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Pediatrics Jan 2016Breastfeeding duration and exclusivity among Latinas fall below recommended levels, indicating a need for targeted interventions. The effectiveness of clinical... (Meta-Analysis)
Meta-Analysis Review
CONTEXT
Breastfeeding duration and exclusivity among Latinas fall below recommended levels, indicating a need for targeted interventions. The effectiveness of clinical breastfeeding interventions for Latinas remains unclear.
OBJECTIVE
To systematically review the documented effectiveness of clinical breastfeeding interventions on any and exclusive breastfeeding among Latinas.
DATA SOURCES
English-language publications in Medline, CINAHL, and Embase were searched through May 28, 2015.
STUDY SELECTION
Fourteen prospective, controlled studies describing 17 interventions met inclusion criteria.
DATA EXTRACTION
Extracted study characteristics include study design, population characteristics, intervention components, timing and intensity of delivery, provider type, control procedures, and outcome measures.
RESULTS
Random-effects meta-analyses estimated risk differences (RDs) between breastfeeding mothers in intervention and control arms of each study and 95% prediction intervals (PIs) within which 95% of intervals cover the true value estimated by a future study. Interventions increased any breastfeeding at 1 to 3 and 4 to 6 months (RD 0.04 [95% PI -0.15 to 0.23] and 0.08 [-0.08 to 0.25], respectively) and exclusive breastfeeding at 1 to 3 and 4 to 6 months (0.04 [-0.09 to 0.18] and 0.01 [-0.01 to 0.02]). Funnel plot asymmetry suggested publication bias for initiation and 1- to 3-month any breastfeeding. Estimates were slightly larger among interventions with prenatal and postpartum components, 3 to 6 patient contacts, and delivery by an International Board Certified Lactation Consultant or lay provider.
LIMITATIONS
The published evidence for Latinas is limited, and studies have varying methodologic rigor.
CONCLUSIONS
Breastfeeding interventions targeting Latinas increased any and exclusive breastfeeding compared with usual care.
Topics: Breast Feeding; Health Promotion; Hispanic or Latino; Humans
PubMed: 26668300
DOI: 10.1542/peds.2015-2423 -
Archives of Disease in Childhood Dec 2004
Topics: Attitude of Health Personnel; Breast Feeding; Cardiology; Humans; Pacifiers; Pediatrics
PubMed: 15557034
DOI: 10.1136/adc.2004.049627 -
BMJ (Clinical Research Ed.) Apr 1992
Topics: Breast Feeding; Developing Countries; Energy Intake; Health Promotion; Humans; Infant; Infant Food; Infant, Newborn; Osmolar Concentration
PubMed: 1586816
DOI: 10.1136/bmj.304.6834.1068 -
BMJ Global Health Nov 2022There is little evidence of the association between digital marketing of formula and baby food and infant and young child feeding (IYCF) practices.
Digital marketing of formula and baby food negatively influences breast feeding and complementary feeding: a cross-sectional study and video recording of parental exposure in Mexico.
BACKGROUND
There is little evidence of the association between digital marketing of formula and baby food and infant and young child feeding (IYCF) practices.
OBJECTIVE
Assess parents' exposure to digital marketing of formula and baby food for children <2 years and its association with the purchase and IYCF practices in Mexico.
METHODS
Parents ≥18 years recruited from a market research panel completed an online survey (n=1074) and capture-on-screen (n=95) between December 2020 and January 2021. Logistic regressions were used to estimate the association between exposure to digital marketing of formula and baby foods with its purchase, motivation, consumption and IYCF practices.
RESULTS
Digital marketing of formula and baby food was self-reported by 93.9% of parents in the online survey and observed by 93.7% in the capture-on-screen. Recorded ads did not comply with the International Code of Marketing of Breast-milk Substitutes. Parents who self-reported seeing a higher versus lower number of ads were less likely to exclusive breast feed (OR=0.38; 95% CI: 0.19 to 0.78), and more likely to give mixed feeding (OR=2.59; 95% CI: 1.28 to 5.21), formula (OR=1.84; 95% CI: 1.34 to 2.53), processed foods (OR=2.31; 95% CI: 1.59 to 3.32) and sugary drinks (OR=1.66; 95% CI: 1.09 to 2.54). Higher exposure to ads was associated with a higher chance of purchasing products motivated by nutritional (OR=2.1; 95% CI: 1.32 to 3.28) and organic claims (OR=2.1; 95% CI: 1.21 to 3.72).
CONCLUSIONS
Digital marketing of formula and baby food may negatively influence IYCF and should be regulated to ensure children's nutrition and health.
