Królak-Olejnik Barbara, Błasiak Ilona, Szczygieł Anna
49550 Wrocław Medical University , Department of Neonatology, University Hospital, Lower Silesia, Poland.
J Int Med Res. 2017 Dec;45(6):1976-1984. doi: 10.1177/0300060517720318. Epub 2017 Oct 30.
Objective Exclusive breastfeeding is safe and beneficial for healthy infants; it is the optimal feeding method during the first 6 months of life. Infants should be complementary fed in conjunction with breastfeeding until 12 months of age or longer. The aim of the present study was to analyse the duration of breastfeeding through 12 months of age. Methods Participants were 1679 women from 42 randomly selected hospitals in Poland. The data were obtained from surveys, including a paper and pencil interview that was conducted after mothers delivered in the hospital and before discharge. Computer aided telephone interviews were administered at 2, 4, 6 and 12 months. Results There was a high rate of initiating breastfeeding after birth (97%), a rapid abandonment of exclusive breastfeeding (43.5% at 2 months, 28.9% at 4 months and 4% at 6 months) and an onset of formula feeding during the first days of life, which is contrary to current recommendations. Conclusions It is necessary re-educate mothers, medical staff who care for mothers and children during the perinatal period, and other specialists.
目的 纯母乳喂养对健康婴儿安全且有益;它是婴儿出生后头6个月的最佳喂养方式。婴儿应在母乳喂养的同时添加辅食,直至12月龄或更长时间。本研究的目的是分析母乳喂养至12月龄的持续时间。方法 参与者为来自波兰42家随机选取医院的1679名女性。数据通过调查获得,包括在母亲住院分娩后出院前进行的纸笔访谈。在2个月、4个月、6个月和12个月时进行计算机辅助电话访谈。结果 出生后开始母乳喂养的比例很高(97%),但纯母乳喂养很快被放弃(2个月时为43.5%,4个月时为28.9%,6个月时为4%),并且在出生后的头几天就开始进行配方奶喂养,这与当前的建议相悖。结论 有必要对母亲、围产期照顾母婴的医护人员以及其他专家进行再教育。