The longstanding debate over the optimal duration of exclusive
breastfeeding has centered on the so-called "weanling's dilemma" in
developing countries: the choice between the known protective
effect of exclusive breastfeeding against infectious morbidity and
the (theoretical) insufficiency of breast milk alone to satisfy the
infant's energy and micronutrient requirements beyond 4 months of
age. The primary objective of this review is to assess the effects
on child health, growth, and development, and on maternal health,
of exclusive breastfeeding for 6 months vs exclusive breastfeeding
for 3-4 months with mixed breastfeeding (introduction of
complementary liquid or solid foods with continued breastfeeding)
thereafter through 6 months.
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