INFANTS FEEDING PRACTICE IN FIRST SIX MONTHS ACCORDING TO DELIVERY PRACTICES

Abstract

Cilj rada je bio utvrditi zastupljenost načina prehrane prema načinu poroda, u dojenčadi do šest mjeseci života na području Tuzlanske županije. Ispitanici i metode. Ispitivanjem su obuhvaćena dojenčad uzrasta od 6 mjeseci, rođena u rodilištu Ginekološko-akušerske klinike u Tuzli u razdoblju svibanj–rujan 2004. godine, težine veće od 2500 grama i gestacijske dobi iznad 37 tjedana. Podaci o načinu prehrane dojenčeta u svakom mjesecu života kao i o načinu poroda prikupljeni su anketiranjem 493 majke. Rezultati. Analizirajući način poroda istraživanje je pokazalo da je od 493 majke 95 porođeno carskim rezom. Porod carskim rezom u našem istraživanju kod majki dojilja je bio zastupljen u 18,4%, a kod majki koje su umjetno hranile dojenčad u 22,4% slučajeva (2=0,79, df=1, P=0,37). Zaključak. Ovo istraživanje je potvrdilo da je umjetna prehrana češća kod dojenčadi čije su majke porođene carskim rezom, što pokazuje da je ovim majkama potrebno pružiti posebnu pomoć kako bi u dojenju uspjele.Aim. To investigate the infants’ feeding practice in the first six months of life in Tuzla canton according to delivery practices. Methods. The infants were born in Gynaecology-Obstetrics Department in Tuzla in the period May – September 2004, with infant’s birth weight >2500 g and >37 weeks of gestational age. Infants’ feeding practices and type of delivery were collected by questionnaires sent to mothers in 13 communities of Tuzla canton. Overall 493 questionnaires were analyzed. Results. One fifth of pregnancies were terminated by caesarean section. Delivery by caesarean section was found in 18.4% mothers of breastfed infants and in 22.4% mothers of infants fed by formula (2=0.79, df=1, P=0.37). Conclusion. Type of delivery had an impact on breastfeeding success. The study confirms that mothers with caesarean section are at greater risk for breastfeeding failure and thus should be targeted for additional attention and support