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House calls in Lebanon: reflections on personal experience / E Sarru; A Abyad.-- p.571-575.-- En: Family Practice.-- 15, 6 (1998)
ADOLESCENCIA   ADULTO   DISTRIBUCION POR EDAD   ANCIANO   ANCIANOS DE 80 AÑOS Y MAS   NIÑO   INFANTE   GRUPOS DIAGNOSTICOS RELACIONADOS   MEDICINA FAMILIAR   SERVICIOS DE ATENCION DE SALUD A DOMICILIO   CONSULTA MEDICA A DOMICILIO   LACTANTE   MEDIA EDAD   ESTUDIOS RETROSPECTIVOS   SERVICIOS URBANOS DE SALUD   NECESIDADES Y DEMANDA DE SERVICIOS DE SALUD
Categoría geográfica: LIBANO  
Ubicación: Centro de Información y Documentación (CANIA)   
Solicite el material por este código: AS-4314
Tipo de Material:
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Home and videotape intervention delays early complementary feeding among adolescent mothers / MM Black; EH Siegel; Y Abel; ME Bentley.-- p. E67.-- En: Pediatrics.-- 107, 5 (2001)
ADOLESCENCIA   NEGROS   LACTANCIA MATERNA   FAMILIA   SERVICIOS DE ATENCION DE SALUD A DOMICILIO   ALIMENTOS INFANTILES   NUTRICION DEL LACTANTE   RECIEN NACIDO   MODELOS LOGISTICOS   CENTROS DE SALUD MATERNO-INFANTIL   ANALISIS MULTIVARIADO   PATRIA POTESTAD   POBREZA   POBLACION URBANA
Categoría geográfica: ESTADOS UNIDOS  
Ubicación: Centro de Información y Documentación (CANIA)   
Solicite el material por este código: AS-4867
Tipo de Material:
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    The American Academy of Pediatrics, the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC), and the World Health Organization recommend that infants receive only breast milk or formula for the first 4 to 6 months of life, followed by the introduction of complementary foods. Despite these recommendations, many infants, particularly those with adolescent mothers, receive solid foods (often cereal mixed with formula in a bottle) and liquids other than formula or breast milk in the first few weeks of life. Decisions on early feeding are often guided by grandmothers and influenced by beliefs that infants need complementary food to counteract signals of hunger, reduce crying, and sleep through the night. OBJECTIVE: This investigation evaluated the efficacy of an intervention to delay the early introduction of complementary feeding among first-time, black, adolescent mothers living in multigenerational households. The intervention focused on reducing the cultural barriers to the acceptance of the recommendations of the American Academy of Pediatrics, WIC, and World Health Organization on complementary feeding by highlighting 3 topics: 1) recognition of infants' cues; 2) nonfood strategies for managing infant behavior; and 3) mother-grandmother negotiation strategies. The intervention was delivered through a mentorship model in which a videotape made by an advisory group of black adolescent mothers was incorporated into a home-visiting program and evaluated through a randomized, controlled trial. METHODS: One hundred eighty-one first-time, low-income, black mothers <18 years old, living in multigenerational households were recruited from 3 urban hospitals. Infants were born at term, with birth weight appropriate for gestational age and no congenital problems. Shortly after delivery, mothers and grandmothers completed a baseline assessment and mothers were randomized into an intervention or control group. Intervention group mothers received home visitation every other week for 1 year. At 3 months, a subset of 121 adolescent mothers reported on their infant's intake through a food frequency questionnaire. Mothers who fed their infant only breast milk, formula, or water were classified as optimal feeders. Mothers who provided complementary foods other than breast milk, formula, or water were classified as less optimal feeders...continua

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