scholarly journals Promotion of breastfeeding in Poland: the current situation

2017 ◽  
Vol 45 (6) ◽  
pp. 1976-1984 ◽  
Author(s):  
Barbara Królak-Olejnik ◽  
Ilona Błasiak ◽  
Anna Szczygieł

Objective Exclusive breastfeeding is safe and beneficial for healthy infants; it is the optimal feeding method during the first 6 months of life. Infants should be complementary fed in conjunction with breastfeeding until 12 months of age or longer. The aim of the present study was to analyse the duration of breastfeeding through 12 months of age. Methods Participants were 1679 women from 42 randomly selected hospitals in Poland. The data were obtained from surveys, including a paper and pencil interview that was conducted after mothers delivered in the hospital and before discharge. Computer aided telephone interviews were administered at 2, 4, 6 and 12 months. Results There was a high rate of initiating breastfeeding after birth (97%), a rapid abandonment of exclusive breastfeeding (43.5% at 2 months, 28.9% at 4 months and 4% at 6 months) and an onset of formula feeding during the first days of life, which is contrary to current recommendations. Conclusions It is necessary re-educate mothers, medical staff who care for mothers and children during the perinatal period, and other specialists.

Author(s):  
William B. Sherwood ◽  
Dilini M. Kothalawala ◽  
Latha Kadalayil ◽  
Susan Ewart ◽  
Hongmei Zhang ◽  
...  

Several small studies have shown associations between breastfeeding and genome-wide DNA methylation (DNAm). We performed a comprehensive Epigenome-Wide Association Study (EWAS) to identify associations between breastfeeding and DNAm patterns in childhood. We analysed DNAm data from the Isle of Wight Birth Cohort at birth, 10, 18 and 26 years. The feeding method was categorized as breastfeeding duration >3 months and >6 months, and exclusive breastfeeding duration >3 months. EWASs using robust linear regression were performed to identify differentially methylated positions (DMPs) in breastfed and non-breastfed children at age 10 (false discovery rate of 5%). Differentially methylated regions (DMRs) were identified using comb-p. The persistence of significant associations was evaluated in neonates and individuals at 18 and 26 years. Two DMPs, in genes SNX25 and LINC00840, were significantly associated with breastfeeding duration >6 months at 10 years and was replicated for >3 months of exclusive breastfeeding. Additionally, a significant DMR spanning the gene FDFT1 was identified in 10-year-old children who were exposed to a breastfeeding duration >3 months. None of these signals persisted to 18 or 26 years. This study lends further support for a suggestive role of DNAm in the known benefits of breastfeeding on a child’s future health.


2021 ◽  
Vol 7 (1) ◽  
pp. 70-72
Author(s):  
Wahyu Widayati Widayati

ABSTRAK Praktik ASI ekslusif masih jauh dari 90% di sebagian besar Negara berkembang, bahkan durasi menyusui sangat pendek dan data dari SDKI menunjukkan masih cakupan ASI ekslusif tahun 2012 di Indonesia baru mencapai 27%. Tingginya angka kegagalan menyusui pada ibu bekerja terjadi setelah selesai cuti bersalin terutama pada ibu menyusui yang bekerja disektor formal karena status kepegawaiannya mengikuti standar aturan hukum yang jelas bagi perkantoran atau perusahaan yang bersangkutan. Seperti pada SMA N 1 Pagelaran dimana terdapat 50% adalah pekerja ibu – ibu baik guru dan staf yang masih berada pada usia produktif dan menyusui. Pengabdian masyarakt ini bertyujuan untuk menuingkatkan pengetahuan ibu - ibu menyususi   yang berkerja di SMA N 1 Pagelaran dengan tehnik demontrasi pemberian edukasi teknik memerah, menyimpan dan menyiapkan ASI yang benar. Hasil dari pelaksanaan pengabdian masyarakat ini adalah didapatkan bahwa sebagian besar peserta pengabdian masyarakat meningkat pengetahuannya tentang teknik memerah, menyimpan dan memberikan ASI kepada anaknya.   Kata Kunci : Edukasi Memerah, Menyimpan dan Menyiapkan ASI     ABSTRACT The practice of exclusive breastfeeding is still far from 90% in most developing countries, even the duration of breastfeeding is very short and data from the IDHS show that exclusive breastfeeding in 2012 in Indonesia only reached 27%. The high rate of failure to breastfeed in working mothers occurs after maternity leave, especially for breastfeeding mothers who work in the formal sector because their employment status follows clear legal standards for the office or company concerned. As in SMA N 1 Pagelaran where 50% are working mothers, both teachers and staff who are still at the productive and breastfeeding age. This community service aims to increase the knowledge of breastfeeding mothers who work at SMA N 1 Pagelaran with dem,onstration technique, providing education on  how to express, store and prepare correct breast milk. The result of the implementation of this community service participants have increased their knowledge of techniques for expressing, storing and giving breast milk to their children.   Keywords :Education Expressing, Storing and Preparing Breastmilk