Topics: Infant; Female; Child; Humans; Breast Feeding; Cross-Sectional Studies; Infant Formula; Mexico; Infant Nutritional Physiological Phenomena; Marketing; Video Recording
PubMed: 36343968
DOI: 10.1136/bmjgh-2022-009904 -
Maternal & Child Nutrition Apr 2020Bottle-feeding is an infant feeding modality that has been in existence since ancient times, and currently, a significant number of infants are being fed via a bottle... (Review)
Review
Bottle-feeding is an infant feeding modality that has been in existence since ancient times, and currently, a significant number of infants are being fed via a bottle with either breastmilk or formula. Although research on bottle-feeding has continued, it exists in fragmented, often small studies that focus on singular aspects of feeding an infant using a bottle, with limited information on the bottle-feeding act. Systems theory was the approach used to define the act of bottle-feeding and identify the parts within this act. Health databases were searched using MeSH terms. A summary of the studies are included. The findings of this review revealed that healthy term bottle-feeding infants use similar tongue and jaw movements, can create suction and sequentially use teat compression to obtain milk, with minimal differences in oxygen saturation and SSB patterns, when compared with breastfeeding infants. Bottle and teat characteristics were revealed to affect infant feeding and milk intake. An infant's milk intake during feeding was shown to have a strong association with the interaction between the infant and parent/caregiver. With the issue of who controls the feed, mother or infant, likely to affect an infant's ability to self-regulate their milk intake. Redefining bottle-feeding as a holistic system identifies the interrelationship of the various parts which will improve the understanding of the reciprocal nature of infant feeding. To optimize bottle-feeding outcomes, further research is required on parents' and health professionals' knowledge and understanding of the parts within the act of bottle-feeding.
Topics: Bottle Feeding; Breast Feeding; Female; Humans; Infant; Infant, Newborn; Milk, Human
PubMed: 31908144
DOI: 10.1111/mcn.12939 -
Food and Nutrition Bulletin Sep 2019Effective promotion of exclusive breast-feeding (EBF) is needed to improve child nutrition and survival.
BACKGROUND
Effective promotion of exclusive breast-feeding (EBF) is needed to improve child nutrition and survival.
OBJECTIVE
We explored barriers and facilitators to EBF in rural Tanzania and assessed parents' willingness and ability to try specific recommended EBF practices plus strategies for men to support breast-feeding.
METHODS
We conducted Trials of Improved Practices in 36 households with infants <6 months. Fathers participated in focus group discussions on ways to support breast-feeding. Fathers and mothers were individually interviewed 2 and 3 times, respectively, about their willingness to try and experience with selected new practices. We analyzed data thematically.
RESULTS
Common barriers to EBF were (1) use of gripe water and traditional medicines for perceived symptoms of infantile distress; (2) mothers' workloads and time away from infants, limiting availability for EBF; and (3) water given for perceived thirst. Although several mothers expressed concerns about breast-milk insufficiency, few were giving other foods. After counseling, most mothers reported breast-feeding more optimally. Some reported improved breast-milk supply. Fathers saw their roles as providing food to mothers to ensure sufficient breast-milk and encouraging new practices. Dominant gender roles and work away from home were barriers even if fathers were willing to help with household chores. Fathers mostly provided emotional support or encouraged others to help with chores.
CONCLUSION
Exclusive breast-feeding promotion needs to address concerns about infantile distress and help parents develop effective soothing techniques while avoiding nonprescribed medicines. Engaging men in EBF interventions could help change social norms and facilitate men's involvement in improving breast-feeding practices.
Topics: Breast Feeding; Fathers; Feeding Behavior; Female; Focus Groups; Health Knowledge, Attitudes, Practice; Humans; Infant; Infant Nutritional Physiological Phenomena; Infant, Newborn; Lactation; Male; Mothers; Social Support; Tanzania
PubMed: 31067996
DOI: 10.1177/0379572119841961 -
BMJ Open Feb 2021Using routinely collected hospital data, this study explored secular trends over time in breast feeding initiation in a large Australian sample. The association between...
OBJECTIVES
Using routinely collected hospital data, this study explored secular trends over time in breast feeding initiation in a large Australian sample. The association between obesity and not breast feeding was investigated utilising a generalised estimating equations logistic regression that adjusted for sociodemographics, antenatal, intrapartum and postpartum conditions, mode of delivery and infant's-related covariates.
DESIGN
Population-based retrospective panel.
SETTING
A regional hospital that serves 26% of Victoria's 6.5 million population in Australia.
PARTICIPANTS
All women experiencing live births between 2010 and 2017 were included. Women with missing body mass index (BMI) were excluded.
RESULTS
A total of 7491 women contributed to 10 234 live births. At baseline, 57.2% of the women were overweight or obese, with obesity increasing over 8 years by 12.8%, p=0.001. Although, breast feeding increased over time, observed in all socioeconomic status (SES) and BMI categories, the lowest proportions were consistently found among the obese and morbidly obese (78.9% vs 87.1% in non-obese mothers, p<0.001). In the multivariable analysis, risk of not breast feeding was associated with higher BMI, teenage motherhood, smoking, belonging to the lowest SES class, gravidity 4 and undergoing an assisted vaginal or caesarean delivery. Compared with women with a normal weight, the obese and morbidly obese were 66% (OR 1.66, 95% CI 1.40 to 1.96, p<0.001) to 2.6 times (OR 2.61, 95% CI 2.07 to 3.29, p<0.001) less likely to breast feed, respectively. The detected dose-response effect between higher BMI and lower breast feeding was not explained by any of the study covariates.
