Document Type : Original Article

Authors

1 Department of Community Medicine,

2 School of Medicine

3 Departments of Health Education and Health Promotion

4 Epidemiology and Biostatistics, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background: Studies have shown that the growth status of the children with working mothers
is about 2 standard deviations lower than that of the children of housewife mothers. It seems
that absence of mothers in the second stage of nutritional evolution (attachment), which is
a very sensitive stage, has an important role in initiating and continuation of an appropriate
supplemental feeding. Materials and Methods: In this cross-sectional study, 50 children
of working mothers and 50 children of housewife mothers were selected by non-probable
consecutive sampling method. Growth charts of the children in the two studied groups were
assessed within seven age groups. Knowledge and attitude of the mothers regarding nutritional
evolution stages in the two studied groups were assessed Obtained data were analyzed using
Software SPSS18 and statistical tests such as chi-square, t-test, and Mann–Whitney test.
Results: Growth monitoring charts of the infants with housewife mothers were better than those of
infants with working mothers in three out of seven age groups (12–18, 18–24, and 24–30 months)
(P=0.02). Mean of knowledge and performance of the mothers about nutritional evolution stages
was not significant in the two studied groups (P>0.05). Conclusion: This study showed that
growth status of children with housewife mothers in their second year of life was better than that
of children with working mothers. Awareness and knowledge of the mothers about nutritional
evolution stages and education of mothers about appropriate behaviors in each stage helped
them to recognize the children’s needs and did their best for their children.

Keywords

  1. Shams B, Golshiri P. Presenting a model for improvement of
    nutrition and growth promotion of children by the CIPP Evaluation
    Model in Isfahan. Iran J Pediatr 2005;15:221-8.
    2. Sadeghi K. Evaluation of personal and social capabilities
    improvement in mothers participated in the maternal corporation
    program in Azadegan health center and comparing the results with
    Dastgerd health center, Isfahan 2005. [Thesis]. Isfahan: Isfahan
    University of Medical Sciences; 2005.
    3. Asaee M. Infants feeding knowledge in Tehran. Tehran:
    Breastfeeding Promotion Society in corporation with World Health
    Organization; 1998.
    4. Lakati A, Binns C, Stevenson M. Breastfeeding and the working
    mother in Nariobi. Public Health Nutr 2002;5:715-8.
    5. Kimbro RT. On the job moms: Work and breastfeeding initiation
    and for a sample of low- income women. Matern Child Health J
    2006;10:19-26.
    6. Sheikholeslam R, Kolahdooz F, Samadpour K. Improving growth and
    feeding in children (Physicians training set). Tehran: UNICEF; 2004.
    7. Chartoor I. Feeding and Eating disorders of infacy and early children.
    In: Sadock BJ, Sadock VA, editors. Comprehensive text book of
    psychiatry. 4th ed. Philadelphia: Lippincott Williams and Wilkins;
    2005. p. 3217-21.
    8. Golshiri P. Explanation of the effect of participation of mothers on
    changing their performance on child growth and feeding in the
    region covered by Azadegan health centers in Isfahan. [Thesis].
    Isfahan: Isfahan University of Medical Sciences; 2004.
    9. Lamontagen JF, Engle PL, Zeitlin MF. Maternal employment, child
    care, and nutritional staus of 12-18 month – old children in Managua,
    Nicaragua. Soc Sci Med 1998;46:403-14.
    10. Nakahara S, Poudel KC, Lopchan M, Ichikawa M, Poudel-Tandukar K,
    Jimba M, and etal. Availability of childcare support and nutriational
    status of children of non- working and working mothers in urban
    Nepal. Am J Hum Biol 2006;18:169-81.
    11. Zhai F, Jin S, Ge K. Impact of maternal occupational on the dietary
    and nutritional status of per children. A case study in and provinces
    of china. Wei sheng Yan Jin 1999;28:47-9.
    12. Toyama N, Wakia S, Nakamura Y. Mother’s working status
    and nutritional status of children under the age of 5 in urban
    low-income community, Surabaya, Indonesia. J Trop Pediatr
    2001;17 :179-81.
    13. Jafarinia R. Evaluation the impact of maternal corporation program
    on the mothers’ knowledge and participation about children
    nutrition development stages in Azadegan regio in Isfahan, 2005.
    [Thesis]. Isfahan: Isfahan University of Medical Sciences; 2006.
  2. 14. Mohammadi E. Evaluation of the maternal corporation program
    effects on children’s feeding and growth in Azadegan health center
    and comparing the results with Dastgerd health center, Isfahan.
    [Thesis]. Isfahan: Isfahan University of Medical Sciences; 2005.
    15. Labbaf Ghasemi M. Some indicators of physical growth in children in
    rural areas of Isfahan province. [Thesis]. Isfahan: Isfahan University
    of Medical Sciences; 1993.
    16. Bhuiya A, Yasmin F, Begum F, Rob U. Community participation
    in health, family planning and development activities a review
    of international experiences. Dakar, Bangladesh: The population
    council; 1996.
    17. Bakoula C, Veltsista A, Prezerakou A, Moustaki M, Fretzayas A,
    Nicolaidou P. Working mothers’ breastfeed babies more than
    housewives. Acta Pediatr 2007;96:510-5.
    18. Ortiz J, McGilligan K, Kelly P. Duration of breast milk experssion
    among working mothers enrolled in an emploersposored lactation
    program. Pediatr Nurs 2004;30:111-9.
    19. Ryan AS, Zhou W, Arensberg MB. The effect of employment status
    on breastfeeding in the United States. Womens Health Issues
    2006;16:243-51.
    20. Biagioli F. Returning to work breastfeeding. Am Fam Physician
    2003;68:2201-8.
    21. Yimyam S, Morrow M. Breastfeeding practices among employed
    Thai women in Chiang in Chiang Mai. J Hum Lact 1999;15:225-32.
    22. Ministry of Health and Medical Education. Image of Children
    Nutrition Iran Provinces in November 1998. 1st ed. Tehran: UNICEF;
    1998.
    23. Mc Cathy PL. The well child. In: Behrman RE, Kilegman RM, Jenson
    HB, editors. Nelson text book of pediatrics. 17th ed. Philadelphia:
    W.B. Saunders; 2004. p. 20-2.
    24. Danesh D, Saliminia N. Group “A” Murray’s Needs in 3-10 year-old
    children of working vs. Housewife mothers. Iran J Psychiatry Clin
    Psychol 2007;12:371-9.
    25. Huston AC, Aronson SR. Mother’s time with infant and time in
    employment as predictors of mother’s child relationships and
    children’s early development. J Child Dev 2005;76:467-82.
    26. Gotbi F. Comparison between breastfeeding in employed and
    unemployed women. Pejouhesh, 2008;32:159-64.
    27. Shams B, Golshiri P, Zamani AR, Pourabdian S. Mothers’ participation
    in improving growth and nutrition of the children: A model for
    community participation. Iran J Public Health 2008;37:24-31.