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PubMedDate not supplied

An investigation of the factors influencing the choice of infant feeding methods among urban Zimbabwean women in the context of HIV transmission.

OBJECTIVE: To determine the socio-economic and cultural factors influencing the choice of infant feeding methods in urban Zimbabwe women in the context of HIV transmission. STUDY DESIGN: A prospective survey. SETTING: Clinics in Harare and Chitungwiza, Zimbabwe. SUBJECTS: A total of 200 women attending eight baby clinics, with babies aged up to two years. MAIN OUTCOME MEASURES: Infant feeding methods used by mothers, number of women who had undergone HIV testing, those who knew the link between HIV and breast feeding, and those who were afraid to breast feed. The most common reasons for breast feeding and formula feeding. RESULTS: Husbands had a greater influence on feeding practices than nurses, implying that social influences have a higher influence than the advice of medical personnel when choosing a method of feeding (58% and 42% respectively). Thirty three percent and 77% of women in Harare and Chitungwiza respectively knew the link between HIV and breast milk. Thirteen percent and 36% of the women were afraid to breast feed in Harare and Chitungwiza respectively. CONCLUSION: The level of education and employment status as well as the opinions of family members and health care personnel are the major factors that influence the choice of method of infant feeding. The multiplicity of factors complicate the decision making process, considering the benefits of breast feeding, which have to be weighed against the risk of transmitting HIV to the infant.

Adult↗
PubMed1989

Decision rules for infant feeding: the influence of maternal expertise, regulating functions, and feeding method.

Decision rules used by mothers to determine actions for tasks and events of infant feeding were described and factors contributing to their use (mothers' functions in regulating the feeding, maternal experience, and feeding method) were explored. A telephone interview surveyed 122 mothers of healthy term infants 14-60 days old. Both Decision Rules and Regulating Function (Maternal-, Infant-, or Mutual-Regulation) varied by feeding task or event examined. Decision Rules and Regulating Functions were associated only for burping during a feeding. Maternal experience (primiparity, multiparity) was not associated with either Decision Rule or Regulating Functions. For several feeding tasks or events, Decision Rule was more likely to be predicted by Regulating Function when feeding method (breast, bottle) was controlled. A mother's agenda for the feeding may be an important component of her internal working model of infant feeding and a factor in making decisions for action.

Adolescent↗
PubMed2001

[Feeding methods for long-term bedridden patients with dysphagia under home health care--percutaneous endoscopic gastrostomy (PEG) and intravenous hyperalimentation (IVH)].

We began home health care in our hospital in 1992, and the total number of patients under home health care has reached 380 so far. We report 12 bedridden patients with dysphagia, who have obtained nutrition using two feeding methods. The patients are 7 men and 5 women, with a mean age of 81.4 +/- 8.8 years. The diseases in these patients include cerebrovascular diseases, Parkinson's disease, and senile dementia of the Alzheimer type. The feeding methods include swallowing after swallowing training, percutaneous endoscopic gastrostomy (PEG), and intravenous hyperalimentation (IVH). We have fed these patients by combinating these three methods. The patients fed by swallowing and PEG, swallowing and IVH, and PEG and IVH are five, five and two, respectively. It is very important for bedridden patients to eat and swallow food by themselves, even if the amount is extremely small. Although swallowing training has been performed, the amount of food is not sufficient for life support. Therefore, additional feeding by PEG or IVH is necessary. Sufficient nutrition through a variety of feeding methods is important for patients under home health care.

Aged↗
PubMed1999

Choice of feeding method of adolescent mothers: does ego development play a role?

