Mothers Of Children Age Research Articles

Infant and young child feeding practice among mothers of children age 6 to 23 months in Debrelibanos district, North Showa zone, Oromia region, Ethiopia.

Inappropriate infant and young child feeding (IYCF) practice is the leading cause of malnutrition in children. Data is needed to identify children at risk of poor feeding practice and to target interventions to improve IYCF practices. Therefore, this study aimed to assess IYCF practice and associated factors among mothers of children age 6 to 23 months in Debrelibanos district, north Showa zone, Oromia region, Ethiopia. A community-based cross-sectional study design was conducted among 380 mothers of children age 6 to 23 months from March 1 to April 5, 2019. A simple random sampling technique was used to select the respondents. Data was collected using a structured interviewer-administered questionnaire that had been pretested. The data was entered into Epi-Data 3.1 and then transferred to SPSS 21 for analysis. Descriptive statistical analysis was done, and an association between an outcome variable and independent variables was examined in logistic regression models. Overall, 65.8% of mothers practiced appropriate IYCF practice. The study revealed that 70.5% of children started breastfeeding within one hour of birth, and 61.6% were breastfed exclusively for six months. Among studied mothers, 79.5% continued to breastfeed their children until 2 years, and 69.2% of the participants started complementary feeding timely at six months. Minimum dietary diversity was observed in 19.2% of children, while minimum meal frequency was found in 79.2%. The majority of mothers (77.6%) fed their babies with bottles. Mother's educational status of primary school [AOR = 4.50, 95% CI: (1.38,14.61)], husband's occupation being merchant [AOR = 6.45, 95% CI: (1.51, 27.59)]; antenatal care follows up [AOR = 3.15, % CI: (1.22, 8.12)], radio/television ownership [AOR = 7.41, 95% CI: (2.86, 19.20)], child's sex being female [AOR = 4.78, 95% CI: (2.26, 10.064) and sufficient knowledge on child feeding [AOR = 2.82, 95% CI: (1.27, 26.26)] were independent predictors for appropriate IYCF practice. The prevalence of appropriate infant and young child feeding practice indicators was found to be rather high among the mothers in this study. The use of a bottle to feed babies, in particular is very common among the mothers who were studied. To address child malnutrition, it is critical to educate families about proper IYCF practices. This study suggests that mothers be properly educated about IYCF recommendations at health care facilities during their visits, as well as the promotion of appropriate IYCF through various media.

Magnitude and determinants of appropriate complementary feeding practice among mothers of children age 6-23 months in Western Ethiopia.

Appropriate complementary feeding has the potential to prevent 6 percent of all under five deaths particularly in developing countries. However, infant and young child feeding practices in Ethiopia are suboptimal. Data on complementary feeding practices in Horro district are also lacking. Therefore, this study aimed to determine magnitude and determinants of appropriate complementary feeding practice among mothers of children age 6-23 months in Horro district, Western Ethiopia. Community based cross sectional study was conducted from February to March 2016 in six kebeles of Horro district, Western Ethiopia. A total of 325 mothers of children age 6-23 months were included in the study. Data were collected using pre-tested interviewer administered structured questionnaire; entered into EPI-INFO version 3.5.4 and analyzed using SPSS version 20. Odds ratio was calculated with 95% CI to identify determinants of appropriate complementary feeding practice. P-values less than 0.05 were considered as statistically significant. The magnitude of appropriate complementary feeding practice in the study area was 9.91%. Lower age of child (6-11months) [AOR: 0.195, 95% CI: (0.045-0.846)], having no formal education [AOR = 0.115:95% CI: (0.002, 0.290)] and giving birth for the first time [AOR = 0.271:95% CI: (0.011, 0.463)] were factors negatively associated with appropriate complementary feeding practice. Only one tenth of mothers practiced appropriate complementary feeding. This strongly calls for sustained nutrition education targeting uneducated mothers, mothers who gave birth for the first time and those with very young children to improve the practice.

Factors Affecting Uptake of Routine Immunization Among Children Age 12-23 Months in District Rahimyar Khan, Punjab, Pakistan

