The effect of exclusive breastfeeding on reducing acute respiratory infections in low birth weight infants
Abstract
Background Infants who are breastfed receive natural protection
against certain infections. Despite the known benefits of exclusive
breastfeeding, many Indonesian mothers choose to supplement
with formula. There have been few Indonesian studies on the
effect of exclusive breastfeeding in reducing acute respiratory
infections in low birth weight infants in their first four months
of life.
Objective To investigate the effect of exclusive breastfeeding in
reducing the incidence of acute respiratory infections in low birth
weight infants during their first four months of life.
Methods We conducted a prospective cohort study on low birth
weight babies in Sanglah Hospital, Denpasar. The total number
of subjects was 181. The incidence of acute respiratory infections
during the first 4 months of life and the duration of breast feeding
were assessed by questionnaires. Data was analyzed Mth Chi
square and logistic regression tests.
Results Infants who were exclusively breastfed for 4 months had
a lower risk of acute respiratory infection than those who were not
exclusively breastfed (RR 0.07; 95% CI 0.03 to 0.14; Pô€„O.OOI).
After adjustment for gestational age, parity, maternal nutritional
status, family size, smoke exposure, and history of atopy, infants
who were exclusively breastfed still had a lower risk for acute
respiratory infection than those who were not exclusively breastfed
(RR 0.06; 95% CI 0.03 to 0.13; P ô€„ 0.001)
Conclusion Exclusive breastfeeding reduced the risk of acute
respiratory infection in low birth weight infants in the first four
months after birth. [Paediatr Indones. 2012;52:229,32].
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Accepted 2016-08-31
Published 2012-08-31