oai:bora.uib.no:1956/43212012-01-21T14:46:19Zhdl_1956_4797PUB

Infant feeding modalities addressed in two different ways in Eastern Ugandahttp://hdl.handle.net/1956/4321http://dx.doi.org/10.1186/1746-4358-5-22010-02-04Engebretsen, Ingunn Marie S.Shanmugam, RebeccaSommerfelt, A. ElisabethTumwine, James K.Tylleskär, ThorkildBackground: Durations of exclusive breastfeeding (EBF) and predominant breastfeeding (PBF) from two different assessments, among the same mother-infant population, were investigated to determine the degree to which the assessments yielded overlapping results. Methods: Thirty Ugandan mother-infant pairs were followed up weekly from birth to three months of age with weekly short-time feeding recall: the 24-hour recall asked prior to the 1-week recall. In addition, at week 6 and 12 dietary recalls since-birth were conducted. Variables for the duration of EBF and PBF were created from the shorttime feeding recalls and the dietary recalls since-birth, respectively. Mean durations of EBF and PBF from the two assessments were compared with Kaplan Meier analysis at week 6 and 12. Reproducibility of dietary recall instruments was also assessed. Results: At six weeks postpartum the mean durations of EBF were 0.50 weeks (95% CI: 0, 1.02) according to the weekly short-time recalls and 1.51 weeks (95% CI: 0.66, 2.35) according to the recall since-birth (Mantel-Cox test, p = 0.049). The mean durations of PBF were 4.07 weeks (95% CI: 3.38, 4.77) according to the frequent short-time recalls and 4.50 weeks (95% CI: 3.93, 5.07) according to the recall since-birth, (Mantel-Cox-test, p = 0.82). At twelve weeks the mean durations of EBF were 0.5 weeks (95% CI: 0, 1.1) according to the weekly short-time recalls and 1.4 weeks (95% CI: 0.1, 2.7) according to the recall since-birth (Mantel-Cox-test, p = 0.15). The mean durations of PBF were 5.2 weeks (95% CI: 3.9, 6.5) according to the weekly short-time recalls and 6.6 weeks (95% CI: 5.4, 7.8) according to recall since-birth (Mantel-Cox-test, p = 0.20). Reports of feeding categories and early feeding practices showed high reproducibility. Conclusion: Comparing duration of EBF and PBF in this group of mother-infant pairs showed overlapping results from the weekly short-time assessment and the recall since-birth at twelve weeks, with the latter yielding slightly longer duration of the respective feeding modalities. The retrospective recall since-birth could be assessed as a cost-reducing tool compared to the frequent follow-up addressing duration of respective infant feeding modalities for evaluation of programmes promoting safer infant feeding practices.VDP::Medisinske Fag: 700::Klinisk medisinske fag: 750::Pediatri: 760engBioMed CentralJournal articlePeer reviewedPublished versionCopyright Engebretsen et al; licensee BioMed Centralhttp://creativecommons.org/licenses/by/2.0/International Breastfeeding Journal 5(2)1746-4358https://bora.uib.no/oai/requestoai:bora.uib.no:1956/43212011-06-09T12:02:20Zhttp://www.openarchives.org/OAI/2.0/oai_dc/