| Title | HIV-negative status is associated with very early onset of lactation among Ghanaian women. |
| Publication Type | Journal Article |
| Year of Publication | 2010 |
| Authors | Otoo, Gloria E., Grace S. Marquis, Daniel W. Sellen, Donna J. Chapman, and Rafael Pérez-Escamilla |
| Journal | Journal of human lactation : official journal of International Lactation Consultant Association |
| Volume | 26 |
| Issue | 2 |
| Pagination | 107-17 |
| Date Published | 2010 May |
| ISSN | 1552-5732 |
| Keywords | Adult, Breast Feeding, Cohort Studies, Female, Ghana, HIV Seronegativity, Humans, Infant, Infant, Newborn, Lactation, Logistic Models, Longitudinal Studies, Male, Mothers, Perception, Time Factors, Time Perception, Weight Gain |
| Abstract | This is a longitudinal cohort study investigating the association between maternal HIV status and the reported onset of lactation. The Research to Improve Infant Nutrition and Growth project recruited 442 mothers from 3 antenatal clinics in the eastern region of Ghana, based on positive, negative, and unknown HIV status. Onset of lactation was assessed by maternal perception and validated with 2 subsamples: measurement of infant breast milk intake (n = 40) and daily infant weight measurement for 2 weeks (n = 150). Multivariate logistic regression was used to identify predictors of very early onset of lactation (onset of lactation < 6 hours). Predictors of very early onset of lactation include HIV-negative status (odds ratio = 2.68; P = .014), multiparity (odds ratio = 2.93; P = .009), vaginal delivery (odds ratio = 2.55; P = .035), and having a male child (odds ratio = 1.86; P = .032). The findings indicate an association between maternal HIV status and very early onset of lactation. |
| DOI | 10.1007/s10461-009-9532-3 |
| Alternate Journal | J Hum Lact |
