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[Infants feeding practice in first six month in Tuzla canton]
Izeta Softić1, Nedima Atić, Husref Tahirović
1Klinika za djecije bolesti, Univerzitetski klinicki centar Tuzla, Bosna i Hercegovina.
Insights
Infant feeding practices in Tuzla canton were inadequate, with exclusive breastfeeding declining sharply after three months. Insufficient maternal support and numerous barriers hindered adherence to WHO recommendations for exclusive breastfeeding in the first six months.
Area of Science:
- Pediatrics
- Public Health
- Maternal and Child Health
Context:
- Infant feeding practices are crucial for child development and public health.
- WHO recommends exclusive breastfeeding for the first six months of life.
- Understanding local feeding practices is essential for targeted interventions.
Purpose:
- To investigate infant feeding practices in the first six months in Tuzla canton.
- To assess adherence to WHO exclusive breastfeeding recommendations.
- To identify factors influencing infant feeding in the region.
Summary:
- Exclusive breastfeeding rates were high initially (74.4% at 1 month) but declined significantly by six months (12%).
- Predominant breastfeeding and early introduction of complementary/bottle feeding increased after three months.
- Infant feeding practices in Tuzla canton were found to be inadequate based on WHO guidelines.
Impact:
- Findings highlight a critical gap in sustained exclusive breastfeeding post-discharge.
- Identifies the need for enhanced maternal support systems and barrier reduction strategies.
- Provides data to inform public health initiatives aimed at improving infant nutrition in Tuzla canton.
Objective:
To investigate the infants feeding practice in first six months in Tuzla canton.
Methods:
Observations of feeding practices in first six months of infants life, born in Obstetrics and Gynecology Department in Tuzla in period May-September 2004 who weighted more than 2500 gm and over 37 weeks gestation age. Dates were collected by standardized questionnaire mailed to 493 mothers from 13 regions in Tuzla canton. With questionnaire we mailed the explanatory letter with investigations detail.
Results:
Exclusive breast feeding at first 3 month was very high reaching from 74.4% in 1 month, 62.3% in 2 month and 50.9% in 3 month of life. After third month exclusive breast feeding was decreasing and reached 12% at sixth month. Predominant breast feeding was reaching from 13.2% at first month, 27.6% at fourth month and 20.7% at sixth month. Breast feeding and complementary feeding before six month was very low, 1% in first month reaching 47.7% in sixth month. Bottle feeding rate was 11.4% in first month and 20% in sixth month of infant life.
Conclusion:
Infants feeding practice in first 6 months was inadequate according to WHO recommendation, exclusive breast feeding for first six months. Breast feeding initiation rate was high but lack of mothers support after discharge and many barriers discourage exclusive breast feeding of infants in first six months in Tuzla canton.
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