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首页> 外文期刊>International breastfeeding journal >Actual exclusive breastfeeding rates and determinants among a cohort of children living in Gampaha district Sri Lanka: A prospective observational study
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Actual exclusive breastfeeding rates and determinants among a cohort of children living in Gampaha district Sri Lanka: A prospective observational study

机译：斯里兰卡Gampaha区一群儿童的实际纯母乳喂养率和决定因素：一项前瞻性观察研究

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Background Exclusive breastfeeding (EBF) during the early months of life reduce infant morbidity and mortality. Current recommendation in Sri Lanka is to continue exclusive breastfeeding up to six months of age. Exclusive breastfeeding rates are generally assessed by the 24 recall method which overestimates the actual rates. The objective of this study was to determine actual exclusive breast feeding rates in a cohort of Sri Lankan children and to determine the reasons that lead to cessation of breastfeeding before six months of age. Methods From a cohort of 2215 babies born in Gampaha district, 500 were randomly selected and invited for the study. They were followed up at two (n?=?404), four (n?=?395) and six (n?=?286) months. An interviewer administered questionnaire asked about feeding history and socio-demographic characteristics. Child health development record was used to assess the growth. Results Exclusive breastfeeding rates at two, four and six months were 98.0%, 75.4% and 71.3% respectively. The main reasons to stop exclusive breastfeeding between two to four months was concerns regarding weight gain and between four to six months were mothers starting to work. Majority of the babies that were not exclusively breastfed still continued to have breast milk. Mothers above 30 years had lower exclusive breastfeeding rates compared to younger mothers. Second born babies had higher rates than first borns. There was no significant association between maternal education and exclusive breastfeeding rates. Conclusions Exclusive breastfeeding rates were high among this cohort of children. A decrease in EBF was noted between two and four months. EBF up to six months does not cause growth failure. Mothers starting to work and concerns regarding adequacy of breast milk were the major reasons to cease EBF. The actual exclusive breastfeeding rates up to six months was 65.9%.
机译：背景技术在生命的最初几个月中，纯母乳喂养（EBF）可以降低婴儿的发病率和死亡率。斯里兰卡目前的建议是继续纯母乳喂养直至六个月大。通常通过24种召回方法评估纯母乳喂养率，这会高估实际率。这项研究的目的是确定一群斯里兰卡儿童的实际纯母乳喂养率，并确定导致六个月大以前停止母乳喂养的原因。方法从Gampaha地区的2215名婴儿中随机抽取500名，并邀请他们参加研究。他们分别在两个月（n = 404），四个月（n = 395）和六个月（n = 286）进行了随访。一位访调员管理了调查表，询问了进食历史和社会人口统计学特征。儿童健康发展记录用于评估儿童的成长情况。结果两个月，四个月和六个月的纯母乳喂养率分别为98.0％，75.4％和71.3％。在两到四个月之间停止纯母乳喂养的主要原因是担心体重增加，而在四到六个月之间是母亲开始工作。绝大部分非纯母乳喂养的婴儿仍然有母乳。与年轻母亲相比，30岁以上的母亲的纯母乳喂养率较低。第二胎婴儿的比率高于第一胎。孕产妇教育与纯母乳喂养率之间没有显着关联。结论该组儿童的纯母乳喂养率较高。在2到4个月之间，EBF有所下降。长达六个月的EBF不会导致生长失败。母亲开始工作和对母乳充足的担忧是终止EBF的主要原因。直到六个月的实际纯母乳喂养率为65.9％。

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