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Infant Feeding Challenges in the First Six Months: Influencing Factors, Consequences, and Strategies for Maternal
Karolina Krupa-Kotara1, Jarosław Markowski2, Mateusz Grajek3
1Department of Epidemiology, Faculty of Public Health in Bytom, Medical University of Silesia, 41-902 Bytom, Poland.
Insights
Infant feeding difficulties are common, affecting 65% of babies under six months. Maternal health, education, partner support, and feeding methods significantly influence these challenges.
Area of Science:
- Pediatrics
- Maternal Health
- Infant Nutrition
Background:
- The first six months are critical for infant development.
- Maternal feeding practices profoundly impact infant nutrition and growth.
- Understanding factors contributing to infant feeding difficulties is essential.
Purpose of the Study:
- To identify factors associated with feeding difficulties in infants under six months.
- To analyze the influence of maternal sociodemographic and health factors on infant feeding.
- To assess the impact of different feeding methods on infant feeding challenges.
Main Methods:
- A Computer-Assisted Web Interview (CAWI) method was employed.
- 555 mothers completed an online questionnaire on demographics, feeding practices, and feeding difficulties.
- The Montreal Children's Hospital Feeding Scale (MCH-FS) was used to measure feeding difficulties.
Main Results:
- 65% of mothers reported infant feeding difficulties.
- Maternal overweight/obesity, lower maternal education, and lack of partner support were significant predictors.
- Mixed feeding methods were associated with increased feeding difficulties (Cohen's d = 0.46).
Conclusions:
- Infant feeding difficulties are prevalent and linked to maternal health and sociodemographic factors.
- Targeted educational resources and lactation support are crucial for at-risk mothers.
- Interventions should address maternal well-being and support systems to improve infant feeding outcomes.
Abstract:
Introduction: The first six months of an infant's life are crucial for the child's physical and psychological development. During this period, maternal feeding practices significantly impact infant nutrition and growth. The aim of this study was to identify factors associated with feeding difficulties in infants younger than six months. Methods: The study was conducted using a CAWI method. The study group consisted of 555 mothers who completed an online questionnaire about demographics, feeding methods, and feeding difficulties experienced, measured using the Montreal Children's Hospital Feeding Scale (MCH-FS). Infant feeding methods were clearly distinguished as direct breastfeeding, breast milk feeding (expressed milk), and formula feeding. Statistical analyses included effect sizes (Cohen's d) and 95% confidence intervals (95% CI). Results: In the study group, 65% of mothers reported feeding difficulties. Significant predictors of feeding difficulties included maternal overweight and obesity (p = 0.041; Cohen's d = 0.37, 95% CI [0.15, 0.59]), lower maternal education (p = 0.014; Cohen's d = 0.45, 95% CI [0.22, 0.68]), lack of adequate partner support (38%), and the use of mixed feeding methods (mean difference = 4.4 points, p = 0.027; Cohen's d = 0.46, 95% CI [0.23, 0.69]). Conclusions: Feeding difficulties during infancy are common and influenced by maternal health and sociodemographic factors. These findings emphasize the importance of targeted educational resources and lactation support interventions tailored specifically to mothers at increased risk.
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