Document Detail


Early initiation of breastfeeding and the risk of infant diarrhea in rural Egypt.
MedLine Citation:
PMID:  10390289     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Initiation of breastfeeding shortly after delivery may enhance breastfeeding's protective effect against diarrhea because of the protective properties of human colostrum contained in early breast milk. OBJECTIVE: To evaluate whether initiation of breastfeeding within the first 3 days of life, when breast milk contains colostrum, was associated with a lower rate of diarrhea in rural Egyptian infants during the first 6 months of life. METHODS: Infants initially breastfed (n = 198) were monitored prospectively with twice-weekly home visits to ascertain dietary practices and diarrheal illnesses. RESULTS: The burden of diarrhea during the first 6 months of life in the cohort was high: seven episodes per child-year of follow-up. Only 151 (76%) infants initiated breastfeeding during the first 3 days of life ("early initiation"). Infants in whom breastfeeding was initiated early had a 26% (95% CI: 2%,44%) lower rate of diarrhea than those initiated late. The protective association between early initiation and diarrhea was independent of the pattern of postinitiation dietary practices and was evident throughout the first 6 months of life. CONCLUSIONS: Early initiation of breastfeeding was associated with a marked reduction of the rate of diarrhea throughout the first 6 months of life, possibly because of the salutary effects of human colostrum. These data highlight the need for interventions to encourage early initiation of breastfeeding in less developed settings.
Authors:
J Clemens; R A Elyazeed; M Rao; S Savarino; B Z Morsy; Y Kim; T Wierzba; A Naficy; Y J Lee
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, Non-P.H.S.; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Pediatrics     Volume:  104     ISSN:  1098-4275     ISO Abbreviation:  Pediatrics     Publication Date:  1999 Jul 
Date Detail:
Created Date:  1999-07-12     Completed Date:  1999-07-12     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0376422     Medline TA:  Pediatrics     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  e3     Citation Subset:  IM    
Affiliation:
National Institute of Child Health and Human Development, Bethesda, Maryland 20892, USA. clemensj@exchange.nih.gov
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MeSH Terms
Descriptor/Qualifier:
Breast Feeding* / statistics & numerical data
Cohort Studies
Colostrum / immunology
Diarrhea, Infantile / epidemiology,  prevention & control*
Egypt
Female
Humans
Incidence
Infant
Infant, Newborn
Male
Multivariate Analysis
Rural Health
Survival Analysis
Time Factors
Grant Support
ID/Acronym/Agency:
Y1-HD-0026-01/HD/NICHD NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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