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Will introducing the new World Health Organization growth reference to Australia reduce breastfeeding rates: why not
1School of Public Health, Curtin Health Innovation Research Institute, Curtin University Health Sciences, Murdoch University, Perth, Western Australia, Australia. c.binns@murdoch.edu.au
Insights
The new World Health Organization (WHO) growth reference may negatively impact breastfeeding rates in Australia. Further research is needed to assess potential adverse effects on infant feeding practices.
Area of Science:
- Pediatric Growth Monitoring
- Public Health Nutrition
- Infant Feeding Practices
Background:
- The World Health Organization (WHO) has recommended a new global growth reference.
- Australia has historically used different growth references for infant assessment.
Purpose of the Study:
- To review the implications of adopting the new WHO growth reference in Australia.
- To assess the potential impact on breastfeeding rates within the first six months of life.
Main Methods:
- Comparative analysis of infant growth velocity and trajectory.
- Evaluation against previously used Australian growth references and the new WHO standard.
Main Results:
- The new WHO growth reference indicates heavier infant weights in the first six months compared to Australian standards.
- This discrepancy may lead to more infants being classified with poor growth.
- Increased classifications of poor growth could result in additional feeding or cessation of breastfeeding.
Conclusions:
- A randomized controlled trial is recommended before implementing the new WHO growth reference.
- Such trials are crucial to ensure no adverse effects on breastfeeding maintenance.
- Protecting breastfeeding is vital for infant health outcomes.
Aim:
The aim is to review the implications of the introduction of new World Health Organisation (WHO) growth reference into Australia, and in particular its potential effects on breastfeeding rates in the first six months of life.
Methods:
A review of the velocity and trajectory of growth in the new WHO Growth Reference compared to the growth references most commonly used in Australia.
Results:
The World Health Organisation has recommended the universal use of its new growth reference. However, in the first 6 months of life, the critical period for the maintenance of breastfeeding, the new WHO reference is heavier than the reference previously used in Australia. This may mean that more infants will be classified as having poor growth. It is likely that these infants will be given additional feeds or even may cease being breastfed. Maintenance of breastfeeding is important for minimising short-, medium- and long-term risks.
Conclusions:
Before the introduction of a new growth reference is contemplated, a randomised controlled trial should be conducted to be sure that there will be no adverse effect on breastfeeding.
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