Infant feeding modalities addressed in two different ways in Eastern Uganda

<p>Abstract</p> <p>Background</p> <p>Durations of exclusive breastfeeding (EBF) and predominant breastfeeding (PBF) from two different assessments, among the same mother-infant population, were investigated to determine the degree to which the assessments yielded overla...

Full description

Bibliographic Details
Main Authors: Tumwine James K, Sommerfelt A Elisabeth, Shanmugam Rebecca, Engebretsen Ingunn MS, Tylleskär Thorkild
Format: Article
Language:English
Published: BMC 2010-02-01
Series:International Breastfeeding Journal
Online Access:http://www.internationalbreastfeedingjournal.com/content/5/1/2
_version_ 1828932559829991424
author Tumwine James K
Sommerfelt A Elisabeth
Shanmugam Rebecca
Engebretsen Ingunn MS
Tylleskär Thorkild
author_facet Tumwine James K
Sommerfelt A Elisabeth
Shanmugam Rebecca
Engebretsen Ingunn MS
Tylleskär Thorkild
author_sort Tumwine James K
collection DOAJ
description <p>Abstract</p> <p>Background</p> <p>Durations of exclusive breastfeeding (EBF) and predominant breastfeeding (PBF) from two different assessments, among the same mother-infant population, were investigated to determine the degree to which the assessments yielded overlapping results.</p> <p>Methods</p> <p>Thirty Ugandan mother-infant pairs were followed up weekly from birth to three months of age with weekly short-time feeding recall: the 24-hour recall asked prior to the 1-week recall. In addition, at week 6 and 12 dietary recalls since-birth were conducted. Variables for the duration of EBF and PBF were created from the short-time feeding recalls and the dietary recalls since-birth, respectively. Mean durations of EBF and PBF from the two assessments were compared with Kaplan Meier analysis at week 6 and 12. Reproducibility of dietary recall instruments was also assessed.</p> <p>Results</p> <p>At six weeks postpartum the mean durations of EBF were 0.50 weeks (95% CI: 0, 1.02) according to the weekly short-time recalls and 1.51 weeks (95% CI: 0.66, 2.35) according to the recall since-birth (Mantel-Cox test, p = 0.049). The mean durations of PBF were 4.07 weeks (95% CI: 3.38, 4.77) according to the frequent short-time recalls and 4.50 weeks (95% CI: 3.93, 5.07) according to the recall since-birth, (Mantel-Cox-test, p = 0.82). At twelve weeks the mean durations of EBF were 0.5 weeks (95% CI: 0, 1.1) according to the weekly short-time recalls and 1.4 weeks (95% CI: 0.1, 2.7) according to the recall since-birth (Mantel-Cox-test, p = 0.15). The mean durations of PBF were 5.2 weeks (95% CI: 3.9, 6.5) according to the weekly short-time recalls and 6.6 weeks (95% CI: 5.4, 7.8) according to recall since-birth (Mantel-Cox-test, p = 0.20). Reports of feeding categories and early feeding practices showed high reproducibility.</p> <p>Conclusion</p> <p>Comparing duration of EBF and PBF in this group of mother-infant pairs showed overlapping results from the weekly short-time assessment and the recall since-birth at twelve weeks, with the latter yielding slightly longer duration of the respective feeding modalities. The retrospective recall since-birth could be assessed as a cost-reducing tool compared to the frequent follow-up addressing duration of respective infant feeding modalities for evaluation of programmes promoting safer infant feeding practices.</p> <p>Trial registration</p> <p>The study was part of formative studies for the ongoing study PROMISE EBF registered at <url>http://clinicaltrials.gov</url>, NCT00397150.</p>
first_indexed 2024-12-14T01:04:06Z
format Article
id doaj.art-b3a1e5a8e46947fea839d572a8c0fabd
institution Directory Open Access Journal
issn 1746-4358
language English
last_indexed 2024-12-14T01:04:06Z
publishDate 2010-02-01
publisher BMC
record_format Article
series International Breastfeeding Journal
