Infant Feeding Practices of Women in a Perinatal HIV-1 Prevention Study in Nairobi, Kenya
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Date
2004Author
Kiarie, James N.
Richardson, Barbra A.
Mbori-Ngacha, DA
Nduati, RW
Stewart, Grace C. John
Type
ArticleLanguage
enMetadata
Show full item recordAbstract
Objective: To determine feeding practices and nutritional status of
infantsborntoHIV-1–infectedwomen.
Methods: Feeding plans and practices were evaluated by questionnaires
and focus group discussions. Infants were weighed at 1 and 6
weeksandtestedforHIV-1at6weeks.
Results: Of 128 women seen after delivery, 111 completed the
study. Mothers who planned to breast feed were more likely to feed
their infants as planned (86% vs. 55%; P < 0.001). Women opted to
breastfeedduetofinancialconstraints,partnerinfluence,andfearof
losing confidentiality. Women who reported that their partners were
willingtohaveHIV-1testingwerelesslikelytobebreastfeedingat6
weeks(oddsratio[OR]=0.3,95%confidenceinterval[CI]:0.1–0.8;
P=0.01).At6weeks,moreinfantsweremixedfed(31%vs.21%;P=
0.05)thanat1week.Lowerinfantweightat6weekswasassociatedwith
notbreastfeeding(P=0.001),HIV-1infection(P=0.05),birthweight
<3000g(P=0.01),maternalemployment(P=0.02),andpaying<$12.5
permonthinhouserent(amonginfantsnotbreastfed;P=0.05).
Conclusions:Replacementfeedingwasdifficult,particularlywithout
partner support in HIV-1 testing. Mixed feeding was common and increasedby6weeks.Mothersoflowsocioeconomicstatuswhooptnotto
breastfeedrequiresupporttoavoidnutritionalcompromiseof
URI
http://erepository.uonbi.ac.ke:8080/xmlui/handle/123456789/10265http://www.ncbi.nlm.nih.gov/pubmed/14707796
Citation
Acquir Immune Defic Syndr vol.35.no.1,Jan.2004Collections
- Faculty of Health Sciences (FHS) [10377]