Feeding practices and immunization status among children with severe acute malnutrition: Findings of a single center observational study
Journal Title: Medpulse International Journal of Pediatrics - Year 2017, Vol 4, Issue 2
Abstract
Objective: To describe the pattern of feeding practices among children with severe acute malnutrition (SAM) Material and Methods: This was an observational study among hospitalized children between six month to five years of age. Children were eligible for inclusion in the study if they fulfilled any one of the following criteria; weight for height/length Z score < -3SD, mid upper arm circumference <115 mm, presence of bilateral pitting edema of nutritional origin or severe visible wasting. Pattern of feeding practices in children with SAM was recorded. Results: Thirty eight children with mean age of 24.86 (±13.3) months out of 2751 had SAM. Breastfeeding was initiated within one hour in 55.2% children with SAM whereas in 34.20% it was initiated after one hour. A total of 5.3% children were not breast fed at all. The percentage of children receiving exclusive breastfeeding, mixed feeding or replacement feed during first six month were 47.4%, 42.1% and 10.5% respectively. Out of 38 children, 21.1% were bottle fed. Diarrhea was present in 62.5% of bottle fed children. Complementary feeds were initiated before six months in 52.7% children with SAM and immunization status at the time of admission was complete only in 50% children. Conclusion: Feeding practices and immunization in children are potentially modifiable factor which play an important role in the development of severe malnutrition in children. Parents should be educated about the correct feeding practices and importance of immunization to avoid complications in the children below five years of age.
Authors and Affiliations
Uday Gajare, Shivprasad Kachrulal Mundada, Suresh Narayan Singh
Keywords
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