Title
Recognizing the reversible nature of child-feeding decisions: Breastfeeding, weaning, and relactation patterns in a shanty town community of Lima, Peru
Date Issued
01 September 1998
Access level
open access
Resource Type
journal article
Author(s)
Cornell University
Cornell University
Abstract
Researchers have normally considered weaning to be a non-reversible event. To determine the validity of this assumption, we interviewed 36 mothers of toddlers who were living in a poor shanty town of Lima, Peru. Data from 32 women were complete and used in this analysis. Mothers described their beliefs, practices, and decisions about breastfeeding, weaning, and relactation (the reintroduction of breastfeeding after weaning). We recorded attempted weaning events if the mother reported (1) purposefully not breastfeeding with the intention to wean, or (2) carrying out an action that was believed to cause the child to stop breastfeeding. Using a constant comparative approach, references to childfeeding decisions were coded, categorized, and analyzed. All mothers breastfed for at least 12 months; the median duration of breastfeeding was 25 months. There were several different patterns of child-feeding. Thirteen women never attempted to wean their children or had weaned on the first attempt. The majority (n = 19) of women, however, attempted to wean their children - some as early as 3 months of age - but relactated between less than 1 day and 3 months later. Factors that influenced feeding decisions were primarily related to maternal and child health, and maternal time commitments. Children were weaned when there was a perceived problem of maternal health or time commitments and child health was not at risk of deterioration. Mothers postponed weaning because of poor child health. The primary reason for relactation was a child's negative reaction to weaning (e.g., incessant crying or refusal to eat). Personalities of the mother and child were important determinants of feeding decisions. These results demonstrate that maternal and child factors jointly influence child-feeding decisions and that these decisions are easily reversed. As relactation is culturally acceptable, health practitioners should consider recommending relactation when children have been prematurely weaned and human milk would improve their nutritional and health status.
Start page
645
End page
656
Volume
47
Issue
5
Language
English
OCDE Knowledge area
Nutrición, Dietética
Pediatría
Subjects
Scopus EID
2-s2.0-0344972899
PubMed ID
Source
Social Science and Medicine
ISSN of the container
02779536
Sponsor(s)
We thank the study mothers for participating with us in the exploration of their child-feeding decisions. Dr. Mary Penny and the IIN staff kindly provided excellent field support for this project. We also thank Dr. Margaret Graham for her insightful review of an earlier draft. This work has been supported by the Wellstart International's Expanded Promotion of Breastfeeding Program funded under the USAID cooperative agreement No. DPE-5966-A-00-1045-000; World Health Organization; National Institutes of Health Maternal and Child Training Grant HD 07331; and the Einaudi Center for International Studies and Division of Nutritional Sciences of Cornell University.
Sources of information:
Directorio de Producción Científica
Scopus