Document Detail

Effect of breastfeeding and morbidity on the development of low birthweight term babies in Brazil.
MedLine Citation:
PMID:  10565457     Owner:  NLM     Status:  MEDLINE    
Low birthweight (LBW) occurs in 17% of births in developing countries and many of them are full term. The subsequent development of LBW term infants is poorer than higher birthweight children and more likely to be affected by poor social circumstances. We investigated the effects of morbidity and breastfeeding on the development of these LBW term infants. Two parallel cohorts (n = 131 + 131) of LBW term (1500-2499 g) and higher birthweight (3000-3499 g) infants were recruited from six maternity centers in northeast Brazil. The longitudinal prevalence of morbidity and the frequency of breastfeeding over the first 6 mo of life were assessed. The infants' development was assessed on the Bayley Scales at 6 and 12 mo, and we previously reported that the low birthweight group had lower scores than the higher birthweight group. Hospitalizations in the first 6 mo were negatively associated with 6-mo and 12-mo Bayley scores in both groups. Among LBW infants, but not higher birthweight infants, there were significant associations between the prevalence of diarrhea and mental and motor development at 6 mo and mental development at 12 mo. Breastfeeding frequency in the first 4 wk of life was positively associated with mental development in both birthweight groups at 6 mo but not at 12 mo. Breastfeeding beyond 4 wk was not associated with the children's development. We conclude that low birthweight infants are especially vulnerable to the effects of diarrhea, and the greater frequency and differential effect of diarrhea partly explains their poorer development.
S S Morris; S M Grantham-McGregor; P I Lira; A M Assunção; A Ashworth
Related Documents :
8373677 - Severe thrombocytopenia in extremely low birthweight infants with systemic candidiasis.
23906197 - A re-evaluation of the role of rotational forceps: retrospective comparison of maternal...
20085917 - Economic contraction and birth outcomes: an integrative review.
8198847 - Survival of low birthweight infants in central queensland.
8460047 - Pain in the preterm neonate: behavioural and physiological indices.
12885007 - Acidogenic potential of soya infant formula in comparison with regular infant formula a...
Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Acta paediatrica (Oslo, Norway : 1992)     Volume:  88     ISSN:  0803-5253     ISO Abbreviation:  Acta Paediatr.     Publication Date:  1999 Oct 
Date Detail:
Created Date:  1999-12-16     Completed Date:  1999-12-16     Revised Date:  2009-09-29    
Medline Journal Info:
Nlm Unique ID:  9205968     Medline TA:  Acta Paediatr     Country:  NORWAY    
Other Details:
Languages:  eng     Pagination:  1101-6     Citation Subset:  IM    
International Food Policy Research Institute, Washington, DC, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Birth Weight
Brazil / epidemiology
Breast Feeding / statistics & numerical data*
Cohort Studies
Infant, Low Birth Weight / growth & development*
Infant, Newborn
Longitudinal Studies
Morbidity / trends*
Reference Values
Regression Analysis
Risk Assessment
Risk Factors
Socioeconomic Factors
Grant Support
//Wellcome Trust

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

Previous Document:  Child health service's response to early feeding and behaviour problems: changes in parental percept...
Next Document:  Social adversity, migration and hospital admissions for childhood asthma in Sweden.