Pileri Paola, di Bartolo Ilenia, Mazzocco Martina Ilaria, Casazza Giovanni, Giani Sofia, Cetin Irene, Savasi Valeria Maria
Department of Woman, Child and Neonate, Buzzi Children Hospital, ASST Fatebenefratelli Sacco, via L. Castelvetro 32, 20154 Milan, Italy.
Department of Biomedical and Clinical Sciences, Università degli Studi di Milano, via G.B. Grassi 74, 20157 Milan, Italy.
Life (Basel). 2021 Feb 1;11(2):110. doi: 10.3390/life11020110.
Breastfeeding has effects on health throughout the lives of mothers and babies. In 2014 in Italy, 10,976 babies were born through ART (assisted reproductive technology), accounting for 2.2% of annual births. The study aims to assess how both social and biological variables and the mode of conception influence breastfeeding.
This observational study involves 161 pregnancies from three different modes of conception: homologous in vitro fertilization, ovum donation, and spontaneous pregnancies. Neonatal and maternal characteristics were collected from the hospital database, while breastfeeding outcomes were obtained through telephone interviews.
The mode of conception did not influence any of the breastfeeding outcomes. Breastfeeding duration was negatively affected by smoking. Vaginal delivery, birth weight > 2500 g, delivery > 37 gestational weeks, breastfeeding intention, and rooming-in are positively associated with the initiation of breastfeeding, while skin-to-skin contact and receiving information concerning breastfeeding are the most significant variables associated with its exclusivity and duration.
The duration and exclusivity of breastfeeding are mainly related with information thereon, promotion, and breastfeeding support, but not with the mode of conception. It is essential to adequately support women from the outset in breastfeeding, as recommended by the World Health Organization (WHO) guidelines.
母乳喂养对母亲和婴儿一生的健康都有影响。2014年在意大利，有10976名婴儿通过辅助生殖技术（ART）出生，占年度出生人数的2.2%。本研究旨在评估社会和生物学变量以及受孕方式如何影响母乳喂养。
这项观察性研究涉及来自三种不同受孕方式的161例妊娠：同源体外受精、卵子捐赠和自然受孕。新生儿和母亲的特征从医院数据库中收集，而母乳喂养结果则通过电话访谈获得。
受孕方式不影响任何母乳喂养结果。母乳喂养持续时间受到吸烟的负面影响。阴道分娩、出生体重>2500g、孕周>37周、母乳喂养意愿和母婴同室与开始母乳喂养呈正相关，而皮肤接触和接受母乳喂养相关信息是与其纯母乳喂养及持续时间相关的最显著变量。
母乳喂养的持续时间和纯母乳喂养主要与相关信息、宣传及母乳喂养支持有关，而非受孕方式。按照世界卫生组织（WHO）指南的建议，从一开始就对女性进行充分的母乳喂养支持至关重要。
