Department of Bromatology, Hygiene, Nutrition, "Iuliu Haţieganu" University of Medicine and Pharmacy, 6 Pasteur Street, 400349 Cluj-Napoca, Romania.
Department of Mother and Child Care, "Iuliu Haţieganu" University of Medicine and Pharmacy, 2-4 Câmpeni Street, 400217 Cluj-Napoca, Romania.
Nutrients. 2021 Nov 10;13(11):3998. doi: 10.3390/nu13113998.
In terms of breastfeeding (BF) practices in Romania, there is a lack of up-to-date data. The aim of the present study was to assess current BF practices, and to investigate the factors associated with exclusive BF (EBF) under 6 months of age in northwestern Romania. A structured questionnaire was used to collect data among 1399 mothers of children aged 0-23 months, recruited between March and June 2019, from the community. BF practices were evaluated based on the World Health Organization indicators for assessing infant and young child feeding practices, whereas determinants of EBF were explored using logistic regression models. Almost all mothers (95.7%) breastfed their child at least once. The EBF rate was 46.7%, the continued BF rate at one year of age was 54.2%, and the continued BF rate at 2 years of age was 30.3%. The place of delivery and parental leave duration were strong determinants of EBF. The improving rates observed in this study for all the BF practices assessed suggest the continuation of efforts to develop effective national policies and programs for promoting, protecting, and supporting BF in Romania. Particular emphasis should be given to the creation in maternity hospitals of an environment that is supportive towards breastfeeding.
在罗马尼亚，母乳喂养（BF）实践方面缺乏最新数据。本研究旨在评估当前的 BF 实践，并调查与西北部罗马尼亚 6 个月以下婴儿纯母乳喂养（EBF）相关的因素。2019 年 3 月至 6 月期间，从社区中招募了 1399 名 0-23 个月大儿童的母亲，使用结构化问卷收集数据。根据评估婴儿和幼儿喂养实践的世界卫生组织指标评估 BF 实践，使用逻辑回归模型探索 EBF 的决定因素。几乎所有母亲（95.7%）都至少喂过一次孩子母乳。EBF 率为 46.7%，一岁时持续母乳喂养率为 54.2%，两岁时持续母乳喂养率为 30.3%。分娩地点和育儿假持续时间是 EBF 的重要决定因素。本研究评估的所有 BF 实践中观察到的改善率表明，罗马尼亚应继续努力制定有效国家政策和方案，以促进、保护和支持母乳喂养。特别应重视在妇产医院营造支持母乳喂养的环境。
