Ricerca
Dimissione del neonato e allattamento al seno
DISCHARGE FROM HOSPITAL AND BREASTFEEDING
MARIA ERSILIA ARMENI1, LAURA ANTINUCCI2
1Pediatra, Consulente in Allattamento Materno;
2Consulente in Allattamento Materno, Roma
Settembre 1998 - pagg. 447 -451
Abstract
To evaluate the content of information on
breastfeeding provided to mothers at discharge
from maternity, the discharge
forms currently used in all 36 maternities of
the city of Rome were analyzed. 7 private
maternities do not provide any kind of
information. Within the remaining 29, only
11 do mention the superiority of breastfeeding
over breast milk surrogates, and only
13 recommend breastfeeding on request;
conversely, in 13 maternities fixed feeding
schedules and optimal amount of milk per
feeding are suggested and in 14 maternities
dietary restrictions are recommended to
the mothers. Indications on how to tackle
the most common breastfeeding problems
and where to refer for proper advice are
never included. This enquiry shows that the
content of information provided to mothers
is often not evidence-based and in many
cases in open contrast with recommendations
issued by international scientific
boards and with the International UN Code
on the marketing of breast milk surrogates.
Parole chiave
Suggerite dall'AI
Classificazione MeSH
Bibliografia
1. Helsing E: Supporting breastfeeding: what
governments and health workers can do: European
experiences. Int J Gyn Ob 31 (Suppl
1), 69-76, 1990.
2. Conti Nibali S, et al: La pratica dell’allattamento al seno in Italia. Medico e Bambino 1, 25-9, 1998.
3. Currò V, et al: Randomized controlled trial assessing the effectiveness of a booklet on the duration of breastfeeding. Arch Dis Child 76, 500-4, 1997.
4. Valaitis RK, et al: An evaluation of breastfeeding promotion literature: does it really promote breastfeeding? Rev Can de Santé Publ 84, 24-7, 1993.
5. Giovannini M: L’allattamento al seno in Italia. Riv It Ped 23(3), 319-22, 1997.
6. WHO/Wellstart: Promoting breastfeeding in health facilities. A short course for administrators and policy-makers. WHO Ginevra, 1996.
7. WHO/UNICEF: Protecting, promoting and supporting breastfeeding. The special role of maternity services. Ginevra, 1989.
8. AAP: Workgroup on breastfeeding. Breastfeeding and the use of human milk. Pediatrics 100, 1035-39, 1997.
9. World Health Assembly: International Code of Marketing of Breast-milk Substitutes. Resolution of the 34th World Health Assembly No 34.22, Geneva, Switzerland. WHO 1981.
10. Assistenza perinatale nel Lazio. Anno
1996. Osservatorio Epidemiologico Lazio N° 36, Anno XIII, Marzo 1997.
11. Perez-Escamilla R, Segura–Millan S, Canahuati J, Allen H: Prelacteal feeds are negatively associated with breastfeeding outcomes in Honduras. Am Inst Nutr 27, 65-73, 1996.
12. Hill PD, Humenick SS, Brennan ML, Wolley D: Does early supplementation affect long term breastfeeding? Clin Ped 23(6), 345-50, 1997.
13. Woolridge MW: Baby controlled breastfeeding. Biocultural implications. In: Breastfeeding. Biocultural Perspectives. Stuart-Macadam P e Dettwyler KA (eds). New York: Aldine de Gruyer, 1995.
14. Yamauchi Y, Yamanouchi I: The relationship between rooming-in/not rooming-in and breastfeeding variables. Acta Paed Scand 79, 1017-22, 1990.
15. Millard AV: The place of clock in pediatric advice: rationales, cultural themes, and impediments to breastfeeding. Soc Sci Med 31, 211-21, 1990.
16. de Carvalho M, et al: Effect of frequent breastfeeding on early milk production and infant weight gain. Pediatrics 72, 307-11, 1983.
17. Dewey KG, Lonnerdal B: Infant self regulation of breast milk intake. Acta Ped Scand 75, 893-98, 1986.
18. Victora CG, et al: Pacifier use and short breastfeeding duration: cause, consequence or coincidence? Pediatrics 99(3), 445-53, 1997.
19. Woolridge MW: Aetiology of sore nipples. Midwifery 2, 172-6, 1986.
20. WHO: Breastfeeding in the first six months. Diarrhoeal Disease Programme. BMJ 304, 1068-69, 1992.
21. Royal College of Midwives: Successful breastfeeding. 2nd Ed, Churchill Livingstone, 1991.
22. WHO: Division of Diarrhoeal and Acute Respiratory Disease Control. Not enough milk N° 21, March 1996, update.
23. Hillervik-Lindquist C, et al: Studies on perceived breastmilk insufficiency. A prospective study in a group of Swedish women. Acta Paed Scand 80, 297-303, 1991.