AbstractBackground: Vaccination prevents significant amount of childhood deaths around the globe. Pakistan is vaccinating children through EPI since 1978 against 10 diseases. Pakistan is facing difficulties in achieving goal of vaccine coverage due to multiple factors. Researches reveal that human resource, poor equipment and training of health care personnel are important for successful immunization programme. Current study was conducted to assess the routine immunization coverage among children of age 12-23 months in Rahimyar Khan district, Punjab, Pakistan and to identify factors that affect uptake of routine immunization in Rahimyar Khan district, Punjab, Pakistan.Materials and Methods: It was a cross sectional study which was conducted in Rahimyar Khan from Oct 2016-Jan 2017. A total of 378 mothers having children of age 12-23 months were interviewed through structured questionnaire. Total 12 (six rural and six urban) Union Councils of district Rahimyar Khan were selected through random sampling. For household selection, random area of union council was selected, and bottle was rotated to select first house, then every Nth (5th) house were approached for sample until required sample size was obtained. Data was analysed by SPSS 22.0. Chi Square test was used to explore association between independent variables and outcome variable.Results: A total of 378 mothers of children age 12-23 months were interviewed. About 66.10% children were found fully immunized. Measles- II vaccine coverage was 60.8% while 78% were immunized against BCG vaccines. Mother’s educational status, occupation and father’s educational status, occupations were observed to the significantly affect the immunization coverage of children. The monthly household income, age of children and area of residence also significantly affected the immunization coverage of children. Other factors such as the child gender, ethnicity, religion, type of family and number of children did not significantly affect the immunization coverage. Majority of respondents’ perception were place of delivery and community health workers play role to enhance the vaccination coverage.Conclusion: The study concluded that the majority (66.10%) of children were completely immunized within recommended time. The reasons of vaccine refusal and lower immunization coverage areas can be countered by overcoming the factors such as place of delivery, theory of knowledge, general public motivation and well-planned infrastructure at National and local level.

Child Feeding Practices and Factors (Risks) Associated with Provision of Complementary Foods Among Mothers of Children Age 6–23 Months in Dedza District of Central Malawi

Child Feeding Practices and Factors (Risks) Associated with Provision of Complementary Foods Among Mothers of Children Age 6–23 Months in Dedza District of Central Malawi

Appropriate complementary feeding practices and associated factors among mothers of children age 6-23 months in Southern Ethiopia, 2015.

BackgroundPoor complementary feeding of children aged 6–23 months contributes to the characteristics negative growth trends and deaths observed in developing countries. Evidences have shown that promotion of appropriate complementary feeding practices reduces the incidence of stunting and leads to better health and growth outcome. This study was aimed at assessing practices of complementary feeding and associated factors among mothers of children aged 6–23 months.MethodsA community-based cross sectional study design was conducted among 611 mothers who had children with 6–23 months of age in the ten randomly selected Kebeles (smallest administrative unit). A multistage sampling technique was used to identify study subjects. Data were collected using pre-tested structured questionnaire. Data were entered in to Epi info version 3.5.1. Data cleaning and analysis were done using SPSS version 16. Odds ratios (ORs) with 95 % confidence interval (CI) were computed to measure the strength of association.ResultsThe response rate was 97.6 % (611/626). The practices of timely initiation of complementary feeding, minimum meal frequency and minimum dietary diversity were 72.5, 67.3 and 18.8 % among mothers of 6–23 months aged children, respectively. The practice of appropriate complementary feeding was 9.5 %. Child’s age (12–17 and 18–23 months) [Adjusted OR: 2.75 (95 % CI: 1.07 7.03), 2.64 (95 % CI: 1.06 6.74)], educational level of mother (primary and secondary and above schools) [AOR: 3.24 (1.28 8.20), 3.21 (1.1.07 9.70)], and smaller family size [AOR: 12.10 (95 % CI: 1.10 139.7)] were found to be independent predictors of appropriate complementary feeding practice of 6–23 months old children.ConclusionLow appropriate complementary feeding of children aged 6–23 months was observed. Mothers who are illiterate, children age 6–11 months and families with large size were associated factors for inappropriate feeding practices. Therefore, nutritional counseling on child feeding practices were recommended.