STUDY OBJECTIVES: The purpose of this study was to determine whether, among childbearing adolescents, ego development was associated with intention to breast-feed and with actual breast-feeding behavior at birth and at 2 weeks postpartum. In addition, we sought to determine whether positive attitudes toward breast-feeding influenced pregnant adolescents' intentions to breast-feed and actual breast-feeding at the hospital and at 2 weeks postpartum. We hypothesized that adolescents with higher levels of ego development and positive attitudes toward breast-feeding would be more likely to intend to breast-feed and to actually breast-feed. DESIGN: Prospective cohort study of pregnant adolescents who completed questionnaires, Loevinger's Sentence Completion Tests, and attitudes toward breast-feeding scales before delivery and a follow-up questionnaire at 2 weeks postpartum assessing feeding practice in the hospital and at 2 weeks postpartum. SETTING: Two adolescents' clinics and two "teen-and-tot" clinics in urban teaching hospitals. PARTICIPANTS: Fourteen- to 22-year-old pregnant adolescents who had never given birth and who planned to carry their pregnancy to term and parent their children. MAIN OUTCOME MEASURES: 1) Intended feeding practice during pregnancy, 2) feeding method in the hospital, and 3) feeding method at 2 weeks postpartum. RESULTS: Of the 125 subjects enrolled in the study, 106 were at 2 weeks postpartum or more. Of these 106 participants, 75% (n = 78) completed more than 75% of the attitudes toward breast-feeding scale and Loevinger's Sentence Completion Test and are included in these analyses. Mean age at entry was 17.8 +/- 1.5 years (range, 14.3 to 21.8 years). Mean gestational age at enrollment was 21.2 +/- 11.6 weeks (range, 4 to 41 weeks). Of the 78 participants, 12% (n = 9) were at the preconformist, 85% (n = 66) at the conformist, and 4% (n = 3) at the postconformist level of ego development as determined by the Sentence Completion Test. Attitudes toward breast-feeding, intention to breast-feed, breast-feeding in the hospital, and breast-feeding at 2 weeks postpartum were not significantly associated with adolescents' stages of ego development. Almost three fourths of the adolescents intended to breast-feed, and 85% tried breast-feeding in the hospital. A total of 97% (56 of 58) of those who intended to breast-feed tried breast-feeding in the hospital compared with 40% (4 of 10) of those who did not intend to breast-feed (P < .0001). At 2 weeks postpartum, 58% of the participants were still breast-feeding. Of those participants who intended to breast-feed, 67% (39 of 58) were breast-feeding at 2 weeks postpartum compared with 10% (1 of 10) who did not intend to breast-feed (P = .001). The mean breast-feeding attitude score was 53.7 +/- 11.6 (range, 25 to 72). The mean breast-feeding attitude score was higher for those who intended to breast-feed than for those who intended to formula-feed (P = .009), but the score was not associated with breast-feeding in the hospital or at 2 weeks postpartum. CONCLUSION: Adolescent mothers were predominantly in ego stages 4 and 5, the conformist level. Because ego development was not associated with outcome measures in this study, ego development may not be a crucial factor when designing interventions to facilitate breast-feeding among adolescents. Attitudes toward breast-feeding were associated with the intention to breast-feed but not behaviors; the intention to breast-feed was significantly associated with breast-feeding behaviors.

Adolescent↗
PubMed1991

[Cervical pharyngostomy: feeding method for patients with severe facial trauma].

A pharyngostomy is an alternative feeding method for patients with severe facial trauma where prolonged feeding is indicated. Oro- and nasogastric feeding are the other more well-known methods. A special intubation instrument has been developed to facilitate blunt dissection of cervical tissue and placement of the feeding tube. This particular technique and instrument has been used in 11 cases. The main aim and advantage of this technique is that the nasal and oral cavity can be kept clear of tubes which are a source of irritation and discomfort postoperatively in areas of extensive facial trauma.

Enteral Nutrition↗
PubMed2003

Secretory IgA level in pharyngeal mucous of infants with different feeding methods at the age of four to eight weeks.

