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Why healthcare workers give prelacteal feeds

European Journal of Clinical Nutrition volume 56, pages 729–734 (2002)Cite this article

Abstract

Objective: Because prelacteal feeds can adversely affect breastfeeding, UNICEF/WHO discourage their use unless medically indicated. The study was carried out to determine the proportion of healthcare workers who routinely give prelacteal feeds, and their reasons for doing so; further, to determine whether any differences exist between medically and non-medically trained healthcare workers in their administration of prelacteal feeds.

Design: Survey.

Setting: Primary, secondary and tertiary health facilities in Kaduna township Nigeria.

Subjects: Of 1100 healthcare workers sampled, 747 (68%) responded. Of these 80% had received medical training, 20% had not.

Methods: Use of a pretested validated questionnaire.

Results: Large proportions of both medical and non-medically trained healthcare workers stated they routinely give prelacteal feeds (doctors, 68.2%; nurses, 70.2%; and non-medical, 73.6%). However their reasons for doing so differed significantly (P=0.00001). Nurses gave mainly for perceived breast milk insufficiency, doctors for prevention of dehydration, hypoglycaemia and neonatal jaundice and non-medical staff to prepare the gastrointestinal tract for digestion and to quench thirst.

Conclusions: Most healthcare workers (medical and non-medical) routinely and unnecessarily give prelacteal feeds. Therefore training and retraining programmes in lactation management are necessary and must include non-medical staff. These programmes, while emphasizing the danger of giving prelacteal feeds, must deal with the misconceptions of each group. Deliberate efforts have to be made to incorporate clinical training in breastfeeding in curricula of Schools of Medicine and Nursing.

Sponsorship: UNICEF.

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References

  • Almroth SG, Bidinger PD . 1990 No need for water supplementation in exclusively breastfeed infants in hot and arid conditions Trans R. Soc. Trop. Med. Hygiene 84: 602–604

    Article  CAS  Google Scholar 

  • Ashraf RN, Jalil F, Khan SR, Zaman S, Kanbeng, Lindblad BS, Hanson LA . 1993 Early child health in Lahore, Pakistan V. feeding patterns Acta Paediatr. 82: (Suppl): 47–61

    Article  Google Scholar 

  • Badruddin SH, Bazmi Inain SN, Ramzanali S, Hendricks K . 1997 Constraints to appropriate breastfeeding practices in a squatter settlement in Karachi J. Pakistan Med. Assoc. 47: 63

    CAS  Google Scholar 

  • Blomquist HK, Jonsbo F, Persson LA . 1994 Supplement feeding in the maternity ward shortens the duration of breast-feeding Acta Paediat. 83: 122–1126

    Article  Google Scholar 

  • Cunningham AS, Jellife DB, Jellife EB . 1991 Breast-feeding in the 1980s: a global epidemiology review J. Pediatr. 118: 659–666

    Article  CAS  Google Scholar 

  • Davies-Adetugbo AA . 1997 Socio-cultural factors and the promotion of exclusive breastfeeding in rural Yoruba communities of Osun State, Nigeria Soc. Sci. Med. 45: 113–125

    Article  CAS  Google Scholar 

  • Fidler K, Costello A . 1995 The role of doctors in influencing infant feeding practices in South India Trop. Doct. Oct. 25: 178–180

    Article  CAS  Google Scholar 

  • FMOH and USAID. 1990 Federal Ministry of Health and United Agency for International Development Nigeria Demographic and Health Survey Nigeria

  • Freed GL, Jones TM, Fraley JK . 1992 Attitudes and education of pediatric house staff concerning breast-feeding S. Med. J. 85: 483–485

    Article  CAS  Google Scholar 

  • Goldberg NM, Adams E . 1983 Supplementary water for breastfeed babies in a hot and dry climate—not really a necessity Arch. Dis. Child. 58: 73–74

    Article  CAS  Google Scholar 

  • Hawdon JM, Platt MP, Aynsley-Green A . 1993 Neonatal hypogycemia—blood glucose monitoring and baby feeding Midwifery 9: 3–6

    Article  CAS  Google Scholar 

  • Hossain MM, Radwan MM, Arafa SA, Habib M, Dupont HL . 1992 Prelacteal infant feeding practices in rural Egypt J. Trop. Pediatr. 38: 3l7–322

