The aim of this study was to document the breastfeeding practices, beliefs, and attitudes of periurban South African lactating mothers with infants younger than 6 months. None of the mothers (n = 115, mean age 26 ± 6.3 years) reported exclusively breastfeeding their infants, with complementary breastfeeding being the most practiced (78%) feeding mode. Complementary foods were fed to 32% of infants by their first month of life. Perceived inadequate production of breast milk was the most common (90%) reason cited for adding foods and liquids to breastfeeds. Mothers valued use of traditional herbal preparations (muthi), with more then half (56%) of the infants having received their first dose of muthi before 1 month of age. Our study provides important data on breastfeeding practices of women living within resource-poor settings. Development of successful infant-feeding interventions aimed at promoting overall infant health can benefit from knowledge of these breastfeeding patterns.
Fincham R, Harrison D, Khosa M, Le Roux I.Nutrition and health in South Africa. In: The State of Nutrition and Development of Nutrition Guidelines. Washington, DC: World Bank, Statistics and Living Standards and Development; 1993.
2.
Department of Health. National HIV and Syphilis Sero-prevalence of Women Attending Public Antenatal Clinics in South Africa—2001 Summary Report. Pretoria, South Africa: Department of Health; 2002.
3.
World Health Organization/United Nations Children’s Fund. Global Strategy on Infant and Young Child Feeding. Geneva, Switzerland: World Health Organization; 2002.
4.
World Health Organization. HIV and Infant Feeding: Framework for Priority Action. Geneva, Switzerland: World Health Organization; 2003.
5.
Department of Health. South African Breastfeeding Guidelines for Health Workers. Pretoria, South Africa: Department of Health; 2000.
6.
United Nations Children’s Fund. Global Database: Breastfeeding Indicators. 2001. Available at: http://childinfo.org/eddb/brfeed/test/database.htm. Accessed April 2003.
7.
Steyn NP, Badenhorst CJ, Nel JH. Breast feeding and weaning practices of Pedi mothers and the dietary intakes of their preschool children. S Afr J Food Sci Nutr. 1993;5:10-13.
8.
Richter LM. The Early Introduction of Solids: An Analysis of Belief and Practices Among African Women in Soweto (report). University of the Witwatersrand, Johannesburg, South Africa; 1994.
9.
Van Derslice J, Popkin B, Briscoe J.Drinking-water quality, sanitation and breastfeeding: their interactive effects on infant health. Bull WHO. 1994;72:589-601.
10.
Latham MC. Breastfeeding. In: Human Nutrition in the Developing World. FAO Food and Nutrition Series No. 29, Rome, Italy; 1997: 61-79.
11.
Bourne LT, Langenhoven ML, Steyn K, Jooste PL, Laubscher JA, Bourne DE. Nutritional status of 3-6 year old African children in the Cape Peninsula. E Afr Med J. 1994;71:695-702.
12.
Statistics South Africa. Census Data From Urban Policy Unit. Pretoria, South Africa: Statistics South Africa; 1996.
13.
World Health Organization. Contemporary Patterns of Breast Feeding: Report on the World Health Organization Collaborative Study on Breastfeeding. Geneva, Switzerland: World Health Organization; 1981.
14.
World Health Organization. Indicators for Assessing Breastfeeding Practices (UPDATE, No. 10). Geneva, Switzerland World Health Organization; 1997.
15.
United Nations. World Population Prospects: 1999 Revisions. Available at: http://www.unhabitat.org/programmes/guo/data_hsdb4.asp%23. Accessed July 2003.
16.
Segal K, Hirschowitz R.Research findings, children aged 5 years and younger In: A National Household Survey of Health Inequalities in South Africa. Menlo Park, CA: Community Agency for Social Enquiry (CASE) for Henry J Kaiser Family Foundation; 1994:1-14.
17.
Dettwyler KA, Fishman C.Infant feeding practices and growth. Annu Rev Anthropol. 1992;21:171-204.
18.
Van Steenbergen WM, Kusin JA, van Rens M.Lactation performance. In: van Ginnekan JK, Muller AS, eds. Maternal and Child Health in Kenya: An Epidemiological Study. London, UK. Croom Heldon Ltd; 1984:153-165.
19.
Dewey KG, Heinig MJ, Nommsen LA, Lonnerdal B.Maternal versus infant factors related to breast milk intake and residual milk volume: the DARLING study. Pediatrics. 1991;87:829-837.
20.
Auerbach K, Riordan J.Breastfeeding and Human Lactation. Boston, Mass: Jones & Bartlett; 1993.
21.
World Health Organization. Complementary Feeding of Young Children in Developing Countries: A Review of Current Scientific Knowledge. Geneva, Switzerland: World Health Organization; 1998.
22.
Coutsoudis A, Pilllay K, Kuhn L, Spooner E, Tsai W-Y, Coovadia HM, for the South African Vitamin A Study Group. Method of feeding and transmission of HIV-1 from mothers to children by 15 months of age: prospective cohort study from Durban, South Africa. AIDS. 2001; 15:379-387.
23.
Nduati R, John G, Mbori-Ngacha D, Richardson B, Overbaugh J.Effect of breastfeeding and formula feeding on transmission of HIV-1: a randomized clinical trial. JAMA. 2000;283:1167-1674.
24.
Brown KH, Creed de Kanashiro H, del Aguila R, Lopez de Romama G, Black RE. Milk consumption and hydration status of exclusively breast-fed infants in a warm climate. J Pediatr. 1986;108:677-680.
25.
Almroth S, Mohale M, Latham MC. Unnecessary water supplementation for babies: grandmothers blame clinics. Acta Paediatrica. 2000; 89:1408-1413.
26.
Baumslag N.Breast feeding: cultural practices and variations. In: Jelliffe DB, Jelliffe EFP, eds. Advances in International Maternal and Child Health Vol 70. Oxford, UK: Clarendon; 1987:38-39.
27.
Varga CA, Veale DJH. Isihlambezo: utilization patterns and potential health effects of pregnancy related traditional herbalmedicine. Soc Sci Med. 1997;44:911-924.
