Sri Jayewardenepura Breastfeeding Study: Maternal and infant outcomes in relation to the duration of breast feeding

Pubudu De Silva, Sampath Kusumsiri, Ruchira Dissanayake, Rani Wasala
2010 Sri Lanka Journal of Obstetrics and Gynaecology  
The WHO emphasizes exclusive breastfeeding (EBF) for six months. In Sri Lanka the EBF for 4-6 months is recommended. There is paucity of data in issues concerning policymaking with regard to defining the optimal duration of EBF in Sri Lanka. Objectives: To compare maternal and infant outcomes in 3 groups of paired mother-infants: four month of EBF, between four months and six months of EBF and six months of EBF. Methods: A randomized interventional study. Only normal mother-infant pairs were
more » ... nfant pairs were included. All groups educated on weaning and evaluated monthly. Assessments of anthropometry, morbidity, motor development, lactational amenorrhea, micronutrition status (Haemoblobin level and serum iron) were done in all three groups. Results: Less number of infants with growth faltering (p=0.093) and acute gastroenteritis (p=0.135) while more infants crawled, longer period of lactational amenorrhea (p= 0.276) and higher mean maternal weight loss (p=0.152) observed in 6 months EBF group compared to the other two groups. No significant differences in mean serum iron concentration and mean haemoglobin concentration among the three groups (p= 0.928 and p= 0.921 respectively). There were no significant differences in the above factors among the three groups at one year of age. Conclusions: Six months EBF has favorable out comes in terms of weight faltering, acute gastroenteritis, motor development, lactational amenorrhea and maternal weight loss. EBF for
doi:10.4038/sljog.v31i2.1752 fatcat:oir5ikbpm5gi5iuw3tct4xj5k4