Will introducing the new World Health Organization growth reference to Australia reduce breastfeeding rates: why not

Colin Binns1, Mi Kyung Lee

  • 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.
Abstract

Related Concept Videos

International Nursing Organizations II01:28

International Nursing Organizations II

The World Health Organization (WHO) is a specialized agency of the United Nations based in Geneva. The WHO has many initiatives that center around health. Primarily, they lead global efforts to expand universal health coverage using science-based policies and programs. They are also responsible for shaping health research agendas and developing norms and standards.
The WHO provides expert team support, including funding, vaccines, testing, and treatment tools at the country level to fight...
Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is limited...
Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches01:23

Types of Biopharmaceutical Studies: Controlled and Non-Controlled Approaches

Biopharmaceutical studies constitute a vital field aiming to enhance drug delivery methods and refine therapeutic approaches, drawing upon diverse interdisciplinary knowledge. In research methodologies, the choice between controlled and non-controlled studies significantly influences the study's reliability and accuracy.
Non-controlled studies, commonly employed for initial exploration, lack a control group, rendering them susceptible to biases and external influences. In contrast, controlled...
Regression Toward the Mean01:52

Regression Toward the Mean

Regression toward the mean (“RTM”) is a phenomenon in which extremely high or low values—for example, and individual’s blood pressure at a particular moment—appear closer to a group’s average upon remeasuring. Although this statistical peculiarity is the result of random error and chance, it has been problematic across various medical, scientific, financial and psychological applications. In particular, RTM, if not taken into account, can interfere when researchers try to extrapolate results...
Development of Human Microbiota01:30

Development of Human Microbiota

The human microbiota begins developing at birth and undergoes continual change as we age. Infancy marks a critical period of microbial sensitivity, offering a “window of opportunity” during which beneficial microbes help mature the immune system. By age three, children typically develop a more stable and diverse microbial community. Newborns acquire microbes from their immediate environment; vaginal delivery favors maternal vaginal microbes, while cesarean births favor microbes from the skin...
Development of the Oral Microbiota01:28

Development of the Oral Microbiota

The establishment of the oral microbiome begins before birth, challenging the long-held belief that the fetal oral cavity is sterile. The presence of oral microbes such as Streptococcus and Fusobacterium in amniotic fluid suggests that microbial exposure may occur in utero, potentially through translocation from the maternal oral or gastrointestinal tract. This early colonization primes the neonatal immune system and sets the stage for subsequent microbial succession. Maternal health,...