BIBLIOGRAPHIC INPUT SHEET TEMPORARY Patterns of mortality ...

ChapterXIII. Breast Feeding
261
Fia. 131. Breast Feeding of Infants Dying in not satisfactor for breast
First
feeding
Seven
should
Projee"..
Days of Life in 13 Latin American
be investigated i . Low L o protein ti content c n and a d
PERCENT
decreased volume of milk have been re­
0 5 T IS 20
2
0 $ 10 IS ported by Bailey (1965) in women with
CAIA6PA
sustained malnutrition, and Jelliffc anti
10uVWIAM1 Jelliffe (1971) have shown that if starving
au
is prolonged lactation even sto,;.
soto
Only in
Mo
the project in Bolivia had a high percentage
Maio 1uh
t0SION-S. EIw (69.1) of these infants never been weaned
NEW
before death. I the others (with the excep-
KCH
tion of Chaco Province, with 50.3 per cent
sc Pluto
never weaned), although breast feeding was
11SAUMON
NEVERWEANED started in relatively
t.aWEANING
favorable proportions,
M0 UNKNOWN STAKTD it was continued in less than 40 per cent of
the infants.
For infants dying in two postnconatal
fants. As mothers in Recife have expressed periods (28 days-5 months and 6-11
their desire to breast feed, the causes of this months) the situation was in general similar
difficulty deserve attention. In the El Sal- to that for infants dying in the neonatal
vador project as well, weaning was started period (Table 159). For tile first of these
in P. itigh prol)ortion of the infants 7-27 days two age groupq, smaller proportion: if the
of age (34.0 per cent). Since both these infants had been breast fed for a month or
areas had excessive death rates from nutri- longer in the projects in SiLo Paulo, El Saltional
deficiency and high proportions of vador, and Recife. Likewise, only 4.0 per
the infants dying in the neonatal period had cent in Recife and 4.4 per cent in Silo Paulo
unusually low birth weights, the possibility had not been weaned before death (Figure
that the mother's nutritional status was 133). On the other hand, in the projects in
Cartagena, Bolivia, Chaco Province, and
Kingston-St. Andrew nore than 60 per cent
FIG. 132. Breast Feeding of Infants Dying at of these infants had been bIreast fed
7-27
for
Days of Age in 13 Latin American Projects. at least a month, and from 25.7 to 59.7 per
PER CENT
0 20 s o60cent had never been weaned. Thus, there
M
is considerable variation in the patterns of
ono mmci
breast feeding in this critical age period.
CAU,
Although breast feeding may have been
u. .. . discontinued because of illness of the child,
at1a1 S
,
the low proportions breast fed for at least
CPUi miJcT
Mwo PIN
one month as well as the small proportion
11 SAOPAIO Pto
___ never weaned (less than 20 per cent in seven
MNTEY
projects) indicate that many of these in-
ME06aL.
fants
SAU
were deprived
ALAN
of
PDOYUl
this high-quality pro-
S STul. RwOV
tective food.
For infants (lying at 6-11 imonths, al-
NEVER WEANED WIANINO STARTED
0. UNKNOWN though higher proportions had been breast