Breastfeeding support among re-hospitalized young children: a survey from Italy.
Breastfeeding
Breastfeeding support
Hospitalized children
Survey
Journal
Italian journal of pediatrics
ISSN: 1824-7288
Titre abrégé: Ital J Pediatr
Pays: England
ID NLM: 101510759
Informations de publication
Date de publication:
08 Jan 2024
08 Jan 2024
Historique:
received:
14
08
2023
accepted:
26
12
2023
medline:
9
1
2024
pubmed:
9
1
2024
entrez:
8
1
2024
Statut:
epublish
Résumé
In 2021, the Task Force on Breastfeeding of the Italian Ministry of Health released a document calling for the provision of breastfeeding support in case of re-hospitalization of the child after birth. Since type and quality of breastfeeding support during re-hospitalization in Italian Pediatric Units (PUs) is largely unknown, the Breastfeeding Section of the Italian Society of Pediatrics (TASIP) conducted an ad hoc national survey. In March 2023, a specifically designed electronic questionnaire was sent to the Directors of 328 PUs, who were requested to fill it online. Data from 161 PUs were received, with a response rate of 48.7%. Our results highlighted that 18.6% of units do not provide training on breastfeeding for healthcare professionals and 46% of PUs lack of an ad hoc policy on breastfeeding support in case of re-hospitalization of the child. Although 88.2% of PUs provide breast pumps to the mothers of the re-hospitalized young children, 34.8% lack of a protocol on the storage of expressed breast milk. Breastfeeding support for the mothers of hospitalized breastfed young children appears to be suboptimal in Italian PUs. Interventions aimed to structure and improve the quality of breastfeeding support for the mother-child dyad are needed, particularly developing protocols and providing a training on breastfeeding to the majority of healthcare professionals.
Sections du résumé
BACKGROUND
BACKGROUND
In 2021, the Task Force on Breastfeeding of the Italian Ministry of Health released a document calling for the provision of breastfeeding support in case of re-hospitalization of the child after birth. Since type and quality of breastfeeding support during re-hospitalization in Italian Pediatric Units (PUs) is largely unknown, the Breastfeeding Section of the Italian Society of Pediatrics (TASIP) conducted an ad hoc national survey.
METHODS
METHODS
In March 2023, a specifically designed electronic questionnaire was sent to the Directors of 328 PUs, who were requested to fill it online.
RESULTS
RESULTS
Data from 161 PUs were received, with a response rate of 48.7%. Our results highlighted that 18.6% of units do not provide training on breastfeeding for healthcare professionals and 46% of PUs lack of an ad hoc policy on breastfeeding support in case of re-hospitalization of the child. Although 88.2% of PUs provide breast pumps to the mothers of the re-hospitalized young children, 34.8% lack of a protocol on the storage of expressed breast milk.
CONCLUSIONS
CONCLUSIONS
Breastfeeding support for the mothers of hospitalized breastfed young children appears to be suboptimal in Italian PUs. Interventions aimed to structure and improve the quality of breastfeeding support for the mother-child dyad are needed, particularly developing protocols and providing a training on breastfeeding to the majority of healthcare professionals.
Identifiants
pubmed: 38191497
doi: 10.1186/s13052-023-01573-x
pii: 10.1186/s13052-023-01573-x
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
3Informations de copyright
© 2024. The Author(s).
Références
Victora CG, Bahl R, Barros AJ, França GV, Horton S, Krasevec J, et al. Lancet Breastfeeding Series Group. Breastfeeding in the 21st century: epidemiology, mechanisms, and lifelong effect. Lancet. 2016;387(10017):475–90.
doi: 10.1016/S0140-6736(15)01024-7
pubmed: 26869575
World Health Organization. Breastfeeding section of the WHO website. https://www.who.int/health-topics/breastfeeding#tab=tab_1 . Accessed 2 August 2023.
Ministero della Salute. Tavolo tecnico in materia di tutela e promozione della salute nei primi 1000 giorni di vita: dal concepimento ai due anni di età, istituito presso la Direzione generale della prevenzione sanitaria con DD 26 luglio 2016 e prorogato con DD 20 luglio 2017. Investire precocemente in salute: azioni e strategie nei primi mille giorni di vita Documento di indirizzo per genitori, operatori sanitari e policy maker, per la protezione e promozione della salute dei bambini e delle generazioni future. https://www.salute.gov.it/imgs/C_17_pubblicazioni_3120_allegato.pdf . Accessed 2 August 2023.
Davanzo R, Maffeis C, Silano M, Bertino E, Agostoni C, Cazzato T et al. Gruppo di Lavoro ad hoc. Allattamento al seno e uso del latte materno/umano Position Statement 2015. SIP, SIN, SICuPP, SIGENP e SIMP. https://www.salute.gov.it/imgs/C_17_pubblicazioni_2415_allegato.pdf . Accessed 2 August 2023.