The stimulating effect of human breast milk on the mucosal immunological development of recipient infant has been speculated. The objective of this study was to clarify the influence of breast feeding on the level of secretory IgA (sIgA) of infants. The level of sIgA in pharyngeal mucous among 79 healthy infants aged 4-8 weeks with different feeding methods was estimated. The concentrations of sIgA and protein were measured after the mucous absorbed by the throat swab was emulsified in saline. The level of sIgA was expressed as a percentage of the total protein content (sIgA % protein). The difference of the mean sIgA % protein was not significant among infants with different feeding methods. The results suggest that breast milk does not influence the sIgA levels of infant. Breast feeding may promote specific sIgA production without raising the total level of sIgA.

Bottle Feeding↗
PubMed2003

[Effects of different feeding methods on the iodine status of the infants during the weaning period].

OBJECTIVE: To investigate the iodine levels of urine from 1 month old breast-fed infants and the ones of milk and urine from the lactating women, and to observe the effects of different feeding methods (breast-feeding, mixed-feeding, bottle-feeding) on the iodine status of the infants during the weaning period in Beijing. METHODS: From March, 2001 to March, 2002, the iodine levels of urine from 97 breast-fed infants 1 month of age and the ones in milk and urine from lactating women were measured and compared. The infants followed up were divided into 3 groups (breast-fed, mixed and bottle-fed) until 6 months old. Their iodine levels of urine were measured and compared with the ones of 1 month of age. RESULTS: The median value of urine iodine from breast-fed 1 month old infants was 183 micro g/L, suggesting that the infants with breast-fed had good iodine nutritional status. The median value of urine iodine from lactating women was 122 micro g/L, significantly lower than the value of milk iodine, 201 micro g/L (P < 0.001). which suggests that the lactating women were iodine deficient but could provide infants iodine adequately through breast feeding. Compared with 1 month af age, the urine iodine levels of 6 months old infants with breast-feeding increased (P < 0.001), the ones with bottle-feeding decreased significantly (P < 0.001) and the mixed-feeding group did not change (P > 0.05). The differences among 3 groups were significant (P < 0.005), the urine iodine levels of infants of both breast-feeding and mixed-feeding groups were higher than the ones of bottle-feeding. The breast-feeding group was the highest one among three groups. CONCLUSION: The breast-fed infants were nourished with iodine, but the lactating women were iodine deficient. Accompanied the decrease of the amount of breast milk, the iodine levels of infants urine decreased during the weaning period, some bottle-feeding infants were iodine deficient.

Bottle Feeding↗
PubMed2000

Determinants of infant feeding method in relation to risk factors for breast cancer.

BACKGROUND: Breastfeeding is considered to be an important factor for maternal and children's health. However, the epidemiological findings related to the effect of breastfeeding on women's health, especially with respect to breast cancer development, are inconsistent. Determinants of infant feeding method may contribute to the inconsistency. METHODS: A total of 24,769 women aged 40-64 in Miyagi Prefecture, Japan, responded to a self-administered questionnaire survey in 1990. Using the data obtained from 22,085 parous women, we calculated odds ratios (ORs) for the choice of "breastfeeding only" during reproductive period. RESULTS: Late age at menarche (> or = 16 years, OR = 1.57) and high body mass index (BMI) at 20 years of age (> or = 24, OR = 1.31) were associated with the choice of breastfeeding only. Late age at birth of first child (> or = 28 years, OR = 0.29), history of breast cancer in mother (OR = 0.68), and high educational level (more than a high school education, OR = 0.53) reduced the possibility of choosing breastfeeding only. CONCLUSION: The results indicate that the choice of infant feeding method is associated with several breast cancer risk factors. Based on this finding, we should construct appropriate breast cancer risk models for parous women and investigate the changes in the effects of breastfeeding and other breast cancer risk factors among these risk models. Especially in a risk model controlling for breastfeeding, the effects of other breast cancer risk factors should be reevaluated. Through comparisons among different risk models, we may find the best-fitted risk model and identify the true effect of breastfeeding.

Adolescent↗
PubMed2004

Factors influencing infant feeding method in an urban community.

