Funkquist Eva-Lotta, Oras Paola
Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden.
Early Hum Dev. 2024 May;192:106011. doi: 10.1016/j.earlhumdev.2024.106011. Epub 2024 Apr 16.
Breastfeeding patterns in 12-month-old children play a central role in the mother-infant dyad, but studies describing the patterns are scarce.
To investigate breastfeeding patterns in 12-month-old infants before and after a breastfeeding support programme.
A baseline/intervention design as part of a larger implementation project aiming to revive the Ten Steps to Successful Breastfeeding programme.
During a 24-h period, 28 mothers from a baseline group and 24 mothers from an intervention group recorded all breastfeeding sessions on a pen and paper form.
The median (range) frequency of breastfeeding sessions was 6 (1-22) in the baseline group and 7 (1-20) times per 24 h in the intervention group. No significant difference was observed in frequencies between the two groups. The majority of children (57 % in the baseline group and 62 % in the intervention group) exhibited a pattern classified as partial breastfeeding, engaging in breastfeeding 6 or more times per 24 h throughout a substantial part of the day. A second pattern was classified as token breastfeeding, with few breastfeeding sessions, suggesting that breastfeeding occurred primarily for comfort.
This study illuminates the breastfeeding behaviours of 12-month-old children and can serve to normalise frequent breastfeeding patterns, potentially aiding mothers who wish to continue breastfeeding beyond infancy. The findings indicate no difference between the groups, suggesting that the implemented intervention did not influence maternal breastfeeding practices at one year of age. This underscores the potential necessity for prolonged support for parents throughout the breastfeeding period. ISRCTN registry: doi.org/10.1186/ISRCTN91972905.
12个月大儿童的母乳喂养模式在母婴二元关系中起着核心作用，但描述这些模式的研究很少。
调查母乳喂养支持项目前后12个月大婴儿的母乳喂养模式。
作为一个旨在重振成功母乳喂养十步骤项目的更大实施项目的一部分，采用基线/干预设计。
在24小时内，28名基线组母亲和24名干预组母亲以纸笔形式记录了所有母乳喂养情况。
基线组母乳喂养次数的中位数（范围）为6次（1 - 22次），干预组为每24小时7次（1 - 20次）。两组之间的频率没有显著差异。大多数儿童（基线组为57%，干预组为62%）表现出一种被归类为部分母乳喂养的模式，即在一天中的大部分时间里每24小时进行6次或更多次母乳喂养。第二种模式被归类为象征性母乳喂养，母乳喂养次数很少，表明母乳喂养主要是为了获得安慰。
本研究阐明了12个月大儿童的母乳喂养行为，并有助于使频繁的母乳喂养模式正常化，可能有助于希望在婴儿期后继续母乳喂养的母亲。研究结果表明两组之间没有差异，这表明实施的干预措施对一岁时母亲的母乳喂养行为没有影响。这强调了在整个母乳喂养期间为父母提供长期支持的潜在必要性。ISRCTN注册号：doi.org/10.1186/ISRCTN91972905。
