Faculty of Medicine, Mansoura University, Mansoura 35516, Egypt.
Biomed Res Int. 2014;2014:258470. doi: 10.1155/2014/258470. Epub 2014 May 6.
Prelacteal feed (feeding any other substance before first breastfeeding) appears to be common despite its harmful effects. By definition a child provided with prelacteal feed (PLF) is not exclusively breastfed and PLF has many implications for the success and early initiation of breastfeeding. Objectives. To describe the prevalence of, nature of, and reasons for and factors associated with PLF.
647 mother-infant dyads were studied. Data was collected about the sociodemographic features of the family and baby, maternity care, the type of first feed before suckling, and causes of PLF. Maternal weight and height were measured and body mass index was calculated.
About 58% of newborns received prelacteal feeds. The commonest PLF was sugar/glucose water (39.6%). The most frequent reasons for giving PLF are tradition (61.0%) and mother's/mother in law's advice (58.3%). The logistic regression revealed that the independent predictors of PLF are urban residence; maternal education; father's education; low, middle, and high social class; maternal obesity; receiving antenatal care at private clinics and no antenatal care; Caesarean section; female babies; low birth weight; and admission to neonatal intensive care.
Indiscriminate use of PLF should be discouraged in medical education and in antenatal maternal health education.
尽管最初哺乳前喂养（在首次母乳喂养之前喂养任何其他物质）有不良影响，但这种情况似乎很常见。根据定义，提供最初哺乳前喂养（PLF）的儿童并非完全母乳喂养，PLF 对母乳喂养的成功和早期开始有许多影响。目的。描述 PLF 的流行程度、性质、原因以及与 PLF 相关的因素。
对 647 对母婴进行了研究。收集了有关家庭和婴儿的社会人口统计学特征、产妇保健、吮吸前首次喂养的类型以及 PLF 原因的数据。测量了母亲的体重和身高，并计算了体重指数。
约 58%的新生儿接受了最初哺乳前喂养。最常见的 PLF 是糖水/葡萄糖水（39.6%）。给予 PLF 的常见原因是传统（61.0%）和母亲/婆婆的建议（58.3%）。逻辑回归显示，PLF 的独立预测因素是城市居住；母亲教育；父亲教育；低、中、高社会阶层；母亲肥胖；在私人诊所接受产前护理和无产前护理；剖腹产；女婴；低出生体重；以及新生儿重症监护病房入院。
在医学教育和产前孕产妇健康教育中，应劝阻不加选择地使用最初哺乳前喂养。
