Department and Clinic of Neonatology, Wroclaw Medical University, Borowska 213, 50-556 Wroclaw, Poland.
Nutrients. 2020 Jun 2;12(6):1644. doi: 10.3390/nu12061644.
Popular beliefs regarding a mother's diet during lactation have a significant impact on breastfeeding practices among mothers, as well on breastfeeding counseling among healthcare providers worldwide. The objective of this study was to assess mothers' and medical professionals' knowledge and opinions on the "lactating mother's diet". An electronic survey, prepared in Polish, was administered to healthcare providers, as well as mothers who have breastfed a child. The chi-square test, logistic regression, and Mann Whitney U test were used for statistical calculations. Out of a total of 1180 responses received, 1159 were analyzed, and 21 were excluded because they did not meet the inclusion criteria. The survey was completed by 407 (35%) medical healthcare providers and 752 (65%) lactating mothers in non-medical professions. In total, the study included 1074 mothers who have breastfed a child, and 29.14% of them reported that they eliminated certain foods from their diet when breastfeeding. There was no statistically significant difference in the responses received from mothers and medical staff providing maternal care (for each of 17 products, e.g., steak tartare, sushi, legumes, dairy products, > 0.05 by the Mann-Whitney test). However, a logistic regression revealed some significant correlations with other variables (e.g., duration of lactation). The respondents revealed an appropriate level of knowledge on nutrition during lactation and the majority of participants neither adhered to nor recommended a prophylactic elimination diet. Among other evaluated factors, the experience of following an elimination diet affected respondents' knowledge of nutrition during breastfeeding. Both mothers and healthcare providers require good nutritional education.
关于哺乳期母亲饮食的普遍观念对母亲的母乳喂养行为以及全球医疗保健提供者的母乳喂养咨询产生重大影响。本研究的目的是评估母亲和医疗专业人员对“哺乳期母亲饮食”的知识和看法。我们以波兰语编写了一份电子调查问卷，分发给医疗保健提供者以及母乳喂养过孩子的母亲。我们使用卡方检验、逻辑回归和曼-惠特尼 U 检验进行统计计算。在总共收到的 1180 份回复中，分析了 1159 份，排除了 21 份因不符合纳入标准而未纳入的回复。共有 407 名（35%）医疗保健提供者和 752 名（65%）非医疗专业的哺乳期母亲完成了调查。总共有 1074 名母亲曾母乳喂养过孩子，其中 29.14%的母亲表示在母乳喂养期间从饮食中排除了某些食物。母亲和提供孕产妇保健的医疗人员的回复之间没有统计学上的显著差异（对于 17 种产品中的每一种，例如鞑靼牛排、寿司、豆类、乳制品，曼-惠特尼检验， > 0.05）。然而，逻辑回归显示与其他变量（例如，哺乳期的持续时间）存在一些显著相关性。受访者对哺乳期营养有适当的了解，大多数参与者既不遵循也不推荐预防性消除饮食。在评估的其他因素中，遵循消除饮食的经验影响了受访者对母乳喂养期间营养的了解。母亲和医疗保健提供者都需要良好的营养教育。
