To the issue of breastfeeding support: from theory to practice

Background. The ratio of breasted children for more than six months increased from 33 to 40% in the period from 1991 to 2019 according to the Russian Federal State Statistics Service. This number has not changed in recent 12 years and remained on the level of 39-41%. Relatively low adherence to breastfeeding may be the consequence of the lack of training of future doctors in these issues.Objective. The aim of the study was to analyse the knowledge (and its dynamics over the past decade) of medical students, interns and residents on breastfeeding support and promotion in Russian Federation.Methods. We have conducted the survey among senior students, interns, and residents in 2009-2011 and 2018-2019. 8 medical universities participated in the study in 2009-2011, and 24 medical universities and one continuing education institute — in 2018-2019. Knowledge on breastfeeding support issues was estimated according to the results of future doctors’ responses to the proposed questionnaires.Results. Sample of 2009-2011 has included 1088 students, interns, and residents, sample of 2018-2019 — 3694. There is still high level of mistakes in the breastfeedng issues due to the decline in knowledge of the WHO breastfeeding recommendations. The level of understanding of practical aspects has not changed significantly over the 10 years, and there is still a gap between theoretical knowledge and practice.Conclusion. The necessity to improve quality of future doctors training in breastfeeding issues is shown.

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Knowledge of Future Doctors (Senior Students, Interns, Residents) on Breastfeeding: Cross-Sectional Study

Яковлев

Манеров

Фурцев

et al. 2021

Vopr. sovr. pediatr.

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A clinical case of induced lactation in a biological mother in perimenopause in a surrogacy program of art

Barinova

Буштырева²,

Abovyan³

et al. 2022

Pediatr (SPb)

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According to Rosstat, the number of breastfed children is rapidly decreasing year by year. The reserve for increasing the percentage of women practicing breastfeeding lies, first of all, in broadly informing patients about the simplicity and benefits of lactation, as well as in support from medical staff and family. The procedure of surrogate motherhood is becoming more and more widespread in our country. Induction of lactation, that is, the establishment of lactation in a woman who did not bear or give birth to a child, can not only serve as a reserve for the spread of breastfeeding culture, but also significantly contribute to the psychological rapprochement of a biological mother with her child. In this article, we present a clinical case of successful lactation induction in a perimenopausal biological mother. A 52-year-old patient who entered the surrogacy program as a biological mother showed clinical and laboratory signs of perimenopause. Despite the coronavirus infection with significant lung damage, the patient showed a high motivation to induce breastfeeding and was disciplined in pumping. Medical intervention (metoclopramide) and mechanical pumping of breast milk led to established lactation by the time the child was born by a surrogate mother, which made it possible to attach the newborn to the breast in the obstetric ward and begin successful breastfeeding with good weight gain in the first months of life. To date, unfortunately, there is no information on the conduct of studies of induced lactation in a significant sample of patients, in addition, there are no clearly regulated guidelines for medical induction of lactation. The presented clinical case can stimulate the interest of the scientific community to this problem. Induction of lactation should be offered to every biological mother in the absence of contraindications for breastfeeding, which will allow establishing a close psychological connection between the newborn and the biological mother and increasing the percentage of children breastfed in our country.

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Food patterns and chemical contamination of baby food

Tikhonova

2022

Российский Вестник Гигиены

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Для анализа качества питания населения, в том числе детского, остается актуальным изучение структуры питания детей. Питание детей — это фактор окружающей среды, который в дальнейшем определяет состояние здоровья и продолжительность жизни детей. Появление на рынке большого количества адаптированных и частично адаптированных молочных смесей для искусственного вскармливания способствует тому, что часто матери отказываются от грудного вскармливания и переходят на искусственное вскармливание, что может быть небезразлично для детского организма. Продукты докорма и прикорма могут содержать различные чужеродные вещества, что будет увеличивать химическую нагрузку на растущий детский организм через продукты питания. Целью исследования явилось: изучение структуры питания детей первого года жизни по данным анкетирования 600 матерей в различных ЛПУ; оценка химической контаминации продуктов для искусственного вскармливания/докармливания и прикорма на первом году жизни по данным федерального информационного фонда социально- гигиенического мониторинга Российской Федерации (ФИФ СГМ РФ) по 65 субъектам за 2012–2017 гг. Полученные данные обрабатывались с использованием компьютерных программ «Microsoft Word 2010» и «Microsoft Excel 2010». Установлено, что 37,3% детей первого года жизни находятся на грудном вскармливании, 62,7% детей получают искусственное вскармливание/ докармливание. Возраст введения прикорма в 74,7% случаев — это 4–6-й месяц первого года жизни. В качестве первого прикорма чаще используются фруктовые и овощные продукты, далее вводят злаковые продукты (каши) и мясные консервы. Эти же виды продуктов имеют самые высокие показатели по содержанию тяжелых металлов (свинец, кадмий, мышьяк, ртуть).

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To the issue of breastfeeding support: from theory to practice

Cited by 3 publications

References 4 publications

Knowledge of Future Doctors (Senior Students, Interns, Residents) on Breastfeeding: Cross-Sectional Study

Knowledge of Future Doctors (Senior Students, Interns, Residents) on Breastfeeding: Cross-Sectional Study

A clinical case of induced lactation in a biological mother in perimenopause in a surrogacy program of art

Food patterns and chemical contamination of baby food

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