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Early Determinants of Non-Exclusive Breastfeeding among Guatemalan Infants

  • Daniel W. Sellen
  • Amanda L. Thompson
  • Daniel J. Hruschka
  • Aryeh D. Stein
  • Reynaldo Martorell
Part of the Advances in Experimental Medicine and Biology book series (AEMB, volume 554)

Abstract

Ethnographic and observational studies suggest that during the perinatal period, physiological, psychosocial, and cultural factors influence initiation and maintenance of breastfeeding and patterns of feeding nonhuman milk substances (Pérez-Escamilla et al. 1996, 1998; Scott & Binns 1999; Chapman & Pérez-Escamilla 1999). Public health nutritionists need to understand the etiology of non-exclusive breastfeeding in the first 6 months of life because of the mismatch between actual and recommended breastfeeding practices (Lutter 2000; Seilen 2001). Studies have found that delayed lactogenesis stage II (LS-II) can be assessed by milk volume, human milk biomarkers, and maternal perception and recall of onset of lactation and if not resolved is a cause of actual and perceived difficulties with breastfeeding in the first days postpartum, persistent insufficient milk volume, early introduction of infant formula or other nonhuman milk substances, and reduced breastfeeding duration (Chapman & Pérez-Escamilla 1999, 2000a; Dewey 2001). To date, few studies have examined the causes or effects of delayed LS-II in rural populations in developing countries.

Keywords

Human Milk Exclusive Breastfeed Maternal Obesity Maternal Perception Puerto Rican Woman 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Science+Business Media New York 2004

Authors and Affiliations

  • Daniel W. Sellen
    • 1
    • 2
  • Amanda L. Thompson
    • 1
  • Daniel J. Hruschka
    • 1
  • Aryeh D. Stein
    • 2
  • Reynaldo Martorell
    • 2
  1. 1.Department of AnthropologyEmory UniversityAtlantaUSA
  2. 2.Department of International HealthEmory UniversityAtlantaUSA

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