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Down syndrome and breastfeeding.

A Pisacane1, E Toscano, I Pirri

  • 1Dipartimento di Pediatria, Università di Napoli Federico II, Naples, Italy. pisacane@unina.it

Acta Paediatrica (Oslo, Norway : 1992)
|February 20, 2004
PubMed
Summary
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Children with Down syndrome are breastfed less often than healthy children. This study highlights the need for improved breastfeeding support for infants with Down syndrome, especially those admitted to neonatal units.

Area of Science:

  • Pediatrics
  • Neonatology
  • Genetics

Background:

  • Breastfeeding offers numerous health benefits for infants.
  • Children with Down syndrome may face unique challenges related to feeding and health.

Purpose of the Study:

  • To determine the frequency of breastfeeding in children with Down syndrome.
  • To compare breastfeeding rates between children with Down syndrome and healthy controls.
  • To identify reasons for not breastfeeding in mothers of children with Down syndrome.

Main Methods:

  • A study involving 560 children with Down syndrome and two control groups of healthy children (1601 and 714) in Italy.
  • Mothers were interviewed regarding infant feeding practices and reasons for not breastfeeding.
  • Neonatal clinical records and paediatrician interviews were utilized to gather comprehensive data.

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Main Results:

  • Children with Down syndrome were significantly more likely to be bottle-fed compared to healthy controls (57% vs 15% and 24%).
  • Only 30% of infants with Down syndrome admitted to the neonatal unit were breastfed.
  • Mothers cited infant illness, perceived milk insufficiency, and feeding difficulties as primary reasons for not breastfeeding.

Conclusions:

  • Breastfeeding is less common in infants with Down syndrome compared to their healthy peers.
  • Enhanced breastfeeding support is crucial for the health supervision of children with Down syndrome.
  • Neonatal admission policies for Down syndrome infants may influence feeding practices.