Simplified assessment of gestational age at birth in community.
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Biomedical subjects
Publications and source records attributed to I Narayanan.
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In a prospective controlled study the anti-infective properties of breast-milk were evaluated in 70 high-risk low-birth-weight infants. 32 babies (group I) were given fresh expressed breast-milk during the day and milk formula at night. 38 infants (group II) received only milk formula and served as controls. The two groups were matched for other factors that could influence the occurrence of infection. The incidence of infections was significantly less (p < 0.01) in babies who received breast-milk.
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Feeding practices were studied in 128 infants aged 18 months and below with middle ear infection, belonging to the low socio-economic group. By the age of one year, 117 (91.4%) had acquired the infection. At the onset of the first episode, 105 (82.0%) were breast-fed, 42 not receiving any other milk. There were no differences in the feeding practices between infants who had single and those who had multiple episodes. Ninety-six infants were being given water by spoon or bottle and 42, semisolids by spoon. Among the 105 breast-fed infants, in 93 (88.6%), the infants' heads were often flat during feeding. In contrast, in the 86 infants on 'top' feeds 53 (61.6%) of the mothers said that they kept the infants' head raised during feeding. The difference was significant (x2 = 53.18, P less than 0.001). Mothers should avoid feeding infants with the latter's head flat, although the former may adopt any comfortable position.
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