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Research Article

Sri Jayewardenepura Breastfeeding Study: Maternal and infant outcomes in relation to the duration of breast feeding

Authors:

Pubudu de Silva ,

Medical Officer, Sri Jayewardenepura General Hospital, Sri Jayewardenepura Kotte, LK
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Sampath Kusumsiri,

Medical Officer, Sri Jayewardenepura General Hospital, Sri Jayewardenepura Kotte, LK
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Ruchira Dissanayake,

Medical Officer, Sri Jayewardenepura General Hospital, Sri Jayewardenepura Kotte, LK
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Rani Wasala

Paediatrician, Sri Jayewardenepura General Hospital, Sri Jayewardenepura Kotte, LK
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Abstract

Introduction: The WHO emphasizes exclusive breastfeeding (EBF) for six months. In Sri Lanka the EBF for 4-6 months is recommended. There is paucity of data in issues concerning policymaking with regard to defining the optimal duration of EBF in Sri Lanka.
Objectives: To compare maternal and infant outcomes in 3 groups of paired mother-infants: four month of EBF, between four months and six months of EBF and six months of EBF.
Methods: A randomized interventional study. Only normal mother-infant pairs were included. All groups educated on weaning and evaluated monthly. Assessments of anthropometry, morbidity, motor development, lactational amenorrhea, micronutrition status (Haemoblobin level and serum iron) were done in all three groups.
Results: Less number of infants with growth faltering (p=0.093) and acute gastroenteritis (p=0.135) while more infants crawled, longer period of lactational amenorrhea (p= 0.276) and higher mean maternal weight loss (p=0.152) observed in 6 months EBF group compared to the other two groups. No significant differences in mean serum iron concentration and mean haemoglobin concentration among the three groups (p= 0.928 and p= 0.921 respectively). There were no significant differences in the above factors among the three groups at one year of age.
Conclusions: Six months EBF has favorable out comes in terms of weight faltering, acute gastroenteritis, motor development, lactational amenorrhea and maternal weight loss. EBF for six months has not effected the serum iron concentration and heamoglobin level in this study sample. There were no significant benefits at one year of age.

Key words: Six months exclusive breast feeding; maternal lactational amenorrhea; infant micronutrition status.

DOI: 10.4038/sljog.v31i2.1752

Sri Lanka Journal of Obstetrics and Gynaecology 2009; 31: 88-96

DOI: http://doi.org/10.4038/sljog.v31i2.1752
How to Cite: de Silva, P. et al., (2010). Sri Jayewardenepura Breastfeeding Study: Maternal and infant outcomes in relation to the duration of breast feeding. Sri Lanka Journal of Obstetrics and Gynaecology. 31(2), pp.88–96. DOI: http://doi.org/10.4038/sljog.v31i2.1752
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Published on 03 Apr 2010.
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