) the difference in mean for classes II and III were -15.8 days (95% confidence interval: -28.5, -3.1, p < 0.05) and -16.7 (95% CI: -32.0 to -1.35, p < 0.05), respectively. Compared to no breastfeeding, any breastfeeding at 6-months postpartum was associated with improvements in metabolites towards a healthier profile, reduced weight retention by -1.81 kg (95% CI -0.75, -2.88, p < 0.05 ) and reduced anthropometric measures, including mid-upper arm and hip circumferences. The breastfeeding related changes in anthropometry were not evident in women of Black ethnicity. Greater emphasis on enabling breastfeeding for women with obesity could improve duration, women's weight management and metabolic health. The lack of breastfeeding related anthropometric effects in Black women requires further investigation. ISRCTN reference 89971375.

Association between perinatal and obstetric factors and early age at diagnosis of type 1 diabetes mellitus: a cohort study.

To evaluate the association between perinatal and obstetric factors as potential triggers for the early onset of T1DM. This was a retrospective cohort study enrolling 409 patients diagnosed with T1DM, in Bauru, São Paulo, Brazil, from 1981 to 2023. Data were retrieved from medical records, regarding sociodemographic parameters as age, sex, ethnicity, and socioeconomic status. Perinatal and obstetric factors as delivery type, gestational age, filiation order, length of exclusive breastfeeding, maternal age, maternal and fetal blood types, and occurrence of maternal gestational diabetes were also analyzed. An adapted survival analysis was employed to gauge the impact of each assessed variable at the age of T1DM diagnosis. The median age of T1DM diagnosis was 10.3 years with an interquartile range between 6.4 and 15.5 years. Delivery type and filiation order were the only factors statistically significantly associated with an early age at T1DM diagnosis. Patients who were born through cesarean section and who were firstborns showed a 28.6 and 18.0 % lower age at T1DM diagnosis, respectively, compared to those born through vaginal delivery and those that were nonfirstborns. Being born by cesarean section and being firstborn showed to be statistically significant factors to determine an early T1DM diagnosis.