Infant Growth Faltering Linked to Subclinical Mastitis, Maternal Fecal ‐Oral Contamination and Breastfeeding Practices
AbstractInfant growth faltering occurs in breastfed infants< 6 months of age. The possibility that maternal health status contributes to this growth faltering is underexplored. We investigated whether 1) subclinical mastitis (SCM), an asymptomatic inflammation of the breast, 2) maternal intestinal nematode and protozoan infections, indicators of fecal ‐oral contamination or 3) poor breastfeeding practices increased the odds of stunting (LAZ< ‐2SD), underweight (WAZ< ‐2SD) or low head circumference (HCAZ< ‐2SD) in breastfed infants in rural indigenous communities in Guatemala. Mother‐infant dyads (n = ...
Source: Maternal and Child Nutrition - November 25, 2018 Category: Nutrition Authors: Hilary M. Wren ‐Atilola, Noel W. Solomons, Marilyn E. Scott, Kristine G. Koski Tags: ORIGINAL ARTICLE Source Type: research

Concurrent wasting and stunting among under ‐five children in Niakhar, Senegal
AbstractThe study describes the patterns of concurrent wasting and stunting (WaSt) among children age 6 –59 months living in the 1980s in Niakhar, a rural area of Senegal under demographic surveillance. Wasting and stunting were defined byz scores lower than −2 in weight for height and height for age. Both conditions were found to be highly prevalent, wasting more so before age 30 months, stunting more so after age 30 months. As a result, concurrent WaSt peaked around age 18 months and its prevalence (6.2%) was primarily the product of the two cond itions, with an interaction term of 1.57 (p <  10−6). The in...
Source: Maternal and Child Nutrition - November 25, 2018 Category: Nutrition Authors: Michel Garenne, Mark Myatt, Tanya Khara, Carmel Dolan, Andr é Briend Tags: ORIGINAL ARTICLE Source Type: research

A qualitative study exploring infant feeding decision ‐making between birth and 6 months among HIV‐positive mothers
We report findings from 11 HIV‐positive w omen within a larger cohort. Participants were aged between 15 and 41 years and were all on antiretroviral therapy. Before delivery, nine mothers intended to exclusively breastfeed (EBF) for 6 months, and two intended to exclusively formula feed (EFF). Three mothers successfully EBF for 6 months, whereas four had stopped breastfeeding, and two were mixed breastfeeding by 6 months. Mothers reported receiving strong advice from health workers (HWs) to EBF and made decisions based primarily on HWs advice, resisting contrary pressure from family or friends. The main motivation fo...
Source: Maternal and Child Nutrition - November 22, 2018 Category: Nutrition Authors: Christiane Horwood, Ngcwalisa Amanda Jama, Lyn Haskins, Anna Coutsoudis, Lenore Spies Tags: ORIGINAL ARTICLE Source Type: research

High protein diet promotes body weight loss among Brazilian postpartum women
AbstractThere is evidence in the general population that adhering to a high protein and low carbohydrate diet may help in losing weight. However, there is little evidence among postpartum women. The aim of this study is to evaluate the effect of a high protein diet on weight loss among postpartum women. A parallel ‐randomized controlled trial with 94 postpartum women was conducted in a maternity ward in Mesquita county (recruitment from February 2009 to December 2010) and in a polyclinic in Rio de Janeiro city (recruitment from December 2010 to December 2011). Women were randomized to the intervention group (IG) or contr...
Source: Maternal and Child Nutrition - November 22, 2018 Category: Nutrition Authors: Maria Beatriz Trindade de Castro, Diana Barbosa Cunha, Marina Campos Araujo, Ilana Nogueira Bezerra, Amanda Rodrigues Amorim Adegboye, Gilberto Kac, Rosely Sichieri Tags: ORIGINAL ARTICLE Source Type: research

Effects of opaque, weighted bottles on maternal sensitivity and infant intake
AbstractCaregivers' abilities to assess how much is in the bottle may lead to encouragement of infant bottle emptying and overfeeding. The present study assessed whether use of opaque, weighted bottles (as compared with conventional, clear bottles) improves feeding outcomes. Mothers with infants<32  weeks of age (n = 76) were assessed on two separate days. Mothers fed their infants from an opaque, weighted bottle on 1 day and a clear bottle on the other; conditions were counterbalanced. Blinded raters certified in the Nursing Child Assessment Feeding Scale scored all videos to determine maternal sensitivit y. Infant...
Source: Maternal and Child Nutrition - November 22, 2018 Category: Nutrition Authors: Alison K. Ventura, Alexandra Hernandez Tags: ORIGINAL ARTICLE Source Type: research

