Continued breastfeeding and child growth in the second year of life: a prospective cohort study in W

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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

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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 childs diet until they
  are 2 years old.

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Hypothesis

• It was believed that breastfeeding during the
  second year of life promotes child growth.

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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)

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Procedures contd

• 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

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Procedure contd

• 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.

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Procedure contd

• 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.

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Results
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Table1 Baseline characteristics of children lost
to follow up and final sample
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Table 1 contd
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Table 2 Household and maternal characteristics
by breastfeeding category.
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Table 2 contd
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Table 2 contd
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Table 3 Characteristic of children and baseline
anthropometry and growth by breastfeeding category
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Table 3 contd
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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.

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Conclusion contd

• 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.