Huffman S L, Chowdhury A, Chakraborty J, Simpson N K
Am J Clin Nutr. 1980 Jan;33(1):144-54. doi: 10.1093/ajcn/33.1.144.
Nearly 1500 women with live births from February through September 1974 were included in this multiple phase study of breast-feeding patterns in a rural area of Banglandesh. The median duration of breast feeding was observed to be 30 months. Over 75% of the women whose most recently born children were living were breast feeding at 2 1/2 years postpartum. The major reason for discontinuing breast feeding in the 1st year was infant death, and in the 2nd year, pregnancy. Insufficient milk was given as a reason for discontinuing breast feeding by 18% of the women who stopped breast feeding for reasons other than child death; among these women almost 60% were pregnant at the time they stopped. Of the breast-feeding women who became pregnant, over 50% continued to breast feed through the 6th month of pregnancy. A sample of 200 breast-feeding women with children ages 17 to 25 months were followed longitudinally for 1 1/2 years or until the mothers conceived. A seasonal trend in suckling time was observed with women reducing suckling during the harvest season. Total suckling time was inversely associated with socioeconomic factors and with infant nutritional status. No association was found between mean suckling time and maternal nutritional status, maternal morbidity, infant morbidity, or child's sex.
1974年2月至9月期间有活产婴儿的近1500名妇女被纳入了孟加拉国农村地区母乳喂养模式的多阶段研究。观察到母乳喂养的中位持续时间为30个月。在产后2.5年时,其最近出生的孩子仍存活的妇女中,超过75%正在进行母乳喂养。第一年停止母乳喂养的主要原因是婴儿死亡,而第二年则是怀孕。在因孩子死亡以外的原因停止母乳喂养的妇女中,有18%将母乳不足作为停止母乳喂养的原因;在这些妇女中,近60%在停止母乳喂养时已怀孕。在怀孕的母乳喂养妇女中,超过50%在怀孕的第6个月仍继续母乳喂养。对200名孩子年龄在17至25个月的母乳喂养妇女进行了为期1.5年的纵向跟踪,直至母亲怀孕。观察到了哺乳时间的季节性趋势,妇女在收获季节减少了哺乳。总哺乳时间与社会经济因素以及婴儿营养状况呈负相关。未发现平均哺乳时间与母亲营养状况、母亲发病率、婴儿发病率或孩子性别之间存在关联。