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Published on: June 9, 2023
Infant rearing practices in South India: a longitudinal study
Nitin Joseph1, B Unnikrishnan1, Vijaya A Naik2
1Department of Community Medicine, Kasturba Medical College, Manipal University, Mangalore, India.
Insights
Understanding infant rearing practices is crucial for child health. Exclusive breastfeeding for six months and appropriate weaning significantly improve infant weight gain and development.
Area of Science:
- Pediatrics
- Public Health
- Infant Nutrition
Background:
- Infant rearing practices significantly influence child health and nutrition.
- A comprehensive understanding of these practices is essential for intervention.
Purpose of the Study:
- To investigate prevalent infant rearing practices within the study region.
- To identify associations between rearing practices and infant health outcomes.
Main Methods:
- A longitudinal study design was employed, following a cohort of 194 infants.
- Monthly data collection over one year included rearing practices and anthropometric measurements.
Main Results:
- Exclusive breastfeeding for six months was practiced by 41.7% of mothers, with optimal weight gain observed.
- Prelacteal feeds were common (33.5%), particularly in home deliveries.
- Many mothers practiced oil application to infant eyes/ears and delayed bathing.
Conclusions:
- Certain infant rearing practices, such as delayed breastfeeding initiation and prelacteal feeds, require correction.
- Promoting exclusive breastfeeding and appropriate weaning can enhance infant growth and health outcomes.
Background:
Rearing practices are a major determinant of nutritional and health status of infants. Therefore these practices need to be better understood.
Objectives:
To find out infant rearing practices in the study area.
Materials And Methods:
A longitudinal study was conducted on a birth cohort of 194 infants. Information on rearing practices and anthropometric measurements were recorded every month for a period of 1 year.
Results:
Only 67 (34.5%) newborns were breast fed within half an hour of delivery. Prelacteal feeds was given to 65 (33.5%) newborns and this was seen more among home deliveries (P=0.018). Demand feeding was practiced by 169 (87.1%) mothers. Exclusive breast feeding (EBF) for 6 months was practiced by 81 (41.7%) mothers. Bottle feeding was seen in 7 (3.6%) cases. Weight gain during infancy was found to be maximum when infants were EBF for 6 months (P<0.001) and weaned with semi-solid and solid diet alone in the following 6 months (P=0.002). Gain in all anthropometric measurements was more in the initial 6 months of infancy compared to latter. Four (2.1%) infants were malnourished. Oil massage before bath was practiced by 189 (97.4%) mothers. Over 50% mothers practiced oil application to eyes or ears of infants. Delayed initiation of bath (beyond 1week) was seen in 15 (7.7%) cases.
Conclusion:
Faulty rearing practices need to be corrected in order to improve the health status of infants.
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