Document Detail

State and regional variation in regulations related to feeding infants in child care.
MedLine Citation:
PMID:  19564255     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: The purpose of this study was to compare state and regional variation in infant feeding regulations for child care facilities and to compare these regulations to national standards.
METHODS: We reviewed regulations for child care for all US states and Washington, DC, and examined patterns according to type of facility and geographic region. We compared state regulations with national standards for feeding infants in child care. The standards included were: (1) infants are fed according to a feeding plan from a parent or physician; (2) breastfeeding is supported by the child care facility; (3) no solid food is given before 6 months of age; (4) infants are fed on demand; (5) infants are fed by a consistent caregiver; (6) infants are held while feeding; (7) infants cannot carry or sleep with a bottle; (8) caregivers cannot feed >1 infant at a time; (9) no cow's milk is given to children <12 months of age; (10) whole cow's milk is required for children 12 to 24 months of age; and (11) no solid food is fed in a bottle.
RESULTS: The mean number of regulations for states was 2.8 (SD: 1.6) for centers and 2.0 (SD: 1.3) for family child care homes. No state had regulations for all 11 standards for centers; only Delaware had regulations for 10 of the 11 standards. For family child care homes, Ohio had regulations for 5 of the 11 standards, the most of any state. States in the South had the greatest mean number of regulations for centers (3.3) and family child care homes (2.2), and the West had the fewest (2.3 and 1.9, respectively).
CONCLUSIONS: Many states lacked infant feeding regulations. Encouraging states to meet best-practice national standards helps ensure that all child care facilities engage in appropriate and healthful infant feeding practices.
Sara E Benjamin; Elsie M Taveras; Angie L Cradock; Elizabeth M Walker; Meghan M Slining; Matthew W Gillman
Related Documents :
17594415 - Feeding outcomes of extremely premature infants after neonatal care.
7838635 - Manometrics for preterm and term infants: a new tool for old questions.
6417785 - Transpyloric feeding in the newborn: use in neonates with and without respiratory failure.
9202615 - Changes in gastric emptying in early postnatal life.
2299725 - Long-term survival in an infant with urethral atresia.
2769505 - Ventilatory changes in convalescent infants positioned in car seats.
Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Pediatrics     Volume:  124     ISSN:  1098-4275     ISO Abbreviation:  Pediatrics     Publication Date:  2009 Jul 
Date Detail:
Created Date:  2009-06-30     Completed Date:  2009-09-22     Revised Date:  2011-10-31    
Medline Journal Info:
Nlm Unique ID:  0376422     Medline TA:  Pediatrics     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e104-11     Citation Subset:  AIM; IM    
Department of Ambulatory Care and Prevention, Harvard Medical School and Harvard Pilgrim Health Care, Boston, Massachusetts, Massachusetts 02215, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Breast Feeding
Child Day Care Centers / legislation & jurisprudence,  standards*
Cross-Sectional Studies
Infant Food / standards*
United States
Grant Support
DK80618/DK/NIDDK NIH HHS; F32 DK080618-02/DK/NIDDK NIH HHS; P30 DK040561-14/DK/NIDDK NIH HHS; U48-CC115807/CC/CDC HHS

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

Previous Document:  Continued impact of pneumococcal conjugate vaccine on carriage in young children.
Next Document:  Conflicts about end-of-life decisions in NICUs in the Netherlands.