American Journal of Pediatrics

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Clinical Characteristics of a Group of Cameroonian Neonates with Delayed Breastfeeding Initiation

Received: 22 June 2020    Accepted: 04 July 2020    Published: 17 July 2020
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Abstract

The timely or Early Initiation of Breastfeeding (EIBF) within the first hour following childbirth is known to be a determining factor for the overall breastfeeding process. Nevertheless, in some cases there may exist a considerable delay in its start. This could be responsible for disorders in neonate infants, with varying severity. The main objective of this survey was to determine particular clinical characteristics of a group of neonates with delayed breastfeeding initiation, compared with that of neonates with early breastfeeding initiation (EBFI), during the first week of life. We did an analytical cross-sectional study with the notion of timely breastfeeding initiation according to the World Health Organization (WHO), used to distinguish neonates. The study was conducted at the Yaoundé Gynaeco-Obstetric and Paediatric Hospital from December 2018 to May 2019. All livebirth infants weighing > 2000g were recruited during the period of study. From an overall sample of 250 neonates, 153 (61.2%) had delayed breastfeeding initiation, while 97 others had EIBF. All neonates with delayed breastfeeding initiation had other characteristics of inadequate breastfeeding practices. Although 144 (94%) were in good health immediately after birth, 38 (24.8%) were hospitalized within 7 days, of which 21 (55.2%) were related to sepsis and 6 (15.7%) due to metabolic disorders. They represented 83.3% (15 out of 18) infants with hypotrophy. Therefore, the late initiation of breastfeeding may induce inadequate breastfeeding practices, with significant repercussions on the neonate’s health condition, including nutritional disorders such as metabolic disturbances, growth retardation, increased susceptibility to neonatal infections and eventually, the rate of hospitalization during the given period of time on. Mothers’ education, medical staff and family encouragements may help promote timely breastfeeding initiation, so as to limit adverse neonatal outcomes.

DOI 10.11648/j.ajp.20200603.28
Published in American Journal of Pediatrics (Volume 6, Issue 3, September 2020)
Page(s) 285-288
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Early Breastfeeding, Breastfeeding Initiation, Newborn, Yaoundé

References
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[2] Hess C, Ofei A, Mincher A. Breastfeeding and childhood obesity among African americans: a systematic review. MCN Am J Matern Child Nurs. 2015; 40 (5): 313–9.
[3] Khan J, Vesel L, Bahl R, Martines J. Timing of breastfeeding initiation and exclusivity of breastfeeding during the first month of life: effects on neonatal mortality and morbidity--a systematic review and meta-analysis. Matern Child Health J. 2015; 19 (3): 468–79.
[4] Black R, Victora C, Walker S, Bhutta Z, Christian P, de, Onis M, et al. Maternal and child undernutrition and overweight in low-income and middle-income countries. Lancet. 2013; 382: 427–51.
[5] Quyen Thi-Tu B, Hwa-Young L, Thi-Kim L, DoVan D, Lan ThiHoang V. Trends and determinants for early initiation of and exclusive breastfeeding under six months in Vietnam: results from the Multiple Indicator Cluster Surveys, 2000–2011. Global Health Action. 2016; 9 (1): 29433.
[6] Kuyper E, Vitta B, Dewey K. Implications of cesarean delivery for breastfeeding outcomes and strategies to support breastfeeding. Alive Thrive Tech Brief. 2014; 8: 1-9.
[7] Setegn T, Gerbaba M, Belachew T. Determinants of timely initiation of breastfeeding among mothers in Goba Woreda, South East Ethiopia: A cross sectional study. BMC Public Health. 2011; 11: 217.
[8] Kimani-Murage E, Kyobutungi C, Ezeh A, Wekesah F, Wanjohi M, Muriuki P, et al. Effectiveness of personalized, home-based nutritional counselling on infant feeding practices, morbidity and nutritional outcomes among infants in infants in Nairobi slums: study protocol for a cluster randomised controlled trial. Trials. 2013; 14: 445.
[9] Adugna D. Women’s perception and risk factors for delayed initiation of breastfeeding in Arba Minch Zuria, Southern Ethiopia. Int Breastfeed J. 2014; 9 (1): 8.
[10] MaJra J, ViJay K. Barriers to Early Initiation and Continuation of Breastfeeding in a Tertiary care Institute of Haryana: A Qualitative Study in Nursing Care Providers. J of Clin and Diagn Res. 2016 Sep; 10 (9): 16–20.
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[14] McLachlan H, Forster D. Initial breastfeeding attitudes and practices of women born in Turkey, Vietnam and Australia after giving birth in Australia. Int Breastfeed J. 2016; 1: 7.
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[16] Girard L, Cote S, de Lauzon-Guillain B, Dubois L, Falissard B, Forhan A. Factors Associated with Breastfeeding Initiation: A Comparison between France and French-Speaking Canada. PLoS ONE. 2016; 11 (11): 1–14.
[17] Kelishadi R, Rashidian A, Jari M, Khosravi A, Khabiri R, Elahi E. A national survey on the pattern of breastfeeding in Iranian infants: The IrMIDHS study. Med J Islam Repub Iran. 2016 Oct; 30: 425.
[18] Sharma K, Byrne A. Early initiation of breastfeeding: a systematic literature review of factors and barriers in South Asia. Int Breast J. 2016; 11: 17.
[19] Georges Pius Kamsu Moyo, Donleine Sobguemezing, Hélène Tetinou Adjifack. Neonatal Emergencies in Full-term Infants: A Seasonal Description in a Pediatric Referral Hospital of Yaoundé, Cameroon. American Journal of Pediatrics. Vol. 6, No. 2, 2020, pp. 87-90. doi: 10.11648/j.ajp.20200602.13.
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Author Information
  • Faculty of Medicine and Biomedical Sciences, University of Yaounde 1, Yaounde, Cameroon

