Breastfeeding initiation and duration in France: The importance of intergenerational and previous maternal breastfeeding experiences — results from the nationwide ELFE study

Wagner, Sandra; Kersuzan, Claire; Gojard, Séverine; Tichit, Christine; Nicklaus, Sophie; Thierry, Xavier; Munier, Charles; Lioret, Sandrine; Lauzon-Guillain, Blandine de

doi:10.1016/j.midw.2018.10.020

Cited by 53 publications

(40 citation statements)

References 45 publications

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“…We also found that anaphylaxis occurred in around half of cases (46%) of all the anaphylaxis cases with the first intake of cow's milk after breastfeeding discontinuation. In France, a low rate of breastfeeding at birth (70% in 2011) as well as a shorter duration of exclusive/partial breastfeeding (38% at the age of 4 months) are reported as compared to most of European countries . However, studies designed to assess the relation between early exposure to cow's milk proteins and the development of cow's milk allergy are inconsistent …”

Section: Discussionmentioning

confidence: 99%

Food‐induced anaphylaxis in infancy compared to preschool age: A retrospective analysis

Pouessel

Jean-Bart

Deschildre

et al. 2019

Clin Experimental Allergy

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Objective: Little is known regarding food anaphylaxis in infancy. We aimed to describe specificities of food anaphylaxis in infants (≤12 months) as compared to preschool children (1-6 years). Methods:We conducted a retrospective study of all food anaphylaxis cases recorded by the Allergy Vigilance Network from 2002 to 2018, in preschool children focusing on infants.Results: Of 1951 food anaphylaxis reactions, 61 (3%) occurred in infants and 386 (20%) in preschool children. Two infants had two anaphylaxis reactions; thus, we analyzed data among 59 infants (male: 51%; mean age: 6 months [SD: 2.9]); 31% had a history of atopic dermatitis, 11% of previous food allergy. The main food allergens were cow's milk (59%), hen's egg (20%), wheat (7%) and peanut (3%) in infants as compared with peanut (27%) and cashew (23%) in preschool children. Anaphylaxis occurred in 28/61 (46%) cases at the first cow's milk intake after breastfeeding discontinuation. Clinical manifestations were mainly mucocutaneous (79%), gastrointestinal (49%), respiratory (48%) and cardiovascular (21%); 25% of infants received adrenaline. Hives, hypotension and neurologic symptoms were more likely to be reported in infants than in preschool children (P = .02; P = .004; P = .002, respectively).Antihistamines and corticosteroids were more often prescribed in preschool children than in infants (P = .005; P = .025, respectively). Conclusion:Our study found that in infants presenting with their first food allergy, in a setting with a high rate of infant formula use, the most predominant trigger was cow's milk. As compared to older preschool children, hives, hypotonia and hypotension were more likely to be reported in infants. We believe that this represents a distinct food anaphylaxis phenotype that can further support developing the clinical anaphylaxis criteria in infants. | 75POUESSEL Et aL.

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Section: Discussionmentioning

confidence: 99%

Food‐induced anaphylaxis in infancy compared to preschool age: A retrospective analysis

Pouessel

Jean-Bart

Deschildre

et al. 2019

Clin Experimental Allergy

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“…Several studies have tried to identify the factors that could explain low breastfeeding rates in France (Bonet et al, ; Kersuzan et al, ; Salanave, de Launay, Guerrisi, & Castetbon, ; Wagner et al, ; Wagner et al, ). In particular, we recently highlighted that previous experience with breastfeeding was strongly associated with breastfeeding initiation (Wagner et al, ). Although having been breastfed as an infant was a key factor in breastfeeding initiation among primiparous mothers, having breastfed previous children was the most significant predictor among multiparous mothers.…”

Section: Introductionmentioning

confidence: 99%

Maternity or parental leave and breastfeeding duration: Results from the ELFE cohort

