Defecation patterns of the infants mainly breastfed from birth till the 12th month: Prospective cohort study
Aysu Duyan Çamurdan1, Ufuk Beyazova, Seçil Özkan
1Department of Social Pediatrics, Gazi University Faculty of Medicine, Ankara, Turkey. aysucamurdan@yahoo.com.
Insights
Infant stool frequency decreases with age, with exclusively breastfed infants having more frequent stools in the first five months. Formula supplementation may lead to less frequent stools, cautioning against misdiagnosing constipation.
Area of Science:
- Pediatrics
- Infant Nutrition
- Gastroenterology
Background:
- Limited research exists on infant defecation patterns, particularly for predominantly breastfed infants.
- Previous studies often focused on formula-fed infants or shorter observation periods.
Purpose of the Study:
- To evaluate the defecation patterns of 125 infants up to 12 months of age.
- To analyze stool frequency, consistency, and color in relation to feeding patterns.
Main Methods:
- Longitudinal study analyzing stool characteristics at multiple infant age points.
- Comparison of defecation patterns between exclusively breastfed and mixed-fed infants.
Main Results:
- Stool frequency significantly decreases with age, from a median of 6/day at 15 days to 2/day by 3-12 months.
- Exclusively breastfed infants showed higher stool frequency in the first five months (p<0.05).
- The impact of feeding pattern on stool frequency diminished after the initial months (p>0.05).
Conclusions:
- Age is a primary factor influencing infant stool frequency.
- Exclusive breastfeeding is associated with higher stool frequency.
- Formula supplementation may result in less frequent stools, necessitating careful evaluation to avoid unnecessary constipation diagnoses and treatments.
Background/Aims:
Studies about defecation patterns have been mostly conducted on infants who were breastfed in a short term but were fed predominantly with formula. In this study, defecation patterns of 125 infants, most of them being breastfed during 12th month were evaluated.
Materials And Methods:
Frequency, consistency and color of the stool were analyzed in relation to the feeding pattern at the 15th day and at the 1st, 2nd, 3rd, 4th, 5th, 6th and 12th months.
Results:
Frequency of defecation was highest in 15th day with a median of 6/day. It decreased with age (p=0.0001), being 4/day and 3/day in 1st and 2nd months respectively, and 2/day between 3rd-12th months. During first 5 months, the stool frequency was higher in infants who were exclusively breastfed compared to those being fed with breastfed and formula (p<0.05). The effect of the feeding pattern on stool frequency disappeared in the following months (p>0.05). Stool frequency decreased by half at the 2nd month when the rate of less than once/day attained its highest value (24.8%). In those who had a rate of less than once/day, stool frequency stayed low until the 6th month and exclusively breastfed rate was also found lower (p<0.05).
Conclusion:
Besides the age, exclusive breastfeeding was also effective on stool frequency. It points out that infants who are fed with formula in addition to breastfeeding may defecate less than once per day hence should not be diagnosed as having constipation depending solely on defecation frequency and should not receive unneccesary treatments.
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