Scientific Online Resource System

Varna Medical Forum

Study of breastfeeding practices in Varna region

Rositsa Stancheva, Staniela Porozhanova, Ruzha Pancheva, Darina Naydenova, Simoneta Popova

Abstract

Optimal nutrition of the child in the neonatal period and infancy is a prerequisite for normal physical and neuro-psychological development and for possible long-term health effects. Our study was aimed at revealing breastfeeding practices in the first couple of years of children`s life.
Aim of the study:
The aim of this study is to assess the breastfeeding practices in Varna region.
Materials and Methods:
A transverse study of breastfeeding practices is conducted over a period of 5 months- May - September 2013 in Varna region. A total of 286 questionnaires are administered for the study period. Women (mean age of the respondents was 33 years 3.3) who have born their children with cesaerian section or had vaginal delivery are radomly recruited after obtaining informed consent for inclusion in the study. Questionnaires include questions regarding the nutrition of children from birth until the end of the third year. The data is processed statistically by means of variation and alternative analysis and compared with the criterion Student-Fisher at significance level p <0.05.
Results:
The results of our study show that initiation of breastfeeding was at the average of 17.7 hours after birth (from 1st to 192nd hour). Cesarean section born babies started breastfeeding at the average of 26th hour (1st - 192nd) after birth, while babies born vaginal at the average of 10th hour (from the 1st to the 72nd time) (p <0.05). Women with higher education breastfeed longer than those with secondary education (9.19% vs 6.04%) (p <0.05). Only 4.5% of children (n = 4) were breastfed up to 24 months.
Discussion:
The participants in our survey started breastfeeding late after birth. The duration of breastfeeding of children is small and does not meet current recommendations of the WHO, but there are positive trends compared to previous studies.

Keywords

кърмене, изключително кърмене, захранване

Full Text


References

Петрова, С., Рангелова, Л. Съвременни аспекти и проблеми в храненето и хранителния статус на кърмачета и деца до 5-год. възраст. Литературен обзор // Хранене и хранителен статус на деца до 5-год. възраст в България. ISBN 978-954-392-156- 0; 2012;10-23

Ушева, Н., Попиванова, А., Панчева, Р., Попова, С. Консултантите по кърмене в подкрепа на естественото хранене на кърмачетата // Юбилейна научна конферен- ция 10 години ФОЗ МУ-Варна. 2011 г. Сборник доклади, 97-100.

Ушева, Н., Попова, С., Панчева, Р., Досич, К. Оценка на практики за кърмене и захранване на децата във Варненска област съгласно индикаторите на СЗО // Практическа педиатрия, 2013; 7; 8-10

Agostoni C, Decsi T, Fewtrell M, et al. Complementary feeding: a commentary by the ESPGHAN Committee on Nutrition. J Pediatr Gastroenterol Nutr 2008; 46:99–110

Arifeen S, Black RE, Antelman G, et al. Exclusive breastfeeding reduces acute respiratory infection and diarrhea deaths among infants in Dhaka slums. Pediatrics 2001; 108 : E67

Carlo Agostoni, yChristian Braegger, zTamas Decsi et al Breast-feeding: A Commentary by the ESPGHAN Committee on Nutrition Journal of Pediatric Gastroenterology and Nutrition, 49, 2009, 112-125

Cattaneo A, Yngve A, Koletzko B, et al. Protection, promotion and support of breastfeeding in Europe: current situation. Public Health Nutr 2005; 8:39–46

Duffy LC, Faden H, Wasielewski R, et al. Exclusive breastfeeding protects against bacterial colonization and day care exposure to otitis media. Pediatrics 1997; 100 : E7;

Hanson L A. Protective effects of breastfeeding against urinary tract infection. Acta Paediatr 2004; 93: 154 – 6

Ladomenou F, Moschandreas J, Kafatos A, Tselentis Y, Galanakis E. Protective effect of exclusive breastfeeding against infections during infancy: a prospective study. Arch Dis Child 2010;95(12):1004–8

Marild S, Hansson S, Jodal U, et al. P rotective effect of breastfeeding against urinary tract infection. Acta Paediatr 2004; 93: 164 – 8;

Przyrembel S. Timong of introduction of Complementary Food: Short-and Long-Term Health Consequences. Ann Nutr Metab 2012; 60(Suppl 2):8-20

Taveras EM, Capra AM, Braveman PA, et al. Clinician support and psychosocial risk factors associated with breastfeeding discontinuation. Pediatrics 2003; 112:108–115

WHO, Exclusive breastfeeding for six months Best for babies everywhere. World Health Organization, Geneva 2011

WHO. Regional publications, Europian series, №87; Feeding and nutrition of infants and young children, 2000

WHO. UNICEF. Global strategy of infant and young child feeding. Geneva: World Health Organnization, 2003; 20-21


Refbacks

Font Size


|