Lauzon-Guillain

Thierry

Bois

et al. 2019

Maternal & Child Nutrition

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Previous studies have shown a high level of noncompliance with recommendations on breastfeeding duration, especially in France. The objective was to describe the association between breastfeeding initiation and duration and the statutory duration of postnatal maternity leave, the gap between the end of legal maternity leave and the mother's return to work, and maternal working time during the first year post‐partum. Analyses were based on 8,009 infants from the French nationwide ELFE cohort. We assessed the association with breastfeeding initiation by using logistic regression and, among breastfeeding women, with categories of breastfeeding duration by using multinomial logistic regression. Among primiparous women, both postponing return to work for at least 3 weeks after statutory postnatal maternity leave (as compared with returning to work at the end of the statutory period) and working less than full‐time at 1 year post‐partum (as compared with full‐time) were related to higher prevalence of breastfeeding initiation. Among women giving birth to their first or second child, postponing the return to work until at least 15 weeks was related to a higher prevalence of long breastfeeding duration (at least 6 months) as compared with intermediate duration (3 to <6 months). Working part‐time was also positively related to breastfeeding duration. Among women giving birth to their third child or more, working characteristics were less strongly related to breastfeeding duration. These results support extending maternity leave or working time arrangements to encourage initiation and longer duration of breastfeeding.

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“…Conversely, non-breastfed mothers who had received care advice from their own mother were less likely to start and maintain breastfeeding (Wagner et al 2019).…”

Section: Professor Karen Campbellmentioning

confidence: 93%

Abstracts

Raftery

Tosh

Siebelt

et al. 2020

Maternal & Child Nutrition

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Malnutrition in women and children in Bangladesh is one of the highest in the world with 33% of <5 children underweight and 36% stunted (NIPORT 2014). Imbalanced diet and inappropriate feeding practices are the major determinants of child undernutrition. Poverty, low income, and price hikes restrict poor families from accessing sufficient and diversified nutritious foods, which leads to their food and nutrition insecurity (Ghose 2014). To generate positive impacts on nutritional outcomes, agricultural interventions require more focus on nutrition and need to be linked to nutrition specific interventions (Haselow et al 2016). Improving homestead fruit and vegetable production integrating with enhanced communications about nutrition would lead to improved dietary diversity and nutritional status of children (Mulmi 2017). Combining agriculture with behaviour change communication and nutrition-sensitive interventions would improve diet and feeding quality to reduce child undernutrition. Such integrated intervention requires rigorous design and implementation strategy to generate an impact.This study aims to assess the feasibility and acceptability of an intervention package that combines nutrition-specific (nutrition counselling) and nutrition-sensitive (counselling and support for agriculture, and unconditional cash transfers) delivered on a mobile phone platform for improving maternal and child feeding behaviours among low-income families in rural Bangladesh. We conducted a mixed-methods feasibility study. The intervention included counselling on homestead gardening techniques and infant feeding by agriculture and nutrition workers using smartphone apps. Women received weekly individual counselling at home and group counselling fortnightly. Each participating woman received an unconditional monthly incentive of BDT 1200 cash transfer through a mobile banking system called bKash. The intervention took place for 6 months. We collected data through in-depth interviews and a cross sectional surveys of the participants and their family members.The women were interested in both agriculture and nutrition counselling and understood the messages clearly.They established homestead garden of seasonal vegetables successfully that included preparing beds, planting seedlings, nurturing the plans, and harvesting. Seasonal rainfall and damage by hens and ducks were major challenges but most of the families were able to find a solution. Most of the women preferred to consume own produced vegetables and spending the cash provided on purchasing nutritious foods such as fruits, egg, and milk for their children as advised in the counselling. The project implementation staff and the bKash agent did not report any difficulties in using the mobile banking system for cash transfer. Combining nutrition-specific and nutrition-sensitive interventions is a feasible and acceptable approach to the community to improve maternal and infant feeding practices. Using mobile phone technologies can provide additional benefit for the intervention to rea...

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Breastfeeding initiation and duration in France: The importance of intergenerational and previous maternal breastfeeding experiences — results from the nationwide ELFE study

Cited by 53 publications

References 45 publications

Food‐induced anaphylaxis in infancy compared to preschool age: A retrospective analysis

Food‐induced anaphylaxis in infancy compared to preschool age: A retrospective analysis

Maternity or parental leave and breastfeeding duration: Results from the ELFE cohort

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