Online ISSN: 2515-8260

Keywords : Breastfeeding

Pseudo constipation: Prevalence and impact on exclusive breastfeeding practice in 0-6 months infants

Salma Shaziya, Divyarani DC, Sowmya D, Pradeep Senapathi, Purushotham DR

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 2, Pages 410-417

Objective: Knowledge of pseudo constipation behaviour in exclusively breastfed infant’s 0-6-month age
is sparse. This benign temporary condition creates anxiety among parents and health care providers so as
infants are put to diagnostic tests and treatments not required. Mothers self-introduce early add on feeds
as of anxiety which may hinder the optimal infant feeding. The study aimed to:
1. To determine prevalence of pseudo constipation or infrequent stools in 0-6 months healthy
breastfeeding infants.
2. To draw correlation of pseudo constipation and its impact on exclusive breastfeeding.
Methods: 100 mothers fitting into inclusion criteria were put to a set of questionnaire. Babies born with
normal birth weight, passed meconium within 48 hours and predominantly breastfed, having satisfactory
weight gain and no illness history in past 6 months were included. Babies with functional constipation,
infant dyschezia, history suggesting of organic causes of constipation, failure to thrive, congenital
anomalies or associated illness were excluded.
Results: The prevalence of pseudo constipation in 0-6months predominantly breastfed infants was 42%.
All these infants had mean peak time duration of defecation ≥2days and mean duration the symptom
lasted in weeks was 5.43 weeks (SD-4.52, median-5). All infants had reduction in frequency of stools in
second month of life (median-45 days). Among the infants who had pseudo constipation behaviour
64.3% of mothers had started early complimentary feeds <6month age. The comparison between the
cases and control group showed to be highly significant with χ 2 =21.23, df =1, p <0.001.
Conclusion: Prevalence of pseudo obstruction behavior in exclusive breastfed infants is as high as 42%.
Nearly 64.3% of mothers intervened this by adding complimentary feeds early <6-month age. We would
like stress that knowledge of this temporary condition requiring no interventions would be a great benefit
for pediatricians, pediatric surgeons, nurses and parents.

The Effect Of Breastfeeding In Premenopausal Breast Cancer : A Review

Ohood Mahmood Algaralleh

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 3, Pages 10102-10106

In this review, I describe the effect of breastfeeding in premenopausal breast cancer in Jordan. For the time being, breast cancer is considered to be the most frequent type of cancer among women in the world. Many studies explore the effect of breastfeeding to prevent of  breast cancer, although studies have suggested that breastfeeding reduces the risk of breast cancer. In 2020, 2.3 million women diagnosed with breast cancer and 685 000 deaths in breast cancer in the world. In the end of 2020, there were 7.8 million women alive who were diagnosed with breast cancer in the past 5 years, making it the world’s most prevalent cancer (WHO, 2021). mothers should be encouraged to breastfeed their babies because the clinical evidence has shown that there is a lower risk of breast cancer in women who breastfed their babies.

Knowledge , Attitude And Practice Of Infant Feeding Practices Among Medical Students

Dr. Harish Sudarsanan; Dr. Sanchana Arumugam; Dr Sri VipanchiKamepalli; Dr. J. Kumutha

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 8, Pages 3644-3654

Introduction and background: World Health Organization (WHO) recommends exclusive breast feeding for at least 6 months and thereafter until the child is 2 years of age. The success of introduction and sustenance of any health initiative depends upon the knowledge and attitudes towards those health practices. This study was undertaken to assess the baseline knowledge, attitudes and anticipated practices of MBBS students and help in framing policies towards inclusion of breast-feeding training in regular curriculum.
Methodology: A cross sectional survey was carried on at a private medical college on 137 medicos comprising of Final year MBBS and Interns. Using Google Forms, a survey questionnaire was prepared, comprising of 37 items assessing the knowledge, attitude and anticipatory practices towards breastfeeding and infant nutrition.
Results: The mean overall score of Final MBBS participants was 64.5% and that of Interns were 71.2% (P value = 0.002). In all 3 domains the Interns scored higher than Final MBBS participants and the differences were statistically significant. There were positive correlations between knowledge and attitude (r= 0.36, P value < 0.001), knowledge and practices (r= 0.53, P value < 0.001) and attitude and practices (r = 0.44, P value < 0.001).
Conclusion: This study highlights the knowledge, attitude and practice level of students among Final MBBS and Interns at our institute. The overall knowledge level was average. As tomorrows practitioners and policy makers it is mandatory to shape this group of young doctors in order to ensure that future of our nation that is current generation of childrenare in safe hands.