Meek JY, Noble L, Section on Breastfeeding. Policy Statement: Breastfeeding and the use of human milk. Pediatrics. 2022. https://doi.org/10.1542/peds.2022-057988 .
doi: 10.1542/peds.2022-057988
pubmed: 35921641
Bergman NJ. Birth practices: maternal-neonate separation as a source of toxic stress. Birth Defects Res. 2019;111(15):1087–109.
doi: 10.1002/bdr2.1530
pubmed: 31157520
Jonas W, Bisceglia R, Meaney MJ, Dudin A, Fleming AS, Steiner M, MAVAN Research Team. The role of breastfeeding in the association between maternal and infant cortisol attunement in the first postpartum year. Acta Paediatr. 2018;107(7):1205–17.
doi: 10.1111/apa.14256
pubmed: 29405436
Cohen SS, Alexander DD, Krebs NF, Young BE, Cabana MD, Erdmann P, et al. Factors Associated with breastfeeding initiation and continuation: a meta-analysis. J Pediatr. 2018;203:190–196e21. https://doi.org/10.1016/j.jpeds.2018.08.008
doi: 10.1016/j.jpeds.2018.08.008
pubmed: 30293638
Riskin A, Almog M, Peri R, Halasz K, Srugo I, Kessel A. Changes in immunomodulatory constituents of human milk in response to active infection in the nursing infant. Pediatr Res. 2012;71(2):220–5.
doi: 10.1038/pr.2011.34
pubmed: 22258136
Hassiotou F, Hepworth AR, Metzger P, Tat Lai C, Trengove N, Hartmann PE, et al. Maternal and infant Infections stimulate a rapid leukocyte response in breastmilk. Clin Transl Immunology. 2013;2(4):e3.
doi: 10.1038/cti.2013.1
pubmed: 25505951
pmcid: 4232055
Flaherman VJ, Lee HC. Breastfeeding by feeding expressed mother’s milk. Pediatr Clin North Am. 2013;60(1):227–46.
doi: 10.1016/j.pcl.2012.10.003
pubmed: 23178067
pmcid: 5332143
Meier PP, Patel AL, Hoban R, Engstrom JL. Which breast pump for which mother: an evidence-based approach to individualizing breast pump technology. J Perinatol. 2016;36(7):493–9.
doi: 10.1038/jp.2016.14
pubmed: 26914013
pmcid: 4920726
Bartick M, Hernández-Aguilar MT, Wight N, Mitchell KB, Simon L, Hanley L, et al. ABM Clinical Protocol #35: supporting Breastfeeding during maternal or child hospitalization. Breastfeed Med. 2021;16(9):664–74. https://doi.org/10.1089/bfm.2021.29190.mba
doi: 10.1089/bfm.2021.29190.mba
pubmed: 34516777
TAS, Italia UNICEF, SIP FNOMCOFIASOANMDO, SIN, ACP, SIMP, SIGO, SIMIT, FNOPO, FNOPI, FNO TSRM PSTRP CNOP. La continuità del rapporto madre-bambino e il mantenimento dell’allattamento in caso di ricovero ospedaliero. Ministero della Salute 2021 https://www.salute.gov.it/imgs/C_17_pubblicazioni_3091_allegato.pdf . Accessed 2 August 2023.
Li R, Fein SB, Chen J, Grummer-Strawn LM. Why mothers stop breastfeeding: mothers’ self-reported reasons for stopping during the first year. Pediatrics. 2008;122(Suppl 2):69–76.
doi: 10.1542/peds.2008-1315i
Brown CR, Dodds L, Legge A, Bryanton J, Semenic S. Factors influencing the reasons why mothers stop breastfeeding. Can J Public Health. 2014;105(3):e179–85.
doi: 10.17269/cjph.105.4244
pubmed: 25165836
pmcid: 6972160
Tracz J, Gajewska D. Factors influencing the duration of breastfeeding among Polish women. J Mother Child. 2020;24(1):39–46.
pubmed: 33074176
pmcid: 8518111
Reynolds R, Kingsland M, Daly J, Licata M, Tully B, Doherty E, et al. Breastfeeding practices and associations with pregnancy, maternal and infant characteristics in Australia: a cross-sectional study. Int Breastfeed J. 2023;18(1):8.
doi: 10.1186/s13006-023-00545-5
pubmed: 36658629
pmcid: 9854140
Merewood A, Davanzo R, Haas-Kogan M, Vertecchi G, Gizzi C, Mosca F, et al. Breastfeeding supportive practices in European hospitals during the COVID-19 pandemic. J Matern Fetal Neonatal Med. 2022;35(25):8514–20.