Burden and determinants of under nutrition among young pregnant women in Ethiopia: A multivariable hierarchical regression analysis
This study aimed at identifying the extent and determinants of undernutrition among young pregnant women in Ethiopia. A multivariable regression analysis was fitted to identify determinants of undernutrition and anemia in a sample of 1,393 pregnant women. Risk ratios with 95% confidence interval were estimated. All the analyses were performed using STATA version 14 and adjusted for clustering. The study revealed that 38% of the women were undernourished and 22% were anemic. Improved maternal education (RR=0.94, 95% CI: 0.89, 0.98), higher wealth status (RR=0.72, 95% CI: 0.47, 0.95), higher minimum dietary diversity for wom...
Source: Maternal and Child Nutrition - November 13, 2018 Category: Nutrition Authors: Abdulhalik Workicho, Tefera Belachew, Shibani Ghosh, Meghan Kershaw, Carl Lachat, Patrick Kolsteren Tags: ORIGINAL ARTICLE Source Type: research

From Evidence to National Scale: An Implementation Framework for Micronutrient Powders in Rwanda
AbstractMicronutrient powders (MNP) are an efficacious intervention in terms of reducing anaemia among young children, yet challenges remain regarding implementation at scale. Research that can guide effective implementation of nutrition interventions and facilitate integration into existing healthcare platforms is needed. This paper seeks to advance the implementation science knowledge ‐base by presenting our multi‐phased strategy and findings for scaling‐up MNP in Rwanda. The multi‐phased implementation strategy, spanning a five‐year period (2011‐2016), included: 1) A feasibility study involving formative res...
Source: Maternal and Child Nutrition - November 13, 2018 Category: Nutrition Authors: Judy McLean, Martina Northrup ‐Lyons, R.J. Reid, Lauren Smith, Kathy Ho, Alexis Mucumbitsi, Josephine Kayumba, Abiud Omwega, Christine McDonald, Claudia Schauer, Stanley Zlotkin Tags: ORIGINAL ARTICLE Source Type: research

Use of Monitoring Data to Improve Implementation of a Home Fortification Program in Bihar, India
AbstractThis paper describes the use of program ‐monitoring data to track program performance and inform activities. Monitoring data were collected as part of an effectiveness trial of multiple micronutrient powders (MNPs) for children 6‐18 months in Bihar, India. Communities (n=70; reaching over 10,000 children) were randomized to receive ei ther counselling on infant and young child feeding or both counselling and MNPs. Government frontline health workers (FLWs), implemented and monitored program activities with support from CARE, India and university partners. Monitoring data were collected over the duration of the ...
Source: Maternal and Child Nutrition - November 13, 2018 Category: Nutrition Authors: Rukshan Mehta, Reynaldo Martorell, Indrajit Chaudhuri, Aimee Webb Girard, Usha Ramakrishnan, Pankaj Verma, Priya Kekre, Sridhar Srikantiah, Melissa Fox Young Tags: ORIGINAL ARTICLE Source Type: research

Evaluating the integration of a pregnancy weight gain chart into routine antenatal care: a mixed method study design
This study aimed to evaluate the implementation of routine weight monitoring using a pregnancy weight gain chart (PWGC), and assess Healthcare Professionals (HCPs) attitudes and practices around its use. A semi ‐quantitative survey was conducted with a consecutive sample of antenatal women at 16 and 36 weeks gestation. Women were weighed and a PWGC audit done at 36 weeks gestation to assess adherence to chart use and GWG. A cross‐sectional survey of antenatal HCPs at the Australian facility assessed st aff attitudes and practices relating to weight monitoring and PWGC use. Of the 291 women surveyed, 68% reported being ...
Source: Maternal and Child Nutrition - November 13, 2018 Category: Nutrition Authors: Susan Jersey, Taylor Guthrie, Jeanette Tyler, Wan Yin Ling, Hilary Powlesland, Clare Byrne, Karen New Tags: ORIGINAL ARTICLE Source Type: research

