Physicians advice, parental practice and adherence to doctor’s advice: an original survey on infant feeding

Autor: Thierry Hanh, Camille Jung, Jean-Pierre Chouraqui, Bérénice Delmas, Marc Bellaiche, Marine Le Bris
Rok vydání: 2019
Předmět:
Male
Parents
medicine.medical_specialty
Gastrointestinal Diseases
Functional gastrointestinal disorders
media_common.quotation_subject
Breastfeeding
Infant feeding practices
Nutrition Policy
Compliance (psychology)
03 medical and health sciences
0302 clinical medicine
Functional gastrointestinal disorder
General Practitioners
Adherence to physician’s advice
030225 pediatrics
Animals
Humans
Medicine
Evaluation of practices
Pediatricians
030212 general & internal medicine
media_common
Complementary foods
business.industry
lcsh:RJ1-570
Infant
lcsh:Pediatrics
medicine.disease
Infant Formula
Advice (programming)
Breast Feeding
Cross-Sectional Studies
Milk
Feeling
Infant formula
Family medicine
Pediatrics
Perinatology and Child Health
Female
Infant Food
Guideline Adherence
business
Inclusion (education)
Deviance (sociology)
Research Article
Zdroj: BMC Pediatrics
BMC Pediatrics, Vol 19, Iss 1, Pp 1-9 (2019)
ISSN: 1471-2431
DOI: 10.1186/s12887-019-1697-y
Popis: Background: Despite several years of guidance on infant feeding, there has been only a slight change in consumer compliance. Therefore, this study aimed to analyse parents feeding practices, explore physicians’ advice about infant feeding and subsequent parent’s adherence to advice. Methods A multicentric cross-sectional qualitative and descriptive self-report online study was conducted in volunteers to participate in the study. Results Fifty-four physicians (paediatricians and general practitioners) and 600 parents of infants were recruited. Of the infants, 20.2% presented at inclusion with at least one type of functional gastrointestinal disorder. The breastfeeding prevalence was quite low (37.3%). The main initial deviance from guidelines said they observed in infant feeding was the early use of cow’s milk. More than two-thirds of infants older than 8 months were drinking cow’s milk. The introduction of solid foods was globally in line with recommendations. Most physicians gave advice about the different aspects of infant feeding but were seeking more information, as did the parents. A discrepancy between the physicians’ statements and the parents’ perceptions was observed. However the majority (95.4%) of parents reported that they followed totally or partially the advice received, especially by abandoning subsequently the use of cow’s milk in favour of a formula. The main reason for not adhering to the advice was that they did not consider it suitable for their infant and they preferred to rely on their feelings or recommendations from familiars. Conclusions This survey provides good insights into parents’ infant feeding practices together with the advice given by their doctor. The gap between practices and current guidelines is notable only for breast-feeding and use of formula. Despite several guidelines professionals and parents seek nutrition information. It highlights the need to deliver consistent, relevant, and less confusing messages about infant feeding. Electronic supplementary material The online version of this article (10.1186/s12887-019-1697-y) contains supplementary material, which is available to authorized users.
Databáze: OpenAIRE
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