Feeding practices and nutrition in children of working and stay-At-Home mothers: A comparative study

IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL Journal of Clinical Sciences Pub Date : 2022-07-01 DOI:10.4103/jcls.jcls_32_22
Sananda Kumar, Barathy Chandrasegaran, Devi Kittu, R. Jayavani, S. Ananthakrishnan
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Abstract

Introduction: Exclusive breastfeeding (EBF) for the first 6 months of life and timely introduction of complementary feeds (CFs) with continuation of breastfeeding up to 2 years or beyond are optimum infant and toddler nutrition practices. Mother's employment status influences the feeding practice which in turn can have a negative impact on the growth and development of the infant. The objectives of the study were to determine and compare breastfeeding and CF practices in working and stay-at-home mothers attending our health facility and its effect on the growth of their children. Methods: This observational comparative study was done on 200 mothers, 100 working mothers and 100 stay-at-home mothers of children aged 1–24 months after obtaining written consent. Data were recorded in a pretested semi-structured questionnaire using interview method. Details were elicited regarding feeding practices and illnesses in the child. Each infant's growth and development were assessed using the World Health Organization growth chart and Trivandrum development chart. Statistical tests used were descriptive statistics for frequencies, means and standard deviation, Chi-square for proportions, and Student's t-test for means. A P < 0.05 was considered statistically significant. Results: EBF for 6 months was given by 37% (37/100) of stay-at-home and 45% (45/100) of working mothers (P = 0.251). Breastfeeding beyond 6 months was given by 94.7% (n = 71/75) of stay-at-home and 93.8% of working mothers (n = 90/96, P = 0.800), and beyond 12 months by 61.1% n = 33/54) and 54.8%, respectively, (n = 40/73, P = 0.477). CF was initiated by 180 days by 44% of stay-at-home (44/100) and 55% of working mothers (55/100, P = 0.120). Underweight, wasting, and stunting were seen in 12%, 10%, and 13% (12/100, 10/100, 13/100), respectively, of stay-at-home and 14%, 15%, and 13% (14/100, 15/100, 13/100), respectively, of working mothers and there was no statistical difference between the two groups. A higher frequency of diarrheal episodes was observed in babies of working mothers (6/100, 6% vs. 18/100, 18%, P = 0.009). Conclusion: There was no statistical difference between stay-at-home and working mothers in time of initiation of first feed, giving colostrum, EBF rate, continued breastfeeding beyond 12 months, and age of initiation of CF. Thus, the nutrition and health status of children in both groups were comparable except acute diarrheal illness which was more in babies of working mothers.
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工作母亲和全职母亲儿童的喂养方法和营养:一项比较研究
引言:生命最初6个月的纯母乳喂养(EBF)和及时引入补充饲料(CFs)并继续母乳喂养至2岁或以上是婴幼儿营养的最佳做法。母亲的就业状况会影响喂养方式,而喂养方式又会对婴儿的生长发育产生负面影响。本研究的目的是确定和比较在我们医疗机构工作的母亲和全职母亲的母乳喂养和CF做法及其对孩子成长的影响。方法:对200名母亲、100名在职母亲和100名全职母亲在征得书面同意后,对1-24月龄儿童进行观察性比较研究。采用访谈法将数据记录在预测半结构化问卷中。关于喂养方法和儿童疾病的细节被引出。使用世界卫生组织生长图和Trivandrum发育图对每个婴儿的生长和发育进行评估。使用的统计检验为频率、平均值和标准差的描述性统计,比例的卡方检验和平均值的学生t检验。P < 0.05为差异有统计学意义。结果:37%的全职妈妈(37/100)和45%的在职妈妈(45/100)给予6个月EBF (P = 0.251)。6个月以上母乳喂养的全职妈妈占94.7% (n = 71/75),在职妈妈占93.8% (n = 90/96, P = 0.800), 12个月以上母乳喂养的全职妈妈占61.1% (n = 33/54),在职妈妈占54.8% (n = 40/73, P = 0.477)。有44%的全职妈妈(44/100)和55%的职场妈妈(55/100,P = 0.120)在180天内开始CF。在全职妈妈中,体重不足、消瘦和发育不良的比例分别为12%、10%和13%(12/ 100,10 / 100,13 /100);在职业妈妈中,体重不足、消瘦和发育不良的比例分别为14%、15%和13%(14/ 100,15 / 100,13 /100),两组之间没有统计学差异。职业母亲的婴儿腹泻发作频率更高(6/ 100,6% vs. 18/ 100,18%, P = 0.009)。结论:全职妈妈与在职妈妈在首次喂养时间、初乳喂养时间、EBF率、12个月以上持续母乳喂养时间、CF发病年龄等方面均无统计学差异。因此,两组儿童的营养和健康状况具有可比性,但在职妈妈的婴儿多患急性腹泻。
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来源期刊
Journal of Clinical Sciences
Journal of Clinical Sciences MEDICINE, GENERAL & INTERNAL-
自引率
0.00%
发文量
15
审稿时长
45 weeks
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