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Breast-feeding promotion in hospitals and prospective breast-feeding rates during the first year of life in two national surveys 1997-1998 and 2017-2019 in Germany

 
: Hockamp, Nele; Burak, Constanze; Sievers, Erika; Rudloff, Silvia; Burmann, Anja; Thinnes, Merlin; Zahn, Johanna; Lücke, Thomas; Kersting, Mathilde

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Public health nutrition 24 (2021), Nr.9, S.2411-2423
ISSN: 1368-9800
Bundesministerium für Ernährung und Landwirtschaft BMEL (Deutschland)
SuSe II
Stillen und Säuglingsernährung in Deutschland
Englisch
Zeitschriftenaufsatz
Fraunhofer ISST ()
breast-feeding assessment; breast-feeding indicators; exclusive breast-feeding; maternity hospitals; WHO Ten Steps

Abstract
Objectives:
The present study aimed to assess the current state of breast-feeding promotion in hospitals and the prevalence of breast-feeding during the first year of life in Germany and to compare the results with a study 20 years earlier.
Design:
In the studies on ‘breast-feeding and infant nutrition in Germany’ named ‘SuSe’, a cross-sectional survey in hospitals was combined with a subsequent prospective survey of breast-feeding and infant nutrition during the first year of life (0·5, 2, 4, 6 and 12 months after birth) in mother–infant pairs who were recruited in the hospitals. Written questionnaires and phone calls were used in SuSe I and web-based questionnaires in SuSe II. Breast-feeding promotion and prevalence were evaluated using recommendations from the WHO and the UNICEF.
Setting:
Two nationwide surveys SuSe I (1997–1998) and SuSe II (2017–2019).
Participants:
In SuSe I, 177 hospitals and 1717 mother–infant pairs and in SuSe II 109 hospitals and 962 mother–infant pairs were included.
Results:
In SuSe II, hospitals implemented seven of the WHO ‘Ten Steps to Successful Breastfeeding’ to a greater extent than the hospitals in SuSe I. More mothers exclusively breastfed for 4 months (57 % v. 33 %) and continued breast-feeding until 6 (78 % v. 48 %) and 12 months (41 % v. 13 %). In both studies, exclusive breast-feeding decreased between 4 and 6 months of age due to the introduction of complementary feeding.
Conclusions:
In Germany, breast-feeding habits have come closer to the recommendations over the last 20 years.

: http://publica.fraunhofer.de/dokumente/N-633951.html

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