Determinants of breast-feeding in a Finnish birth cohort

Public Health Nutrition

Suvi M Virtanen¹  Maijaliisa Erkkola¹  Pirjo Pietinen¹  Liisa Uusitalo¹  Suvi Ahonen¹  Riitta Veijola¹  Tuula Arkkola¹  Mikael Knip¹  Carina Kronberg-Kippilä¹  Maija Salmenhaara¹ 

关键词: Breast-feeding;    Infant feeding;    Maternity ward;    Cow’s milk;    Sociodemographic determinants;    Dietary assessment method;   

DOI  :  10.1017/S1368980009991777

学科分类：卫生学

来源: Cambridge University Press

【 摘 要 】

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.

【 授权许可】

Unknown