Occupational Therapy Department, School of Health Professions, Faculty of Medicine, Tel-Aviv University, Ramat Aviv, Tel-Aviv 6997801, Israel.
Department of Neonatology, Meir Medical Center, Kfar-Saba 4428164, Israel.
Int J Environ Res Public Health. 2022 May 1;19(9):5509. doi: 10.3390/ijerph19095509.
Although exclusive breastfeeding is recommended for the first 6 months of life, breastfeeding rates are low. Motor skills and ADHD-related characteristics have not yet been examined as breastfeeding barriers. The aim of this study was to explore whether mothers' and infants' motor skills, mothers' ADHD-related characteristics and infants' temperament are associated with exclusive breastfeeding at 6 months after birth. Participants were 164 mothers and their infants recruited 2 days after birth. Mothers completed a demographic and delivery information questionnaire, the Infant Feeding Intentions Scale and the Iowa Infant Feeding Attitude Scale. At 6 months, mothers completed the Adult DCD (developmental coordination disorder)/Dyspraxia Checklist, the Adult ADHD (attention deficit hyperactivity disorder) Self-Report Scale Symptom Checklist-v1.1, and the Infant Characteristics Questionnaire, and provided information about their breastfeeding status. They were then divided into two groups accordingly: EBF (exclusive breastfeeding) and NEBF (non-exclusive breastfeeding). Infants were observed using the Test of Sensory Functions in Infants and the Alberta Infant Motor Scale. At 6 months, NEBF mothers reported higher prevalence of DCD (10.2% vs. 1.9%, χ = 5.561, = 0.018) and ADHD (20.3% vs. 8.6%, χ = 4.680, = 0.030) compared to EBF mothers. EBF infants demonstrated better motor coordination (t = 2.47, = 0.016, = 0.511), but no temperament differences compared to NEBF infants. Maternal DCD, ADHD and poor infant motor coordination are associated with non-exclusive breastfeeding and may become exclusive breastfeeding barriers. These findings may assist in identifying women at risk of not exclusively breastfeeding and encourage tailoring interventions for achieving higher exclusive breastfeeding rates.
尽管建议在生命的头 6 个月进行纯母乳喂养，但母乳喂养率仍然很低。运动技能和 ADHD 相关特征尚未被视为母乳喂养的障碍。本研究旨在探讨母亲和婴儿的运动技能、母亲的 ADHD 相关特征和婴儿的气质是否与出生后 6 个月的纯母乳喂养有关。参与者为 164 名母亲及其婴儿，在出生后 2 天招募。母亲填写了人口统计学和分娩信息问卷、婴儿喂养意图量表和爱荷华婴儿喂养态度量表。在 6 个月时，母亲填写了成人 DCD（发育协调障碍）/运动障碍检查表、成人 ADHD（注意力缺陷多动障碍）自我报告量表症状检查表 v1.1 和婴儿特征问卷，并提供了有关母乳喂养状况的信息。然后，他们根据婴儿的喂养方式分为两组：纯母乳喂养（EBF）和非纯母乳喂养（NEBF）。婴儿接受了婴儿感觉功能测试和艾伯塔婴儿运动量表的评估。在 6 个月时，NEBF 组母亲报告的 DCD（10.2%比 1.9%，χ=5.561， = 0.018）和 ADHD（20.3%比 8.6%，χ=4.680， = 0.030）的发生率明显高于 EBF 组。与 NEBF 婴儿相比，EBF 婴儿的运动协调性更好（t=2.47， = 0.016， = 0.511），但气质差异不明显。母亲的 DCD、ADHD 和婴儿运动协调性差与非纯母乳喂养有关，可能成为纯母乳喂养的障碍。这些发现可能有助于识别不能纯母乳喂养的高危妇女，并鼓励为实现更高的纯母乳喂养率量身定制干预措施。
