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Journal of Tropical Pediatrics 1992 38(6):317-322; doi:10.1093/tropej/38.6.317
© 1992 by Oxford University Press
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Prelacteal Infant Feeding Practices in Rural Egypt

M. Moshaddeque Hossain, Maged M. Radwan, Salwa Amin Arafa, Mostafa Habib and Herbert L. DuPont

Epidemiology Study Center, Bilbeis, Sharqiya, Egypt, and Center for Infectious Diseases, University of Texas, Medical School and School of Public Health Houston, Texas, USA

Correspondence: M. Moshaddeque Hossain, Department of Community Medicine, P.O. Box 17666, Al Ain, United Arab Emirates.

Data collected during a prospective cohort study of infant feeding and health in rural Bilbeis, Egypt, were analysed to define prelacteal infant feeding practices, identify their determinants, and assess whether these practices were predictive of breastfeeding and supplementation patterns and diarrhoea incidence during infancy. Sixty per cent (89/149) of study infants were prelacteally fed sugar-water, teas, or both. Lack of milk in the mother's breast (74 per cent), and maternal exhaustion or illness following labour (29 per cent) were the two most commonly stated reasons for prelacteal feeding. After multivariate adjustment, significantly higher incidence of prelacteal feeding was associated with childbirth during the warmer months [odds ratio (OR): 2.4;95 per cent confidence interval (CI): 1.1–5.1], birth attendants with modern training (OR: 5.5; 95 per cent CI: 1.7–17.5), and labour lasting > 8 hours (OR: 2.3; 95 per cent CI: 0.1–4.9). Prelacteally fed infants were significantly less likely to be exclusively breastfed in age periods 0–3, 4–7, and 8–11 weeks. Diarrhoea incidence was higher among prelacteally fed infants in age periods 0–11, 12–23, and 36–47 weeks. Indiscriminate practice of prelacteal feeding and early supplementation of breastfeeding need to be discouraged.


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