doi: 10.1080/14767058.2021.1986482
pubmed: 34645354
van Goudoever JB, Spatz DL, Hoban R, Dumitriu D, Gyamfi-Bannerman C, Berns M, et al. Updating clinical practices to promote and protect human milk and breastfeeding in a COVID-19 era. Front Pediatr. 2022;10:867540.
doi: 10.3389/fped.2022.867540
pubmed: 35558372
pmcid: 9086708
Handa D, Schanler RJ. Role of the pediatrician in breastfeeding management. Pediatr Clin North Am. 2013;60(1):1–10.
doi: 10.1016/j.pcl.2012.10.004
pubmed: 23178057
Davanzo R, Romagnoli C, Corsello G. Position Statement on Breastfeeding from the Italian Pediatric Societies. Ital J Pediatr. 2015;41:80.
doi: 10.1186/s13052-015-0191-x
pubmed: 26498033
pmcid: 4619394
Heilbronner C, Roy E, Hadchouel A, Jebali S, Smii S, Masson A, et al. Breastfeeding disruption during hospitalisation for bronchiolitis in children: a telephone survey. BMJ Paediatr Open. 2017;1(1):e000158.
doi: 10.1136/bmjpo-2017-000158
pubmed: 29637162
pmcid: 5862179
Ben Gueriba K, Heilbronner C, Grimaud M, Roy E, Hadchouel A, Hachem T, de Barbeyrac C, et al. Simple actions to support breastfeeding can avoid unwanted weaning in infants younger than 6 months hospitalized for bronchiolitis: a before/after study (Bronchilact II). Arch Pediatr. 2021;28(1):53–8.
doi: 10.1016/j.arcped.2020.10.004
pubmed: 33309123
Hookway L, Brown A, Grant A. Breastfeeding sick children in hospital: exploring the experiences of mothers in UK paediatric wards. Matern Child Nutr. 2023;19(2):e13489.
doi: 10.1111/mcn.13489
pubmed: 36808886
pmcid: 10019061
Davanzo R. Allattamento al seno e personale sanitario: la formazione è efficace? Medico &Bambino. 2002;21:443–7.
Balogun OO, Dagvadorj A, Yourkavitch J, da Silva Lopes K, Suto M, Takemoto Y, et al. Health Facility Staff training for improving breastfeeding outcome: a systematic review for step 2 of the Baby-Friendly Hospital Initiative. Breastfeed Med. 2017;12(9):537–46.
doi: 10.1089/bfm.2017.0040
pubmed: 28930480
World Health Organization. Guideline: Protecting, Promoting, and Supporting Breastfeeding in Facilities: Providing Maternity and Newborn Services. Geneva: WHO 2017. https://www.who.int/publications/i/item/9789241550086 . Accessed 2 August 2023.
TAS. La formazione del personale sanitario sull’allattamento. Raccomandazioni del Tavolo Tecnico Operativo Interdisciplinare sulla Promozione dell’Allattamento (TAS), delle Società scientifiche e degli Ordini e delle Associazioni professionali. Ministero della Salute 2020. https://www.salute.gov.it/imgs/C_17_pubblicazioni_2976_allegato.pdf . Accessed 2 August 2023.
Frykholm P, Disma N, Andersson H, Beck C, Bouvet L, Cercueil E, et al. Pre-operative fasting in children: a guideline from the European Society of Anaesthesiology and Intensive Care. Eur J Anaesthesiol. 2022;39(1):4–25.
doi: 10.1097/EJA.0000000000001599
pubmed: 34857683
Carroll AR, McCoy AB, Modes K, Krehnbrink M, Starnes LS, Frost PA, Johnson DP. Decreasing pre-procedural fasting times in hospitalized children. J Hosp Med. 2022;17(2):96–103.
doi: 10.1002/jhm.12782
pubmed: 35504576
Diaz DM, Winter HS, Colletti RB, Ferry GD, Rudolph CD, Czinn SJ, Cochran W, et al. NASPGHAN/CDHNF Scientific Advisory Board. Knowledge, attitudes and practice styles of north American pediatricians regarding gastroesophageal reflux Disease. J Pediatr Gastroenterol Nutr. 2007;45(1):56–64.
doi: 10.1097/MPG.0b013e318054b0dd
pubmed: 17592365
Story DA, Tait AR. Survey Research. Anesthesiology. 2019;130(2):192–202.
pubmed: 30688782
Jones L, Park J, Blair J, Hawcutt DB, Lip GYH, Shantsila A. 20 years on - the measurement of blood pressure and detection of Hypertension in children and adolescents: a national descriptive survey. J Hum Hypertens. 2023. https://doi.org/10.1038/s41371-023-00846-6 .
doi: 10.1038/s41371-023-00846-6
pubmed: 37880326
pmcid: 10739225