Association of Acute Otitis Media with Breast Feeding Position Among Infants in a Tertiary Care Hospital of Pakistan

##plugins.themes.bootstrap3.article.main##

  •   Samia Tul Rasool

  •   Sana Mansoor

  •   Tayyab Mumtaz Khan

  •   Ashar Alamgir

  •   Maida Meer

  •   Fakeha Masood

  •   Shahrukh Khan

  •   Madeeha Mumtaz

  •   Jehanzeb Akram

  •   Hina Mansoor

Abstract

Acute otitis media (AOM) is the commonest disease of childhood. High incidence of AOM might be due to immature Eustachian Tube and immaturity of immune system. Exclusive breast feeding is protective against acute otitis media, however, improper breastfeeding  position can increase AOM occurrence in infants. This study aims to assess the association of improper breastfeeding position with occurrence of Acute otitis media in infants and to assess association of Maternal educational levels with feeding positions. 220 breastfed infants satisfying inclusion criteria with diagnosed AOM were enrolled. Study was conducted over a period of 6 months from August 2019 to January 2020. Demographic details and Detailed history regarding feeding positions and maternal educational levels were obtained through a Self-structured proforma from parents. Data analysis was done through descriptive statistics and chi square test and p value less than 0.5 was set significant. Out of 220 infants, 123(55.90%) were male and 97(44.10%) were females. AOM was more common in male infants than female infants, however it was not statistically significant(p=0.169). The mean age for enrolled infants(1-12months) was 6.90(±3.413). Statistically significant association between increase incidence of AOM and breastfeeding position was found(p=0.032). We also found a statistically significant association between maternal educational levels and breastfeeding position (p= 0.000). In this study, we have noted that Breastfeeding in supine position is associated significantly with increase in incidence of AOM. Feeding positions are statistically associated with Maternal Educational levels.


Keywords: Association, Acute Otitis Media, Infants, Breastfeeding position Tertiary care Hospital

References

Monasta L, Ronfani L, Marchetti F, Montico M, Brumatti LV, Bavcar A, Grasso D, Barbiero C, Tamburlini G: Burden of disease caused by otitis media: systematic review and global estimates. PloS one 2012, 7(4).

Palmu AA, Herva E, Savolainen H, Karma P, Mäkelä PH, Kilpi TM: Association of clinical signs and symptoms with bacterial findings in acute otitis media. Clinical infectious diseases 2004, 38(2):234-242.

Regina M, Radhamani K, Sanu MP, Arun G, Mohan M: Correlation of acute suppurative otitis media with infant feeding position.

Rovers MM, Schilder AG, Zielhuis GA, Rosenfeld RM: Otitis media. The lancet 2004, 363(9407):465-473.

Teele DW, Klein JO, Rosner B, Group GBOMS: Epidemiology of otitis media during the first seven years of life in children in greater Boston: a prospective, cohort study. Journal of infectious diseases 1989, 160(1):83-94.

Rovers, M.M., 2008. The burden of otitis media. Vaccine, 26, pp. G2-G4.

Duffy, L.C., Faden, H., Wasielewski, R., Wolf, J. and Krystofik, D., 1997. Exclusive breastfeeding protects against bacterial colonization and day care exposure to otitis media. Pediatrics, 100(4), pp.e7-e7.

Kaur, R., Morris, M. and Pichichero, M.E., 2017. Epidemiology of acute otitis media in the postpneumococcal conjugate vaccine era. Pediatrics, 140(3), p.e20170181.

Wang Z, Xie Z, Dai J, Zhang L, Huang Y, Chen B: Physician burnout and its associated factors: a cross-sectional study in Shanghai. Journal of occupational health 2014:13-0108-OA.

Al-Marzoqi AH, Al-Janabi HSO, Hussein HJ, Al Taee ZM, Yheea SK: Otitis media; etiology and antibiotics susceptibility among children under ten years old in Hillah city, Iraq. Journal of Natural Sciences Research 2013, 3(3):2224-3186.

Sophia A, Isaac R, Rebekah G, Brahmadathan K, Rupa V: Risk factors for otitis media among preschool, rural Indian children. International journal of pediatric otorhinolaryngology 2010, 74(6):677-683.

Warren JJ, Levy S, Kirchner H, Nowak A, Bergus GR: Pacifier use and the occurrence of otitis media in the first year of life. Pediatric dentistry 2001, 23(2):103-108.

Amani S, Yarmohammadi P: Study of effect of household parental smoking on development of acute otitis media in children under 12 years. Global journal of health science 2016, 8(5):81.

Broides A, Bereza O, Lavi-Givon N, Fruchtman Y, Gazala E, Leibovitz E: Parental acceptability of the watchful waiting approach in pediatric acute otitis media. World journal of clinical pediatrics 2016, 5(2):198.

Bhat V, Bhandary SK, Shenoy V: Otitis media with effusion in relation to socio economic status: a community based study. Indian Journal of Otolaryngology and Head & Neck Surgery 2012, 64(1):56-58.

Bowatte G, Tham R, Allen K, Tan D, Lau M, Dai X, Lodge C: Breastfeeding and childhood acute otitis media: a systematic review and meta‐analysis. Acta Paediatrica 2015, 104:85-95.

Lodge CJ, Bowatte G, Matheson MC, Dharmage SC: The role of breastfeeding in childhood otitis media. Current allergy and asthma reports 2016, 16(9):68.

Ajetunmobi OM, Whyte B, Chalmers J, Tappin DM, Wolfson L, Fleming M, MacDonald A, Wood R, Stockton DL: Breastfeeding is associated with reduced childhood hospitalization: evidence from a Scottish Birth Cohort (1997-2009). The Journal of pediatrics 2015, 166(3):620-625. e624.

Ladomenou F, Moschandreas J, Kafatos A, Tselentis Y, Galanakis E: Protective effect of exclusive breastfeeding against infections during infancy: a prospective study. Archives of disease in childhood 2010, 95(12):1004-1008.

Sangeetha P, Prabhawati P, Inamadar P, Yendigeri SM, Rai K, Hegde A: Feeding pattern a dual risk? otitis media (OM) and early childhood caries (ECC). system 2014, 3:4.

Avital A, Donchin M, Springer C, Cohen S, Danino E: Feeding young infants with their head in upright position reduces respiratory and ear morbidity. Scientific reports 2018, 8(1):1-7.

Nadal LF, Rodrigues AH, Costa CD, Godoi VC, Klossowski DG, Fujinaga CI. Investigation of maternal practices of breastfeeding and their relation with the infection of the upper airways and otitis media. Revista CEFAC. 2017 Jun;19(3):387-94.

Downloads

Download data is not yet available.

##plugins.themes.bootstrap3.article.details##

How to Cite
Rasool, S. T., Mansoor, S., Khan, T. M., Alamgir, A., Meer, M., Masood, F., Khan, S., Mumtaz, M., Akram, J., & Mansoor, H. (2020). Association of Acute Otitis Media with Breast Feeding Position Among Infants in a Tertiary Care Hospital of Pakistan. European Journal of Medical and Health Sciences, 2(6). https://doi.org/10.24018/ejmed.2020.2.6.563

Most read articles by the same author(s)