ФАКТОРЫ, ВЛИЯЮЩИЕ НА ПРИВЕРЖЕННОСТЬ И РАСПРОСТРАНЕННОСТЬ ГРУДНОГО ВСКАРМЛИВАНИЯ: РЕЗУЛЬТАТЫ ОНЛАЙН-ОПРОСА МАТЕРЕЙ В РОССИЙСКОЙ ФЕДЕРАЦИИ (ЧАСТЬ 2)

Abstract

The purpose of the research was to identify the reasons for the insufficient prevalence of breastfeeding (BF), to determine the ways to increase the prevalence of BF in Russia based on the data obtained during an online survey of mothers of infants in the first 6 months of life, which was conducted in two stages in 2020-2022. 1981 mothers from different age groups living in Russian cities with population from 100 thousand to 1 million and more participated in the study. Factors influencing the prevalence of BF were studied during the research. The analysis of data concerning the socio-demographic status of mothers and their observation during pregnancy in the antenatal clinic was carried out. Results: it was found out that the prevalence of exclusive BF was statistically significantly negatively affected by the period of breastfeeding after childbirth (p=0.005), repeated supplementary feeding with an infant formula in the maternity hospital (p<0.001), mother’s attitude to the fact of supplementing the infant with the formula (p=0.005): “calm” vs. “negative” (p<0.001), mother’s impression of insufficient lactation during the stay in the maternity hospital (p<0.001), lack of counseling of the mother about a possible temporary decrease in breast milk (BM) volume (p=0.022) as well as of the ways to increasing the BM volume (p<0.001). The later discharge from the maternity hospital (on the 5th to 7th days vs. on the 3rd day, p=0.005) as well as the mother’s confidence in the need for breastfeeding upon discharge from the maternity hospital after the child had been supplemented with an infant formula (p<0.001) also had negative impact. The main factor affecting the likelihood of breastfeeding at the outpatient stage was the absence of attempts by a local neonatologist/pediatric physician to returning the child to BF after supplementary feeding with an infant formula in the maternity hospital (p<0.001). Conclusion: recommendations are given that can contribute to increasing the prevalence of BF in Russia taking into consideration the data obtained during the survey.