the results of breastfeeding promotion in kaunas
DESCRIPTION
THE RESULTS OF BREASTFEEDING PROMOTION IN KAUNAS. EGLĖ MARKŪNIENĖ MD, PhD Kaunas Medical University Hospital, Neonatology Clinic LITHUANIA. Prevalence of Breastfeeding in Lithuania. 3 - 46.4 % 6 - 28.6 %. Lithuanian Nutrition Center. Breastfeeding Promoted By:. - PowerPoint PPT PresentationTRANSCRIPT
THE RESULTS OF THE RESULTS OF BREASTFEEDING BREASTFEEDING
PROMOTION IN KAUNASPROMOTION IN KAUNAS
EGLĖ MARKŪNIENĖ EGLĖ MARKŪNIENĖ MD, PhDMD, PhDKaunas Medical University Hospital, Neonatology ClinicKaunas Medical University Hospital, Neonatology Clinic
LITHUANIALITHUANIA
Prevalence of Breastfeeding in Prevalence of Breastfeeding in LithuaniaLithuania
01,62,9
3,75,48,2
11,1
17,8
23
34,1
52,5
73,6
12,43,14,1
5,26,8
9,818,2
27
36,9
49,3
74,7
6,88,710,612,2
14,717,9
22,230,9
36,4
44,9
58,6
76,8
47,5
1 2 3 4 5 6 7 8 9 10 11 12
žindė mėnesių
1993199519992001 Kaunas2003
Lithuanian Nutrition Center
3 - 46.4 %
6 - 28.6 %
Breastfeeding Promoted By:Breastfeeding Promoted By:
• Kaunas Medical University (KMU)Kaunas Medical University (KMU)
• Obstetric-Gynecology, Neonatology and Obstetric-Gynecology, Neonatology and Pediatric Clinics of Kaunas Medical Pediatric Clinics of Kaunas Medical University HospitalUniversity Hospital
• Municipality of KaunasMunicipality of Kaunas
• Society of Breastfeeding PromotionSociety of Breastfeeding Promotion
• Parents Club “Father, Mother and Me”Parents Club “Father, Mother and Me”
• Publishing and Information Center “For Life”Publishing and Information Center “For Life”
Target GroupsTarget Groups
• Students of health Students of health carecare
• PhysiciansPhysicians
• MidwifesMidwifes
• NursesNurses
• Pregnant womenPregnant women
• MothersMothers
Method Method of Studyof Study
• Selected term, healthy newborns Selected term, healthy newborns (October and November of year 2000)(October and November of year 2000)
• From Maternity homes in 9 different From Maternity homes in 9 different locationslocations
• 1000 questionnaires sent by post on 1000 questionnaires sent by post on April and May of 2001 April and May of 2001
• Response rate 46.9 %Response rate 46.9 %
ObjectiveObjective
• To compare the factors of To compare the factors of breastfeeding mothers have been breastfeeding mothers have been divided into two groups:divided into two groups:– first group – mothersfirst group – mothers from Kaunasfrom Kaunas - 218 - 218– second group – mothers from other second group – mothers from other
locations of Lithuania – 234locations of Lithuania – 234
Education of MothersEducation of Mothers
0 10 20 30 40 50
secondary
profesional
university
otherKaunas n-218
Family Income per MonthFamily Income per Month
0 10 20 30 40 50
< 500 Lt
501-1000 Lt
1001-2000 Lt
> 2001 Lt
otherKaunas
**
1 EUR= 3.45 Lt
Reasons of Refusing to BreastfeedReasons of Refusing to Breastfeed
0 2 4 6 8 10 12 14 16 18
insufficiency of milk
milk disappeared because of stress
baby refused breast
breasts too small
mother's medication
tiredness
mother's ilness
painfull breasts
baby was too weak to suck
breasts infection
returned to work
difficult to coordinate BF with home duties
BF too difficult
BF too boring
baby was ill
better for baby to stop BF
partner didn't accept BF
wanted normal sexual life
physicians recommended to stop BF
wanted to take contraceptive pill
other family members forced to stop BF
otherKaunas n-218
**
*
Indicators of Insufficiency of Indicators of Insufficiency of Milk, Used by MothersMilk, Used by Mothers
0 10 20 30 40 50
Fussy baby afterbreast
checked milkamount by
expression
breasts seemedempty
baby didn't gainweight
somebody toldabout insuficiency
of milk
other
Kaunas n-218
*
**
Did the Mothers Seek HelpDid the Mothers Seek Help ? ?
0 10 20 30 40 50 60 70
Yes
No
other
Kaunas n-218
Mothers Who Sought Help Got Mothers Who Sought Help Got Advice to:Advice to:
0 5 10 15 20 25 30 35
to drink more
to breastfeed more often and longer
to eat Halva
to rest
to drink special tea
be confident
to check amount of milk by expressing it
to ask family for help in housekeeping
to improve latch on to the breast
refuse from supplemental feeding
do not give pacifier
skin-to-skin contact
improve baby position
use Apilacum
other
Kaunas n-218
*
**
Breastfeeding Difficulties in the Breastfeeding Difficulties in the Maternity HomeMaternity Home
0 10 20 30 40 50
engorged breasts
cracked nipples
insufficiency of milk
oversupply of milk
pain during BF
depression
blocked milk duct
other diseases
inverted nipples
bad quality of milk
flat nipples
mastitis
other
Kaunas n-218
**
What Food Did the Newborn What Food Did the Newborn Get in the Maternity Home?Get in the Maternity Home?
0 5 10 15 20 25 30 35
formula
expressedmilk
glucose
donor's milk
water
other
Kaunas n-218
Why Did the Newborn Was Fed Why Did the Newborn Was Fed in That Wayin That Way??
0 5 10 15 20 25
insufficiencyof milk
mothercouldn't BF
newborn wasill
mother askedfor additional
food
other
Kaunas n-218
UUsagesage of Artificial Nipples in of Artificial Nipples in the Maternity Homethe Maternity Home
0
5
10
15
20
25
30
35
40
45
pacifier feeding by bottle
Kaunas n-218
other
*
***
CONCLUSIONCONCLUSION
The prevalence of BF in Kaunas is higher than in other locations of Lithuania
Practice of KMU
Practice of NGO
Health policy of
Municipality
RECOMENDATIONSRECOMENDATIONS
• High quality of teaching High quality of teaching methods for target methods for target groupsgroups
• Development of Mother-Development of Mother-to-Mother support groupsto-Mother support groups
• Promotion of BF in the Promotion of BF in the societysociety
• State policy of BF in the State policy of BF in the countrycountry
THANK YOU! QUESTIONS?THANK YOU! QUESTIONS?
EGLĖ MARKŪNIENĖEGLĖ MARKŪNIENĖ, MD, PhD, MD, PhD KMU KMU