Breastfeeding and supplementary feeding practices in Surabaya.

Data related to breast feeding and supplementary feeding are presented from the results of surveys conducted in the rehydration center and from visitors to the maternal-child health (MCH) clinic in Surabaya. 13% of the infants had not been breast fed since birth, and 60% initially breast fed were weaned by the age of 3 months. Very few of the children were given proper supplementary feeding at the proper age. Mother's knowledge on supplementary feeding was insufficient; in addition, taboos and prejudice colored their attitudes. The average birthweight is 3.1 kg. Breast milk (and supplementary feeding) are adequate for the majority of infants in order for birthweight to double by 4 months. The growth curve plateaus from that point on. The data presented demonstrate that it is necesasry to begin supplementary feeding earlier than 6 months. Efforts should be made to follow infants at the MCH clinics. With serial recordings of weight, minor deviations from the growth gradient indicate the need for supplementary feeding. Pediatric content in undergraduate and postgraduate medical training must be expanded, and emphasis on the necessity of breast feeding should be conveyed to expectant mothers by both the pediatrician and obstetrician. Health for all cannot be attained unless there is substantial improvement in the socioeconomic condition of women, in particular that the needs of mothers, infants, and young children are recognized and met, and conditions are provided which promote and sustain the well being of the family. author's modified