Ahmed F U, Rahman M E, Alam M S
Deptt. of Child Health, Chittagong Medical College.
Bangladesh Med Res Counc Bull. 1996 Aug;22(2):60-4.
This study was carried out with a view to finding out factors influencing prelacteal feeding and its relation to establishment of lactation in rural Bangladesh. 420 mothers in early post-partum period were interviewed at home. Prelacteal feeding was given to 77% of the babies, and honey was given to 72% of them. The common methods of prelacteal feeding were by finger (41%) and spoon (40%). Twelve socio-demographic and health care variables were studied for their probable influence on prelacteal feeding. Nine of them accounted for 22% of the variability in giving prelacteal feeding. Reasons of giving prelacteal feeding and the time of first breast feeding influenced the practice significantly (P < 0.05). Type and duration of prelacteal feeding had significant negative influence on "coming in" of milk (P < 0.05). Prelacteal feeding accounted for 44% of variations in coming in of milk. Prelacteal feeding and coming in of milk formed a vicious cycle: the former delayed initiation of lactation and on the other hand delay in coming in of milk encouraged prelacteal feeding. These observation emphasized the need for coordinated efforts for promotion of proper infant feeding practices in our rural community.
本研究旨在找出影响孟加拉国农村地区初乳喂养的因素及其与泌乳建立的关系。对420名产后早期的母亲进行了家访。77%的婴儿接受了初乳喂养，其中72%的婴儿喂了蜂蜜。初乳喂养的常见方式是用手指（41%）和勺子（40%）。研究了12个社会人口统计学和医疗保健变量对初乳喂养的可能影响。其中9个变量占初乳喂养变异性的22%。初乳喂养的原因和首次母乳喂养的时间对这种做法有显著影响（P<0.05）。初乳喂养的类型和持续时间对乳汁“分泌”有显著负面影响（P<0.05）。初乳喂养占乳汁分泌变化的44%。初乳喂养和乳汁分泌形成了一个恶性循环：前者延迟了泌乳的开始，而另一方面，乳汁分泌延迟又促使了初乳喂养。这些观察结果强调了在我们农村社区为促进正确的婴儿喂养做法而进行协调努力的必要性。
