Nlend Anne Esther Njom, Ekani Bernadette Bagfegue
National Social Insurance Fund Hospital, Department of Pediatrics ; Association Camerounaise d'Aide aux Personnes et Familles Affectées par le VIH/SIDA.
Association Camerounaise d'Aide aux Personnes et Familles Affectées par le VIH/SIDA.
Pan Afr Med J. 2014 Apr 15;17:282. doi: 10.11604/pamj.2014.17.282.3500. eCollection 2014.
The objective is to describe the trends of infant feedings choices in HIV context after infant feeding counseling. Descriptive retrospective study: Infant feeding counseling (IFC) sessions were offered to HIV pregnant women by the same team of counselors from April 2008 to December 2012. Counseling content was promoting either exclusive breastfeeding (EBF) or exclusive formula feeding (EFF) prior to 2010. Later on, versus EBF+ antiretroviral (ARV) drug given either to the mother or the infant or EFF was the gold standard. Mixed feeding was prohibited. Infants feeding were practices recorded at the first post natal visit.
rate of EBF/ EFF per year and period. We included a total of 1114 live-born babies. During the five year the overall rate of EBF and EFF stood at 41% and 59% respectively. The rate of EBF/EFF was recorded as follow: varies from 25/75% in year one to 52/48% in year five(p ≤ 0.001). The rate of mixed was virtually cancelled during the same period, 3/237 (1.2%) in year one to period 1/165 (0.6%) in the latest period. In conclusion, in Yaoundé, there is a slight increase in breastfeeding rate among HIV exposed infants during the first two months of life. Further investigations are required to confirm this tendency and analyze the new features of breastfeeding practices.
目的是描述婴儿喂养咨询后，艾滋病病毒感染情况下婴儿喂养选择的趋势。描述性回顾性研究：2008年4月至2012年12月，由同一组咨询人员为感染艾滋病病毒的孕妇提供婴儿喂养咨询服务。2010年前，咨询内容是提倡纯母乳喂养（EBF）或纯配方奶喂养（EFF）。后来，以母亲或婴儿接受纯母乳喂养加抗逆转录病毒（ARV）药物或纯配方奶喂养作为金标准。禁止混合喂养。在首次产后访视时记录婴儿的喂养方式。
每年及各时间段的纯母乳喂养/纯配方奶喂养率。我们共纳入了1114例活产婴儿。在这五年中，纯母乳喂养和纯配方奶喂养的总体比例分别为41%和59%。纯母乳喂养/纯配方奶喂养率记录如下：从第一年的25/75%到第五年的52/48%（p≤0.001）。同期混合喂养率几乎为零，从第一年的3/237（1.2%）到最近时间段的1/165（0.6%）。总之，在雅温得，暴露于艾滋病病毒的婴儿在出生后前两个月的母乳喂养率略有上升。需要进一步调查以证实这一趋势并分析母乳喂养方式的新特点。