CONCLUSION
This study provides evidence of increasing breast feeding proportions in regional Victoria over the past decade. However, these proportions were lowest among the obese and morbidly obese and those coming from the most disadvantaged backgrounds suggesting the need for targeted interventions to support breast feeding among these groups. The psychosocial and physiological associations between obesity and breast feeding should further be investigated.
Topics: Adolescent; Body Mass Index; Breast Feeding; Female; Humans; Obesity, Morbid; Overweight; Pregnancy; Retrospective Studies; Victoria
PubMed: 33568376
DOI: 10.1136/bmjopen-2020-044884 -
BMJ (Clinical Research Ed.) Nov 2006
Topics: Breast Feeding; Child; Cognition; Female; Humans; Intelligence; Socioeconomic Factors
PubMed: 17082524
DOI: 10.1136/bmj.39020.473322.80 -
Asian Pacific Journal of Cancer... Jan 2020Breast cancer (BC) is the most prevalent cancer in Iranian women and the fifth most common cause of cancer-related death in Iran. Risk factors in the adult life may act...
BACKGROUND
Breast cancer (BC) is the most prevalent cancer in Iranian women and the fifth most common cause of cancer-related death in Iran. Risk factors in the adult life may act during fetus life and after delivery. We conducted a case-control study to find out the relation of in utero and early life exposure and risk of BC.
METHODS
A structured questionnaire that covered demographic criteria and BC risk factors in utero was completed for case (732 cases) and control (584 subjects) groups, matched in terms of demographic variants, reproductive issues and socioeconomic status. Odds ratio (OR) and 95% confidence intervals (CI) were computed as measures of association from the logistic models.
RESULTS
Having been breast feed for more than 19-24 month (P<0.001, OR 0.03, CI 0.004-0.21) is protective and positive family history of mother (P-value= 0.009, OR 3.4) is a risk factor for BC in adult.
CONCLUSION
There is increasing recognition that condition in utero is important for later risks in breast. Emerging evidence suggests an association between intrauterine status and women prenatal condition and their subsequent risk of developing breast cancer. this is the first Iranian study assessing prenatal factors and breast cancer risk in the EMR and it should be followed by the larger group of cases and controls in the future.
Topics: Adult; Breast Feeding; Breast Neoplasms; Case-Control Studies; Child, Preschool; Cross-Sectional Studies; Female; Humans; Infant; Iran; Logistic Models; Middle Aged; Odds Ratio; Postnatal Care; Risk Factors; Surveys and Questionnaires
PubMed: 31983167
DOI: 10.31557/APJCP.2020.21.1.75 -
Public Health Nutrition Oct 2016Breast-feeding is associated with positive maternal and infant health and development outcomes. To assist identifying women less likely to meet infant nutritional...
OBJECTIVE
Breast-feeding is associated with positive maternal and infant health and development outcomes. To assist identifying women less likely to meet infant nutritional guidelines, we investigated the role of socio-economic position and parity on initiation of and sustaining breast-feeding for at least 6 months.
DESIGN
Prospective cohort study.
SETTING
Australia.
SUBJECTS
Parous women from the Australian Longitudinal Study on Women's Health (born 1973-78), with self-reported reproductive and breast-feeding history (N 4777).
RESULTS
While 89 % of women (83 % of infants) had ever breast-fed, only 60 % of infants were breast-fed for at least 6 months. Multiparous women were more likely to breast-feed their first child (~90 % v. ~71 % of primiparous women), and women who breast-fed their first child were more likely to breast-feed subsequent children. Women with a low education (adjusted OR (95 % CI): 2·09 (1·67, 2·62)) or a very low-educated parent (1·47 (1·16, 1·88)) had increased odds of not initiating breast-feeding with their first or subsequent children. While fewer women initiated breast-feeding with their youngest child, this was most pronounced among high-educated women. While ~60 % of women breast-fed their first, second and third child for at least 6 months, low-educated women (first child, adjusted OR (95 % CI): 2·19 (1·79, 2·68)) and women with a very low (1·82 (1·49, 2·22)) or low-educated parent (1·69 (1·33, 2·14)) had increased odds of not breast-feeding for at least 6 months.
CONCLUSIONS
A greater understanding of barriers to initiating and sustaining breast-feeding, some of which are socio-economic-specific, may assist in reducing inequalities in infant breast-feeding.
Topics: Australia; Breast Feeding; Educational Status; Female; Humans; Infant; Longitudinal Studies; Parity; Pregnancy; Prospective Studies; Socioeconomic Factors
PubMed: 26996672
DOI: 10.1017/S1368980016000367