Saowakontha S, Chantraphosri V, Kampor P, Ketkowit K, Panomratanarak B, Thaworndunstid P, Nathapindhu K
Department of Medicine, Faculty of Medicine, Khon Kaen University, Thailand.
Southeast Asian J Trop Med Public Health. 1995 Mar;26(1):73-7.
Breast feeding and supplementary food patterns were studied in 3 villages, of Udon Thani Province in Northeast Thailand. All children of 58 mothers were breast fed. Moreover, 42 mothers (72.4%), advised by health workers, fed their children with colostrum. Those who did not give colostrum believed that colostrum may cause diarrhea. Fifty-one (87.9%) children were fed Kaw Yam, northeast native food made out of baked chewed banana and sticky rice, within 1-7 days after birth. The mothers believed that the food will fill the child's stomach, and consequently, her baby will stop to cry. Powder milk was also given to the child as supplementary food. A powder milk had a high social value for the mother and also health worker advised them to feed the children with it. Rice porridge was additionally supplemented at the age of 6-8 months until weaning or, at the time when the child had two front teeth. Child's weaning was forced by applying the nipples with local bitter tasting herb. This study indicates that any health education within a community should be aware of traditional belief and customs of the population. The promotion of proper breast feeding, and the introduction of supplementary food to children should be consider traditional beliefs and combine it with health educational means, which will result in a better adoptability of the villagers to the promotion of adequate infant feeding.
对泰国东北部乌隆他尼府3个村庄的母乳喂养和辅食模式进行了研究。58名母亲的所有孩子都进行了母乳喂养。此外,42名母亲(72.4%)在卫生工作者的建议下,给孩子喂了初乳。那些没有喂初乳的母亲认为初乳可能会导致腹泻。51名(87.9%)儿童在出生后1至7天内喂食了Kaw Yam,这是一种用烘焙过的嚼烂香蕉和糯米制成的东北部本土食物。母亲们认为这种食物能填饱孩子的肚子,因此她的宝宝会停止哭闹。奶粉也作为辅食喂给孩子。奶粉对母亲来说具有很高的社会价值,而且卫生工作者也建议她们用奶粉喂养孩子。在孩子6至8个月大时额外添加米粥,直到断奶,或者在孩子长出两颗门牙时。通过在乳头上涂抹当地的苦味草药来强制孩子断奶。这项研究表明,社区内的任何健康教育都应该了解当地居民的传统信仰和习俗。促进正确的母乳喂养以及给孩子引入辅食时,应该考虑传统信仰,并将其与健康教育手段相结合,这将使村民更好地接受促进充足婴儿喂养的措施。