DETERMINANTS OF BOTTLE USE AMONGST ECONOMICALLY DISADVANTAGED MOTHERS
AbstractBackground: There is documented evidence of increased risk of infant mortality in formula fedinfants versus breast fed babies. The hazards of bottle use for infant feeding, especially inunderprivileged communities, are also well known. As the issue of bottle use is directly related tochildhood survival and mortality, there is legislation against propagation of bottle-feeding inPakistan. Methods: Objectives: To obtain information about determinants of bottle use for infantfeeding in a low-income periurban community. Design: Community based cross-sectional study.Results: 150 mothers with infants up to one year of age were included in the study period fromOctober 03 to March 04. Out of these 102 mothers were found using bottle for infant with orwithout breast-feeding. The tendency to use the bottle increased in relation to child’s increasingage. Only 17% of the infants under the age of 3 months were offered bottle, it was 69% between 4to 6 months and it increased to 76%.in infants from 7 months to 1 year. The attributes associatedwith increased bottle use were mother’s older age, illiteracy and increased parity. Conclusion:Bottle use is a public health issue in poor and illiterate mothers of developing countries. While, inPakistan, laws are enacted against its propagation, we need community-based strategies to bringabout a socio-cultural shift in the growing prevalence of bottle use found in the study.Key words: Infant feeding in developing countries, bottle use, breast milk substitute.
Boema JT., Rustein SO, Sommerfelt AE, Bicego GT. Bottle
use for infant feeding in developing contries: data from the
demographic and health surveys. Has the bottle been lost? J
Trop Pediatric. 1991;37:116-20.
Winik off B, Laukaran VH. Breast-feeding and bottle-feeding
controversies in the developing world: evidence from study
in four countries Social Science Med. 1989;29:859 – 68.
Osma N.A., El-Subhan F.F. Infant feeding practices in AlAin-United Arab Emirates. Eastern Med health j.1999:2;
Bredan A.S., Bshiwah S.M. and Kumar N.S. Infant feeding
practices among urban Libya women.
Retrieved on 09-03-2005
Nagra S.A, Jilani A. Variation in infant feeding practices in
Pakistan with socioeconomic stratification. J Trop Pediatric.
:33; 103 – 106
Marques N.M., Lira Pedro I. C., Lima Marilia C., De Silva
Nara Lacerda, Filho Malaquias Batista, Huttly Sharon R.A.,
and Ashworth Ann. Breastfeeding and early weaning
practices in Northeast Brazil: A longitudinal study. Pediatrics
J.M. Jason, Niebugr P., Marks J.S. Mortality and infectious
disease associated with infant feeding practices in developing
countries. Pediatrics 1984;74:702–27.
Gunn R.A., Kimball A.M., Pollard R.A. et al. Bottle-feeding
as a risk factor for cholera in infants. Lancet 180; 2:1176-
Morais T.B, Sigulam D.M, Maranhao H.S. and Morais M.B.
Bacterial contamination and nutrient content from home
prepared milk bottles. J.Trop.Pediat 2005:0;841.
J Ayub Med Coll Abbottabad 2006;18(1)
WHO-Collaborative Study on the role of breast feeding on
the prevention of infant mortality: effect of breast feeding on
infant and child mortality due to infectious disease in less
develop countries, a pooled analysis. Lancet. 2000; 355:451-
Khan G.Q., Channa M.S., Warach E., Bajwa S. Practice of
breast feeding in children under 2 yrs of age in Bahawalpur.
Pak. J. Med. Sci. 2001; 17:94-98.
Talukder M Q-K Benefits, Protection, promotion and support
of breast-feeding. www.orion-group.net/orionmedical/
Bottle before bed may lead to asthma. The Harvard journals Retrieved on 09-03-2005.
University Gazette Dec.05, 2002.
www.channing.harvard.edu/bottlefeed.htm. Retrieved 01-03-
Omondi LO, Persson LA, Staugard F. Determinants for
breast-feeding and bottle-feeding in Botswana. J Trop
Pediatri. 1990; 36:28 – 33.
Watl R.R. A National Survey of infant feeding in Asian
families: Summary of findings relevant oral health.
Br.Dent.J. 2000; 188:16-22.
Qureshi S.K, Nazli H., Soomro G.Y. Nutritional status in
Pakistan. MIMAP Technical Paper Series. 2001; 8
Shamim, S. Weaning practices in low socio-economic groups
Palmer L.F. The deadly influence of formula in America. in a per-urban area of Karachi. JCPS (in press).
Zulfiqar P. Reduction in lactation failure problems at tertiary
center with out hi-tech equipment. Pak. Ped. J. 1998; 22:17-
Imtiaz M., Izhar T. Feeding practices of infants in Lahore. J. 19.
Pak. Ped Assoc. 1997; 21:115-20. 23. Gebriel AW. Determinants of weaning practices. Ethiop. J.
Morisky D.E, Kar S.B, Chaudhry A.S, Chen K.R, Shaheen Health Dev.2000; 14:183-189.
M, Chickering K. Breast feeding practices in Pakistan. Pak. J.
Protection of breast-feeding and child nutrition ordinance
www.thenetwork.org.pk/bfood.ht Retrieved on 09-03-
Mustansar M., Hasan Z. Difference of morbidity in breast fed 2005.
and non breast fed Infant. Pak. J. Path. 2001;24:27-31