DOI: 10.21045/2071-5021-2018-62-4-7
1 Pastbina I.M., 2Ignatova O.A., 2Menshikova L.I.
1 Ministry of Health of the Arkhangelsk region, Arkhangelsk, Russia
2 Northern State Medical University, Ministry of Health of the Russian Federation, Arkhangelsk, Russia
Contacts: Pastbina Irina, e-mail:
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Information about authors:
Pastbina I.M., https://orcid.org/0000-0003-1475-1529
Menshikova L.I., http://orcid.org/0000-0002-1525-2003
Acknowledgments. The study had no sponsorship.
Conflict of interests. The authors declare no conflict of interest.
Abstract
Organization of early initiation and continuation of exclusive
breastfeeding during the first six months of life are crucial for both
optimal development of the child and maternal health. Introduction of
modern technologies to improve and support breastfeeding into practice
of obstetrical facilities has a positive effect on initiation and
duration of exclusive breastfeeding.
Purpose: to evaluate the existing practice of
the interregional obstetric center for women with low and medium
perinatal risks to support exclusive breastfeeding to further improve
perinatal care delivery in the region.
Methods. A survey covered 226 women in the
obstetric center for women with low and moderate perinatal risk and 6
months later the discharge. Several variables were assessed:
participation in prenatal training, attitude to partner delivery,
rooming in, initiation, support and duration of exclusive breastfeeding.
Statistical analysis. Statistical analysis was
performed using program SPSS version 21.0. The Pearson chi-square test
was used to compare two qualitative variables; Mann-Whitney criteria –
to compare a quantitative data with non-normal distribution; McNemar’s
test - to find out relationship between two dichotomous variables in
«before-after» cases.
Results. The study showed a low coverage of
pregnant women with prenatal training (less than 30%), denial of partner
delivery (75%), late initiation of breastfeeding (30%), widespread use
of formulas and giving water to healthy newborns (over 50%); influence
of several factors on early discontinuation of breastfeeding.
Conclusions. Prenatal education, early attachment of
full-term baby to breast, length of "skin to skin" contact and partner
births are insufficiently provided to women with low and medium
perinatal risk.
The study has identified social determinants and factors of the
perinatal period that discourage and encourage mothers to prolong
breastfeeding. Along with the increasing partner births this information
can be used to further improve perinatal care in the region.
Scope of application: antenatal clinic, obstetric hospitals, pediatric clinic.
Keywords: healthy newborns; partner birth; rooming-in; exclusive breastfeeding.
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