    Article  Google Scholar 

  • Hossain MM, Reves RR, Radivan MM, Habib M, Dupont HL . 1995 The timing of breast-feeding initiation and its correlates in cohort of rural Egyptian infants J. Trop. Pediatr. 41: 354–359

    Article  CAS  Google Scholar 

  • Ighogboja CV, Odumodu, Olanrewaju RS . 1996 Brief report. Breastfeeding pattern in Jos, Nigeria before baby friendly hospital initiative J. Trop. Peditr. 42: 178–179

    Article  CAS  Google Scholar 

  • Isenalumhe AE, Oviawe . 1987 Prelacteal feeds and breastfeeding problems Ind. J. Pediatr. 54: 89–96

    Article  CAS  Google Scholar 

  • Lipsky S, Stephenson PA, Koepsell TB, Glayd SS, Lopez L, Bain CE . 1984 Breastfeeding and weaning practices in New Mexico Nutr. Health 9: 255–263

    Article  Google Scholar 

  • Naylor AJ, Creer E, Woodward-Lopez, Dixon S . 1994 Lactation management education for physicians Sem. Perinatol. 18: 525–531

    CAS  Google Scholar 

  • Ojofeitimi CO, Olaogun AA, Osokoya AA, Owolabi SP . 1999 Infant feeding practices in a deprived environment: a concern for early introduction of water and glucose D water to neonates Nutr. Health 13: 11–21

    Article  CAS  Google Scholar 

  • Okolo SN, Adewunmi YB, Okonji MC . 1999 Current breastfeeding knowledge attitude and practices of mothers in five rural communities in the Savannah Region of Nigeria J. Trop. Pediatr. 45: 323–326

    Article  CAS  Google Scholar 

  • Renfrew M, Lang S . 1997 Cochrane review. Early initiation of breast-feeding and its effect on duration WHO Reproductive Health library 2000 Number 3, pp 1–2 Geneva: WHO

    Google Scholar 

  • Srinivasan G, Pildes RS, Cattamanchi G, Voora S, Lilien LD . 1986 Plasma glucose values in normal neonates. A new look J. Pediatr. 109: 114–117

    Article  CAS  Google Scholar 

  • Segura-Millian S, Dewey KG, Perez-Escamilla R . 1994 Factors associated with perceived insufficient milk in a low-income urban population in Mexico J. Nutr. 124: 202–212

    Article  Google Scholar 

  • Talukder MQ-K, Kawser CA, Hassan Q . 1997 State of breastfeeding and complimentary feeding in Bangladesh Dhaka: Bangladesh Brestfeeding Foundation

    Google Scholar 

  • WHO. 1989 Evidence for the Ten Steps to Successful Breast-feeding Division of Child Health and Development. Document no. WHO/CHD/98.9 Geneva: WHO

  • WHO-UNICEF. 1990 Innocent Declaration on the Protection, Promotion and Support of Breastfeeding. Breast-feeding in the 1990s. A Global Initiative UNICEF, New York

  • WHO. 1996a Breastfeeding and the use of Water and Teas Division of Health and Development. Update no. 9, pp 1–2 Geneva: WHO

  • WHO. 1996b Not Enough Milk Division of Child Health and Development. Update no. 21, March, pp 1–4 Geneva: WHO

  • WHO. 1997 Hypoglycemia of the Newborn. Review of the Literature WHO/CHD/97.1, WHO/MSM/97.1 Geneva: WHO

  • Yamauchi Y, Yamanouchi I . 1990 Breast-feeding frequency during the first 24 hours after birth in full term neonates Pediatrics 86: 171–175

    CAS  PubMed  Google Scholar 

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Acknowledgements

This study was sponsored by UNICEF Nigeria.

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Author notes

  1. RM Akuse: Guarantor: RM Akuse.

  2. RM Akuse and EA Obinya: Contributors: RM Akuse, EA Obinya

Authors and Affiliations

  1. Department of Paediatrics, Ahmadu Bello University Teaching Hospital, Kaduna, Nigeria

    RM Akuse & EA Obinya

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Akuse, R., Obinya, E. Why healthcare workers give prelacteal feeds. Eur J Clin Nutr 56, 729–734 (2002). https://doi.org/10.1038/sj.ejcn.1601385

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