Predictors of breast milk substitute feeding among newborns in delivery facilities in urban Cambodia and Nepal

Champeny, Mary; Pries, Alissa M.; Kroeun, Hou; Adhikary, Indu; Zehner, Elizabeth; Huffman, Sandra L.

doi:10.1111/mcn.12754

Cited by 16 publications

(22 citation statements)

References 63 publications

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“…In particular, it has limited measures to protect against engagement with health workers and promotion of BMS to the general public. In our study, mothers feeding BMS were more likely to have a health worker recommend BMS compared with breastfeeding mothers, a trend witnessed in other LMIC (Champeny et al, 2019;Rothstein et al, 2020). Exposure to commercial BMS promotions was nearly universal in our study, and recent research documented rampant promotion of BMS in retail locations throughout Bandung City (Hadihardjono et al, 2019).…”

Section: Maternal Educationsupporting

confidence: 60%

Breastfeeding and breastmilk substitute use and feeding motivations among mothers in Bandung City, Indonesia

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Pries

Hadihardjono³

et al. 2021

Maternal & Child Nutrition

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Suboptimal breastfeeding is common in Indonesia, with only half of infants 0-5 months of age exclusively breastfed and feeding of breastmilk substitutes (BMS) highly prevalent among infants and toddlers. Various factors influence these feeding practices, including social norms, limited health system support and BMS manufacturer marketing practices. This cross-sectional survey aimed to identify the prevalence of breastfeeding and BMS feeding among children aged 0-35 months, explore socio-demographic characteristics and motivating factors associated with these feeding behaviours and identify the prevalence of mothers' exposure to BMS promotions. Indonesian mothers of children <3 years of age (n = 595) were interviewed in Bandung City health facilities using structured questionnaires. Although all children were ever breastfed, half of children across all age groups received BMS in the previous day. Maternal employment outside the home and insufficient breastmilk production were associated with BMS use. The most important motivational factors for feeding BMS were perceived benefits for growth, intelligence and immunity.Despite Indonesian legislation restricting some BMS marketing, 93% of mothers reported observing a BMS promotion outside the health system, with television, social media and newspapers as the most common sources. Half of mothers (43%) reported observing a BMS promotion within the health system, and half (46%) reported receiving recommendations from health workers to use BMS. Such high prevalence of BMS marketing may be influencing caregivers' feeding choices; stronger national legislation and implementation of laws are needed to ensure mothers' ability to make feeding choices free from manufacturer influence.

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Section: Maternal Educationsupporting

confidence: 60%

Breastfeeding and breastmilk substitute use and feeding motivations among mothers in Bandung City, Indonesia

Green

Pries

Hadihardjono³

et al. 2021

Maternal & Child Nutrition

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“…Timely initiation of breast-feeding has a positive impact to decrease PLF practices (15,42,43) . Our results showed that the risk of PLF increased gradually as the initiation time of breast-feeding increased.…”

Section: Discussionmentioning

confidence: 99%

Trends and determinants of prelacteal feeding in Turkey: analysis of 2003–2018 demographic and health surveys

Yalçin

Çaylan

Eryurt

2020

Public Health Nutr.

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Objective: The aim of the current study is to analyse the trends, determinants of prelacteal feeding (PLF) and its relations with the mode of delivery among infants <24 months over the years 2003–2018. Design: We pooled data from Turkey Demographic and Health Surveys (TDHS). The key outcome variable was PLF. Factors associated with PLF were analysed by using complex sample multiple logistic regression analysis, separately and merged database. Setting: TDHS in 2003, 2008, 2013 and 2018. Participants: Mother–infant dyads (n 4942). Results: PLF rates fluctuated between 29·3 and 41·4 %. The most common types of PLF were infant formula (61·1 %) followed by sugar/glucose water (24·9 %) and plain water (9·3 %). PLF rate was 1·51 times higher (95 % CI 1·28, 1·78) in cases delivered by caesarean section as compared with those delivered by vaginal route. According to the initiation time of breast-feeding after delivery, the most significant absolute change in PLF rate was observed within 1 h (10·9 % increase). Delayed initiation of breast-feeding was associated with significantly higher odds of PLF compared with the first hour (1 to < 2 h: adjusted OR (AOR) 1·29, 95 % CI 1·04, 1·61; 2–23 h: AOR 1·73, 95 % CI 1·42, 2·11; ≥24 h: AOR 11·37, 95 % CI 8·81, 14·69). Conclusions: To eliminate suboptimal breast-feeding practices, counselling on breast-feeding and delivery type during antenatal visits, postnatal breast-feeding support and social support should be provided to all mothers and families.

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“…However, we have to raise awareness about the poor breastfeeding practices among the population from suburban area of Phnom Penh, where only one third reached the criteria for appropriate breastfeeding practice for children under 6 months of age. The increase in the use of commercial baby foods and infant formula might be one of the drivers for the poor achievement of breastfeeding practices [36].…”

Section: Discussionmentioning

confidence: 99%

Age-Appropriate Feeding Practices in Cambodia and the Possible Influence on the Growth of the Children: A Longitudinal Study

Hondru

Laillou²,

Wieringa

et al. 2019

Nutrients

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Age-appropriate feeding practice (ADF) during early childhood are vital for optimal nutrition. This longitudinal study determined the effect of selected risk factors and ADF, as described by the National Nutritional Recommendations, on linear and ponderal growth of children below 24 months of age. Weight and length measures were used to calculate z-scores of anthropometric measures by WHO standards. The prevalence of stunting increased from 13.2% to 32.4% over time, while prevalence of wasting remained stable (14.5%). At first visit, 43% of children of all ages complied with ADF criteria, a proportion which decreased to 7.1% in follow-up. The quality of feeding practices for children above 12 months of age was the poorest, where at the last visit, only 6% complied with the criteria for ADF. The linear mixed-effect models found the association between ADF and ponderal growth to be significant (weight-for-height estimate: 0.05 SD). In Cambodia, Ratanakiri province, ADF was the second largest determinant for ponderal growth. We recommend province specific public health actions. For children above 6 months, the quantity of food given needs to be increased, followed by the meal frequency. Mothers’ educational level, improved sanitation, and drinking water quality were among strongest predictors of a child’s growth.

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Predictors of breast milk substitute feeding among newborns in delivery facilities in urban Cambodia and Nepal

Cited by 16 publications

References 63 publications

Breastfeeding and breastmilk substitute use and feeding motivations among mothers in Bandung City, Indonesia

Breastfeeding and breastmilk substitute use and feeding motivations among mothers in Bandung City, Indonesia

Trends and determinants of prelacteal feeding in Turkey: analysis of 2003–2018 demographic and health surveys

Age-Appropriate Feeding Practices in Cambodia and the Possible Influence on the Growth of the Children: A Longitudinal Study

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