Consequences of Lack of Neonatal Breastfeeding in Infants Hospitalized for Diarrhea at an Urban Hospital, Bangladesh: A Case Control Design

Overview

Journal Glob Pediatr Health

Specialty Pediatrics

Date 2019 Jun 19

PMID 31211183

Authors

Abu S M S B Shahid

Tahmeed Ahmed

Senjuti Kabir

K A T M Ehsanul Huq

K M Shahunja

Abu Syeed Golam Faruque

Md Moshiur Rahman

Md Munirul Islam

Mohammod Jobayer Chisti

Affiliations

Soon will be listed here.

Abstract

. Exclusive breastfeeding is important for immunity and lack of breastfeeding during the neonatal age impedes that. Our aim was to assess the consequences of lack of breastfeeding on infants with diarrhea in the neonatal period. . In this design, infants from DDSS (Diarrheal Disease Surveillance System) from 2009 to 2013 were studied. Those who did not have breastfeeding or had cessation of breastfeeding at the neonatal age constituted the cases, whereas infants who continued breastfeeding since birth or for at least 6 months since birth constituted the controls. . The cases more often presented at a younger age, had an illiterate mother, frequently presented with complicated diarrhea, had severe wasting, and had abnormal mental status compared with the controls. In logistic regression, after adjusting for potential confounders, infants who lacked breastfeeding at the neonatal period had an independent association with dehydrating diarrhea. . The results of our analyses suggest that infants with diarrhea who did not have breastfeeding at the neonatal age are prone to develop some or severe dehydration.

References

Chisti M, Faruque A, Khan W, Das S, Zabed M, Salam M . Characteristics of children with Shigella encephalopathy: experience from a large urban diarrhea treatment center in Bangladesh. Pediatr Infect Dis J. 2009; 29(5):444-7. DOI: 10.1097/INF.0b013e3181cb4608. View

Scott J, Aitkin I, Binns C, Aroni R . Factors associated with the duration of breastfeeding amongst women in Perth, Australia. Acta Paediatr. 1999; 88(4):416-21. DOI: 10.1080/08035259950169800. View

Zaman K, Baqui A, Yunus M, Sack R, Bateman O, Chowdhury H . Acute respiratory infections in children: a community-based longitudinal study in rural Bangladesh. J Trop Pediatr. 1997; 43(3):133-7. DOI: 10.1093/tropej/43.3.133. View

Ryan A, Zhou W, Arensberg M . The effect of employment status on breastfeeding in the United States. Womens Health Issues. 2006; 16(5):243-51. DOI: 10.1016/j.whi.2006.08.001. View

Scariati P, Grummer-Strawn L, FEIN S . A longitudinal analysis of infant morbidity and the extent of breastfeeding in the United States. Pediatrics. 1997; 99(6):E5. DOI: 10.1542/peds.99.6.e5. View

Lok K, Bai D, Tarrant M . Predictors of breastfeeding initiation in Hong Kong and Mainland China born mothers. BMC Pregnancy Childbirth. 2015; 15:286. PMC: 4632339. DOI: 10.1186/s12884-015-0719-5. View

Dey S, Chisti M, Das S, Shaha C, Ferdous F, Farzana F . Characteristics of diarrheal illnesses in non-breast fed infants attending a large urban diarrheal disease hospital in Bangladesh. PLoS One. 2013; 8(3):e58228. PMC: 3592889. DOI: 10.1371/journal.pone.0058228. View

Fuchs S, Victora C, Martines J . Case-control study of risk of dehydrating diarrhoea in infants in vulnerable period after full weaning. BMJ. 1996; 313(7054):391-4. PMC: 2351803. DOI: 10.1136/bmj.313.7054.391. View

Brown K, Perez F . Determinants of dietary intake during childhood diarrhea and implications for appropriate nutritional therapy. Acta Paediatr Suppl. 1992; 381:127-32. DOI: 10.1111/j.1651-2227.1992.tb12386.x. View

10.

Brown K, Black R, Lopez de Romana G, Creed de Kanashiro H . Infant-feeding practices and their relationship with diarrheal and other diseases in Huascar (Lima), Peru. Pediatrics. 1989; 83(1):31-40. View

11.

Yang Q, Wen S, Dubois L, Chen Y, Walker M, Krewski D . Determinants of breast-feeding and weaning in Alberta, Canada. J Obstet Gynaecol Can. 2004; 26(11):975-81. DOI: 10.1016/s1701-2163(16)30419-4. View

12.

Baker E, Sanei L, Franklin N . Early initiation of and exclusive breastfeeding in large-scale community-based programmes in Bolivia and Madagascar. J Health Popul Nutr. 2007; 24(4):530-9. PMC: 3001157. View

13.

Raisler J, Alexander C, OCampo P . Breast-feeding and infant illness: a dose-response relationship?. Am J Public Health. 1999; 89(1):25-30. PMC: 1508518. DOI: 10.2105/ajph.89.1.25. View

14.

Mihrshahi S, Ichikawa N, Shuaib M, Oddy W, Ampon R, Dibley M . Prevalence of exclusive breastfeeding in Bangladesh and its association with diarrhoea and acute respiratory infection: results of the multiple indicator cluster survey 2003. J Health Popul Nutr. 2007; 25(2):195-204. PMC: 2753993. View

15.

Marquis G, Lopez T, Peerson J, Brown K . Effect of dietary viscosity on energy intake by breast-fed and non-breast-fed children during and after acute diarrhea. Am J Clin Nutr. 1993; 57(2):218-23. DOI: 10.1093/ajcn/57.2.218. View

16.

Lopez-Alarcon M, Garcia-Zuniga P, del Prado M, Garza C . Breastfeeding protects against the anorectic response to infection in infants: possible role of DHA. Adv Exp Med Biol. 2004; 554:371-4. DOI: 10.1007/978-1-4757-4242-8_43. View

17.

Morrow A, Ruiz-Palacios G, Jiang X, Newburg D . Human-milk glycans that inhibit pathogen binding protect breast-feeding infants against infectious diarrhea. J Nutr. 2005; 135(5):1304-7. DOI: 10.1093/jn/135.5.1304. View

18.

Riordan J . The cost of not breastfeeding: a commentary. J Hum Lact. 1997; 13(2):93-7. DOI: 10.1177/089033449701300202. View

19.

Newburg D, Ruiz-Palacios G, Altaye M, Chaturvedi P, Meinzen-Derr J, de Lourdes Guerrero M . Innate protection conferred by fucosylated oligosaccharides of human milk against diarrhea in breastfed infants. Glycobiology. 2003; 14(3):253-63. DOI: 10.1093/glycob/cwh020. View

20.

Das S, Faruque A, Chisti M, Malek M, Salam M, Sack D . Changing trend of persistent diarrhoea in young children over two decades: observations from a large diarrhoeal disease hospital in Bangladesh. Acta Paediatr. 2012; 101(10):e452-7. DOI: 10.1111/j.1651-2227.2012.02761.x. View