title: Discontinuation of breast-feeding during episodes of diarrhoea in rural Bangladeshi children.
abstract: Discontinuation of breast-feeding during an episode of childhood diarrhoea is widely regarded as a common, high-risk practice in the developing world. We studied cessation of breast-feeding in a rural Bangladeshi population under comprehensive surveillance for medically treated diarrhoeal episodes. Among 2129 episodes in children aged under 36 months and breast-fed before the onset of diarrhoea, there were only 33 (2%) in whom breast-feeding had stopped before presentation for care. Children in whom breast-feeding had stopped (cases) differed little from those in whom it had not (controls) in respect to exclusive vs partial breast-feeding, age, gender, or several maternal characteristics (maternal age, education, and recent maternal diarrhoeal illness). In contrast, cases were more likely to have presented with clinically severe illness or to have died within 30 d of presentation (odds ratio = 2.20, P less than 0.05). We conclude that discontinuation of breast-feeding during diarrhoea is an infrequent phenomenon in this population. However, the association of cessation of breast-feeding with severe clinical outcomes may be of considerable importance, particularly in countries where discontinuation of breast-feeding is more common.
authors.affiliation: International Centre for Diarrhoeal Disease Research, Bangladesh.
authors.forename: J D
authors.initials: JD
authors.lastname: Clemens
authors.forename: J R
authors.initials: JR
authors.lastname: Harris
authors.forename: D A
authors.initials: DA
authors.lastname: Sack
authors.forename: M N
authors.initials: MN
authors.lastname: Huda
authors.forename: S
authors.initials: S
authors.lastname: Chowdhury
authors.forename: M
authors.initials: M
authors.lastname: Ali
authors.forename: M R
authors.initials: MR
authors.lastname: Rao
mesh_terms: D001459:Bangladesh; D001942:Breast Feeding; D002675:Child, Preschool; D003968:Diarrhea, Infantile / Q000150:complications*; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D011379:Prognosis; D012307:Risk Factors; D012424:Rural Population; D012959:Socioeconomic Factors