Su1268 Microbiota Profiling in Children With Functional Constipation

BACKGROUND: The prevalence of functional gastrointestinal disorders (FGIDs) in infants and toddlers by Rome III criteria is unknown. The purpose of the current study was to determine the U.S. prevalence of gastrointestinal symptoms suggestive of an infant/toddler FGID as reported by mothers in a representative community sample. METHODS: A national community sample provided by the market research company Cint USA, Inc. consisted of 1,447 mothers of children age 0-18 from all 50 US states who completed an internet survey including Rome III symptom questions, demographics, health history and the pediatric quality of life questionnaire. Of these, 320 provided information about children 0-3 years old and 264 (82.5%) were judged valid (consistent survey answers and no diagnosed disease explaining the GI symptoms). Stratified sampling was used to ensure equal gender proportions, child age distribution and adequate representation of Hispanic and African American children. To avoid biasing the sample, invitations to participate described the study as a general health survey rather than a survey of gastrointestinal symptoms. RESULTS: The children in the sample were 47.7% female, 26.7% Hispanic, 56.8% Caucasian, 12% African American, and 6% Asian; 99.2% lived full time with their mothers. Children were approximately equally divided by age (32% $100,000 (9%). Twenty seven percent of infants/toddlers qualified for at least one FGID by Rome III criteria. All seven infant/toddler FGIDs occurred, with infant regurgitation as the most common disorder (see Table). No race and gender differences were found. Compared to those who did not meet Rome criteria, toddlers with FGID had lower quality of life (M=80.1 vs M=90.3, p<.001). There was a trend for children to qualify for a FGID if their mother also qualified for an FGID (p = .08). A child was also more likely to have hard stools if the parent reported hard stools (p= 0.02) but no such association was found for loose stools. CONCLUSION: This first national survey in the U.S. on infant and toddler FGIDS shows that these disorders are common, can be identified in the general population and reduce quality of life. No gender and race differences were found. More research is needed into these conditions as it may improve the lives of a significant number of young children [Research supported by the Rome foundation]. Percentages of infants/toddlers meeting Rome III criteria by mother's report

Su1267 Prevalence of Infant/Toddler Functional Gastrointestinal Disorders in the U.S.: Results of a National Community Survey of Mothers

BACKGROUND: The prevalence of functional gastrointestinal disorders (FGIDs) in infants and toddlers by Rome III criteria is unknown. The purpose of the current study was to determine the U.S. prevalence of gastrointestinal symptoms suggestive of an infant/toddler FGID as reported by mothers in a representative community sample. METHODS: A national community sample provided by the market research company Cint USA, Inc. consisted of 1,447 mothers of children age 0-18 from all 50 US states who completed an internet survey including Rome III symptom questions, demographics, health history and the pediatric quality of life questionnaire. Of these, 320 provided information about children 0-3 years old and 264 (82.5%) were judged valid (consistent survey answers and no diagnosed disease explaining the GI symptoms). Stratified sampling was used to ensure equal gender proportions, child age distribution and adequate representation of Hispanic and African American children. To avoid biasing the sample, invitations to participate described the study as a general health survey rather than a survey of gastrointestinal symptoms. RESULTS: The children in the sample were 47.7% female, 26.7% Hispanic, 56.8% Caucasian, 12% African American, and 6% Asian; 99.2% lived full time with their mothers. Children were approximately equally divided by age (32% $100,000 (9%). Twenty seven percent of infants/toddlers qualified for at least one FGID by Rome III criteria. All seven infant/toddler FGIDs occurred, with infant regurgitation as the most common disorder (see Table). No race and gender differences were found. Compared to those who did not meet Rome criteria, toddlers with FGID had lower quality of life (M=80.1 vs M=90.3, p<.001). There was a trend for children to qualify for a FGID if their mother also qualified for an FGID (p = .08). A child was also more likely to have hard stools if the parent reported hard stools (p= 0.02) but no such association was found for loose stools. CONCLUSION: This first national survey in the U.S. on infant and toddler FGIDS shows that these disorders are common, can be identified in the general population and reduce quality of life. No gender and race differences were found. More research is needed into these conditions as it may improve the lives of a significant number of young children [Research supported by the Rome foundation]. Percentages of infants/toddlers meeting Rome III criteria by mother's report

Is maternal diabetes a risk factor for childhood obesity?

Objective: Our objective is to determine if there is a relationship between diabetes during pregnancy and childhood obesity, in our inner-city, African–American population. Methods: Pertinent child, neonatal and maternal pregnancy and delivery data were collected from mothers of children age 2–5 years old. Outcome variable definition was based on children’s body mass index (BMI) subgroups; independent variable definition on birthweight subgroups based on customized growth percentiles. Covariates included pre and postnatal factors. Those covariates marginally related to diabetes (p < 0.2) by bivariate analyses, were allowed to compete in logistic regression, with p < 0.05 significant. Results: Four hundred and ninety-three patients were enrolled, of which 35 (7.1%) had diabetes during pregnancy. Children of diabetic mothers were more likely to be obese at age 2–5 years than those of non-diabetics (p = 0.004). Five of 20 covariates had p < 0.2 in bivariate setting. Following stepwise logistic regression, diabetes and maternal prepregnancy BMI were significant determinants of childhood obesity. When large-for-gestational age (LGA) was added into the model, diabetes was no longer significant (p = 0.105); only LGA (p = 0.008) and maternal prepregnancy BMI (p = 0.032) were significantly associated with childhood obesity. Conclusions: In our inner-city, primarily African–American population, diabetes in pregnancy is significantly related to childhood obesity at age 2–5 years. Well-controlled diabetes during pregnancy that avoids macrosomia may lead to prevention of future childhood obesity as well.