PubMed · 15094283
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Anne Marie Oudesluys-Murphy, Ben A Semmekrot. 2004-04-17. Otitis media.. https://doi.org/10.1016/s0140-6736(04)16011-x
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In this study, shared breastfeeding is described asa novel risk factor for vertical HIV transmission. This cross-sectional survey conducted in the central African country Gabon found that 40% of lactating mothers also breastfed other children than their own, and as many children were additionally breastfed by other women. Shared breastfeeding is increasing the exposure to potentially infectious individuals and has therefore to be considered in breastfeeding recommendations.
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OBJECTIVE: To evaluate the impact of the Baby-Friendly Hospital Initiative on breastfeeding practices among newborns admitted to a neonatal unit, during hospitalization and during the first six months of life. METHODS: The medical records of all newborns admitted to the neonatal unit of a teaching hospital in 1994 (N=285) and 1998 (N=368) were reviewed, and information on the infants' feeding practices during hospitalization and during the first six months of life was analyzed. The duration of breastfeeding and exclusive breastfeeding and the differences between the two years were assessed using the Kaplan-Meier technique and the Log-Rank test. Logistic regression and Cox analysis were performed for confounder control. RESULTS: There was an important increase in the percentage of infants given breast milk exclusively (1.9% in 1994 to 41.7% in 1998) during hospitalization, and feeding with formula alone, observed in 17.7% of infants in 1994, was no longer noted in 1998. With respect to breastfeeding practices during the first six months of life, the median duration of exclusive breastfeeding increased from 12 days in 1994 to 45 days in 1998. As to breastfeeding, which includes the ingestion of other types of food, no significant difference was observed. CONCLUSIONS: The implementation of the initiative in the studied hospital contributed towards an increase in the exclusive breastfeeding of newborn babies during neonatal unit admission and during the first six months of life.