The benefits of breastfeeding are well established. However, despite this fact, rates of breastfeeding continue to be low, falling far below the goals of Healthy People 2010. Rates are even lower among ethnic minority and low-income women. In this study, we attempt to identify the factors that most influence a mother's choice of infant feeding method in an urban predominately African-American population. Phone interviews of 70 women who delivered full-term infants at an urban tertiary care hospital were conducted in order to explore knowledge, attitudes, and beliefs about breastfeeding of the mothers and that of members of their social support network. Ten mothers (14%) exclusively breastfed. Older, caucasian, and married women were more likely to breastfeed. Breastfeeding mothers reported more partner support as well as more family knowledge about breastfeeding and had more positive attitudes about breastfeeding. Healthcare providers were not directly influential in mother's feeding choice. From this study, we conclude that in this population, the mother's partner and family are most influential in the choice of infant feeding method and, thus, should be included in breastfeeding promotion programs.

Adolescent↗
PubMed1997

The effect of discharge pack formula and breast pumps on breastfeeding duration and choice of infant feeding method.

BACKGROUND: A study of breastfeeding mothers was conducted from October 1993 through July 1994 in the western United States to determine the influence of components of hospital discharge packs on the duration of breastfeeding. METHOD: On discharge from the hospital, over 1600 breastfeeding mothers were given one of four free discharge packs, identical in all ways except that one contained a can of powdered formula, one a manual breast pump, one both formula and pump, and one neither. During the following 6 months, mothers were interviewed by telephone three times by an independent research firm to determine how and what they were feeding their infants. Analysis of the independent and interactive effects of both formula and pump was performed, and the moderating effects of age, ethnicity, marital and insurance status, prebirth feeding plan, and the effect of returning to outside employment or school were examined. RESULTS: Across the entire sample, the contents of the discharge packs had a negligible effect on feeding method and breastfeeding duration. Examination of select subgroups revealed modest discharge pack effects, wherein the presence of discharge pack formula increased the likelihoof2p4 introducing supplementation during the first 6 weeks whereas receipt of pumps prolonged full breastfeeding. Even in these select groups, however, no effect was observed on the overall duration of breastfeeding. CONCLUSION: Relative to other known influences on the choice of feeding method and on breastfeeding duration, discharge pack contents do not merit great concern.

Adult↗
PubMed2004

Feeding method and health outcomes of children with cerebral palsy.

Disorders of feeding and swallowing are common in children with cerebral palsy. Feeding and swallowing disorders have significant implications for development, growth and nutrition, respiratory health, gastrointestinal function, parent-child interaction, and overall family life. Assessments need to be comprehensive in scope and centered around the medical home. Oral feeding interventions for children with cerebral palsy may be effective in promoting oral motor function, but have not been shown to be effective in promoting feeding efficiency or weight gain. Feeding gastrostomy tubes are a reasonable alternative for children with severe feeding and swallowing problems who have had poor weight gain.

Cerebral Palsy↗
PubMed2001

Feeding methods for the preterm infant.

As more very immature preterm infants survive, provision of enteral feedings has become a major focus of concern. Although many aspects of gastrointestinal function are immature in the preterm infant, the ability of the preterm neonate to process and absorb enteral nutrients appears to be adequate enough to sustain nutritional needs. Few prospective randomized trials have compared the efficacy of different feeding methods. However, some studies have compared differing routes of feeding, rates of feeding, and volume of feeding. The ability to successfully digest enteral feedings may be inhibited or enhanced by pharmacological agents. The need to modify a feeding strategy can be monitored by tracking several measurements prospectively. Finally, there is a need to assess ongoing dietary needs of preterm infants for discharge planning.

Digestion↗
PubMed2006

Effects of methanol feeding methods on chimeric alpha-amylase expression in continuous culture of Pichia pastoris.