Nutritional status and risk factors for stunting in preschool children in Bhutan
We examined the anthropometric status and risk factors for malnutrition among children aged 0 –59 months through the 2015 National Nutrition Survey in Bhutan. We assessed in 1,506 children nutritional status (byz‐scores of height‐for‐age [HAZ], weight‐for‐height [WHZ], and weight‐for‐age [WAZ]), estimating prevalence, adjusted for survey design, of stunting, wasting, underweight, and overweight (< −2 for HAZ, WHZ, and WAZ and>2 for WHZ). Children were also assessed for pedal oedema. We conducted multivariable linear/logistic regression analysis to identify child, maternal, and household risk factor...
Source: Maternal and Child Nutrition - November 9, 2018 Category: Nutrition Authors: Yunhee Kang, Victor Aguayo, Rebecca K. Campbell, Laigden Dzed, Vandana Joshi, Jillian L. Waid, Suvadra Datta Gupta, Nancy J. Haselow, Keith P. West Tags: ORIGINAL ARTICLE Source Type: research

Nutritional status as a central determinant of child mortality in sub ‐Saharan Africa: A quantitative conceptual framework
AbstractChild mortality is a major public health problem in sub ‐Saharan Africa and is influenced by nutritional status. A conceptual framework was proposed to explain factors related to undernutrition. Previously proposed conceptual frameworks for undernutrition do not consider child mortality and describe factors related to undernutrition from a qualitative viewpoint only. A structural equation modelling approach was applied to the data from World Bank and FAO databases collected from over 37 sub‐Saharan countries from 2000 to the most recent update. Ten food groups, exclusive breastfeeding, poverty and illiteracy ra...
Source: Maternal and Child Nutrition - November 8, 2018 Category: Nutrition Authors: Cristian Ricci, Janet Carboo, Hannah Asare, Cornelius M. Smuts, Robin Dolman, Martani Lombard Tags: ORIGINAL ARTICLE Source Type: research

First national iodine survey in Madagascar demonstrates iodine deficiency
AbstractUniversal salt iodization (USI) was adopted in Madagascar in 1995 within the framework of a worldwide policy to eliminate iodine deficiency disorders. Despite early USI adoption, there are no representative data on the iodine status of the Malagasy population. The aims of this study were to determine the iodine status of the Malagasy population and to assess the use of adequately iodized salt among households. We randomly sampled women of reproductive age (WRA) using a national, two ‐stage, stratified cross‐sectional survey in 2014. Casual urine from WRA and salt samples from the household containing WRA were c...
Source: Maternal and Child Nutrition - November 8, 2018 Category: Nutrition Authors: Rindra Vatosoa Randremanana, Alexandra Bastaraud, Leon Paul Rabarijaona, Patrice Piola, Delphin Rakotonirina, Jean Olivier Razafinimanana, Mamy Hanitra Ramangakoto, Lalaharizaka Andriantsarafara, Harinelina Randriamasiarijaona, Amal Tucker ‐Bro Tags: ORIGINAL ARTICLE Source Type: research

Women's views about a free breast pump service: an online survey to inform intervention development.
Maternal&Child Nutrition,Volume 0, Issue ja, -Not available-. (Source: Maternal and Child Nutrition)
Source: Maternal and Child Nutrition - November 1, 2018 Category: Nutrition Authors: Rhona J. McInnes, Nicola Gillespie, Nicola Crossland, Victoria Hall Moran, Pat Hoddinott Source Type: research

High protein diet promotes body weight loss among Brazilian postpartum women.
Maternal&Child Nutrition,Volume 0, Issue ja, -Not available-. (Source: Maternal and Child Nutrition)
Source: Maternal and Child Nutrition - November 1, 2018 Category: Nutrition Authors: Maria Beatriz Trindade Castro, Diana Barbosa Cunha, Marina Campos Araujo, Ilana Nogueira Bezerra, Amanda Rodrigues Amorim Adegboye, Gilberto Kac, Rosely Sichieri Source Type: research

Factors related to exclusive breastfeeding in Thai adolescent mothers: Concept mapping approach
Maternal&Child Nutrition, EarlyView. (Source: Maternal and Child Nutrition)
Source: Maternal and Child Nutrition - October 31, 2018 Category: Nutrition Authors: Sasitara Nuampa, Fongcum Tilokskulchai, Crystal L. Patil, Nittaya Sinsuksai, Wanna Phahuwatanakorn Source Type: research