"Something is wrong with your milk": Qualitative study of maternal dietary restriction and beliefs about infant colic.


Journal

Canadian family physician Medecin de famille canadien
ISSN: 1715-5258
Titre abrégé: Can Fam Physician
Pays: Canada
ID NLM: 0120300

Informations de publication

Date de publication:
03 2019
Historique:
entrez: 15 3 2019
pubmed: 15 3 2019
medline: 19 6 2020
Statut: ppublish

Résumé

To investigate new mothers' perceptions about the role of maternal diet in infant fuss-cry behaviour, and to explore patterns of food restriction in breastfeeding women. Qualitative study. Calgary, Alta. Twenty-one mothers of healthy singleton infants aged 6 months and younger. Focus groups and one-on-one interviews with a semistructured interview guide, followed by content analysis. Most respondents believed that infant cry-fuss behaviour was related to abdominal pain linked to feeding and had eliminated items from their diet in an attempt to change infant behaviour. Typical targets of elimination were caffeine, cruciferous vegetables (eg, broccoli and cabbage), garlic and onions, spicy foods, gluten, and beans. Women commonly viewed elimination diets as an extension of neutral or benign choices made during pregnancy, even when it led to extreme diet restrictions. Participants reported feeling appraised by society for their infant-feeding choices, and often harshly judged. Many women reported feeling confused by conflicting sources of reliable information on breastfeeding and preferred advice from trusted friends and family to that from health care providers or the Internet. The breastfeeding women in this study believed that maternal diet influenced infant cry-fuss behaviour, in spite of scientific evidence demonstrating the contrary. An understandable desire for a calm baby, as well as to be favourably judged by friends and family, can drive breastfeeding women to restrict their diet, often to the point of hardship.

Identifiants

pubmed: 30867180
pii: 65/3/204
pmc: PMC6515974

Types de publication

Journal Article Multicenter Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

204-211

Informations de copyright

Copyright© the College of Family Physicians of Canada.

Références

Matern Child Health J. 2008 May;12(3):313-22
pubmed: 17690964
Public Health Nutr. 2001 Dec;4(6A):1357-62
pubmed: 11918480
J Obstet Gynaecol Can. 2016 Jun;38(6):508-554.e18
pubmed: 27368135
Soc Sci Med. 1999 Jan;48(2):149-62
pubmed: 10048774
Pediatrics. 2005 Nov;116(5):e709-15
pubmed: 16263986
Pediatrics. 2013 Jun;131(6):e1857-64
pubmed: 23650295
Curr Pediatr Rev. 2015;11(4):293-7
pubmed: 26239112
Proc Biol Sci. 2010 Dec 22;277(1701):3715-24
pubmed: 20667878
Arch Dis Child. 2011 Sep;96(9):793-7
pubmed: 21297170
Am Fam Physician. 2004 Aug 15;70(4):735-40
pubmed: 15338787
Matern Child Nutr. 2012 Jul;8(3):275-86
pubmed: 21624050
Early Hum Dev. 2012 Jul;88(7):467-71
pubmed: 22118871
Matern Child Health J. 2012 Aug;16(6):1319-31
pubmed: 21710185
J Pediatr Health Care. 1991 Jan-Feb;5(1):40-3
pubmed: 1990116
Int J Qual Stud Health Well-being. 2015 Aug 14;10:26799
pubmed: 26282866
Paediatr Perinat Epidemiol. 2003 Jan;17(1):91-6
pubmed: 12562476
Korean J Pediatr. 2017 Mar;60(3):70-76
pubmed: 28392822
Nutrients. 2016 Oct 14;8(10):
pubmed: 27754423
Int Breastfeed J. 2008 Nov 05;3:26
pubmed: 18986539
Qual Health Res. 2005 Nov;15(9):1277-88
pubmed: 16204405
Am J Physiol Endocrinol Metab. 2016 Aug 1;311(2):E405-22
pubmed: 27354238
Acta Paediatr. 1994 Feb;83(2):222-5
pubmed: 8193507
Matern Child Nutr. 2018 Jan;14(1):
pubmed: 28597475
Pediatrics. 1997 Dec;100(6):1035-9
pubmed: 9411381
Int Breastfeed J. 2011 Jun 15;6(1):7
pubmed: 21676218
J Paediatr Child Health. 2012 Feb;48(2):128-37
pubmed: 21470331
J Obstet Gynaecol Can. 2016 Nov;38(11):1045-1052
pubmed: 27969559
Matern Child Nutr. 2015 Jan;11(1):59-72
pubmed: 23020593
Gastroenterology. 2006 Apr;130(5):1519-26
pubmed: 16678565
JAMA Pediatr. 2017 Jul 1;171(7):647-654
pubmed: 28492938
Curr Opin Pediatr. 2011 Oct;23(5):523-9
pubmed: 21799411
Acta Paediatr. 2009 Aug;98(8):1274-7
pubmed: 19469772
J Pediatr Gastroenterol Nutr. 2016 May;62(5):668-86
pubmed: 26655941
World Health Popul. 2010;11(4):5-12
pubmed: 20739835
J Health Popul Nutr. 2003 Jun;21(2):142-9
pubmed: 13677441
J Hum Lact. 2001 Feb;17(1):14-9
pubmed: 11847846
Public Health Nutr. 2008 Mar;11(3):237-45
pubmed: 17672922
Pediatrics. 2013 Mar;131(3):e726-32
pubmed: 23420922
Lancet. 1981 Jun 20;1(8234):1340-2
pubmed: 6113313
J Am Diet Assoc. 1996 Jan;96(1):46-8
pubmed: 8537569
Breastfeed Rev. 2001 Nov;9(3):27-33
pubmed: 11831688
Indian J Med Res. 2008 Jan;127(1):44-51
pubmed: 18316852
J Perinatol. 2010 Mar;30(3):155-62
pubmed: 19609306
Breastfeed Rev. 2013 Nov;21(3):31-42
pubmed: 24592515
Pediatrics. 1995 Jul;96(1 Pt 1):43-7
pubmed: 7596720
Pediatrics. 2000 Jul;106(1 Pt 2):184-90
pubmed: 10888690
Clin Med Insights Pediatr. 2017 Feb 16;11:1179556517690196
pubmed: 28469518
Int Breastfeed J. 2009 Mar 26;4:2
pubmed: 19323839

Auteurs

Monica Kidd (M)

Family physician whose scope of practice includes intrapartum care in Calgary, Alta. mgkidd@ucalgary.ca.

Melanie Hnatiuk (M)

Family physician in Calgary.

Jocelyn Barber (J)

Family medicine resident at the University of Saskatchewan in Saskatoon.

Mary-Jo Woolgar (MJ)

Family physician and lactation consultant in Calgary.

Maria Palacios Mackay (MP)

Adjunct researcher at the University of Calgary and Dean of the Faculty of Health Sciences at Universidad San Sebastián in Chile.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH