Department of Paediatrics, San Paolo Hospital, University of Milan, Milan, Italy.
Acta Paediatr. 2012 Oct;101(10):1063-8. doi: 10.1111/j.1651-2227.2012.02769.x. Epub 2012 Jul 17.
The aim of this study was to examine attitudes and practices of family paediatricians in Italy towards infant feeding.
A questionnaire was sent to 850 paediatricians across Italy, asking about attitudes and practices towards infant feeding with focus on the World Health Organization's criteria.
The response rate was 91.2%. Breastfeeding is recommended for 6-11 months (70.6%) or longer (29.4%). A 95% of paediatricians recommend introducing complementary foods throughout 4-5.9 months. Among paediatricians who give indications about the minimum acceptable diet (61.7%), recommendations agree with WHO in 71.3% and 83.3% of cases for infants aged 6-8 or 9-11 months, respectively. A 95.6% of paediatricians recommend consumption of meat for infants aged 6 months or more, and 98.4% use of formula milk for infants having breastfeeding stopped in the first year of life. Paediatricians reported own experience (73.4%) and reading (54.2%) as main sources of information. A 70% of paediatricians know the WHO/Infant and Young Child Feeding Practices criteria regarding breastfeeding but <5% the complementary feeding indicators.
Family paediatricians in Italy have positive disposition towards infant feeding but their knowledge and practices are suboptimal with respect to the WHO criteria, especially regarding complementary feeding.
本研究旨在考察意大利儿科家庭医生对婴儿喂养的态度和实践。
向意大利各地的 850 名儿科医生发送了一份问卷，询问他们对婴儿喂养的态度和实践，重点关注世界卫生组织的标准。
回复率为 91.2%。母乳喂养推荐持续 6-11 个月（70.6%）或更长时间（29.4%）。95%的儿科医生建议在 4-5.9 个月期间引入补充食品。在给出最低可接受饮食建议的儿科医生中（61.7%），对于 6-8 个月或 9-11 个月的婴儿，建议分别与世界卫生组织的建议相符，分别为 71.3%和 83.3%。95.6%的儿科医生建议 6 个月或以上的婴儿食用肉类，98.4%的儿科医生建议在婴儿生命的第一年停止母乳喂养后使用配方奶。儿科医生报告说，他们的主要信息来源是自己的经验（73.4%）和阅读（54.2%）。70%的儿科医生知道世界卫生组织/婴儿和幼儿喂养实践标准中有关母乳喂养的标准，但<5%的儿科医生知道补充喂养指标。
意大利的儿科家庭医生对婴儿喂养持积极态度，但他们的知识和实践与世界卫生组织的标准相比并不理想，特别是在补充喂养方面。
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