Mohd Foad, Nurul Humairah (2021) The associations of infant's health characteristics, feeding practices and lactation management with growth among infants with stridor. [Project Paper] (Submitted)
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Abstract
Stridor is identified as an upper airway obstruction symptom that can vary in severity, with the prevalence of 78.5% that is caused by laryngomalacia in Malaysia. Disturbance in breathing, sucking and swallowing of infants with stridor during feeding could affect their growth. This study aims to determine the associations of infant's health characteristics, feeding practices and lactation management with growth among infants with stridor referred to Otorhinolaryngology Department of Hospital Serdang and Hospital Ampang. A total of 153 mother-child dyads with child mean age of 3.14 ± 1.2 years participated in this study. The consented secondary data were accessed through the hospital system (e-His) to collect data on infants' health characteristics and growth, while an interviewer-administered questionnaire was done with mothers through phone calls on data related to feeding practices and lactation management. Growth was calculated for weight gain rates (kg/week) and weight-for-age (WAZ) at 18 months. Nutritional status data shows that 96% were normal, while others were underweight (1.3%), severely underweight (0.7%) and possible growth problems (2.0%). The mean weight gain rate from weight at first referral for stridor up to the weight when the stridor resolves was 0.10 ± 0.04 (kg/week). There were significant associations between all infant's health characteristics (e.g. birth outcomes, duration and severity of stridor) and WAZ, except age (r=-0.063, p=0.439). Feeding practices were significantly associated with WAZ except for the onset of cup feeding, while exclusive breastfeeding duration (r=-0.173, p=0.03) and age stopped breastfeeding (r=0.173, p=0.033) were significantly correlated with weight gain rates. There were no significant association between lactation management and growth at 18 months. Future research should focus on multifactors intervention including lactation management (such as feeding positions and pacing technique) to assist feeding problems that can lead to non-exclusive feeding or faltering growth, specifically for mother-infants with stridor.
| Item Type: | Project Paper |
|---|---|
| Faculty: | Faculty of Medicine and Health Science |
| Depositing User: | Ms Norafizah Radzuan |
| Date Deposited: | 04 Sep 2023 06:47 |
| Last Modified: | 04 Sep 2023 06:47 |
| URI: | http://psaspb.upm.edu.my/id/eprint/1376 |
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