Determinants of breast-feeding in a Finnish birth cohort
| Autor: | Liisa Uusitalo, Riitta Veijola, Suvi Ahonen, Carina Kronberg-Kippilä, Suvi M. Virtanen, Maija Salmenhaara, Maijaliisa Erkkola, Tuula Arkkola, Pirjo Pietinen, Mikael Knip |
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| Rok vydání: | 2009 |
| Předmět: |
Adult
Male medicine.medical_specialty Pediatrics Birth weight Medicine (miscellaneous) Mothers Breast milk Cohort Studies 03 medical and health sciences 0302 clinical medicine Pregnancy 030225 pediatrics Surveys and Questionnaires Medicine Humans 030212 general & internal medicine Finland 2. Zero hunger Type 1 diabetes Nutrition and Dietetics business.industry Public health Public Health Environmental and Occupational Health Infant Newborn Infant Reproducibility of Results medicine.disease Infant Formula Breast Feeding Infant formula Socioeconomic Factors Cohort Educational Status Female business Birth cohort Breast feeding Demography Follow-Up Studies |
| Zdroj: | Public health nutrition. 13(4) |
| ISSN: | 1475-2727 1368-9800 |
| Popis: | ObjectiveTo assess milk feeding on the maternity ward and during infancy, and their relationship to sociodemographic determinants. The validity of our 3-month questionnaire in measuring hospital feeding was assessed.DesignA prospective Finnish birth cohort with increased risk to type 1 diabetes recruited between 1996 and 2004. The families completed a follow-up form on the age at introduction of new foods and age-specific dietary questionnaires.SettingType 1 Diabetes Prediction and Prevention (DIPP) project, Finland.SubjectsA cohort of 5993 children (77 % of those invited) participated in the main study, and 117 randomly selected infants in the validation study.ResultsBreast milk was the predominant milk on the maternity ward given to 99 % of the infants. Altogether, 80 % of the women recalled their child being fed supplementary milk (donated breast milk or infant formula) on the maternity ward. The median duration of exclusive breast-feeding was 1·4 months (range 0–8) and that of total breast-feeding 7·0 months (0–25). Additional milk feeding on the maternity ward, short parental education, maternal smoking during pregnancy, small gestational age and having no siblings were associated with a risk of short duration of both exclusive and total breast-feeding. In the validation study, 78 % of the milk types given on the maternity ward fell into the same category, according to the questionnaire and hospital records.ConclusionsThe recommendations for infant feeding were not achieved. Infant feeding is strongly influenced by sociodemographic determinants and feeding practices on the maternity wards. Long-term breast-feeding may be supported by active promotion on the maternity ward. |
| Databáze: | OpenAIRE |
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