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Continued breastfeeding and child growth in the second year of life: a prospective cohort study in Western Kenya Presented by : Kemlyn Conliffe
Introduction • Several organizations, such as World Health Organization (WHO) and other United Nations agencies, recommend that children should be breastfed. • After 6 months of breastfeeding, adequate foods should be added to the child’s diet until they are 2 years old.
Hypothesis It was believed that breastfeeding during the second year of life promotes child growth.
Procedures • Several fieldworks were trained to take the weight and length of all the participants of the study. • Weight was measured using an electronic scale and length was measured on Shorr Board. • Measurement were taken at baseline(November,1995) and at final assessment (May,1996)
Procedures cont’d • At baseline and final assessment, three height measurements were taken and averaged and two weight measurements were taken and averaged. • Anthropometric indicators were obtained using data from the National Center for Health Strategies (NCHS). • The data obtained from the NCHS gave values which were associated with stunting,wasting and underweight babies
Procedure cont’d • Interviews were done to obtain information about the water consumption, sanitation,socioeconomic status of the household, parental age and education and child feeding and morbidity. • Dietary data was collected every 3 weeks . • Each child was given free health care and illnesses were monitored as well.
Procedure cont’d • Weaning is defined as the ceasing of breastfeeding in this study. • Children who were breastfed for less than half of the study were considered as having a short duration breastfeeding. • Those breastfed throughout the study were considered long duration breastfeeding. • Intermediates were considered to be medium duration breastfeeding.
Table1: Baseline characteristics of children lost to follow up and final sample
Table 2: Household and maternal characteristics by breastfeeding category.
Table 3: Characteristic of children and baseline anthropometry and growth by breastfeeding category
Conclusion • It was observed that mothers of higher socioeconomic status breast fed their children less, lowering the weight and length. • Weaning was done due to illness or subsequent pregnancies. • Limitations were the physiological benefits such as closer mother-child relationships.
Conclusion cont’d • Breastfeeding is a biological process that promotes good maternal and child health. • Increased water use indicated that more food was prepared ,therefore the frequency of child feeding was greater. It also indicated a greater degree of cleanliness. • Results suggest that breastfeeding in the second year contributes to linear growth.