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Prelacteal Feeds Are Negatively Associated with Breast-Feeding Outcomes in Honduras^1,2,

Rafael Pérez-Escamilla³, Sofia Segura-Millán, Judy Canahuati^* and Hubert Allen

Department of Nutritional Sciences, University of Connecticut, Storrs CT 06269-4017 ^* Wellstart International, San Pedro Sula, Honduras Hubert Allen and Associates, La Mirage, Albuquerque, NM 87111

The 1991/92 Epidemiology and Family Health Survey (ENESF) from Honduras was examined for associations between prelacteal feeds and breast-feeding outcomes. The ENESF is a self-weighted nationally representative survey that included 2380 women with children under the age of two. Multivariate logistic regression was used to examine the association between prelacteal feeds and breast-feeding practices among 0- to 6-mo-old infants (n = 714), and to identify factors associated with milk-based prelacteal feeds. Providing milk-based prelacteal feeds was negatively associated with both exclusive (odds ratio = 0.18) and any breast-feeding (0.21). Prelacteal water was negatively associated with exclusive breast-feeding (0.19). Both water- and milk-based prelacteal feeds were associated with a delayed milk arrival and a delay in the time at which the child was offered the breast for the first time. Our findings suggest that prelacteal feeds have an adverse effect on breast-feeding outcomes.

KEY WORDS: • breast-feeding • infant feeding • lactogenesis • prelacteal feeds

¹ Contribution # 1688, Storrs Agricultural Experiment Station.

² The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked "advertisement" in accordance with 18 USC section 1734 solely to indicate this fact.

³ To whom correspondence should be addressed.

Manuscript received 15 April 1996. Revision accepted 12 July 1996.