Clinical Epidemiology and Public Health Research Unit, Institute for Maternal and Child Health - IRCCS "Burlo Garofolo", Trieste, Italy.
Epidemiologist, Trieste, Italy.
Int Breastfeed J. 2021 Dec 14;16(1):93. doi: 10.1186/s13006-021-00441-w.
A breastfeeding-friendly physician's office that applies the 13 recommendations of the Academy of Breastfeeding Medicine can help increase the exclusivity and duration of breastfeeding. Having already published the results up to five months of age of this intervention in our pediatric practice, we now report on the follow up to 36 months.
A cohort of 252 newborn infants was enrolled with our pediatric office in Trieste, Italy, between 1 January 2016 and 31 December 2016. The office implemented baby-friendly pediatric practices and a biological nurturing approach to the support of breastfeeding. In addition to the services offered by two pediatricians, support was provided by a peer counselor. Data on breastfeeding were collected at periodic healthy child visits up to 36 months of age. The outcome of interest for this follow up was the rate of any breastfeeding, defined as the percentage of infants and children who had received breastmilk in the previous 24 h.
The rates of any breastfeeding at discharge and at 1, 3 and 5 months (n = 252) were 95.2, 95.8, 89.3 and 86.5%, respectively. At 8, 12, 18, 24 and 36 months of age, the rates of breastfeeding were 70.6% (163/231), 59% (135/229), 35% (78/224), 24.6% (55/224) and 7.2% (16/224), respectively.
The rates of any breastfeeding recorded in our pediatric practice up to age 36 months, are much higher than those reported elsewhere in high income countries and are likely to be associated with our baby-friendly and biological nurturing approach.
一个对母乳喂养友好的医生办公室，如果采用了母乳喂养医学会的 13 项建议，可能有助于提高母乳喂养的专一性和时长。我们已经在儿科实践中公布了该干预措施在五个月大时的结果，现在报告了随访至 36 个月的结果。
2016 年 1 月 1 日至 12 月 31 日，我们在意大利的的里雅斯特儿科办公室招募了 252 名新生儿。该办公室实施了婴儿友好型儿科实践和支持母乳喂养的生物养育方法。除了两位儿科医生提供的服务外，还由一名同行顾问提供支持。在 36 个月的定期儿童健康访视期间收集母乳喂养数据。本随访的感兴趣结局是任何母乳喂养率，定义为在过去 24 小时内接受过母乳的婴儿和儿童的百分比。
出院时以及 1、3 和 5 个月（n=252）时的任何母乳喂养率分别为 95.2%、95.8%、89.3%和 86.5%。在 8、12、18、24 和 36 个月时，母乳喂养率分别为 70.6%（163/231）、59%（135/229）、35%（78/224）、24.6%（55/224）和 7.2%（16/224）。
我们儿科实践中记录的 36 个月内任何母乳喂养率远高于高收入国家的其他地方报告的比率，这可能与我们的婴儿友好型和生物养育方法有关。