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Ben Rejeb ◽  
Y Agina ◽  
H Ben Hmida ◽  
S Chelbi

Abstract Background Breastfeeding (BF) is one of the most effective ways to ensure child health and survival. WHO recommend the maintaining the exclusive breastfeeding (EB) up to six months. Unfortunately, its prevalence does not exceed 13% in our country at this age. A better understanding of factors associated with short duration of breastfeeding can allow us to identify the strategies that improve it. This study aimed to determine prevalence of EB and predominant breastfeeding (PB) during the first 2 months and identify their associated factors. Methods We conducted an observational prospective study in two centers of maternal and child health of Monastir (Tunisia) during April and May 2019. Data collection was performed after birth using a self-administered questionnaire and at 4th and 8th postpartum week by telephone interviews. We used the BSES-SF scale to identify self-efficacy in BF and the IIFAS-A scale to measure the mother's attitude towards BF. We used Kaplan Meier survival analysis and Cox Proportional Hazard regression to identify independent factors associated with EB and PB. Results During the study, 437 mothers were enrolled. Prevalence at 8th postpartum week was 6.2% with median duration of eight days and 35.6% with median duration of 21 days respectively for EB and PB. Absence of a breastfeeding experience (HR = 1.31 [1.07-1.61], p = 0.008), the first breastfeeding at beyond 12 hours (HR = 1.47 [1.05-2.07], p = 0.023), the intention of mixed breastfeeding (HR = 1.25 [1- 1.55], p = 0.043) were associated with a shorter duration of EB. Absence of breastfeeding experience (HR = 1.47 [1.05-2.07], p = 0.023), the first breastfeeding at beyond 2 hours (HR1 = 1.72 [1.08-2.73]; p = 0.007) and the non-determination of the duration of breastfeeding (HR = 1.54 [1.43-4.51], p = 0.006) were associated with a shorter duration of PB. Conclusions This study allowed us to identify mothers likely to stop BF early. They should be the target of specific promotion interventions. Key messages Breastfeeding is one of the most effective ways to ensure child health and survival. Information about BF, time of first BF, type and duration of planned BF and self-efficacy deserve a particular attention and constitute key axes of effective promotion interventions of EB and PB.


Author(s):  
Soufiane El Moussaoui ◽  
Kamal Kaoutar ◽  
Ahmed Chetoui ◽  
Abdeslam El Kardoudi ◽  
Fatiha Chigr ◽  
...  

BACKGROUND: Exclusive breastfeeding is the best form of nutrition for infants during the first 6 months of life. Nevertheless, the practice of breastfeeding is currently declining throughout the world. OBJECTIVE: The objective of this study was to assess the prevalence of exclusive breastfeeding (EBF) practice and its associated factors among mothers living in Marrakesh province, Morocco. METHODS: The data were collected using an interviewer administered questionnaire. Both bivariate and multivariate logistic regression analyses were used to identify factors associated with exclusive breastfeeding practice. RESULTS: Prevalence of exclusive breastfeeding was 50.2%. Mothers with age more than 30 years, residing in rural area, receiving counseling related breastfeeding during antenatal follow up and having knowledge about duration of breastfeeding were more likely to practice exclusive breastfeeding than their counterparts. CONCLUSION: Although the prevalence of breastfeeding in Marrakesh was higher than the last national survey report but it is still insufficient. These findings have to stress authorities and deciders to sensitize mothers and future mothers to increase exclusive breastfeeding practice notably through the involvement of health professionals.