spelling doaj.art-b3a1e5a8e46947fea839d572a8c0fabd2022-12-21T23:23:05ZengBMCInternational Breastfeeding Journal1746-43582010-02-0151210.1186/1746-4358-5-2Infant feeding modalities addressed in two different ways in Eastern UgandaTumwine James KSommerfelt A ElisabethShanmugam RebeccaEngebretsen Ingunn MSTylleskär Thorkild<p>Abstract</p> <p>Background</p> <p>Durations of exclusive breastfeeding (EBF) and predominant breastfeeding (PBF) from two different assessments, among the same mother-infant population, were investigated to determine the degree to which the assessments yielded overlapping results.</p> <p>Methods</p> <p>Thirty Ugandan mother-infant pairs were followed up weekly from birth to three months of age with weekly short-time feeding recall: the 24-hour recall asked prior to the 1-week recall. In addition, at week 6 and 12 dietary recalls since-birth were conducted. Variables for the duration of EBF and PBF were created from the short-time feeding recalls and the dietary recalls since-birth, respectively. Mean durations of EBF and PBF from the two assessments were compared with Kaplan Meier analysis at week 6 and 12. Reproducibility of dietary recall instruments was also assessed.</p> <p>Results</p> <p>At six weeks postpartum the mean durations of EBF were 0.50 weeks (95% CI: 0, 1.02) according to the weekly short-time recalls and 1.51 weeks (95% CI: 0.66, 2.35) according to the recall since-birth (Mantel-Cox test, p = 0.049). The mean durations of PBF were 4.07 weeks (95% CI: 3.38, 4.77) according to the frequent short-time recalls and 4.50 weeks (95% CI: 3.93, 5.07) according to the recall since-birth, (Mantel-Cox-test, p = 0.82). At twelve weeks the mean durations of EBF were 0.5 weeks (95% CI: 0, 1.1) according to the weekly short-time recalls and 1.4 weeks (95% CI: 0.1, 2.7) according to the recall since-birth (Mantel-Cox-test, p = 0.15). The mean durations of PBF were 5.2 weeks (95% CI: 3.9, 6.5) according to the weekly short-time recalls and 6.6 weeks (95% CI: 5.4, 7.8) according to recall since-birth (Mantel-Cox-test, p = 0.20). Reports of feeding categories and early feeding practices showed high reproducibility.</p> <p>Conclusion</p> <p>Comparing duration of EBF and PBF in this group of mother-infant pairs showed overlapping results from the weekly short-time assessment and the recall since-birth at twelve weeks, with the latter yielding slightly longer duration of the respective feeding modalities. The retrospective recall since-birth could be assessed as a cost-reducing tool compared to the frequent follow-up addressing duration of respective infant feeding modalities for evaluation of programmes promoting safer infant feeding practices.</p> <p>Trial registration</p> <p>The study was part of formative studies for the ongoing study PROMISE EBF registered at <url>http://clinicaltrials.gov</url>, NCT00397150.</p>http://www.internationalbreastfeedingjournal.com/content/5/1/2
spellingShingle Tumwine James K
Sommerfelt A Elisabeth
Shanmugam Rebecca
Engebretsen Ingunn MS
Tylleskär Thorkild
Infant feeding modalities addressed in two different ways in Eastern Uganda
International Breastfeeding Journal
title Infant feeding modalities addressed in two different ways in Eastern Uganda
title_full Infant feeding modalities addressed in two different ways in Eastern Uganda
title_fullStr Infant feeding modalities addressed in two different ways in Eastern Uganda
title_full_unstemmed Infant feeding modalities addressed in two different ways in Eastern Uganda
title_short Infant feeding modalities addressed in two different ways in Eastern Uganda
title_sort infant feeding modalities addressed in two different ways in eastern uganda
url http://www.internationalbreastfeedingjournal.com/content/5/1/2
work_keys_str_mv AT tumwinejamesk infantfeedingmodalitiesaddressedintwodifferentwaysineasternuganda
AT sommerfeltaelisabeth infantfeedingmodalitiesaddressedintwodifferentwaysineasternuganda
AT shanmugamrebecca infantfeedingmodalitiesaddressedintwodifferentwaysineasternuganda
AT engebretseningunnms infantfeedingmodalitiesaddressedintwodifferentwaysineasternuganda
AT tylleskarthorkild infantfeedingmodalitiesaddressedintwodifferentwaysineasternuganda