Aby-led feeding: problems and consequences in infants

K.D. Duka, N.V. Mishyna, A.A. Yefanova, I.G. Duka


Background. WHO and UNICEF recommend “to encourage breastfeeding on demand of the child” in the paragraph 8 of Declaration. This is the recommendation for each institution that provides obstetrical services and follow-up of a newborn. But after 5–6 months of breastfeeding on demand it cannot be declared. At the child’s growth all the organs and systems of the kid are forming. And what was natural in the neonatal period may not be mechanically taken against the child of 3 months old. This is caused by special needs of a child for feeding, sleep duration; also it is less time for nap and more for activity in different ages. Therefore, the term free feeding on demand of the child often comes to casuistic when 3–4 month baby gets breastfeeding up to 8–9 times per day on demand. A three-year child who has been on free breastfeeding for a long time (more than 6 months) refuses any food, but breast milk. The purpose of the study was to clarify the situation concerning baby-led breastfeeding on demand in infants according to questionnaires. Materials and methods. There were analyzed questionnaires of mothers who have children aged under one year in different areas of the city of Dnipro (n = 248 questionnaires). Results. According to the survey results baby-led breastfeeding until 6 months occurred in 48 % of cases, more than 6 months in 29.6 % of cases, to one year or more in 18.4 %. It is interesting that today late (7 months and older) breastfeeding takes place. Often it becomes a chaotic feeding excluding major age-related anatomical and physiological characteristics of the digestive tract that dictate the rules for weaning needs. Conclusions. The researches of the baby-led breastfeeding showed the problems and consequences that accompany it, namely relatively late complementary feeding in infants on free breastfeeding, chaotic feeding without taking into account the basic age needs of infants.


infants; baby-led breastfeeding; complementary feeding


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