oa South African Journal of Clinical Nutrition - Cry, the beloved bottle : infant-feeding knowledge and the practices of mothers and caregivers in an urban township outside Bloemfontein, Free State province : original research

Volume 26, Issue 1
  • ISSN : 1607-0658
  • E-ISSN: 2221-1268



To investigate knowledge of and practices regarding bottle-feeding preparation, as well as the nutrient content and microbial safety of bottles that are prepared by mothers and caregivers for infants aged 0-24 months.

Cross-sectional descriptive survey.
Urban township, Mangaung, outside Bloemfontein.
A sample of 189 mothers or caregivers of healthy infants aged 0-24 months, who were exclusively formula fed or mixed fed with breast milk and infant formula or cow's milk, were randomly selected in a household survey.
An interviewer-administered questionnaire and/or observed practices were used for data collection. Bottle-feed samples were also collected and analysed for nutrient and microbial content.
Mother and caregiver knowledge on infant feeding was poor. An acceptable method for preparing a bottle feed in five steps was evaluated. Only 4.2% of the total sample applied all five steps. A total of 84.5% (n = 160) of all the collected feeds was contaminated with E coli. A lower level of maternal education was associated with a greater likelihood of feed contamination. The predominant source of bottle feeding preparation information was clinic staff (28%).
The findings were indicative of a lack of knowledge, and possibly resource limitations, to facilitate safe bottle-feeding practices. Acknowledgement of clinic staff as a source of infant-feeding information highlights the role of healthcare workers as facilitators of appropriate infant-feeding practices.

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