2017 ◽  
Vol 1 (1) ◽  
pp. 10
Author(s):  
Zahra Albasri

Support breastfeeding in work place have positive impact on the working mothers and their children, we all know the benefits of breastfeeding and few changes and support to the working mothers will help breastfeeding to continue. Workplace programs could help women to continue to breastfeed, and some programs may help women to initiate breastfeeding. By promoting and supporting the programs, employers may be able to influence the duration of breastfeeding (including exclusive breastfeeding) and so improve the health of mother and baby, but also benefit from less work       absenteeism, high productivity and increased employee morale and retention.


2018 ◽  
Vol 12 (02) ◽  
Author(s):  
Abdul Malik Lawira

ABSTRACTThis research aims to identify factors that can effect the behavior of mothers during exclusive breastfeeding for infants aged 0-6 months in Malei Community Health Center in Poso. The design of this research is observational analytic with Cross Sectional design. The sample of 82 respondents, who were the total of population, consisted of mothers who had babies aged 6-12 months. Data collection tool was questionnaires and techniques of data analysis were univariate data and bivariate data. The results showed age factors (p = 0.158), education (p = 0.360) and employment (p = 0.543), did not have a meaningful relationship on exclusive breastfeeding behavior. While the duration of breastfeeding factors (p = 0.007), family support (p = 0.005) and knowledge (p = 0.005), have a significant relationship with exclusive breastfeeding behavior in Malei Community Health Center, Poso. Conclusions, the duration of breastfeeding factors, family support and knowledge, have a relationship towards mother's exclusive breastfeeding behavior in Malei Community Health Center, Poso Regency. Thus, this study suggests to increase family support and duration of breastfeeding for each mother and providing knowledge about exclusive breastfeeding for antenatal activities and postnatal lactation support, both at the hospital and at the community health center up to six months after giving birth.Keywords: Duration of breastfeeding, Family support, knowledge, Exclusive breastfeeding


2021 ◽  
Vol 03 (03) ◽  
pp. 321-330
Author(s):  
Jafar Muhammad Aref JARADAT ◽  
Fawqia Muhammad Aref JARADAT

The study aimed at identifying the degree to which medical staff had psychological health in light of the spread of the Corona epidemic. The study sample consisted of (51) members of medical staff who is working in Palestinian health centers. The modified psychological health scale was adopted (SCL_90_R). The study came out with a set of results, the most important of which are: that there are no statistically significant differences in the averages of possessing the psychological health among medical staff according to the sex and age variables, it also showed the level of mental health was low, and that there was a high rate of acceptance on the mental health scale of the obsessive-compulsive disorder with a high arithmetic average. Whereas, the average was low at the psychotic dimension, which means that the respondents rejected psychotic characteristics in the psychological health scale. The study came out with a number of recommendations, the most important of which is activating the role of supporting programs and psychological immunization to deal with emergency conditions and crises.


2016 ◽  
Vol 6 (2) ◽  
pp. 88-92 ◽  
Author(s):  
Lazina Sharmin ◽  
MAK Azad Chowdhury ◽  
Soofia Khatun ◽  
Naser Ahmed

Background: Breastfeeding is the unique source of nutrition and it plays an important role in the growth, development and survival of the infants. The initiation of breastfeeding within one hour and continuation of only breast milk up to six months ensure maximum benefits. The prevalence of exclusive breastfeeding in Bangladesh is 56% which is low. We designed this study to find out the factors influencing the duration of breastfeeding in Bangladeshi population.Objective: To study the factors influencing noncompliance to exclusive breastfeeding.Materials and Methods: This cross sectional study was conducted in Dhaka Shishu Hospital during the period January to June 2011. It includes 125 infant (1–12 months)-mother pairs randomly selected from the inpatient and outpatient departments of Dhaka Shishu Hospital. Mother-infant pairs were divided into two groups based on continuation of only breastfeeding up to six months. Outcomes were compared between two groups.Results: In this study exclusive breastfeeding was found in 27.2% and nonexclusive breastfeeding was in 72.8% cases. It was found that in most cases (40%) termination of breastfeeding was at 3--4 months. The study revealed that insufficient milk production due to poor position and attachment, social factors such as influence of husband and other family members, joining to service etc act as barrier to exclusive breastfeeding. Mass media and advice from health professionals had a higher influence on lower rate of exclusive breastfeeding. Women who were multiparous, housewives were more likely to maintain optimal breastfeeding.Conclusion: The present study reveals some important factors contributing to low rate of exclusive breastfeeding in Bangladesh.J Enam Med Col 2016; 6(2): 88-92


2016 ◽  
Vol 56 (1) ◽  
pp. 24 ◽  
Author(s):  
Yovita Ananta ◽  
Ellen Gandaputra ◽  
Elina Waiman ◽  
I Gusti Ayu Nyoman Partiwi ◽  
Nanis Sacharina Marzuki ◽  
...  

