Infant Feeding and Lactational Amenorrhea in Sagamu, Nigeria

  • OA Dada Centre for Research in Reproductive Health, Obafemi Awolowo College of Health Sciences, Ogun State University Teaching Hospital, Sagamu, Nigeria
  • FA Akesode Centre for Research in Reproductive Health, Obafemi Awolowo College of Health Sciences, Ogun State University Teaching Hospital, Sagamu, Nigeria
  • DM Olanrewaju Centre for Research in Reproductive Health, Obafemi Awolowo College of Health Sciences, Ogun State University Teaching Hospital, Sagamu, Nigeria
  • OA Olowu Centre for Research in Reproductive Health, Obafemi Awolowo College of Health Sciences, Ogun State University Teaching Hospital, Sagamu, Nigeria
  • O Sule-Odu Centre for Research in Reproductive Health, Obafemi Awolowo College of Health Sciences, Ogun State University Teaching Hospital, Sagamu, Nigeria
  • TA Fakoya Centre for Research in Reproductive Health, Obafemi Awolowo College of Health Sciences, Ogun State University Teaching Hospital, Sagamu, Nigeria
  • FA Oluwole Centre for Research in Reproductive Health, Obafemi Awolowo College of Health Sciences, Ogun State University Teaching Hospital, Sagamu, Nigeria
  • BV Odunlami Centre for Research in Reproductive Health, Obafemi Awolowo College of Health Sciences, Ogun State University Teaching Hospital, Sagamu, Nigeria
  • WHO Task Force United Nations Development Programme/World Health Organization/World Bank Special Programme of Research Development and Research Training in Human Reproduction World Health Organization, Geneva, Switzerland

Abstract

Five hundred and twenty educated, breastfeeding women in Sagamu, Nigeria, were observed prospectively in order to describe their infant feeding practices and to determine whether any predictors of the return of menses could be identified. The women remained amenorrheic for seven months. Compared with similarly selected women in other countries, they regularly fed their infants with supplements from a very early age, yet breastfeeding frequency and duration did not decline dramatically. Semi-solid food was introduced at about four months and such supplementation, as well as earlier supplementation with milk/milk-based feedings, was associated with the return of menses. The median duration of abstinence was about four months but the mean may have been much longer. No woman became pregnant until her infant was weaned. (Afr J Reprod Health 2002; 6[2]: 3950)

Résumé
Lallaitement et laménorrhée qui se rapporte à la lactation à Sagamu, au Nigéria.
Cinq cent vingt femmes instruites et allaitant à Sagamu ont été observées prospectivement afin de décrire leurs pratiques dallaitement et pour déterminer sil était possible didentifier quelques indices du retour des règles. Les femmes sont restées aménorrhéiques pendant sept mois. Comparées aux femmes qui ont été selectionnées de la même manière dans dautres pays, elles nourrissaient régulierement leurs enfants du supplément dès leur très jeune âge; pourtant la fréquence de lallaitement et la durée nont pas baissé de façon dramatique. A lâge de presque quatre mois, on a initié les enfants à la nourriture semi-solides. Une telle administration dun supplément aussi bien quune administration antérieure dun supplément du lait et dautres nourritures à base du lait, ont été associées au retour des règles. La durée médiane de labstinence était à peu près quatre mois, mais la moyenne a probablement duré plus longtemps. Aucune femme nest devenue enceinte quaprès avoir sevré lenfant. (Rev Afr Santé Reprod 2002; 6[2]: 3950)

Key Words: Breastfeeding, fertility, Nigeria, infant feeding, amenorrhea, Africa
Section
Articles

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eISSN: 1118-4841