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Breast-feeding among the urban poor in southern Brazil: reasons for termination in the first 6 months of life.
Bull World Health Organ. 1989; 67(2):151-61.BW

Abstract

A study of breast-feeding practices over the first 6 months of life among a cohort of urban poor infants in southern Brazil indicated that the median duration of breast-feeding was 18 weeks, and at 6 months 41% of the infants were still being breast-fed. The duration of breast-feeding was significantly associated with the following: the infant's sex, mother's colour, type of first feed, timing of the first breast-feed, breast-feeding regimen and frequency of breast-feeding at 1 month, and the use of hormonal contraceptives by the mother. The following were significant risk factors for early termination of breast-feeding: the infant's sex, type of first feed, use of supplementary feeds, frequency of breast-feeding, feeding regimen, weight-for-age, and weight-for-age after controlling for birth weight. Dissatisfaction with their infant's growth rate was the most frequent reason given by mothers for supplementing the diets of infants who were exclusively breast-fed in the first 3 months of life. Also, the mothers' perception that their milk output was inadequate was the most frequent reason expressed for stopping breast-feeding in the first 4 months. The roles of health services and family support in providing favourable conditions for increasing the duration of breast-feeding in the study population are discussed, as well as the possibility of bias being introduced into studies of the relationship between infant feeding and growth by the effect of the infant's rate of growth on the mother's decision to continue breast-feeding.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

2743537

Citation

Martines, J C., et al. "Breast-feeding Among the Urban Poor in Southern Brazil: Reasons for Termination in the First 6 Months of Life." Bulletin of the World Health Organization, vol. 67, no. 2, 1989, pp. 151-61.
Martines JC, Ashworth A, Kirkwood B. Breast-feeding among the urban poor in southern Brazil: reasons for termination in the first 6 months of life. Bull World Health Organ. 1989;67(2):151-61.
Martines, J. C., Ashworth, A., & Kirkwood, B. (1989). Breast-feeding among the urban poor in southern Brazil: reasons for termination in the first 6 months of life. Bulletin of the World Health Organization, 67(2), 151-61.
Martines JC, Ashworth A, Kirkwood B. Breast-feeding Among the Urban Poor in Southern Brazil: Reasons for Termination in the First 6 Months of Life. Bull World Health Organ. 1989;67(2):151-61. PubMed PMID: 2743537.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Breast-feeding among the urban poor in southern Brazil: reasons for termination in the first 6 months of life. AU - Martines,J C, AU - Ashworth,A, AU - Kirkwood,B, PY - 1989/1/1/pubmed PY - 1989/1/1/medline PY - 1989/1/1/entrez KW - Age Factors KW - Americas KW - Biology KW - Birth Weight KW - Body Weight KW - Bottle Feeding KW - Brazil KW - Breast Feeding--determinants KW - Contraception KW - Contraception Termination KW - Contraceptive Usage KW - Cultural Background KW - Delivery KW - Demographic Factors KW - Developing Countries KW - Economic Factors KW - Educational Status KW - Employment Status--women KW - Ethnic Groups KW - Family Planning KW - Health KW - Income KW - Infant Nutrition KW - Latin America KW - Maternal Age KW - Nutrition KW - Parental Age KW - Physiology KW - Population KW - Population Characteristics KW - Pregnancy KW - Pregnancy Outcomes KW - Reproduction KW - Sex Factors KW - Socioeconomic Factors KW - Socioeconomic Status KW - South America KW - Urban Population SP - 151 EP - 61 JF - Bulletin of the World Health Organization JO - Bull World Health Organ VL - 67 IS - 2 N2 - A study of breast-feeding practices over the first 6 months of life among a cohort of urban poor infants in southern Brazil indicated that the median duration of breast-feeding was 18 weeks, and at 6 months 41% of the infants were still being breast-fed. The duration of breast-feeding was significantly associated with the following: the infant's sex, mother's colour, type of first feed, timing of the first breast-feed, breast-feeding regimen and frequency of breast-feeding at 1 month, and the use of hormonal contraceptives by the mother. The following were significant risk factors for early termination of breast-feeding: the infant's sex, type of first feed, use of supplementary feeds, frequency of breast-feeding, feeding regimen, weight-for-age, and weight-for-age after controlling for birth weight. Dissatisfaction with their infant's growth rate was the most frequent reason given by mothers for supplementing the diets of infants who were exclusively breast-fed in the first 3 months of life. Also, the mothers' perception that their milk output was inadequate was the most frequent reason expressed for stopping breast-feeding in the first 4 months. The roles of health services and family support in providing favourable conditions for increasing the duration of breast-feeding in the study population are discussed, as well as the possibility of bias being introduced into studies of the relationship between infant feeding and growth by the effect of the infant's rate of growth on the mother's decision to continue breast-feeding. SN - 0042-9686 UR - https://www.unboundmedicine.com/medline/citation/2743537/Breast_feeding_among_the_urban_poor_in_southern_Brazil:_reasons_for_termination_in_the_first_6_months_of_life_ L2 - https://www.ncbi.nlm.nih.gov/pmc/articles/pmid/2743537/ DB - PRIME DP - Unbound Medicine ER -