Abstract
Objective: To examine infant feeding practices up to 8 weeks postpartum in Hamilton-Wentworth.
Methods: A cross-sectional survey of 227 women using a pre-discharge, selfadministered questionnaire, medical record review and follow-up telephone interview.
Results: Breastfeeding initiation rate was 85%. By 6–8 weeks postpartum, 30% of women had stopped breastfeeding; 55% had switched to formula within the first 14 days. Infants who did not receive supplementation in hospital were 2.49 times more likely than infants who received supplementation to breastfeed for at least 6 weeks. Although 54% of mothers who initiated breastfeeding reported receiving formula gift packs, no association was found.
Conclusions: The breastfeeding initiation rate appears to have increased in Hamilton-Wentworth since 1995. However, this study reinforces the need to address early cessation and infant supplementation, and raises concern about violation of the WHO/UNICEF International Code of Marketing of Breastmilk Substitutes through mailing of formula coupons.
Résumé
Objectif: examiner les habitudes d’alimentation des nouveau-nés jusqu’à 8 semaines après la naissance dans la circonscription de Hamilton-Wentworth.
Méthodologie: étude longitudinale de 227 femmes à partir des réponses fournies à un questionnaire distribué avant leur sortie de la maternité, des données d’examen des dossiers médicaux et d’une entrevue téléphonique de suivi.
Résultats: le taux d’allaitement immédiatement après la naissance était de 85 %. Six à huit semaines après l’accouchement, 30 % des femmes avaient cessé d’allaiter; 55 % avaient adopté le lait maternisé dans les 14 jours suivants. Les nouveau-nés n’ayant reçu aucun supplément à l’hôpital avaient une probabilité 2,49 fois supérieure à ceux ayant reçu un supplément de continuer de s’alimenter au sein pendant au moins 6 semaines. Bien que 54 % des mères qui ont commencé à allaiter leur nouveau-né aient déclaré avoir reçu un paquet-cadeau de lait maternisé, aucune association n’a pu être trouvée.
Conclusion: le taux d’allaitement immédiatement après la naissance semble avoir augmenté dans la circonscription de Hamilton-Wentworth depuis 1995. Toutefois, cette étude souligne le besoin de se pencher sur le sevrage précoce et les suppléments alimentaires des nouveau-nés, et soulève des questions quant à une possible violation du Code international de commercialisation des substituts du lait maternel de l’OMS/UNICEF par l’envoi de coupons d’achat de lait maternisé.
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