  • Faculty of Medicine and Biomedical Sciences, University of Yaounde 1, Yaounde, Cameroon

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  • APA Style

    Georges Pius Kamsu Moyo, Ngwanou Dany Hermann. (2020). Clinical Characteristics of a Group of Cameroonian Neonates with Delayed Breastfeeding Initiation. American Journal of Pediatrics, 6(3), 285-288. https://doi.org/10.11648/j.ajp.20200603.28

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    ACS Style

    Georges Pius Kamsu Moyo; Ngwanou Dany Hermann. Clinical Characteristics of a Group of Cameroonian Neonates with Delayed Breastfeeding Initiation. Am. J. Pediatr. 2020, 6(3), 285-288. doi: 10.11648/j.ajp.20200603.28

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    AMA Style

    Georges Pius Kamsu Moyo, Ngwanou Dany Hermann. Clinical Characteristics of a Group of Cameroonian Neonates with Delayed Breastfeeding Initiation. Am J Pediatr. 2020;6(3):285-288. doi: 10.11648/j.ajp.20200603.28

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  • @article{10.11648/j.ajp.20200603.28,
      author = {Georges Pius Kamsu Moyo and Ngwanou Dany Hermann},
      title = {Clinical Characteristics of a Group of Cameroonian Neonates with Delayed Breastfeeding Initiation},
      journal = {American Journal of Pediatrics},
      volume = {6},
      number = {3},
      pages = {285-288},
      doi = {10.11648/j.ajp.20200603.28},
      url = {https://doi.org/10.11648/j.ajp.20200603.28},
      eprint = {https://download.sciencepg.com/pdf/10.11648.j.ajp.20200603.28},
      abstract = {The timely or Early Initiation of Breastfeeding (EIBF) within the first hour following childbirth is known to be a determining factor for the overall breastfeeding process. Nevertheless, in some cases there may exist a considerable delay in its start. This could be responsible for disorders in neonate infants, with varying severity. The main objective of this survey was to determine particular clinical characteristics of a group of neonates with delayed breastfeeding initiation, compared with that of neonates with early breastfeeding initiation (EBFI), during the first week of life. We did an analytical cross-sectional study with the notion of timely breastfeeding initiation according to the World Health Organization (WHO), used to distinguish neonates. The study was conducted at the Yaoundé Gynaeco-Obstetric and Paediatric Hospital from December 2018 to May 2019. All livebirth infants weighing > 2000g were recruited during the period of study. From an overall sample of 250 neonates, 153 (61.2%) had delayed breastfeeding initiation, while 97 others had EIBF. All neonates with delayed breastfeeding initiation had other characteristics of inadequate breastfeeding practices. Although 144 (94%) were in good health immediately after birth, 38 (24.8%) were hospitalized within 7 days, of which 21 (55.2%) were related to sepsis and 6 (15.7%) due to metabolic disorders. They represented 83.3% (15 out of 18) infants with hypotrophy. Therefore, the late initiation of breastfeeding may induce inadequate breastfeeding practices, with significant repercussions on the neonate’s health condition, including nutritional disorders such as metabolic disturbances, growth retardation, increased susceptibility to neonatal infections and eventually, the rate of hospitalization during the given period of time on. Mothers’ education, medical staff and family encouragements may help promote timely breastfeeding initiation, so as to limit adverse neonatal outcomes.},
     year = {2020}
    }
    

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    AB  - The timely or Early Initiation of Breastfeeding (EIBF) within the first hour following childbirth is known to be a determining factor for the overall breastfeeding process. Nevertheless, in some cases there may exist a considerable delay in its start. This could be responsible for disorders in neonate infants, with varying severity. The main objective of this survey was to determine particular clinical characteristics of a group of neonates with delayed breastfeeding initiation, compared with that of neonates with early breastfeeding initiation (EBFI), during the first week of life. We did an analytical cross-sectional study with the notion of timely breastfeeding initiation according to the World Health Organization (WHO), used to distinguish neonates. The study was conducted at the Yaoundé Gynaeco-Obstetric and Paediatric Hospital from December 2018 to May 2019. All livebirth infants weighing > 2000g were recruited during the period of study. From an overall sample of 250 neonates, 153 (61.2%) had delayed breastfeeding initiation, while 97 others had EIBF. All neonates with delayed breastfeeding initiation had other characteristics of inadequate breastfeeding practices. Although 144 (94%) were in good health immediately after birth, 38 (24.8%) were hospitalized within 7 days, of which 21 (55.2%) were related to sepsis and 6 (15.7%) due to metabolic disorders. They represented 83.3% (15 out of 18) infants with hypotrophy. Therefore, the late initiation of breastfeeding may induce inadequate breastfeeding practices, with significant repercussions on the neonate’s health condition, including nutritional disorders such as metabolic disturbances, growth retardation, increased susceptibility to neonatal infections and eventually, the rate of hospitalization during the given period of time on. Mothers’ education, medical staff and family encouragements may help promote timely breastfeeding initiation, so as to limit adverse neonatal outcomes.
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