Aby-led feeding: problems and consequences in infants

Authors

  • K.D. Duka SI “Dnipropetrovsk Medical Academy of Ministry of Health of Ukraine”, Dnipro, Ukraine
  • N.V. Mishyna SI “Dnipropetrovsk Medical Academy of Ministry of Health of Ukraine”, Dnipro, Ukraine
  • A.A. Yefanova SI “Dnipropetrovsk Medical Academy of Ministry of Health of Ukraine”, Dnipro, Ukraine
  • I.G. Duka SI “Dnipropetrovsk Medical Academy of Ministry of Health of Ukraine”, Dnipro, Ukraine

DOI:

https://doi.org/10.22141/2224-0551.12.2.2017.99765

Keywords:

infants, baby-led breastfeeding, complementary feeding

Abstract

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.

Downloads

Download data is not yet available.

References

Majdannik VG. Problematic issues of free feeding of children in Ukraine. Zdorov`ja Ukrai'ny. 2015:18-21. (in Ukrainian).

Abol'jan LV, Zubkova NZ. Modern approaches to breastfeeding the child. Lechashhij vrach. 205;1:32-5. (in Russian).

Kisel’ova ES, Mohova JuA. Breast milk and its components: impact on the immune system of the child. Pediatrija. Zhurnal imeni G.N. Speranskogo. 2010;6(89):62-8. (in Russian).

Kon' IJa. Children's pediatric nutrition (nutrition science): achievements and challenges. Pediatrija. Zhurnal imeni G.N. Speranskogo. 2012;91(3):59-65. (in Russian).

Golovanova ІA. Features of breastfeeding support groups and their legal support. Vіsnik problem bіologії і medicini. 2012;2(93):232-4. (in Ukrainian).

Klymenko TM, Karapetjan OJu. To the question of the violation of breast-feeding in newborns with perinatal pathology. Pediatrics, obstetrics and gynecology. 2010;5:20-4. (in Ukrainian).

Abol'jan LV, Novikova SV. Modern aspects of breastfeeding. Pediatrija. Zhurnal imeni G.N. Speranskogo. 2011;90(1):80-3. (in Russian).

About the further implementation of the Enhanced Initiative “Hospital, benevolent to the child” in Ukraine: Order of the Ministry of Health of Ukraine from 28.10.2011 N 715. Available from: http://www.moz.gov.ua/ua/portal/dn_201101028_0715.html (in Ukrainian).

Jolkina TN, Kandjurina EG, Surovikina EA, Gribanova OA, Protalina VV. Nutrition of Children of the first year of life and the formation of adequate immune response. Rossiiskii vestnik perinatologii i pediatrii. 2009;6:52-6. (in Russian).

Dorner J. Ten ontogenetic theses for promotion of health and primary prevention of important diseases by a prenatal and early postnatal neuroendocrineimmune prophylaxis. Neuro Endocrinology Lett. 2000;21(4):265-7.

Lucas A. Growth and later health: a general perspective. Nestle Nutr Workshop Ser Pediatr Program. 2010;65:1-9. doi: 10.1159/000281107. Epub 2010 Jan 29.

Von Bonsdorff MB, Rantanen T, Sipila S, et al. Birth size and childhood growth as determination of physical functioning in older age: the Helsinki birth cohort study. Am J Epidemiol. 2011;174(12):1336-44. doi: 10.1093/aje/kwr270.

Published

2021-09-21

How to Cite

Duka, K., Mishyna, N., Yefanova, A., & Duka, I. (2021). Aby-led feeding: problems and consequences in infants. CHILD`S HEALTH, 12(2), 117–120. https://doi.org/10.22141/2224-0551.12.2.2017.99765

Issue

Section

Clinical Pediatrics