The effects of two types of methanol feeding methods in a continuous culture of Pichia system on the cell growth and recombinant protein expression were studied using chimeric alpha-amylase as a model protein. With the feeding of methanol by a DO-stat method, the alpha-amylase concentration in the fermentation broth increased with decreasing dilution rate and reached 173 mg/l at a dilution rate of 0.013 h(-1), at which the maximum volumetric productivity of alpha-amylase was obtained. Although almost the same productivity was attained at 0.04 h(-1) with continuous methanol feeding, the alpha-amylase concentration was one third that compared with feeding by the DO-stat method, that is, 55 mg/l. Furthermore, at this dilution rate, the medium volume needed per unit time was three times that required when DO-stat was used. Therefore, continuous culture with methanol feeding by the DO-stat method may be a promising method for the production of recombinant proteins on an industrial scale by Pichia pastoris.

Bioreactors↗
PubMed2005

Behaviour of food restricted broilers during rearing and lay--effects of an alternative feeding method.

Broiler breeders are subjected to quantitative food restriction in order to control their growth, and this restriction is particularly severe during rearing. While such restriction improves some welfare problems associated with ad libitum feeding, it causes others: birds routinely show abnormal oral behaviours and have elevated plasma corticosterone concentration (PCC) and changes in white blood cell counts (WBCs). The aim of this study was to examine if feeding birds qualitatively restricted diets ad libitum during rearing could reduce signs of impaired welfare, as judged by behaviour and blood indices of stress, while also meeting commercially desired growth rates and uniformity. Furthermore, we examined what carry-over effects such a feeding method had on birds in the laying phase when all birds were fed on a conventional quantitative restriction regime. During rearing (1-20 weeks of age), pens of birds were either fed limited amounts of standard basal diets (Control, i.e. quantitative restriction), or ad libitum diets consisting of standard basal diets with gradually increasing levels of calcium propionate (CaP) and a constant level of oat hulls (OH), designated CaP+OH (i.e. qualitative restriction). Results showed that, during rearing, weights and weight uniformity were similar for the two groups. During feeding motivation tests, Control birds always consumed more food than CaP+OH birds. This suggests that Control birds were more highly motivated to feed than CaP+OH birds, although care has to be taken in interpreting these results. Treatment did not affect PCCs or WBCs, but there was a general decline in PCCs with bird age. All reported behaviours differed significantly between treatment groups during rearing, but disappeared during lay when all birds were fed a similar amount of food. Control birds spent up to 50% of time in object pecking during rearing periods, but this behaviour was virtually non-existent in birds in the qualitative feeding regime. Overall, the results indicate that broiler breeders can be successfully limited in growth rates by qualitative food restriction and this results in significant changes of behaviour that suggest improvements to bird welfare.

Age Factors↗
PubMedDate not supplied

Black non-Hispanic mothers' perceptions about the promotion of infant-feeding methods by nurses and physicians.

OBJECTIVE: To describe reports of low-income Black non-Hispanic women about the promotion of infant-feeding methods by nurses and physicians. DESIGN: Ethnographic research conducted over 18 months with interviewing and participant observation of informants. SETTING: The study took place in a Special Supplemental Nutrition Program for Women, Infants, and Children clinic and neighborhood in the New York metropolitan area. PARTICIPANTS: 130 Black non-Hispanic mothers enrolled in the Special Supplemental Nutrition Program for Women, Infants, and Children were general informants. From this group, 11 primiparous key informants were selected for close follow-up during pregnancy and the 1st postpartum year. MAIN OUTCOME MEASURES: Audiotaped interviews and field notes were analyzed for mothers' descriptions of infant-feeding education and support from nurses and physicians. FINDINGS: The informants reported limited breastfeeding education and support during pregnancy, childbirth stay in neonatal intensive care unit, postpartum, and recovery in the community. They also expressed trust/distrust concerns and varying degrees of anxiety about the ways they were treated by nurses and physicians. CONCLUSIONS: To decrease disparities in breastfeeding, this research suggests that health care professionals should focus their efforts on the development of trusting relationships and continuity of care along with clear, consistent breastfeeding education and support.

Adult↗