Role of the Pediatrician in Breastfeeding Management

Handa, Deepali; Schanler, Richard J.

doi:10.1016/j.pcl.2012.10.004

Cited by 16 publications

(12 citation statements)

References 8 publications

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“…Physicians' supportive and educational program, guidance on breast-feeding techniques and ways to resolve problems bedside increasing the rate of exclusive breastfeeding, decrease cessation of breastfeeding at birth time, first month and 1 to 5 months of life [27]. Honda et al showed in their investigation that physicians have a key role in mothers' inspiration and training [28]. Moreover based on Albernaz's report face to face consultation increases exclusive breastfeeding rate because of continuous support, breastfeeding technical training and mothers' problem solving [29].…”

Section: Discussionmentioning

confidence: 99%

Breastfeeding Status and Effective Factors in 21 - 27 Months Iranian Infants

Nayeri¹,

Shariat

Dalili³

et al. 2015

OJPed

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The aim of this study was to assess the Breastfeeding status among children aged 21 -27 moths. A cross sectional study was carried out in South Health Center (Tehran-Iran) in 2010. Four hundred 21 -27 month breastfed infants entered the study. This study compared some variables in 2 groups; weaning before and after 22 months. The level of significance was considered P < 0.05. Mean breastfeeding duration and median (either exclusive or combined) were 19.66 ± 6.40 and 22 months. Among all reasons were cited by mothers, some reasons like insufficient breast milk supply (77.9%), infant restless (77.1%), and Mother's reluctance (75.6%) were the most common causes of exclusive breastfeeding cessation. A significant relation was seen between breastfeeding duration and gestational age or birth trauma (P Value = 0.031, P Value = 0.04). Breastfeeding training and First mother-infant skin to skin contact had significant roles on breastfeeding duration (P Value < 0.05, P Value = 0.001, respectively). It seems lots of public health efforts and policy are needed to improve breastfeeding rate in our country.

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Section: Discussionmentioning

confidence: 99%

Breastfeeding Status and Effective Factors in 21 - 27 Months Iranian Infants

Nayeri¹,

Shariat

Dalili³

et al. 2015

OJPed

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“…Although breas eeding is a social norm and universal prac ce in most communi es, it is also a learned behavior and may be infl uenced by many factors including socio-economic, educa onal level and cultural 12 . The encouragement of breas eeding to families and to the community at large is an important aspect of the paediatrician's profession 13 .…”

Section: Discussionmentioning

confidence: 99%

Breastfeeding Practices in Kathmandu

Mathema

2014

J. Nepal Paedtr. Soc.

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Introduction:In spite of significant evidence on a number of important health benefits of breastfeeding, it has been seen that a vast number of infants in Nepal are not being breastfed appropriately based on standard recommendations. This study was conducted to evaluate the breastfeeding practices prevalent in Kathmandu. Materials and Methods: This was a cross-sectional survey carried out over a period of 24 months from January 2011 to December 2012 on a convenient sample of children aged 6 months to 23 months when they were brought for treatment to Kathmandu Medical College and Teaching Hospital. Breastfeeding was defined according to the recent WHO guidelines and mothers were interviewed as per a structured questionnaire. Results: There were 1250 children enrolled in the study, out of which almost all infants (99.7%, n=1246) received colostrum. Only 62.64% (n=783) babies received breast milk as their first food. Initiation of breastfeeding within one hour of delivery was done by 719 (57.5%) mothers. The median duration of exclusive breastfeeding was 3.8 months. Conclusion: This study reflects that majority of infants in Kathmandu are still not fed in accordance with breastfeeding recommendations and guidelines. More attention should be given to a proper community-based program including subsequent monitoring of its implementation as exclusive breastfeeding has been proved to be one of the most effective ways to improve infant survival.

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“…instrumental, because they are responsible for monitoring the health, growth, and development of breastfed infants (Handa and Schanler, 2013). They may be among the first to identify issues associated with breastfeeding, using an infant's weight gain and stooling/voiding patterns as an initial proxy for lactation sufficiency (Geraghty et al, 2008).…”

Section: Respondent (N)mentioning

confidence: 99%