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Current trends in infant feeding
C W van der Elst1, W Pick, S Isaacs
1Department of Paediatrics and Child Health, University of Cape Town.
Summary
Many mothers intend to breastfeed but face challenges. Early feeding practices and support systems significantly impact the duration of exclusive breastfeeding in the first six months.
Area of Science:
- Maternal and Child Health
- Infant Nutrition
- Lactation Studies
Background:
- Newborn feeding practices are crucial for infant health.
- Maternal knowledge and attitudes towards breastfeeding are often positive.
- Early hospital practices can influence long-term feeding outcomes.
Purpose of the Study:
- To examine newborn feeding practices in a maternity hospital.
- To investigate infant feeding patterns during the first six months of life.
- To identify factors influencing breastfeeding duration and cessation.
Main Methods:
- Cross-sectional survey of 450 mothers in a maternity hospital.
- Follow-up interviews with 78 mothers at six months postpartum.
- Data collection on feeding methods, routines, and challenges.
Main Results:
- Despite positive attitudes, only 54.6% initiated breastfeeding as the first feed, with 10% within the first hour.
- Mothers preferred timed feeding routines and planned to offer water between feeds.
- At six months, 50% exclusively breastfed for 3-4 months, and 23% for 6-7 months.
- Insufficient milk, employment, and feeding problems were primary reasons for stopping breastfeeding.
- Only 27% utilized local baby clinics for breastfeeding support.
Conclusions:
- Hospital practices and maternal preferences may not align with optimal breastfeeding initiation and duration.
- Inconsistent early feeding practices and insufficient support contribute to suboptimal breastfeeding outcomes.
- There is a need for improved support systems and education to address common breastfeeding challenges and promote sustained breastfeeding.