Breastfeeding skills of full-term newborns and associated factors in a low-and-middle-income setting.

Abstract:

Background:Normative information on the breastfeeding of term newborns may guide clinicians in early identification of breastfeeding difficulties and oro-pharyngeal dysphagia (OPD), and may support optimal breastfeeding practices. Objective:To describe breastfeeding skills of term newborn infants in a South African hospital, a lower-middle-income setting, and investigate associations between infants' feeding and other factors. Method:One breastfeeding session of each of the 71 healthy newborn full-term infants (mean chronological age=1.9 days; mean gestation=39.1 weeks) was evaluated using the Preterm Infant Breastfeeding Behavior Scale (PIBBS), suitable for use with term newborns. Results:All participants were exclusively breastfed. Thirteen participants (18%) were HIV-exposed. There was no significant difference in the findings of the PIBBS between HIV-exposed and unexposed participants. Most newborns had obvious rooting, latched deeply onto the nipple and some of the areola, had repeated long sucking bursts (mean length=16.82 sucks/burst), and swallowed repeatedly. Most participants were in either the drowsy or quiet-alert state, which are optimal behavioural states for breastfeeding. One to two-hourly on-demand feeds was significantly associated with mothers who had normal births and did not use galactogogues to promote lactation. Conclusion:Results may be used for early identification of OPD in newborns. The findings may be useful to primary care clinicians.

journal_name

Afr Health Sci

journal_title

African health sciences

authors

Krüger EE,Kritzinger AA,Pottas LL

doi

10.4314/ahs.v19i3.43

subject

Has Abstract

pub_date

2019-09-01 00:00:00

pages

2670-2678

issue

3

eissn

1680-6905

issn

1729-0503

pii

jAFHS.v19.i3.pg2670

journal_volume

19

pub_type

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