Læknablaðið

Árgangur

Læknablaðið - 15.10.1993, Blaðsíða 45

Læknablaðið - 15.10.1993, Blaðsíða 45
LÆKNABLAÐIÐ 1993; 79: 333-4 333 NÝR DOKTOR í LÆKNISFRÆÐI GEIR GUNNLAUGSSON Þann 28. maí 1993 varði Geir Gunnlaugsson læknir doktorsritgerð við barnadeild Karolinska sjúkrahússins/St. Göran, Karolinska Institutet Stokkhólmi. Ritgerðin nefnist á frummáli: Transmission of qualities through breast milk. Breastfeeding practices and child health in Guinea-Bissau. Fer ágrip hér á eftir. The immediate qualities of colostrum, the mother’s first milk, for the newborn baby are widely recognized but information as to its long-term impact on health is scarce. This study aims to describe and understand cultural ideas about colostrum and »bad milk« and to quantify their impact on actual breastfeeding practices of newly delivered mothers and subsequent child health. Interviews with rural elderly women in Guinea-Bissau revealed that colostrum was considered to be of good, bad or neutral quality depending on ethnic background. Balanta women had the most negative ideas and recommended delayed breastfeeding start for 3 to 5 days, discarding colostrum. All the informants claimed that mature breast milk could turn bad in certain situations, and knew of ways for diagnosis and treatment. In the capital Bissau, prospective cohorts of singleton healthy children were identified in the periurban area Bandim (n=734) and the Central Hospital (n=414). Mothers were questioned shortly after birth about their breastfeeding start. A multivariate failure time analysis (Cox’ regression) was applied. In Bandim, Balanta ethnic background was the most important determinant for delayed initiation of breastfeeding. Other determinants were mothers who did not attend antenatal clinics and mothers who gave birth at other Key words: colostrum, initiation of breastfeeding, milk quality, growth, infant and child mortality, diarrhoeal morbidity, rotavirus, child health, Guinea-Bissau. hours than 06-12 PM. In the hospital, the most important determinants for delayed breastfeeding start were: year of birth, young age of mother and ethnic group of Mancanha. The cohort in Bandim was followed from one month up to three years of age. To delay breastfeeding start more than 24 hours after birth had no discernible impact on later growth or survival. Survival was rather influenced by the mother’s attendance at antenatal clinics and her education level. Out of 1000 healthy children at one month of age, who were to be exposed to the observed mortality, 215 would die before 3 years of age. Yet, there are indications, albeit not significant, that delayed breastfeeding start of more than 6 hours may increase morbidity in acute infantile diarrhoea.

x

Læknablaðið

Beinir tenglar

Ef þú vilt tengja á þennan titil, vinsamlegast notaðu þessa tengla:

Tengja á þennan titil: Læknablaðið
https://timarit.is/publication/986

Tengja á þetta tölublað:

Tengja á þessa síðu:

Tengja á þessa grein:

Vinsamlegast ekki tengja beint á myndir eða PDF skjöl á Tímarit.is þar sem slíkar slóðir geta breyst án fyrirvara. Notið slóðirnar hér fyrir ofan til að tengja á vefinn.