24. Lawrence RA: Breastfeeding. A guide for the medical profession. Mosby Yearbook, Inc 1994.
25. Mennella JA: Mother’s milk: a medium for early flavour experience. J Hum Lact 11(1), 39-45, 1995.
26. Gartner LM: Breastfeeding in the hospital. Seminars Perinatol 18(6), 475, 1994.
27. De Toni G: Puericultura. Edizioni Minerva Medica, 1939.
28. Pachioli R: Manuale di puericultura. Casa Ed Prof. R. Pàtron, 1953.
2. Conti Nibali S, et al: La pratica dell’allattamento al seno in Italia. Medico e Bambino 1, 25-9, 1998.
3. Currò V, et al: Randomized controlled trial assessing the effectiveness of a booklet on the duration of breastfeeding. Arch Dis Child 76, 500-4, 1997.
4. Valaitis RK, et al: An evaluation of breastfeeding promotion literature: does it really promote breastfeeding? Rev Can de Santé Publ 84, 24-7, 1993.
5. Giovannini M: L’allattamento al seno in Italia. Riv It Ped 23(3), 319-22, 1997.
6. WHO/Wellstart: Promoting breastfeeding in health facilities. A short course for administrators and policy-makers. WHO Ginevra, 1996.
7. WHO/UNICEF: Protecting, promoting and supporting breastfeeding. The special role of maternity services. Ginevra, 1989.
8. AAP: Workgroup on breastfeeding. Breastfeeding and the use of human milk. Pediatrics 100, 1035-39, 1997.
9. World Health Assembly: International Code of Marketing of Breast-milk Substitutes. Resolution of the 34th World Health Assembly No 34.22, Geneva, Switzerland. WHO 1981.
10. Assistenza perinatale nel Lazio. Anno
1996. Osservatorio Epidemiologico Lazio N° 36, Anno XIII, Marzo 1997.
11. Perez-Escamilla R, Segura–Millan S, Canahuati J, Allen H: Prelacteal feeds are negatively associated with breastfeeding outcomes in Honduras. Am Inst Nutr 27, 65-73, 1996.
12. Hill PD, Humenick SS, Brennan ML, Wolley D: Does early supplementation affect long term breastfeeding? Clin Ped 23(6), 345-50, 1997.
13. Woolridge MW: Baby controlled breastfeeding. Biocultural implications. In: Breastfeeding. Biocultural Perspectives. Stuart-Macadam P e Dettwyler KA (eds). New York: Aldine de Gruyer, 1995.
14. Yamauchi Y, Yamanouchi I: The relationship between rooming-in/not rooming-in and breastfeeding variables. Acta Paed Scand 79, 1017-22, 1990.
15. Millard AV: The place of clock in pediatric advice: rationales, cultural themes, and impediments to breastfeeding. Soc Sci Med 31, 211-21, 1990.
16. de Carvalho M, et al: Effect of frequent breastfeeding on early milk production and infant weight gain. Pediatrics 72, 307-11, 1983.
17. Dewey KG, Lonnerdal B: Infant self regulation of breast milk intake. Acta Ped Scand 75, 893-98, 1986.
18. Victora CG, et al: Pacifier use and short breastfeeding duration: cause, consequence or coincidence? Pediatrics 99(3), 445-53, 1997.
19. Woolridge MW: Aetiology of sore nipples. Midwifery 2, 172-6, 1986.
20. WHO: Breastfeeding in the first six months. Diarrhoeal Disease Programme. BMJ 304, 1068-69, 1992.
21. Royal College of Midwives: Successful breastfeeding. 2nd Ed, Churchill Livingstone, 1991.
22. WHO: Division of Diarrhoeal and Acute Respiratory Disease Control. Not enough milk N° 21, March 1996, update.
23. Hillervik-Lindquist C, et al: Studies on perceived breastmilk insufficiency. A prospective study in a group of Swedish women. Acta Paed Scand 80, 297-303, 1991.
24. Lawrence RA: Breastfeeding. A guide for the medical profession. Mosby Yearbook, Inc 1994.
25. Mennella JA: Mother’s milk: a medium for early flavour experience. J Hum Lact 11(1), 39-45, 1995.
26. Gartner LM: Breastfeeding in the hospital. Seminars Perinatol 18(6), 475, 1994.
27. De Toni G: Puericultura. Edizioni Minerva Medica, 1939.
28. Pachioli R: Manuale di puericultura. Casa Ed Prof. R. Pàtron, 1953.