DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20181733

Effect of exclusive breastfeeding on growth and morbidity of infants up to 6 months of age: a longitudinal study

Abhaykumar W. Ambilkar

Abstract


Background: Breast feeding is the best infant food for optimal growth and development. Early initiation and exclusive breastfeeding for first 6 months of life are widely recommended. However, very few infants receive timely initiation and exclusive brastfeeding. The present research is conducted to know the practice of exclusive breastfeeding in the community and to study its impact on growth and morbidity during first 6 months of life.

Methods: Infants born in tertiary care hospital in Mumbai with defined inclusion criteria were included in the study. The study completed in two phases-1) Baseline Data collection: on socio-demographic and anthropometric details 2) Follow up: morbidity details and anthropometric measurements recorded during 3 follow up visits first at the end of neonatal period, second at completed 3 months and third at the completed 6 months.

Results: 402 infants were studied for this research. 256 (63.7%), 202 (50.2%) and 112 (27.9%) infants were reported to be exclusively breastfed at first, second and third follow up visits respectively. Infants with exclusive breastfeeding for a period of 6 months have better outcome in terms of weight than non-exclusively breastfed infants. Also Episodes of respiratory tract infection and diarrhoea were significantly lower (p<0.01) in exclusively breastfed infants for 6 months compared to non- exclusively breastfed infants.

Conclusions: Infants with exclusive breastfeeding for a period of 6 months have better outcome in terms of weight than non-exclusively breastfed infants. Exclusive breastfeeding prevents respiratory infection and diarrhoeal diseases.


Keywords


Exclusive breast feeding, Growth, Infant morbidity

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References


Short-term effects of breastfeeding- a systematic review on the benefits of breastfeeding on diarrhoea and pneumonia mortality. WHO 2013. Available at: http://apps.who.int/iris/bitstream/10665/95585/1/9789241506120_eng.pdf?Ua=1. Accessed on 4 May 2015.

Lartey A, Manu A, Brown KH, Peerson JW, Dewey KG. Predictors of growth from 1-18 months among breastfed Ghanian infants. Eur J Clin Nutr. 2000;54(1):41-9.

Hop LT, Giay T, Sastroamidjojo S, Schuttink W, Lang NT. Premature complementary feeding is associated with poorer growth of Vietnamese children. J Nutr. 2000;130(11):2683-90.

Vestergaard M, Obel C, Henriksen TB, Sorensen HT, Kajaa E, Ostergaard J. Duration of breastfeeding and development milestones during the latter half of infancy. Acta Paediatr. 1999;88(12):1327-32.

Global Strategy for Infant and Young Child Feeding. World Health Organization 2003. Available at http://apps.who.int/iris/bitstream/ 10665/42590/1/9241562218.pdf. Accessed on 4 May 2015.

National Family Health Survey (NFHS-3) 2005-06 India Volume I. Available at: http://rchiips.org /nfhs/NFHS-3%20Data/VOL-1/India_volume_I_ corrected_17oct08.pdf. Accessed on 4 May 2015.

Castillo C, Atalah E, Riumalló J, Castro R. Breast feeding and the nutritional status of nursing children in Chile. Bull Pan Am Health Organ. 1996;30(2):125-33.

Chudasama RK, Amin CD, Parikh YN. Prevalence of exclusive breastfeeding and its determinants in first 6 months of life: A prospective study. Online J Health Allied Scs. 2009;8(1):3.

Onayade AA, Abiona TC, Abayomi IO, Makanjuola RO. The first six month growth and illness of exclusively and non-exclusively breast-fed infants in Nigeria. East Afr Med J. 2004;81(3):146-53

Eissa AM, El-sherbini AF, Khashaba AA, El-bakry M, Abou Amer ER. Breast feeding and infant growth, a follow-up study in Menoufia, Egypt. Popul Sci. 1990;9:69-75.

Chantry CJ, Howard CR, Auinger P. Full breastfeeding duration and associated decrease in respiratory tract infection in US children. Pediatrics. 2006;117(2):425-32.

Quigley MA, Kelly YJ, Sacker A. Breastfeeding and hospitalization for diarrheal and respiratory infection in the United Kingdom Millennium Cohort Study. Pediatrics. 2007;119(4):e837-42.

Arifeen S, Black RE, Antelman G, Baqui A, Caulfield L, Becker S. Exclusive breastfeeding reduces acute respiratory infection and diarrhea deaths among infants in Dhaka slums. Pediatrics. 2001;108(4):E67.

Gdalevich M, Mimouni D, David M, Mimouni M. Breast-feeding and the onset of atopic dermatitis in childhood: a systematic review and meta-analysis of prospective studies. J Am Acad Dermatol. 2001;45(4):520-7.

Benn CS, Wohlfahrt J, Aaby P, Westergaard T, Benfeldt E, Michaelsen KF. Breastfeeding and risk of atopic dermatitis, by parental history of allergy, during the first 18 months of life. Am J Epidemiol. 2004;160(3):217-23.