Awareness of the diet of breastfeeding mothers. Survey and review of the latest recommendations
Abstract
Introduction: A breastfeeding mother using elimination diets limits the intake of certain products only for herself and not for her baby, because breast milk has a relatively constant composition and largely comes from supply accumulated during pregnancy. During lactation, it is recommended to eat healthy, easily digestible and varied meals, in accordance with the principles of the food pyramid. Aim: The article presents the current knowledge of the surveyed women about dietary recommendations during breastfeeding and current recommendations regarding this problem. Material and methods: The study was used an original questionnaire on the diet of a breastfeeding mother. Responses were collected from 630 women aged 18-44. Results and discussion: The most questionable concern during lactation is the consumption of raw fish and raw meat. The respondents were also careful with spicy products. They had the least doubts when asked about milk, dairy produce and pickled produce. It is also worth mentioning that 10.3% of respondents consider drinking a glass of wine during lactation acceptable. The study also found health inequalities. There is a statistically significant relationship between the place of residence and the respondents' knowledge about the diet of a breastfeeding mother. Residents of large cities gave the most correct answers. Conclusion: When educating a breastfeeding mother about the diet, special attention should be paid to the harmfulness of alcohol and debunking myths related to the fear of eating raw fish and raw meat. Women living in the largest cities are better informed on the subject. This indicates the need for education about the diet during lactation, addressed primarily to women living in rural areas and small towns.
Keywords: breastfeedingdietlactationnutritionpublic health
References
- Nutrition Education Center. What can a breastfeeding woman eat? All! https://ncez.pzh.gov.pl/dzieci-i-mlodziez/co-moze-jesc-kobieta-karmiaca-wszystko (19.06.2024).
- Szajewska H, Horvath A, Rybak A, et al. Breastfeeding. Polish position Society of Pediatric Gastroenterology, Hepatology and Nutrition. Stand Med. 2016; 13: 9–24.
- Zdrojewicz Z, Herman M, Sałamacha M, et al. Human milk – facts and myths. Pediatria i Medycyna Rodzinna. 2017; 13(1): 11–20.
- Jabłońska A. Laktacja - rola karmienia piersią i jej wpływ na rozwój dziecka. Innowacje w Pielęgniarstwie. 2022; 7(2): 95–106.
- Raczyński P, Kubik P, Niemiec T. Recommendations regarding dietary supplementation in women when planning a pregnancy, during pregnancy and while breastfeeding. Gynecol Prac. 2006: 2–7.
- Kalita-Kurzyńska K, Mołas A, Kozak K, et al. Assessment of nutrition knowledge during lactation among postpartum women. Medical Science Pulse. 2021; 15(SUPPLEMENT 2): 1–12.
- Karcz K, Lehman I, Królak-Olejnik B. Foods to Avoid While Breastfeeding? Experiences and Opinions of Polish Mothers and Healthcare Providers. Nutrients. 2020; 12(6).
- Ohrvik V, Witthöft C. Orange juice is a good folate source in respect to folate content and stability during storage and simulated digestion. Eur J Nutr. 2008; 47(2): 92–98.
- Nehring-Gugulska M, Nehring P, Królak-Olejnik B. Breastfeeding knowledge among Polish healthcare practitioners supporting breastfeeding mothers. Nurse Educ Pract. 2015; 15(5): 381–386.
- Bethesda (MD): National Institute of Child Health and Human Development; 2006.
- Bzikowska-Jura A, Żukowska-Rubik M, Wesołowska A, et al. Group position Experts on nutritional recommendations for lactating women - update. Stand Med. 2023; 20: 233–248.
- Resman BH, Blumenthal P, Jusko WJ. Breast milk distribution of theobromine from chocolate. J Pediatr. 1977; 91(3): 477–480.
- Zhang M, Zhang H, Jia Lu, et al. Health benefits and mechanisms of theobromine. Journal of Functional Foods. 2024; 115: 106126.
- Chorostowska-Wynimko J, Skopińska-Rózewska E, Sommer E, et al. Multiple effects of theobromine on fetus development and postnatal status of the immune system. Int J Tissue React. 2004; 26(1-2): 53–60.
- Gordon M, Biagioli E, Sorrenti M, et al. Dietary modifications for infantile colic. Cochrane Database Syst Rev. 2018; 10(10): CD011029.
- Mennella JA, Beauchamp GK. Maternal diet alters the sensory qualities of human milk and the nursling's behavior. Pediatrics. 1991; 88(4): 737–744.
- Jeong G, Park SW, Lee YK, et al. Maternal food restrictions during breastfeeding. Korean J Pediatr. 2017; 60(3): 70–76.
- Samarghandian S, Farkhondeh T, Samini F. Honey and Health: A Review of Recent Clinical Research. Pharmacognosy Res. 2017; 9(2): 121–127.
- Kramer MS, Kakuma R. Kramer MS, Kakuma R. Maternal dietary antigen avoidance during pregnancy or lactation, or both, for preventing or treating atopic disease in the child. Cochrane Database Syst Rev. 2012(9): CD000133.
- Vandenplas Y, Koletzko S, Isolauri E, et al. Guidelines for the diagnosis and management of cow's milk protein allergy in infants. Arch Dis Child. 2007; 92(10): 902–908.
- Koletzko S, Niggemann B, Arato A, et al. European Society of Pediatric Gastroenterology, Hepatology, and Nutrition. Diagnostic approach and management of cow's-milk protein allergy in infants and children: ESPGHAN GI Committee practical guidelines. J Pediatr Gastroenterol Nutr. 2012; 55(2): 221–229.
- Bik-Multanowski M, Łagosz A, Bakalarz R. Women's knowledge about nutrition during lactation. https://nursing.com.pl/artykul/Wiedzy-kobiet-na-temat-odzywiania-w-powiedzie-laktacji-5f3e9f3f99dc40003dcde578 (20.06.2024).
- Lalonde M. A New Perspective on the Canadians. Working Document, Minister of National Health and Welfare, Ontario. 1974.