Background Breast milk is the ideal food for infants. According to the 2007 Indonesian National Household Health Survey, only 23% of mothers exclusively breastfeed for six months.Objectives To determine the rate of exclusive breastfeeding in Indonesia, to evaluate factors associated with infant feeding practices, and to compare the nutritional and developmental status between exclusively-breastfed and formula-fed infants.Methods A survey was conducted in hospitals located in 17 provinces in Indonesia. The rate of exclusive breastfeeding was calculated. Many variables were investigated as potential predictors for exclusive breastfeeding using a multivariable logistic regression analysis. Further analysis was performed to compare the nutritional and developmental status between exclusively breastfed and formula-fed infants at the time of survey.Results From 1,804 infant subjects, the overall rate of exclusive breastfeeding was 46.3%, ranging from 10.5% in East Java to 66.9% in Jambi. Predominant breastfeeding, complementary feeding, and formula feeding rates were 14.3%, 8.6%, and 30.7%, respectively. Maternal unemployment was associated with a longer duration of breastfeeding (P=0.000). There were significantly more formula-fed infants who were undernourished compared to exclusively-breastfed infants (14% vs. 8%, P=0.001). There were also significantly more infants in the formula-fed group who had abnormal head circumference compared to those in the exclusively-breastfed group (9% vs. 6%, P=0.031). Child development, as assessed by the Pre-screening Developmental Questionnaire, was similar between the two groups (P=0.996).Conclusion The overall rate of exclusive breastfeeding in Indonesia is 46.3%. Maternal unemployment is associated with longer duration of breastfeeding. Exclusive breastfed infants have significant better growth and head circumference compared to formula fed infants, while the development is similar between the two groups.


Folia Medica ◽  
2012 ◽  
Vol 54 (4) ◽  
pp. 45-52 ◽  
Author(s):  
Ivan S. Ivanov ◽  
Nikolay I. Popov ◽  
Rumyana I. Moshe ◽  
Dora D. Terzieva ◽  
Rumen S. Stefanov ◽  
...  

Abstract Data on cytomegalovirus infection (CMV) prevalence and course in hospitalized infants are rather scarce, obsolete and considerably inconsistent. AIM: to determine the prevalence, rate of clinical manifestations, risk factors and predictive capacity of clinical manifestations of CMV infection in hospitalized infants during their first year of life. PATIENTS AND METHODS: All 163 infants hospitalized in the Pediatric Ward for Nonrespiratory Pathology in a tertiary hospital were serologically screened for cytomegalovirus infection for 10 months. In infants up to 6 months old that were CMV IgG (+) and CMV IgM (-) we followed up the CMV IgG concentration or compared it with that of their mothers. RESULTS: The CMV prevalence for the entire study sample was 33.1 ± 3.7% (54 seropositive out of 163 examined infants); in newborns it was 19.4 ± 6.7% (7 of 36), in infants aged 1-3 months - 23.8 ± 5.4% (15 of 63), in 4-6-month olds - 28.1 ± 8.1% (9 of 32), and in 7-12-month old - 71.9 ± 8.1% (23 of 32). The rates of clinically apparent infections in the respective groups was 33.3 ± 6.5%, 57.01 ± 20.2%, 53.3 ± 13.3%, 33.3 ± 16.6%, and 13.0 ± 7.17%. The overall rate of clinically apparent CMV infection in all 163 children was between 11.0 ± 2.5% and 17.2 ± 2.9%. The probability of CMV infection increased with age and duration of breastfeeding. Hepatitis, cerebral vasculopathy and pneumonia (alone or combined) turned out to be predictors of CMV infection, but none of these symptoms had a frequency greater than 22%. CONCLUSIONS: We found a high rate of cytomegalovirus infections in hospitalized infants less than one year of age. This infection is the reason why at least 10% of the newborns and 12% of the children aged 1 to 3 months were hospitalised. The course was clinically apparent in over half of the infected children of up to 3 months of age.


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