Exclusive breastfeeding and its relevance to infant teething

Objective: To determine the relevance of exclusive breast-feeding practice, in the development of healthy oral tissue among teething infants. Method: A cross sectional study design of children aged 6-36 months was carried out in 14 wards of Jos North Local Government Area. A multistage sampling technique was adopted in selecting 1081 mothers who qualified and were interviewed using structured interviewer questionnaire on their knowledge and perception on common complaints during teething in children. The index children were examined for number and type of teeth erupted using mouth mirror under natural light. Result: One thousand and eighty-one mothers and their babies were interviewed and examined; out these 16.5%, 38.7% and 44.8% babies were of age groups 6-12, 13-24 and 25-36 months respectively; 50.2% were female and 49.8% were male. Of the babies examined 62.4% were exclusively breast-fed. There was a significant association between maternal educational status and knowledge of teething complaints. Three hundred and twenty-six (30.1%) babies had cough during their teething period, 349 (32.3%) experienced drooling of saliva, and 352 (32.6%) were observed to bite objects during teething. The high percentage of babies that were exclusively breast-fed but did not experience these symptoms were found to be statistically significant (p = 0.00). Seven hundred and forty-two (68.6%) babies had diarrhoea during teething; out of these 459(42.5%) were exclusively breast-fed and it was however not found to be statistically significant (p = 0.55). Conclusion: This study draws attention to the relatively poor anecdotal evidence related to symptoms associated with the teething process. The result has also demonstrated that exclusive breast-feeding is not only able to reduce the symptoms ascribed to teething, but also promote the development of a healthy oral tissue. Key words: Breastfeeding, teething, development, oral tissues