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Expert Consultation on the Optimal Duration of Exclusive Breastfeeding

The Process, Recommendations, and Challenges for the Future

  • Conference paper

Part of the book series: Advances in Experimental Medicine and Biology ((AEMB,volume 554))

Abstract

In March, 2001 The World Health Organization (WHO) convened an Expert Consultation to recommend to WHO an optimal duration of exclusive breastfeeding. WHO formulated the specific questions to be addressed, selected the membership for the meeting, prepared background documents, and provided the venue for the meeting. After the meeting WHO formally accepted the recommendations and began to implement them.

The Consultation recommended that WHO change its recommendation on exclusive breastfeeding from four-to-six months to a recommendation to promote exclusive breastfeeding for six months. This recommendation was contingent upon WHO also accepting and implementing other recommendations to deal with possible detrimental side effects, and to support mothers who did not exclusively breastfeed for six months.

The amount of scientific evidence available was more than is often available for policy decisions in health, but much less than desirable to address issues of generalizability across and within populations. The evidence for the contingent recommendations was also less than desirable and raises a number of important research questions that now need to be addressed.

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References

  • Butte NF, Lopez- Alarcon MG, Garza C, Nutrient adequacy of exclusive breastfeeding for the term infant during the first six months of life. Geneva: World Health Organization, 2002. Available in hard copy from WHO or on the web at www.who.int/nut/documents/nut_adequacy_of_exc_bfeeding_eng.pdf; or http://www.who.int/nut/documents/nut_adequacy_of_exc_bfeeding_eng.pdf.

    Google Scholar 

  • Frongillo EA Jr, Habicht J-P. Investigating the weanling’s dilemma: Lessons from Honduras. Nutr Rev 1997;55:390–395.

    Article  PubMed  Google Scholar 

  • Gonzalez-Cossio T, Habicht J-P, Rasmussen K, Delgado HL. Impact of food supplementation during lactation on infant breast-milk intake and on the proportion of infants exclusively breast-fed. J Nutri 1998; 128:1692–1702.

    CAS  Google Scholar 

  • Habicht J-P, DaVanzo J, Butz WP. Does breastfeeding really save lives, or are apparent benefits due to biases? Am J Epidemiol 1986;123:279–290.

    PubMed  CAS  Google Scholar 

  • Habicht J-P, DaVanzo J, Butz WP. Mother’s milk and sewage: Their interactive effects on infant mortality. Pediatrics 1988;81:456–461.

    PubMed  CAS  Google Scholar 

  • Habicht J-P, Victora CG, Vaughan JP. Evaluation designs for adequacy, plausibility and probability of public health programme performance and impact. Int J Epidemiol 1999;28:10–18.

    Article  PubMed  CAS  Google Scholar 

  • Kramer MS, Kakuma R. The optimal duration of exclusive breastfeeding: A systematic review. Geneva: World Health Organization, 2002. Available with the annexes from WHO in hard copy or on the web at www.who.int/nut/documents/optimal_duration_of_exc_bfeeding_review_eng.pdf; or http://www.who.int/nut/documents/optimal duration of exc bfeeding review eng.pdf.

    Google Scholar 

  • Kramer MS, Kakuma R. The optimal duration of exclusive breastfeeding: a systematic review. In: Pickering LK, Morrow AL, Ruiz-Palacios GM, Schanler RJ. Protecting Infants through Human Milk: Advancing the Scientific Evidence. Advances in Experimental Medicine and Biology Series. New York: Kluwer Academic/Plenum Publishers, 2004; this volume.

    Google Scholar 

  • Kramer MS, Guo T, Piatt RW, Sevkovskaya Z, Dzikovich I, Collet JP, Shapiro S, Chalmers B, Hodnett E, Vanilovich I, Mezen I, Ducruet T, Shishko G, Bogdanovich N. Infant growth and health outcomes associated with 3 compared with 6 mo of exclusive breastfeeding. Am J Clin Nutr 2003;78:291–295.

    PubMed  CAS  Google Scholar 

  • Victora CG, Habicht J-P, Bryce J. Evidence-based public health: Moving beyond randomized trials. Am J Public Health (in press).

    Google Scholar 

  • [WHO] World Health Organization. The Optimal Duration of Exclusive Breastfeeding: Report of an ExpertConsultation, 28–30 March 2001. Geneva: World Health Organization, 2002. Available in hard copy from WHO or on the web at: http://www.who.int/nut/documents/optmal_duration_of_exc_bfeeding_report_eng.pdf; or http://www.who.int/nut/documents/optmal_duration_of_exc_bfeeding_report_eng.pdf.

    Google Scholar 

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© 2004 Springer Science+Business Media New York

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Habicht, JP. (2004). Expert Consultation on the Optimal Duration of Exclusive Breastfeeding. In: Pickering, L.K., Morrow, A.L., Ruiz-Palacios, G.M., Schanler, R.J. (eds) Protecting Infants through Human Milk. Advances in Experimental Medicine and Biology, vol 554. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-4242-8_8

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  • DOI: https://doi.org/10.1007/978-1-4757-4242-8_8

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4419-3461-1

  • Online ISBN: 978-1-4757-4242-8

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