Breastfeeding failure in a longitudinal post‐partum maternal nutrition study in Hong Kong

Chan, Sau Man; Nelson, E. A. S.; Leung, S. S. F.; Li, C. Y.

doi:10.1046/j.1440-1754.2000.00544.x

Cited by 57 publications

(55 citation statements)

References 13 publications

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“…However, due to the low rate of exclusive breastfeeding rate in Hong Kong (Chan et al, 2000b) and the long-term follow-up, the present study was limited by small sample size. Other similar studies have also been limited by small sample sizes, with number of lactating subjects ranging from 9 to 26 (Hayslip et al, 1989;Cross et al, 1995;Krebs et al, 1997;Ritchie et al, 1998).…”

Section: Discussionmentioning

confidence: 93%

Bone mineral density and calcium metabolism of Hong Kong Chinese postpartum women—a 1-y longitudinal study

et al. 2005

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Objective: This paper reports longitudinal changes in bone mineral density (BMD), calcium homeostasis and dietary calcium intake in a group of Hong Kong breastfeeding women during the first year postpartum. Design and subjects: Nine mothers who breastfed exclusively or almost exclusively for at least 3 months and 14 formula feeding mothers aged 20-40 y were interviewed after delivery, 2 and 6 weeks, 3, 6 and 12 months postpartum. BMD at L2-L4 lumbar spine (LS), trochanter (Tro) and femoral neck (FN), serum intact parathyroid hormone (iPTH), serum bone-specific alkaline phosphatase (b-ALP), urinary deoxypyridinoline (Dpd), serum and urinary calcium (Ca) and phosphorus (P) and dietary intake of macronutrients were assessed. Results: Compared to the formula feeding group, BMD assessed at LS, Tro and FN decreased significantly in the breastfeeding group over the first 6 months, with rebound to approximate baseline values at 12 months for the latter two sites. Serum iPTH increased in both groups, whereas serum b-ALP was consistently higher in the breastfeeders. Urinary Ca and P excretion decreased early postpartum in both groups, but the breastfeeders had higher excretion at 3 and 6 months. Breastfeeding mothers consumed significantly more Ca than the formula feeding mothers in the early postpartum. Conclusions: Increased calcium requirement during early lactation is affected through mobilisation of bone and renal calcium conservation. Bone mineral loss during lactation is temporary. Further studies are warranted to investigate the effects of diet and other hormonal factors on the calcium homeostasis during lactation.

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Section: Discussionmentioning

confidence: 93%

Bone mineral density and calcium metabolism of Hong Kong Chinese postpartum women—a 1-y longitudinal study

et al. 2005

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“…Similarly, another study conducted in the year 2000 by the Hong Kong Department of Health found that only about 10 percent of women practised exclusive breastfeeding as recommended by WHO for the first 6 months of baby's life [16,17]. Found average level of breastfeeding initiation immediately after child birth to be 45 percent and within two hours after birth to be 29 percent among breastfeeding mothers in Southwest Nigeria (Yorubas).…”

Section: Introductionmentioning

confidence: 99%

Cultural Practices on Infant Feeding and Nursing-Mothers’ Adoption of Exclusive Breastfeeding Practice in Imo State Nigeria

Sno¹,

Obasi²,

Cr³

et al. 2017

MOJPH

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The aim of this study was to determine the influence of cultural practices on infant feeding on adoption of exclusive breastfeeding practice by nursingmothers in selected communities in Imo State Nigeria. A descriptive study design was employed to elicit information from 340 nursing-mothers from three selected communities in the state. The target population of the study was all the 405 nursing-mothers with children aged twenty-four months and below in the selected communities. Instruments for data collection were structured questionnaire and Focus Group Discussion (FGD) and the reliability of the instrument was established (r = 0.8). Ten nursing mothers from each of the communities participated in FGD. Results of the study revealed that exclusive breastfeeding practice was 13.5% in the target communities. First fluid given to infant after birth (P = 0.001), Timing of first fluid given to infant (P-value = 0.04), duration of breastfeeding before commencing weaning (P < 0.0001) and most popular practice of infant feeding in the first six months of life (P = 0.001) were statistically significant, while beliefs about colostrum (P = 0.067) and culture being opposed to exclusive breastfeeding (P = 0.34) were not statistically significant. The study concluded that breastfeeding is an embodied practice that is strongly rooted in culture which could contribute to the slow progress recorded in the adoption of exclusive breastfeeding. There is need to expand the current strategies employed in the promotion of exclusive-breastfeeding to include cultural perspective.

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“…1 Absence of or delay in the management of breastfeeding problems that arise after hospital discharge can result in discontinuation of exclusive breastfeeding as well as an increase in maternal and infant complications. [2][3][4][5] Improving access to quality medical care for breastfeeding mothers involves designing innovative models of healthcare delivery, which may include specialized breastfeeding medicine consultative services. 6,7 Models for providing professional medical services for outpatient breastfeeding support have been described in the literature in several countries, including Canada, Hungary, India, and Uganda.…”

Section: Introductionmentioning

confidence: 99%

Physician-Led Outpatient Breastfeeding Medicine Clinics in the United States

Shaikh

Smillie²

2008

Breastfeeding Medicine

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Attrition of exclusive breastfeeding is highest during the first 3 months postpartum. Timely management of breastfeeding in the outpatient setting through innovative models of healthcare delivery may increase its duration and exclusivity. Our goal was to examine the structure and function of physician-led clinics in the United States that specialize in providing outpatient clinical support for breastfeeding-related issues ("breastfeeding medicine clinics"). We posted a survey on Listservs of the American Academy of Pediatrics, American Academy of Family Physicians, and Academy of Breastfeeding Medicine. The survey collected information on (1) clinic and physician demographics, (2) visit characteristics, (3) referral and reimbursement, (4) clinical activities, (5) continuing education resources, (6) teaching/education activities, and (7) advocacy activities, of physician-led outpatient breastfeeding medicine clinics. Lead physicians from 13 clinics responded to the survey. Their clinics provided clinical care for time-intensive breastfeeding problems. The clinics we described that were in existence longer than 2 years appeared to be economically sustainable. Most physicians who had provided specialized breastfeeding support for more than 5 years reported that their income was commensurate with others in their specialty. Most physicians who provided specialized breastfeeding medicine care additionally provided primary care services within the same clinical setting. Further research into fiscal and organizational aspects of establishing specialized physician-led breastfeeding clinics is needed. The potential of such clinics in contributing to collaborative practice-based research, as well as medical student and house staff education, needs to be explored.

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Breastfeeding failure in a longitudinal post‐partum maternal nutrition study in Hong Kong

Cited by 57 publications

References 13 publications

Bone mineral density and calcium metabolism of Hong Kong Chinese postpartum women—a 1-y longitudinal study

Bone mineral density and calcium metabolism of Hong Kong Chinese postpartum women—a 1-y longitudinal study

Cultural Practices on Infant Feeding and Nursing-Mothers’ Adoption of Exclusive Breastfeeding Practice in Imo State Nigeria

Physician-Led Outpatient Breastfeeding Medicine Clinics in the United States

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