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Role of breast-feeding in the prevention and treatment of diarrhoea.
J Diarrhoeal Dis Res 1990; 8(3):68-81JD

Abstract

Recent studies have again shown the beneficial effects of breast-feeding in preventing morbidity and mortality from diarrhoea in infants. A case-control study in Brazil has shown that young infants who are not breast-fed have a 25-time greater risk of dying of diarrhoea than those who are exclusively breast-fed. A longitudinal study in the urban slums of Lima, Peru found that exclusively breast-fed infants have a reduced risk of diarrhoeal morbidity when compared with infants receiving only water in addition to breast-milk. Both these studies, along with numerous others in developing countries, point to the need to extend the duration of exclusive breast-feeding to at least 4-6 months. A review of concerned studies throughout the world shows that even in malnourished women, breast-milk output is sufficient to maintain growth of infants up to this age. The addition of early food supplements to infants fed under prevailing environmental conditions in developing countries leads to their increased diarrhoeal attacks and associated reduced food intake. This results in worsened nutritional status of the affected infants. Breast-feeding helps maintain hydration status during diarrhoeal episodes. Studies in Peru, India, and Nigeria have shown that breast-feeding can be continued during diarrhoea when the infants often refuse other foods, specially non-human milk. Thus, breast-feeding is important in providing necessary calories and protein during a time when a loss of appetite for other foods is common. Diarrhoeal disease control programmes need to modify service delivery to ensure that breast-feeding mothers are not separated from their infants while being treated with oral rehydration therapy (ORT) as inpatients or outpatients. Oral rehydration solution (ORS) should be given to infants with cup and spoon rather than bottles, in order not to interfere with suckling. When in a health system bottles are used for treatment, an implicit credibility is given to their role in modern treatment. Programmes also need to include breast-feeding promotion as a part of their activities. This should comprise hospital practices supporting and ensuring breast-feeding immediately after delivery of the infants and subsequently while they are treated in the hospital: immediate breast-feeding after delivery; Mothers and infants rooming together; On demand breast-feeding; No bottle feedings of water or infant formula; No pre-lacteal feeds. In addition, health professionals need to understand the skills for the management of breast-feeding, so that mothers are given appropriate advice on how to breast-feed and counteract breast-feeding problems.

Authors+Show Affiliations

Center to Prevent Childhood Malnutrition, Bethesda, MD 20814.No affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

2243179

Citation

Huffman, S L., and C Combest. "Role of Breast-feeding in the Prevention and Treatment of Diarrhoea." Journal of Diarrhoeal Diseases Research, vol. 8, no. 3, 1990, pp. 68-81.
Huffman SL, Combest C. Role of breast-feeding in the prevention and treatment of diarrhoea. J Diarrhoeal Dis Res. 1990;8(3):68-81.
Huffman, S. L., & Combest, C. (1990). Role of breast-feeding in the prevention and treatment of diarrhoea. Journal of Diarrhoeal Diseases Research, 8(3), pp. 68-81.
Huffman SL, Combest C. Role of Breast-feeding in the Prevention and Treatment of Diarrhoea. J Diarrhoeal Dis Res. 1990;8(3):68-81. PubMed PMID: 2243179.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Role of breast-feeding in the prevention and treatment of diarrhoea. AU - Huffman,S L, AU - Combest,C, PY - 1990/9/1/pubmed PY - 1990/9/1/medline PY - 1990/9/1/entrez KW - Anthropometry KW - Biology KW - Body Weight KW - Breast Feeding--beneficial effects KW - Child Development KW - Delivery Of Health Care KW - Demographic Factors KW - Developing Countries KW - Diarrhea KW - Diarrhea, Infantile--prevention and control KW - Diseases KW - Education KW - Growth KW - Health KW - Health Personnel KW - Human Milk--analysis KW - Infant Mortality KW - Infant Nutrition KW - Lactation KW - Literature Review KW - Maternal Physiology KW - Measurement KW - Mortality KW - Nutrition KW - Physiology KW - Population KW - Population Dynamics KW - Research Methodology KW - Risk Factors KW - Supplementary Feeding KW - Training Programs SP - 68 EP - 81 JF - Journal of diarrhoeal diseases research JO - J Diarrhoeal Dis Res VL - 8 IS - 3 N2 - Recent studies have again shown the beneficial effects of breast-feeding in preventing morbidity and mortality from diarrhoea in infants. A case-control study in Brazil has shown that young infants who are not breast-fed have a 25-time greater risk of dying of diarrhoea than those who are exclusively breast-fed. A longitudinal study in the urban slums of Lima, Peru found that exclusively breast-fed infants have a reduced risk of diarrhoeal morbidity when compared with infants receiving only water in addition to breast-milk. Both these studies, along with numerous others in developing countries, point to the need to extend the duration of exclusive breast-feeding to at least 4-6 months. A review of concerned studies throughout the world shows that even in malnourished women, breast-milk output is sufficient to maintain growth of infants up to this age. The addition of early food supplements to infants fed under prevailing environmental conditions in developing countries leads to their increased diarrhoeal attacks and associated reduced food intake. This results in worsened nutritional status of the affected infants. Breast-feeding helps maintain hydration status during diarrhoeal episodes. Studies in Peru, India, and Nigeria have shown that breast-feeding can be continued during diarrhoea when the infants often refuse other foods, specially non-human milk. Thus, breast-feeding is important in providing necessary calories and protein during a time when a loss of appetite for other foods is common. Diarrhoeal disease control programmes need to modify service delivery to ensure that breast-feeding mothers are not separated from their infants while being treated with oral rehydration therapy (ORT) as inpatients or outpatients. Oral rehydration solution (ORS) should be given to infants with cup and spoon rather than bottles, in order not to interfere with suckling. When in a health system bottles are used for treatment, an implicit credibility is given to their role in modern treatment. Programmes also need to include breast-feeding promotion as a part of their activities. This should comprise hospital practices supporting and ensuring breast-feeding immediately after delivery of the infants and subsequently while they are treated in the hospital: immediate breast-feeding after delivery; Mothers and infants rooming together; On demand breast-feeding; No bottle feedings of water or infant formula; No pre-lacteal feeds. In addition, health professionals need to understand the skills for the management of breast-feeding, so that mothers are given appropriate advice on how to breast-feed and counteract breast-feeding problems. SN - 0253-8768 UR - https://www.unboundmedicine.com/medline/citation/2243179/Role_of_breast_feeding_in_the_prevention_and_treatment_of_diarrhoea_ L2 - https://medlineplus.gov/breastfeeding.html DB - PRIME DP - Unbound Medicine ER -