Breast‐feeding: A Commentary by the ESPGHAN Committee on Nutrition

Journal of Pediatric Gastroenterology and Nutrition - Tập 49 Số 1 - Trang 112-125 - 2009
Carlo Agostoni1,2, Christian Braegger3, Támas Décsi4, Sanja Kolaček5, Berthold Koletzko6,1, Kim F. Michaelsen1,7, Christian Mølgaard8, Luís A. Moreno9, Thibault Senterre10, Raanan Shamir11,12, Hania Szajewska13, Dominique Turck14,15, Johannes B. van Goudoever16
1Guest
2San Paolo Hospital, University of Milano, Milano, Italy
3University Children's Hospital, Zurich, Switzerland
4University of Pecs, Pecs, Hungary
5Children's Hospital, Zagreb Medical University, Zagreb, Croatia
6Dr von Hauner Children’s Hospital, University of Munich, Munich, Germany
7University of Copenhagen, Copenhagen, Denmark
8Deaconry Hospital, Schwaebisch Hall, Germany
9Escuela Universitaria de Ciencias de la Salud, Universidad de Zaragoza, Zaragoza, Spain
10Leeds General Infirmary, Leeds, United Kingdom
11Committee Chair
12Schneider Children's Medical Center of Israel, Sackler Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel
13Medical University of Warsaw, Warsaw, Poland
14Committee Secretary.
15Jeanne de Flandre Children's Hospital, Lille University Faculty of Medicine, Lille, France
16Erasmus MC – Sophia Children's Hospital, Rotterdam, the Netherlands

Tóm tắt

ABSTRACTThis medical position article by the European Society for Paediatric Gastroenterology, Hepatology, and Nutrition summarises the current status of breast‐feeding practice, the present knowledge on the composition of human milk, advisable duration of exclusive and partial breast‐feeding, growth of the breast‐fed infant, health benefits associated with breast‐feeding, nutritional supplementation for breast‐fed infants, and contraindications to breast‐feeding. This article emphasises the important role of paediatricians in the implementation of health policies devised to promote breast‐feeding.The European Society for Paediatric Gastroenterology, Hepatology, and Nutrition Committee on Nutrition recognises breast‐feeding as the natural and advisable way of supporting the healthy growth and development of young children. This article delineates the health benefits of breast‐feeding, reduced risk of infectious diarrhoea and acute otitis media being the best documented.Exclusive breast‐feeding for around 6 months is a desirable goal, but partial breast‐feeding as well as breast‐feeding for shorter periods of time are also valuable. Continuation of breast‐feeding after the introduction of complementary feeding is encouraged as long as mutually desired by mother and child.The role of health care workers, including paediatricians, is to protect, promote, and support breast‐feeding. Health care workers should be trained in breast‐feeding issues and counselling, and they should encourage practices that do not undermine breast‐feeding. Societal standards and legal regulations that facilitate breast‐feeding should be promoted, such as providing maternity leave for at least 6 months and protecting working mothers.

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Journal of Pediatric Gastroenterology and Nutrition

Tập 49 Số 1

112-125

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